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FEMA-EC940706CKYWith AB"utftlFut" BUILDING PERMIT APPLICATION Building Inspections Division iir 'j . .-1 Print or Type in a Clear, Legible Manner JUN 0 9 94 rr t IJob Address: /'5-4vd1 Date: <-Zl-y/y.5! I Lot: SL? Block: Subdivision: _ Phase or Section Number: s�-�• moo. �jG Owner: Address: « /Gs��Phone:�.StJ �Ls�J�iy �c�' ^1..p•`�l •off Contractor: Address: Phone 11:l;9A*V 1171—.Z7! 9 Description of Work to be Done Class of Work: ffNew ❑Addition ❑ Alteration ❑ Repair ❑Demolition . jArea of Building in Square Feet J\ul S�o 35, RYD. L10' EASE_ rlF �E� �r of Wo PLa _V-) EAaE�IFN-T- I AJ Z/ <ING5r-'llLL v LOT 41 51DEW " L< 45 f='=R CIT1- REQ. BLOCK A F4.1-1 -IN 15T 10' F41f;PWA-1-5 OF RvEIRGH,45E P - EL5EU)1�4=-RE GOPPELL Tx /ASITE ( ) NV j E3iRNETT RESIDENCE PLAN &,4N0QTP I"=20' 94310 I -Ts &- PLANNERS T AS (2 14) 248— 3015 • O.M.& NO. 9067.0077 ELEVATION CERTIFICATE ExpiresMay,31,1996' 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. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STR R S Includin A t. Un Suite d/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER ��'� i�gsZi� l �our� OTHER DESCRIPTION (Lot and Block Numbers, etc.) Lot 47, Block A FAIRWAYS OF RIVER CHASE CITY STATE ZIP CODE Coppell Texas SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructio;­Is): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BA6E FLOOD ELEVATION (in AO Zones, use depth) 480170 1 C 2-15-84 AE 443 Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 [ _J Other (describe on back) 3. For Zones A or V, where no BFE is provided or the FIRM, and the community has established a BFE for this building site, indicate the community's BFE:' 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 from the selected diagram is at an elevation of [.1 4491-Q ❑ 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 1 1 L_LJ .❑ 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 ❑-.LI feet above ❑ or below El (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 1 1I.❑ 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 [:1 No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:] 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 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: [2*Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: ❑ 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: I I I I I.❑ .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: j I I I I I .❑ feet NGVD (or other FIRM datum–see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 51-31, MAY 93 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 -Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, 11, mu OR tend. I certify that the information in Sections B and C on this certificate represents my best effort IF k ffable. i understand that any false statement may be punishable by fine or imprisonment under 1 CERTIFIER'S NAME LICENSE NUMBER (328'" -0 �Pw TITLE COMPANY NAME Q •��NNt� THOMAS W. VOGT, REGISTERED PROFESSIONAL LAND SURVEY Suit ADDRESS CITY sTTex*3S 7ATE 609595 P.O. Box 210 74 Bedford RE DATE PHONE SI NATURE July 6, 1994 (817)284-1621 Copies should be made of this Certifi ate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: __ - — — * F.T.EVAT ION - TOP OF FORMBOARD Page 2 WITH ON PILES, ON BASEMENT PIERS, OR COLUMNS SLAB A v A A V ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL_J REFERENCE REFERENCE LEVEL BASE FLOOD ELEVATION LEVEL I `. BASE BASE • FLOOD ELEVATION REFERENCE ADJACENT '..: i i:i'i'a :.; a ADJACENT ':.'''>'' REFERENCE GRADE LEVEL FLOOD ELEVATION LEVEL GRADE', :;•'ii ''.:ii:::• . 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 SURVEY PLAT ADDRESS: 1504 Kingsmill Court, COPPELL, Texas. LEGAL: Lot 47, Block A, FAIRWAYS OF RIVER CIIASE, an Addition to the City of Coppell, Dallas County, Texas, according to the Plat recorded in Volume 93056, Page 2367, Plat Records, Dallas County, Texas. C�❑UF S❑URS❑ S 890 32'43" E 80.43' — — EXISTING GOLF COURSE LANDSCAPE ESMT, 3'T2�SR�- --__PER VOL 87174,PG3438 r ROCK WALL 1/2' S.R.F. L_DT 48 LCAT 47 BLOCK A 11,560 SF L ❑ T 46 W 14.51 20.2' 1 N ("; , N ?0 '� N 8.01 FORMBOARDS O ONL Y cr) r TOP OF FORM 7 ELEV. 449.23' 1 x,10.0' 25' BLDG LINE C1 _-----_ _0) N 10TIL ES SAF I MT. Per plat VOL 93056, PG 2367 — — — 80 ' 0,1 N 83° 37' 31" W . 1/2" S.R.F. BEARING BASE PER PLA T 1504 KING MILL ►O UR T - -- DATE: 07-06-1994 SURVEY NO.! 9.100787 SCALE: I inch = 20 feet The undersigned does hereby certify that this survey was this day made on the ground of the prpperty legally described hereon and is correct, and that there are no discrepancies, conflicts, encroachments, overlapping of improvements, visible easements or rights of way, except as shown hereon, and that said property has access to and from a dedicated roadway. Sad property being subject to any and al easements, reservations and restrictions that may be of record. Any referenc y�0 year flood plain or flood hazard zones are an estimate based on data shown on the Flood Insuranc y HUD and should not be interpreledl as a study or deterrrinption the flooding or of pr i LEGEND D STEEL ROD FOUND t STEEL ROD SET t�r 4' TQ`"•� w. THOMAS W. OGT, P.E. PROPERTY LINE r REGISTERED PROFESSIONAL LAND SURVEYOR NO. 1928 WOOD FENCE 9 Y — X — A P.P. CHLINK FENCE POWER POLE � ► gig$ o , „r r. REGISTERED PROFESSIONAL ENGINEER NO. 45622 — E— A♦� •�—• SS'V�fiy P.O. BOX 210274 • BEDFORD, TEXAS 76095-7274 '., OVERHEAD ELECTRICAL LINES CONCRETE 1p�r�` S1lR UR PHONE: (81 7) 284-1621 a FAX: @I7 589.1278 COPYRIGHT 1994 BY THOMAS W. VOGT