FEMA-EC940307 (2)00
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Building Inspections Division BUILDING PERMIT APPLICATION
n Print or Type in a Clear, Legible Manner
Job Address: J". PDate: L /p, OLZ
Lot: SIC" Block: " L; 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: [ 1 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
NEW SINGLE FAMILY RESIDENCE
Area of Building in Square Feet
First Floor Garage Value of Work L�
to be Performed J �%
Second Floor Other
GRAY AREA FOR OFFICE USE ONLY _
NOTICE Permit Fiat
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 Zoning pi
days at any time after work is commenced.
Approved
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 Comment
give authority to violate or cancel the provisions of any other federal, state or local law
regul g construction or the performance of construction.
a e of Contractor o� Au _ Agent t Name
7
Electrical Con actorPlumbing Contractor Me ical Contractor
BIR - 1 (2192)
lsw-MAN
11111111111111110
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A�6!E ®lasei/:11ti[!wr lf.®
R%
cupancy Classification.
ELEVATION CERTIFICATE
0 M 0 Nv,306,`007
r.r,1r(,sAl,q Tr I'?')T
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
AI IENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement this form is Used only 10
htovida elevation,inlormation necessary to ensure compliance with applicable community floodplain rnanagemenl ordinances, to
(lopin,ine 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
III ILDING OWNER'S NAME
Drees. Homes.
SI REFT ADDRESS (Including Apt.. Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
200 Hollywood -Drive
OI HER DESCnIPTION (Loi and Block Numbers, etc.)
Lot _ 25 -.x -Block- D LakewoodEstates__________
CITY STATE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
Fort INSURANCE COMPANY USE.
POLICY NUMBER
COMPANY NAIL NtimnFn
ZIP CODE
I COMMUNITY NUMBER
2. PANEL NUMBER
3 SUFFIX
4, DAIF OF FIRM INDEX
5 FIRM 70NF
R BASE FLOOD ELFVAIlOtl
(in AO Zonr;. usr depth(
480170
0010
D
10-16-91
Shaded X
N/A
Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I I NGVD '29 I I 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 lot [his building site, indicate
ilia community's BFE: I 1444101"1 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). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor front the selected diagram is at an elevation
oil I I I I 1.1 1 feet NGVD (or other FIRM dalum-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 front
the selected diagram, is at an elevation of I I I I I 1.1 I feet NGVD (or other FIRM dalurn--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 feet above I 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 front the selected diagram is I I I .I I feet above I I or below I I (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? 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 Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different flint) that used on
the FIRM [see Section B, Item 71, then convert the elevations to the datum systern used on the FIRM and show fire conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: I -_I Yes I I No (See Instructions on Page 4)
5. Tlie 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 I 1 i d .I feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
It the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item
is riot the "lowest floor" as delined 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 1.1 I feet NGVD (or other FIRM dalunv-see Section B, Item 7).
�. Date of the start of construction or substantial Improvement 3_7-94
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS IDIIIONC SFE nEVEnsE SIDE FOR CONIINUATION
SECTION E CERTIFICATION
I Itis certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
inloinintion when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Crnrnnunity officials who are authorized by local law or ordinance to provide floodplain management information, rnay4c. o sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a properly owner, or an
owner's representative may also sign the certification.
nPfPrence 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 tiie Feature(s) riot
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I cerlity that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Richard C. Maki RPLS #4587
CFnT IFIER'S NAME LICENSE NUMBER (or AHIx Seal)
RPLS (Owner) Maki & Associates Inc.
t I I LF COMPANY NAME
1066 Forest Avenue Fort Worth Texas 76112
-----------------
ADDRESS CITY STATE ZIP
3-7-94 (817)654-4760
SIGNATURE -- — -- DATE PHONE
C s 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 .'G' , the plat indicates the BFE for this lot to be
447 0� A vertical control survey --determined the finish floor
elevation of top of wood forms to be 450.2: The datum used to
determine this was BM#G408-2 of _aTRA flood -..stud y described_ as _
a Railroad spike in Utility Pole in south ROW of Sandy Lake_Rd.
5' SE of intersection of Sandy Lake and MacArthur Blvd.
Elev.= 454.
ON WIT" ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES 70NES-
REFERENCE
LEVEL
nFr EnENEF
+ErEnN+CE BASE
IEVEI FLOODLEVEL
ELEVATION
•ii
.....tit..,
:.r..;.: •::.. •.: .:. REFERENCE
9ASE '• •••' AO•IACENT:^ '
• •'
FI.
ELEVATION
rLOOD SDE • •� 1; LEVEL
ELEVATION RErFAIR I ADJACENT
LEVEL I ORADE
�i�t,: %iii: •.
.:'ADJACENT
16i7
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.
r
Page 2 �
/ .����•
1 PROPERTY DESCRIPTION
/variable Width Access and I Lot 25, Block D of LAKEWOOD ESTATES
T( Flood Plain Easement an addition to the City of Coppell,
1 Dallas County, Texas.
0
0
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Z n �
M 1 o I \ I co
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182. 7'
1
41- I
l
Lot 25 1 1 1
I I I
I I
I I
iron rod l I iron rod
found — ------ J I I found
11
Lot 24 I I
I I
� I
t9.8 2J.1
r0l'
I Wood Forms
F. F. = 450.2
' I
00
I 1
tl.4•-
00
1 I I IZ
I.,
25' Building Line— —
I
10' Utility Easement —
5' T.U. Easement--- 26.1'
�N, �� I
�J
,200 \
\ I
ya«y#a040 , I I
� I I Mon urn enfation found in the ce•nterlinc of 11c.;lj�t,>u,1
Drive was used for control rnonurnents.
II
R = 50.00'
L = 70.68' AI =-�-
N 02-17'43"---W-30' Sanitary Sewer Easement
volume 93189. Page 4517
4 7.5 7
--1 ---------------------
I, the undersigned, hereby certify that the survey map hereon, and
the accompanying description, depicts and describes the results of
a careful and accurate survey, made on the ground, and to the best
ut my knowledge and belief, is a true and correct depiction and
description of the property surveyed, and that there are no
apparent encroachments or protrusions across boundary lines,
shortoges of area or boundary, except as shown hereon. The only
easements the undersigned has knowledge, are those as shown,
however this property is subject to any and all easements,
reservotions, and restrictions that may be of record. Any
reference to the 100 year flood plain or flood hazard zone, is an
estimate based on the data stated hereon, and should not be interpreted
rs a stu dy or determination of the Flooding prupensities of this property.
Note: this survey was performed in connection with the transaction
J;acribed in
i brill SURVt.Y FOR DREES HOMES (RON)
4V.1.dJ W.0 ' -3,41016JAY- -J, M-01.
P.O. BOX 8,399 FORT WORTH, TEXAS 76112
Legend: O Iron Rod Found —x—x-- Wood or Wire Fence
• Iron Rod Set � Control Monument
All iron rods ore 112" rebor unless otherwise noted.
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