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C'�W`� PERMIT APPLICATION 04
Budding Inspections Dlvtsion BUILDING
L Print or Type in a Clear, Legible Manner
Job Address: Date: L
Lot: Block: Subdivision: LAKEWOOD ESTATES Phase or Section Number:
Owner: DREES HOMES Address: 2401 E. RANDOL MILL RD., STE454 Phone #: 817-640-6143
Contractor: DREES HOMES
Address: 2401 E. RANDOL MILL RD. , STE454 Phone #:817-640-6143
Description of Work to be Done
Class of Work: Q New []Addition
❑ Alteration ❑ Repair
❑ Demolition
NEW SINGLE FAMILY
RESIDENCE
Area of Building in Square Feet
First Floor /
Garage
Value of Work
to be Performed
�
Second Floor
-�J q
Other -�'--
GRAY AREA FOR OFFICE USE ONLY
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
within 180 days, or construction on work is suspended or abandoned for a period of 180
days at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be true
and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other federal, state or local law
regulatirig construction or the performance of construction.
S ature of Contractor or Auth Ked Agent tint Name
4EIeElectrical4Contror lumbing Contractor M .meal Contractor
BIR - 1 (2192)
LT
S
ELEVATION CERTIFICATE .ti "SN}.r' `'
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
AI IENIION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. I Iris form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
dolormine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR)
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
PIIILDING OWNEn'S NAME
Drees Homes__
SI FIFE T ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUT E AND BOX NUMBER
132 Hollywood - Drive
01RER DESCRIPTION (Lot and Block Numbers, etc)
Lot 31,_ $ZQck__D Lakewood__ Estates_ -__-
CITY STATE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
T OR INSURANCF COMPANY USF
POI ICY NUMBER
COMPANY MAIC NUMRFn
21P CODE
1 COMMUNITY NUMBER
2. PANEL NUMBER
3 SUFFIX
4 DAIF OF FIRM INDFX
5 FIRM 701`117
fi BASE FLOOD ELFVAIIOn
(In AO Zonrt, use depth)
480170
0010
D
10-16-91
1
Shaded X
N/A
If the elevation datum system used on the FIRM for Base Flood Elevations {BFE): I I NGVD '2.9 1 I Other (describe on back)
6 For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE (or this building site, indicate
the community's BFE: I I kAd . X11' 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 front the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level
20►. FIRM Zones At -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of l I I I 1 1.1 I feet NGVD (or other FIRM daturn-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 1.1 I feet NGVD (or other FIRM daturn--see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is I I I .I I (eel above 1 I or
below I I (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 I I I .I I feet above I I or below ( I (check
one) the highest grade adjacent to the building. 11 no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? I I Yes I I No I I Unknown
3 Indicate the elevation datum system used in determining the above reference level elevations: I I NGVD '29 I I 011ier (deSC►II)e
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 71, 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: I Yes I I No (See Instructions on Page 4)
5 T Ile reference level elevation is based on: I I actual construction I. I construction 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.)
6. The elevation of the lowest grade immediately adjacent to the building is: I I I lI. b'I .I I 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 t
is not the "lowest floor" as defined in the community's floodplain management ordinance, lite elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I 1 1.1 I feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement 3-7-94 -
FEMA Form 81-311 MAY 90 REPLACES ALL PREVIOUS r 011 10W SEE nEVERSE SIDE FOR CONTINUATIOrl
SECTION E CERTIFICATION
I Ilic certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
inlolmntion when the elevation information for Zones Al—A30, AE, AN, 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, r my also sign the
cprtification. 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.
nPIprence level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall.
miclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list [lie 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 B and C on this certificate represents my best efforts to interpret the data availabiR
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Richard C. Maki
L'Fn11rIER'S NAME
RPLS (Owner)
IIILF
__1066 Forest Avenue
ADDRESS
rZI(;NA1 unE
RPLS #4587
LICENSE NUMBER (or Affix Seal)
Maki_ & Associates Inc.
COMPANY NAME ----- ------------
_Fort Worth
CITY ------
3-7-94
Texas76112
-----------_ _ _ _ STATE---- ------- 71P
_(817)654-4760
DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:-_ According_ to the recorded plat this lot has a minimum finsih floor
required of 449.3' , the lat indicates the BFE for this lot to be
446_7+ A vertical control survey determined the finish floor
elevation of top of *Wood forms to be 449.38: The datum used to
_determine this was BM#G408-2_of a_TRA flood study described -as
a Railroad spike in Utility Pole in south ROW of Sandy Lake Rd.
3 5E of intersection of Sandy Lake and MacArthur Blvd. Elev.= 454
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
ETERENCE LEVEL
BASE
nFFEREfRr
LEVEL
FLOOD
LEVEL
ELEVATION
'""
BASE '•
•:t:
BASE
FLOOD "' ADJACENT REFERENCE
FLOOD
ELEVATION REFERENCE ADJACENT BLADE . LEVEL
ELEVATION
Aa
LEVEL GRDE
j Y.:77.
AOJACENT
f,.
GRADE
The diagrams above illustrate the points at which the elevations should be measured In A Zones and V Zones.
Elevations lot 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
I
L "A 30
Scale: I "= 20'
PROPERTY DESCRIPTION
Lot 31, Block D, LAKEWOOD ESTATES, on Addition to
the City of Coppell, Dallas County, Texas.
S 02'17'45" E _ 66.00'
Access and Flood Plain Esoement
I I
30' San. Sewer Easement
Per Plot & Vol. 93189,
Pg, 4517, DRDCT 49.9'
O O
O
�Oj i Lot 31 I (`'�
�I I^
1
ZJ. 4 N
N 02'1745" W 66.00'
132 HOLL /*0010 10101F
Centerline control rnonumentotion found
was used for controlling munurnentotion.
u,v undersigned, hereby certify that the survey map hereon, and
tr,, ,.r�cornpunying description, depicts and describes the results of
and accurate survey, made on the ground, and to the best
of my knowledge and belief, is a true and correct depiction and
,.r:::::riptiun of the property surveyed, and that there are no
„ppurent encroachments or protrusions across boundary lines,
-liurtage.. of orea or boundary, except as shown hereon. The only
eas�.rt gents the undersigned has knowledge, are those as shown,
n::wuver Urls property is subject to any and all ecsernents,
rrscrvotior,s, and restrictions that may be of record. Any
rrterr:nce, to the 100 year flood plcin or flood hczard zone, is on
,,.ornate based on the data stated hereon, and shor,ld not be interprct.J
u Audy or determination of the flooding propens;tie: � . this properly.
I _urvey was performed in connection wrur, the bunsaction
rami �,�rvrr, i.:r Drees Homes ( Att Craig )_
ul"JJYJ :1 AD AJJJJJA �, Jilb"
P.O. BOX 8,399 FORT WORTH, TEXAS 76112
fiend: 0 Iron Had Found -x-x- Wood or Wire Fence
0 Iron Rod Set 0 Control ^donument
x;11 iron rods ore 112" rebor unless otherwise noted.
<icra'C' Joki
Lane Sury ;cN(n. 41',N/
J(t) PJ:— ;D:7',4 rl'}u