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FEMA-EC940316 (2)y �I The Qty With ABuutitulFuture BUILDING PERMIT APPLICATION FS 2 ;} Building Inspections Division Print or Type in a Clear, Legible Manner - --J Job Address:•? © wo//'� v� © Date: Lot: v- Block: Subdivision: "L4jCw0 "',�S Phase or Section Number: / Owner _ - Address• ��7eU Phone #•$:/Zj) D (4v Contractor: Address: Phone #: 7 Description of Work to be Done Class of Work: 'WNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition 22 3J L5 Areif of Building in Square Feet • First Floor Second Floor 6 ` NOTICE Garage & JS7 Other 33 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 author' to violate or cancel the provisions of any other federal, state or local law regulating co on or the ormance of construction. - pwt r.l a �lic/� � •� Signature ontractor or Authorized Agent Print Name Lis,N� �a.c,T 6P57— -7—Ax)-ms A -c Electrical Contractor Plumbing Contractor Mechanical Contractor BIR - 1 12/821 Value of Work to be Performed l -� O GRAY AREA FOR OFFICE USE ONLY t ELEVATION CERTIFICATE O.M.B. "03 ExpiresMay 3r, 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 LOMR). Instructions for completing this form can be found on the following pages. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STREET ADDRESS (Including Apt.. Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers. etc.) Lot 24. Block D. Lakewood Estates CITY STATE ZIP CODE City of Coppell Texas 75019 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 INDX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 480170 0010 D 10/16/91: --- --- 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): X: NGVD '29 - Other (describe on back) 8. 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: 449.0 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 _I_ . 2(a). FIRM 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 I 450,L feet NGVD (or other FIRM datum–see Section B, Item 7). (b). FIRM Zones V1 430, 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 feet NGVD (or other FIRM datum–see Section B, Item 7). (c). FIr1M Zone A (without SFE). The floor used as the reference level from the selected diagram is _—'feet above - or below .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 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: ,X 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 77, 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 x No (See Instructions on Page 4) 5. The reference level elevation is based on: X. actual construction _ 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: 449:2 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 — feet NGVD (or other FIRM datum–see Section B, Item 7). 2. Date of the start of construction or substantial improvement 3/1/94 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 BFE),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. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) Dan B. Ramsey R.P.L.S. No. 4172 TITLE COMPANY NAME Surveying Manager Jones & Boyd, Inc. ADDRESS CITY STATE ZIP 17300 Da s Parkway, Suite 3010 Dallas Texas 75248 SIGNATURE DATE PHONE 41 3 /6 9¢ 214-248-7676 Copies should be made of this Ce tate for: 1) community official, 2) insurance agenVcompany, and 3) building owner. ON WmH ON PILES, SLAB BASEMENT PIERS. OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE _EVEL REFERENCE REFERENCE ?ASE _EVEL _E✓EL =LOCO ELEVATION " � 1 SASE REFERENCE "L000 SASE ADJACENT ELEVATION °LOCC GRADE _E'VEL ELEVATION gEFERENCE ADJACENT _EVEL GRADE 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 SENT BY:Jones & Boyd, Inc. ; 2-22-94 ;10:37AM " 3922999-+ 214 490 76234 2 SCALE: 1 — 30' MAN Drive Area: 1356 Sq.Ft. Wolk Area: 266 Sq.Ft. Lot Area: 16254 Sq.Ft. LI f shall not E' =un- C'riri,s�r afrCt Trezidmaker Homes 5720 L8J Freeway, Suite 610 Dallas. Texas 75240 h�.rh•.u..r (214) 458-9909 LOT 25 Type 'A' Drainage Fence Length: 149' Includes 1 Gate date ALL ELEVATIONS ARE FINAL 02/18/94 8 GRADE UNLESS OTHERWISE N01AREEDENOTED (NG THUS GRADES rev subdiv LAKEWOOD ESTATES lot r�_ 24D address HOLLYWOOD DRIVE "`r plan COPPELL, TX. L3375B FOUNDATION FORM SURVEY TO ALL PARTIES INTERESTED IN PREWSES SURVEYED: This is to certify that I have, this date, made a careful and accurate on the ground survey of the property located at _04 /�21/.ggm,2g QOdre _ in the _L4 6e LQpa4.LL_ __ ,Texas, described as follows: BEING Lot, Block -Q-, of ----on addition to the �� fy,Q�e(LTexas according to the z'1Q,2_ thereof recorded in yQ1me 1070 lof the 1fa,&_ Records of _D_9&2i—_ County, Texas. This property does not lie within the boundaries of the 100–year flood plain floodwoy Mop No. 4.80110 ,2Q�0_ Q _ effective its qtr b� 00 w o y I/Z'• IRF OF DAN tF ..:.................:... DAN B. RAMSEY aa••••.........••.•a•a •. ,0 4.172op'Ess01 according to the flood boundary and / / e •• 1 ud000�w Q Q5p AO VAol N ok 2nA k ZA, � Lo i Fo� t�P C4'' too rat 930/4, Py, G 70 CERTIMAIM The plot hereon is a true, correct and accurate representation of the property as determined by this survey, the lines and dimensions ss i of saki pprroopperty being as Indicated by the plot; the size, location, �� p type of bul(dings and Improvements are shown, Wnprowments �/� (r� being within the boundaries of the property, set bock from the 8° P!' 0 S • Texos Utiri t Vot 750/4, f9.670 property lines the distance@ indicated, and there are no Z4 q;0 encroch s or protrusions, except as noted. 111115 Dan 8. Ramsey /� yl �S Registered Professional Land rveyor No. 4172 3� .a� JONES & BOYD, INC. �oZ ' CONSULTING ENGINEERS 17300 Dallas Parkway, Suite 3010 Dallas, Texas 75248 214-248– 7676 SCALE.30' I 3116/94 I DRAWN SWY I PRO�T REVISIONS