FEMA-EC981029Job Address:
� m 2, -20 1 0 )j �, 0
APPLICATION
09-10-98P05:01 RCVD
BUILDING PERMIT APPLI C
Print or Type in a Clear, Legible Manner
Date:
Lot: Block: Subdivision, _. ►ase or Section Number:
Owne� / Address: Phone #:
Contractor: Address: /jhPhone #:
Description of Work to be Done Class of Work: ADNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor -S—
Second
Second Floot''-'12
NOTICE
Garage
Other
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, rovisions of laws and ordinances governing this type of work will be
complied wrth w Cher specified herein or not. The granting of a permit does not presume to
give or violate or cancel the provisions of any other federal, state or local law
rev atinv c:structi(irbf the performance construction.
i
��,((������ Signature of Con ractor or Auth zed Agent Print Name
V1& C /_e;'/—::S K
Electrical Contractor l Plumbing tractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Work 1- C 't✓X_�
to be Performed �'-
USE ONLY
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
E
�.M.fs. NO. 2067.0077
ELEVA'TM CERTIFICATE
f:xl"rnsMa'y31,199G
FEDERAL EMERGENCY MANAGEMENT AGENCY
• - f NATIONAL FLOOD INSURANCE PROGRAM i
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This toftn 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.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I
14O ILP KA N 6&A ILJ , COOK -17
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
LoT 54-2 'fit —f ite TAI a\A1AyS AT �tY�
STATE ZIP CODE
.CITY
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, FIIKM Z NE
/A67
6.0 a FLOOD ELEVATION
tin AO Zorws, use depth)
4-80110
0010
I
1
c- 1 s Iqg
1
X
44'4: o
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): LJ NGVU '2y LJ titer (LIUScnoe On uacn)
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 communitv's BFE: L.U-_L_L_1.0 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
2(a). 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 1 1 14LV-J1 l A 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 LL_J_J-LJ.0 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 LH .0 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 LU.0 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 [l Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 D 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: 6? Yes ❑ No (See Instructions on Page 4)
S. The reference levet elevation is based on: Vactual 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 wit, 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:1 11416 LI, U feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. it the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floof" as defined in the community's tloodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: Ll.I L LJ AJ feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement ----
FEMA Form 81.31, MAY 93 REPLACES ALL PREYIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFIGFATION '
` a
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify Aevewlh
information when the elevation i"formation for Zone:; Ai—A30, AE, AH, A (with BFE),V1—V30,VE, and V (wish SFE) 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. '
Referenca level diagrams 6, 7 and 8 - Distinguishing Features—if the certifier is unable to dertify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area �eature(s), them list the Feature(s) not
included in the certification unuvr Comments below. The diagram number, Section C. Item 1, must still be entered. '
1 certify 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 impd9onment under 18 U.S. Cgs Section 1001.
CERTIFIER'S NAME LICENSE NUMBE
TITLE COMPANY NAME
o���� •$�4, c�*0 Des � f3ARRY.S. RHODES
ADDRESS CITY xr-&.d r^—�E ZIP
iS iZU2 ��xs.%�-�cF a►� '75C
lc)-Za - s=�g9u�
Codes sho ade of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR cot UTINS
A v A A V
ZONES ZONES ZONES ZONES ZONES
REFEriENCI:
REF[NENCESAMREFERENCEFLOOD ,i _�— LEVEL
ELEVATION
FLOOD
RASE ... h- .. le... VASE
FLOOD':, � ;:v RADE T ' i RE E
LEVEL
E VEFCELIELEV TA ION
ELEVATION REK6tr16E ADJA"NT
Lt. n.t GnAUE
1.•`t<'`,+�{'4 FIS;
'r ,
r; ';. ALWACLNI
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for;vl A Zones should be measured at the top of the reference IevL:I floor.
� n
Elevations for all .1 Zones should be measured at the bottom of the lowest horizontal structural mernher.
Page 2
PLANS ARE R'VI'RW'D
APPROVAL OF SINGLE
_. FA UILY RESIDENCE ONLY.
I OTHER DEPICTIONS OR
CALL-OUTS ON PLOT PLAN
'1 HAVE, Ii01 BEEN REVIEWS
AND ARE NYQj APPROVED,
- j g.E.M.A. LETTER
in WNMMLL
0 N'
W' CITY OF COPPEL�.
VIE ED
- <:
Y Al
,p,Qly� Ap rovai of the plans and specifications shat n 7t'>'
be onstrued to mean construction In direct c flict
wit the City of Coppell Building codes and Z pins
Zr' g, ces.
N
VIFM-:
r
_ S Uhf EY PLAT .
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8.940
This is to certify that I have, this date, made a careful and accurate survey on the ground of property located
at No. /-¢/lv �ici6sMiG G Cauir> , in the city of Texas
Lot No. ,P , Block No. _ _ ,� City Block No.
of T�i4i�rwgrrq>.P��.Pts%4sE- , an addition to the Cit �o/%oE6G
y of .p,�'6L.4.S �oU„V7y
Texas, according to the 4q> recorded in Volume at Ppa
of the Map Records of 64s COUNTY, TEXAS.
' �t bDLF L`'NTE2P/I/SES /N�,
�/vE2c/��4sc Go L � Cc u�
eve AE
ZGNE x - � 41Za,140y�
D4.2' //•!05• O FE�vrq ISL OOOPLA/N
;„ / 5 3 .n \
S' ESM T
M
r
55�3'Z'
N M
\� N
8.7 4>"o \
/r / FsMr•
l� (L '' .lit. �0• Q Li%li•
�F. a2G..eEc•�GA
1(11�e6'534/4 4 Z" G/.QT
The plat hereon is true, correct, and accurate representation of the property as determined by
survey, the lines and dimensions of said property being as indicated by the plat: the size, location,
and type of buildings and improvements are as shown, all improvements being within the boun-
daries of the property, set back from property lines the distance indicated,
THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS.
Scale: /'. ZO ' THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR �p
... Y S G.�..
USE OF THIS SURVEY FOR ANY OTHER PURPOSE
F. — OR OTHER PARTIES SHALL BE AT THEIR RISK
Joo b No..:: to/910 AND UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS V
Checked by: FOR ANY LOSS RESULTING THEREFROM.
e iIUDYtrt Ivfi NaiVll