FEMA-EC940912FPMC - 1 (4/94)
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7The City With A Beautiful Future BUILDING PERMIT APPLICATION j 9 94 '
Print or Type in a Clear, Legible Manner
Job Address: I �$Rip Lt L o o dDate:
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Lot: Block: Subdivision:
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Phase or Section Number:
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Owner:L� e Address: J
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Contractor: Address:
Phone #:
Description of Work to be Done Class of Work: ❑ New
❑Addition
❑ Alteration ❑ Repair ❑Demolition
Area of Building in Square Feet
First Floor Garage C}
Value of Work
to be Performed r '% Sj 000
Second Floor a..Q p I Other
dl Z 7 GRAY AREA FOR OFFICE USE ONLY U ��
NOTICE
.::........... :.:::::::::..:.:::.::.::::::::::::::::::.:::::::::::::..::::.:::::::::::::::::::.::.:::::::::::::::::::::::::.:::.
:.:...........
This permit becomesnull and void if work or construction authorized is not commenced
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within 180 days, or construction on work is suspended or abandoned for a period of 180 days
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time after work is commenced
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b that I have read and examined this application and know the same to be true
I hereby certify
and correct All provisions of laws and ordinances governing this t of work will be .....
Pr 8 8 type
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complied with whether specified herein or not The granting of a pant does not presume to;:;;::;::::::;::::;::.................:•
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v authority to violate a cancel the provisions of an other federal state or local la w
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regulating construction or the performance of construction.
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Si of Contractor or Authorized Agent Print Name
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Electrical ontractor Plumbr Contractor Mechanical
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FPMC - 1 (4/94)
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1467 LeMay #106
Carrollton, TX 75007
214/446-0727
FAX 214/245-6322
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SITE PLAW'R"K"`"s�ei-
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NO _RT H
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_d_±�LLY U100
,\\ADDRESS:, 1-1
LOT A) OrK
SUBDIVISIONS 00) PLAN: 30-21?
CITY* CD Mfr
CITY Of..;OPPELL
REVIEWED
On qq
fy 'T MTE
'pprma°'--.pecif icati6ns shall not
_��-Aruction in direct con -
Codes ane.
ELEVATION CERTIFICATE Expires May 370°"
Expires May 31, 1993
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB).
Instructions for completing this form can be found on the following pages.
BUILDING OWNER'S
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
POLICY NUMBER
4- / /YO mif 5
STREET ADDRESS (Including Apt.Unit, S��� a cl/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
L04 3L-- 13 /ock 1) La /, oo� —S� -tleS
CITY C
n �v_ �l STATE �X ZIP CODE ci
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
So l'7 D
Oo� o
C
y -�❑ -
��
4 `%
'. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ Other (describe on back)
3. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I I I I ❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level .
2(a). FIRMS Zones
��Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of �JJJ . V-Aeet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I I .❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is 1. ❑ feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ❑❑ . ❑ feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on actual construction Elconstruction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.) t/
6. The elevation of the lowest grade immediately adjacent to the building is:❑❑ 7❑�9 . feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I . ❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
?. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE, AH, A (with 13FE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available.
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME
Don Parish LICENSE NUMBER (or Affix Seal)
TITLE 2516
President
Copies should be made of this Certificate for
COMPANY NAME
Parish Surveyors, Inc.
CITY
Dallas
STATE ZIP
Texas 75997
DATE PHONE
9-12-94
214) 381-
1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON
WITH
SLAB ON PILES,
BASEMENT
PIERS, OR COLUMNS
A V
A
ZONES ZONES A V
ZONES ZONES ZONES
REFERENCE REFERENCE
LEVEL BASE LEVEL
REFERENCE
FLOOD
LEVEL
ELEVATION
BASE-
FLOODADJACENT: REFERENCE -1
BASE
ELEVATION REFERENCE GRADE LEVEL
ADJACENT
FLOOD
-
LEVEL GRADE
ELEVATION
,:.:.::�.:
ADJACENT:;.
GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones
and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
SURVEY PLAT
TO ALL PARTIES INTERESTED IN PREMISES SURVEYED:
'This is to certify that on this date, there was a careful and accurate
survey made on the ground under my supervision of the property located
at NO. 128 Hollywood Drive , in the City of
Texas, described as being Lot 32, Block D
of AMENDED FINAL PLAT LAKEWOOD ESTATES ,
an Addition to the City of Coppell Texas, according
to the Plat thereof recorded in Volume 94057, Page 602
of the Map Records of Dallas County, Texas.
FJ /2" C2
30' SANITARY SEWER E/
8 VOL. 93189 f}I. 4517
33
PER PLAT O
O
�h
-� VARIABLE
32
11.7
0 0
O N
8.0' C5 05.0 5.4 /B.3
N
FORMS
0
a
8.0''U) h
10.7 `Q N 9.5
10' UNDERGROUND ELECTRIC ESMT PER PLAT
FJ/2" I.R.
F.F. 449.72
0
h
N
O
h
8.I'
FJ/2" 1R.
ACCESS 8 FLOOD PLAIN EASEMENT
PER PLAT
O
wi
M
3/
af
25' BUILDING LINE PER PLAT
5' T.0 ELECTRIC ESM r. PER PLAT
FJ %2" LR.
....HOLLYWOOD.'.DRIVE
50'R. 0. W.
I hereby certify that this survey was made under my
supervision and the plat hereon is a true, correct and
accurate representation of the property as determined by an
on the ground survey.
be•I•: 1 • . 2 0 ' w.0. Ne LDW 20 �.�
Gr
CON PARISH
D•N
9-7-94 iFW N•. PARIS" W1 v"ORS. INC 3/1.1116
YM MIIIIMy PNterep. 06118L te•u 1i1S1
or
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0 O PARISH
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�:?r_ 2516 ,o�;;e
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D "5T
a
1 N LIMITS SHAL
4,
6, 8, 10, 12, AND
•f 1 V _ I
I I
i 1 1
j PILASTER- - ' PIPE MAY BE PLACED
Jm 12,AND N FOOT: l_. N ANY WALL. BUT SMALL
= a 1 INLET ONLY i NOT ENTER ANY CORNER,
I I OR AT PILASTER
1 '
� 1----------------------- '---' ._. INLET NOTE-
WHERE
OTEWHERE INLETS ARE INDICATED TO
MODIFIED, REFER TO PLAN/PROFILE
SHEETS FOR ELEV, DIFFERENT SIZES ON
SECTION A—A-RECESSED AND STANDARD INLETS MODIFICATIONS. ALL OTHER ITEMS
SHALL REMAIN AS SHOWN ON THIS
STANDARD DETAIL SHEET.
1 N LIMITS SHAL
4,
6, 8, 10, 12, AND
L
INLETS
IC -0 ___
VARIABLE HEIGHT CURB
_
VARIABLE HEIGHT CURB
6" INLET OPENING • L 6 -
'
_ SLOPE TOe Of
i INLET vA/FT
���rr��D�D^D(\JJJ err ��^(ff
.- �
�PILASTER•
LD
1 i
1 _______
1-.
♦ 2• AND N FOOT i
1
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,� D i
9- 81R J
: INLET ONLY
BARS AW
1
1,J•
1 INLET (LOC E ON 1_•
1 FRAME ENO AT PIPE.(
1
1
1
1b
c'
,
1
ACE OF CURB
B
i -o r
•O
y
WARP PAVEYEMT Y
n;
THROAT Of INLET--
1 _ -
0
NORMAL FACE
F CURB
C
BLOCK OUT LINE FOR CONC. PVM'T.
PLAN — RECESSED INLET
-
u
lo' -O'
10 •O
VARIABLE HEIGHT CURB
VARIABLE HEIGHT CURB
_ ,•„ •� „�,,,,, r-. , _n 6
•f 1 V _ I
I I
i 1 1
j PILASTER- - ' PIPE MAY BE PLACED
Jm 12,AND N FOOT: l_. N ANY WALL. BUT SMALL
= a 1 INLET ONLY i NOT ENTER ANY CORNER,
I I OR AT PILASTER
1 '
� 1----------------------- '---' ._. INLET NOTE-
WHERE
OTEWHERE INLETS ARE INDICATED TO
MODIFIED, REFER TO PLAN/PROFILE
SHEETS FOR ELEV, DIFFERENT SIZES ON
SECTION A—A-RECESSED AND STANDARD INLETS MODIFICATIONS. ALL OTHER ITEMS
SHALL REMAIN AS SHOWN ON THIS
STANDARD DETAIL SHEET.
SECTION B -B SECTION C -C SECTION B -B
4,
6, 8, 10, 12, AND
14 FOOT
INLETS
SLOPE TOP OF
-/f
_ SLOPE TOe Of
i INLET vA/FT
INLET VA i.
BARS A
9- 81R J
BARS A
BARS AW
O 0 C
2 -BAR B al 12 OC
2 -BAR B
BAR B
f
,
f
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C
-
u
/
1
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Y
BAR G�
BARS 1
t
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= BAR G�
S -BARK
L�ARM
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-_-
-
AND
p
=
BAR Gam•
0112 OCA
S:BARL
1
.�
1
BAR Fal C
8AR Del
CORNERS
__
-
t
a
a
BARS C
SAS SHOW
/�
W
r
_BARS C
jf
f
ii( �•
i 1 ('-
CORNERS
�� ♦
f AS SHOWN
•
I.
I
BARS C
I QQ 1
/
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♦
I
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BAR D BnRS
AS SHOWN
♦
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—^
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BAR N AT
6 2=fi
K
_ 6 2-t 10
6 2-fi
6 CORN(RS
-
AND C
_ 6
S.6
1
SECTION B -B SECTION C -C SECTION B -B