FEMA-EC9404193 t S Lq
ThuilbngInsBeautiful
ions re BUILDING PERMIT APPLICATION
Building Inspections Division q
-) 7')-t , 2, I Print or Type in a Clear, Legible Manner
_7
APO p 1 94
BIR - 1 (2/92)
2
Job Address: Z /
Date:
Lot: / Block: Subdivision:
Phase or Section Number: /
Owner: ` AeLs Address: ":;2? L / //moo o Q
Phone #: 39'� _
Contractor: Address:
Phone #:
Descri• f Work to be Done Class of Work: New []Addition
❑ Alteration ❑ Repair ❑Demolition
-7/5 0581600)
Area of Building in Square Feet
�`�
First Floor ,,2 ,, O -3 Garage
Value of Work 9 J
be Performed
/to
Second Floor 6 Other % 3 % 6te►jI,--,
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee: 1 receipt Number: c�Y 71 f T
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 District:
Occupancy Classification:
days at any time after work is commenced.
Approved By
Date:
I hereby certify that I have read and examined this application and know the same to be true
��wvv
Comments:
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
giv u�thority to violate or cancel the provisions of any other federal, state or local law
regul8t �Ea rformance of construction.
Sign Authorized Agent /Print Name
G¢,dE /�Aw-7 — — ,AS % %
Electrical Contractor Plumbing Contractor Nfechanical Contractor
BIR - 1 (2/92)
2
ELEVATION CERTIFICATE Expirex'°°93
' Expires May ay 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 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
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY MAIC NUMBER
232 Hollvwood Drive
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot 17, Block D, Lakewood Estates
CITY STATE ZIP CODE
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
S. FIRM ZONE
6. BASE FLOOD ELEVATION
1
(in AO Zbnes. use depth)
1
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.+8` 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 —1— .
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 450.3 feet 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 L.Jeet 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 -i 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: ,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: 449.6 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: feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement 4/1/94
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.
/ certify that theinformation in Sections 8,and C on this
est efforts to
nterpret
I understand thatcertificate
any false statement ma be punishable byfiine or imprisonment bI nderr 18 U.S.Code, Stectiont11001a.1I able.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
TITLE
Dan B Ramsey R P L S. No. 4172
COMPANY NAME
Surveying Manager Jones & Boyd, Inc.
ADDRESS CITY STATE ZIP
17300 Dal s Parkwa Suite 3010 Dallas Texas 75248
A _/GATE PHONE
SIGNATURE / ' d �A 4.ee 71 A_9AA-71;71;
Copies should be made of this Certtte for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
WFTM ON PILES.
ON BASElA1ENT PIERS. OR COLUMNS
SLAB
A
V
A A V
ZONES ZONES
ZONES ZONES tZON7 ES
REFERENCE REFERENCE
SASE _EVEL .VEL
REFEaENCE -'LOOD
_2VEL ELEVATION
r
I SASE
REFERENCE EVATI
SASE - ADJACENT cVEI ELEVATION
=LOCC GRAOE
ELEVATION REFERENCE ADJACENT
_EVEL 3RA E
ADJACENT
3RADE
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
ENT BY:Jones & Boyds Inc.
10B #
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Wolk Area; Sq.Ft.
Lot Area! 14224 Sq.Ft.
LOT 18
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NOTE: Maslmurn Nevotion drop away from foundation b 0.e• for 4
sad remolntn4 slope if steeper than 3:11 retoln if steeper
flan 2:1. Superintendent to oeseee actual field canditlons.
Trendmaker Homes
5720 LBJ Freeway, Suite 610
Dallas, Texas 7240
'y-'s""w (214) 438-9909
TYPO V Drainage
Fence Length: 207-
Includes T C to
date
03/? 6/94 NOT C EUNLLEESS o HE"st
NOTED. EX13T11� Gl�tf)[S
rev ARE DENOTEo is (XX.X)
subdiv
LAKEWOOD ESTATES
lot 17 blk
D
addreas
232 HOLLYWOOD DRIVE
city
COPPELL,plan
TX. R3586B
FOUNDATION FORM SURVEY
TO ALL PARMES INWRESTED IN PREWXS SURVEYED:
This is to certify that I have, this date. mode a careful and accurate on the ground survey of the preWy lo0aai
at 3� �o%U W.Q _� -- --- in the �c f — �, Te�cas. d Nlbewd folm
BEING lot a— Block Q, of an addition to
the Cl�k' Q: — C°�(,�a,(4$ o:ccatdin�i�_o�ol fine (hereof' reeordeol i#I
'�
Ao carne—Q�af7., ��---Y---- of the Ly4p—_ Records of L61/as— County, Texas.
This property does not lie within the boundaries of the 100—)our flood plain aaoording to the flood boundary and
floodway map No. —4 a 00/0 D _ _ effective aazQ,6&r �16 . 19 2/
A • 33'08 %0;' = 50.00 '
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The plat harem is a true„ correct and eoauote representation of
two of an! 6nprovw+w+to we shoem. k"pravwwwAs
bibs e�itlWn bow+�srlso of the prlapprtX est beck tram the
property Ines the as/snw inaootsd. &W !hero am no
sn000hrr��ts or probvelone. weospt an note.
Der IL Rwissy
Regletorsd Probs lo" I Zrd Surveyor No. 4172
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BE" M C{ MMM
!.� • 00 DaNas Parkway, Suite 3010
ss. •
Dallas. Texas 75248
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