Loading...
FEMA-EC9902107=�� M �, PP The City With A Beautiful Future BUILDING PERMIT APPLICATION !ePrint or Type in a Clear, Legible Manner Job Address:�Date: /WL ^ 2- Lot: Block: ^ _ Subdivision: �� Phase o io Number: rT / [owner Address: Phone #: Contractor: 7 / L� v!; d re Phone #: / / 77 Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor x✓ Second Floor NOTICE Garage —712 Other 4� V3 0 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 regulating c st ction of the performance of cort ction. Signature of Contractor 6r Authorized Ag Print Name Electrical Contractor Plumbing Co tractor Mechanical Contractor Value of Work #— to be Perfored � 0(� m GRAY AREA FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK ' O.M.B. NO. 3067-0077 Expire; Wray 31.1996 ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the pylfloic ble commrance unity Iloodplurchase ainrmanagement lordinances. oorm is used nly to provide elevation information necessary to ensure compliance with app' determine the proper insurance pemium rate. � a /or to completing this form request ant fora Lett found on the or of t Rowing pages Revision (COMA or LOMR). instructions FOR IraSUIiANCE COMPANY USE SECTION A PROPERTY INFORMATION POLICY NUMBER `1 BUILDING OWNER'S NAME It COMPANY NAIr, ;DUMBER STREET ADDRESS (Inc API-- Uoi4 Suite artdfor Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 14• K:ttil` IL, coueT OTHER DESCRIPTION (lot and Block Numbers, etc•) L0'r 5,6—r— gj(IL_ A 'C1� E �4121�tl/��(5 14rT 121 VETZ_f-�STAT -- ZIP CODE CITY �INF SECTION BLOOD INSURANCE RATE MAP (F Provide the following from the proper FIRM (See Instructions): —�--� �. DATE OF FIRM INDEX S. FIRM ZONE 6. BASE. FLOOD ELEVATIO14 1 1. COMMUNITY NUMBER 2. PANEL NUMBER=3.SUFFIX w U (In A,O z�w61 usr depul) �.go �-� o 0o i o ---- 7. Indicate the elevation dalurn system used on theFIRM F RM, Band a ��ry � establisshhed a 6FE for i thuild ng site, indicate back) 6. For Zones A or V, where no SFE is provided on the Community's ©FE: Li -L L•U.0 feet NGVD (or other FIRM datum—see Section B, Itam 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 s the selected diagram is at an elevation 2(a). FIRM Zones At -A30, AE, AH, and A (with BFE)• The top of the reference level from of L6 • 3U foal NGVD (or other FIRM datum—see Section B, Item 7). f! (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 LTJ .0 feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without SFE). The floor used as the reference level from the selected diagram is LLI.LJ fvet above ❑ or below ❑ (chock one) the highest grade adjacent to the building. VV' (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is L� •U fast above C. or bet w � (check. one) the highest grade adjacent to the building. If no flood depth number is available, is the ►0uildiyes r j%-- l0 e ,l 1100r oforenct) level) elevated in accordance with the community's loohelve eten. eencetlevall elevations: ations: ❑ NGVD'29 [�rCkltl7er (describe 3. Indicate the elevation datum system used in determining under Comments Page (NOTE., henlconvert. the el nations to the datum system used on the FIRM andifian the cc; the elevations is different that nf the elevation datum used in measurinj verOff si0n the FIRM (see Section a, item 1 equation under Comments on page 2.) 4. Elevation reference mark used appears on FIRM: �1 Yes ❑ No (See Instructions on Page 4) 5. The reference lava) elevation is based on: oLactual construction ❑Construction drawings reference (NOTE: use or construction ediawings is only valid if the valid for the building during the ncourse of constg does not yet rtuction.ave eA post-constructivel on [i oof in pauon Cakice, it, nitirare Casa This cbrtilicaru w;ll only be will be required once cons(rucrion is complete.) ,4, ��j� feet NGVD (or other FIRM datum -see 6. The elevation of the lowest grade immediately adjacent to the building is: 1_ Section B. Item 7). SECTION D COMMUNITY INFORMATION (ficial responsible for verifying building elevations specifies that the reference level indicated in Suction C, Item I 1. If the community 0 res pI ordinance, is not the'lowast Moo(' as defined in the community's loeePNGVO tar oeher FIRM datum the Section Bt It a building's "lovas floor' as define•] by the ordinance is: U. j I. _LJ 2. Dale of the staff of construction or substantial improvement -•--- _� - FEMA Form 81.91, tr1AY 93 REPLACES AL1 PREVIOUS EDITIONS SEE REVERSE `.!DE FOR CONTINUATION SECTION frEATIFICATION This certillkgfion is to be signed by a land surveyor, engineer, or archfteq who Is authorized by stale or local law to cattily elevation information when the elevation lnfomtadon for Zones A1-430, AE, AH, A (with BFE).V1—V30,VE, and V (with BFE) is required. Community af(wals who are authorized by local law or onfinance to provide floodplain management Information, may aiso sign the ceriffication. 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 Featutes—If the certifier Is unable to certify to breahawayinon-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 unui;r Comments below. The diagram number, Section C, Item 1. must still be entered. • 1 certily that the information in Sections 8 and C on this certilicate represents mybest ell tha data available. I understand that any false statement may be punishable by line or imprisonment and on 1001. 1 .•'G%STEq�., co Q� O'•. CERTIFIERS NAME LICENSE N /o*w *„ I a.•.... •.. BARRY S. RI TITLE COMPANY - -------- cNe—Z ' 31 e'o Zone" CITY •.• .6 J STATE ZIP iso � t ZZc — c t2 .. aJ "750p SIt3NA 2t�►'o ` Pr+ur4?5 OJ40 C plea aho a de of this Certificate tor: 1) community official. 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON pf"S' SLAB BASEA/E,fT PIERS. OR COLULMIS A V A A v ZONES ZONES ZOk" ZONES ZON•EU �( RErf11fNGE LLYEL ,I'Jehurx VASE FLOW ELEVATION •_'""-' lkvu K000 ' ... ••.. L'MOE -}� IIbhL,li'lICE uvEt Use rlaKV [tw�A1 K]n EaEVAT,ON RNiWadE AOM..aNT v 1 The diagrams above illustrate the points at which the elevations should be mussured in A Zonas and V Za(w-;. Elevations for :til A Zones should be measured at the top of the reference level floor. Elevations for ah V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 P, SURVEY PLAT i BARRY S. RHODES Registored Professional Land Surveyor (972) 47S-8940 This is to certify that 1 have, this dote, mode a careful and accurate survey on the around of property located at No. Aweag GvueT , in the city of 4:747 cc ,. Tax as Lot No. S'3 — R , Block No. If City Block fdo. Of 7W4r to/R Kfgrrr e T ,e �y�7e1-.✓ism __ , an addition to the City of o ow/ ec Texas, accord Ing to the _ i'h,• recorded in Volume 7S/0 7 at page '90'3 9 _ of the Map Records of j%s e-lyr COUNTY, TEXAS, TITLE AND ABSTRACTING WORK FURNISHED BY . YIe4.y Orly-ro .t #O.."ex The plat hereon Is true, correct, and accurate representation of the property as determined by — survey, the lines and dimensions of told propeny being a indicated by the plat: the alae, location, type of buildings and improvements are es shown, all improvements being within the boon• dories of the property, at back from property lines the distant# Indlteted, THERE ARE NO ENCROACHMENTS, CONFLICTS. OR PROTRUSIONS, �X�"" '0s 50-io4w„/ Scot. .".e 2e/ THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR Data: — /O - t'//Ll w CuS"M e.4o,0vrs G. F. No.. USE OF THIS SURVEY FOR ANY OTHER PURPOSE # Job No... 30 40 OR OTHER PARTIES SHALL BE AT THEIR RISK Checked by: AND UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS FOR ANY LOSS RESULTING THEREFROM. TttrOYllt POST NOW Z0 d 91S06Stb zZ6 nmIAa^zans saaaHLi Wd z07 -t�0 66 -Z0 -mow I/sc, 87/ yy¢ PG, 3449 ifi•i.v ✓ �G � O � � � •• x, �7 x x 717 -15'-se-/e 4"P N sem- v ` `N diel., 41 Y7 c � V O @ 4 b NO `n a 4tdr.�A N o v o¢ T' TITLE AND ABSTRACTING WORK FURNISHED BY . YIe4.y Orly-ro .t #O.."ex The plat hereon Is true, correct, and accurate representation of the property as determined by — survey, the lines and dimensions of told propeny being a indicated by the plat: the alae, location, type of buildings and improvements are es shown, all improvements being within the boon• dories of the property, at back from property lines the distant# Indlteted, THERE ARE NO ENCROACHMENTS, CONFLICTS. OR PROTRUSIONS, �X�"" '0s 50-io4w„/ Scot. .".e 2e/ THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR Data: — /O - t'//Ll w CuS"M e.4o,0vrs G. F. No.. USE OF THIS SURVEY FOR ANY OTHER PURPOSE # Job No... 30 40 OR OTHER PARTIES SHALL BE AT THEIR RISK Checked by: AND UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS FOR ANY LOSS RESULTING THEREFROM. TttrOYllt POST NOW Z0 d 91S06Stb zZ6 nmIAa^zans saaaHLi Wd z07 -t�0 66 -Z0 -mow SURVEY PLAT BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940 This is to certify that I have, this dote, made a careful and accurate survey on the ground of property located at No. /570 v ,lei vCs W14e, Cvu,eT , in the city of 4570 L L Texas Lot No. S-3 — 2 , Block No. ,Q City Block No. of 7yE IA K%4745- ,47' ,e iv�r RC</.4sE , an addition to the City of G'o �peGG D,vL4 4 S S?o Texas, according to the pe'.¢recorded in Volume 93127 at page 'f3 9 of the Map Records of 4244L4s COUNTY, TEXAS. IQ Q N 41 i(/ 76 x—�'—� /Rad fcilcF 5-3 - R .so.a' , G9 L , 43 ", Lc./ BC.i 3 deer /D. Ir,�7ry TITLE AND ABSTRACTING WORK FURNISHED BY VIZ4W eaS-roA'► #101"c`.S 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 ere as shown, all improvements bding within the boon- dories of the property, set back from property lines the distance indicated, THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS. Is Scale: /�� ?�� THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR ••.Z.• Data: Cue rv.t )-/Q /Vt � 8� •5555 .....�.� G. F. Na.: USE OF THIS SURVEY FOR ANY OTHER PURPOSE �• ••••• e JL�S ........ OR OTHER PARTIES SHALL BE AT THEIR RISK }I Job No.: X30 -4O AND UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS •:�,F S1p�?:�;1 Checked by: FOR ANY LOSS RESULTING THEREFROM. .•'•„�,��' WILIDYNE Post N46977 N .01 CITY OF COPPELL REVIE - ED ,*e, M�&IA y UAlt Approval of the plans and specifications shall not be construed to mean construction In direct conflict With the Cky of Coppell Building codes and Zoning �, Ordinances. LANS ARE REVMWN D D F Ar-.Y-,--.ZOVAL OF SIGLE ON FA -, � 1 RESIDENCE ONL f..'R DEPICTION,OR 0 LqTPL 11AA7E N PLOT PLA N—Q1 BEEN REVIEWEIJ AND ARE IVA-IV A f 0 0 Wit i 'A T+1 T NN I 110 FORM BOARD 4f4