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FEMA-EC950628The City With A Beautiful Future �- ?5-q(7aw7 BUILDING PERMIT APPLICATION 07-�, ,.2 q Print or Type in a Clear, Legible Manner Job Address: 3 (F ,L Q v vl ct. Date: 6A-1 S "r— Lot: Block: A Subdivision: le/ 4 ers cj Phase or Section Number: �- Owner:Avery // / �cLty a Yc�s � rto », kjow Address: Qy l�sc Z'`t 7 f 2- 57 Z Phone #: Contractor: JUN 0 6 95 &New ❑Addition ❑ Alteration ❑ Repair ❑Demolition Job Address: 3 (F ,L Q v vl ct. Date: 6A-1 S "r— Lot: Block: A Subdivision: le/ 4 ers cj Phase or Section Number: �- Owner:Avery // / �cLty a Yc�s � rto », kjow Address: Qy l�sc Z'`t 7 f 2- 57 Z Phone #: Contractor: Address: Phone #: Description of Work to be Done Class of Work: &New ❑Addition ❑ Alteration ❑ Repair ❑Demolition si'A-s�r �c.,�'1� n /`eSS c�r.G 93/- Area of Building in Square Feet First Floor I f -7 © Garage 5-b Second Floor 132's- Other ( 7 I NOTICE 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 construuc/tionn or the performance of construction.ZL / Disc r-c�",Ca-✓ r � � K Si/gnature of Contractor or Authorized Agent Print Name �4' -Qe 3 LO Ir- 4Cc,4yen Electrical Contractor Plumbing Contractor Mechanical Contractor Value of Work t% to be Performed 2 2, O GRAY AREA FOR U FPMC - 1 (4/94) J7��j a��r �) 0 0 ELEVATION CERTIFICATE E predMay31'193 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 BUILDING OWNER'S NAME Avery Edwards Custom Homes STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 938 Laguna Drive FOR INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) _ Waters Edge, Phase Two - Lot 16, Block A CITY" STATE ZIP CODE Coppell TX SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): I. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 8. BASE FLOOD ELEVATION (in AO Zones, use depth) 480170 .0010 E 4-15-94 X N/A r. Inulcate ine elevation datum system used on the FIRM for Base Flood Elevations (BFE): UNGVD'29 El Other (describe on back) S. 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: l I I I i I.Lf 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). Fjg1Q1Z�OH�$I-A3QJ�E,:II�+C(9+f[tb The top of the forms is at an elevation of l 1 14-15151.8 feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones Vi -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 I I I I I I H 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 I U 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 L1J.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 ❑ 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 71, 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 ❑ No (See Instructions on Page 4) UNKNOWN 5. The reference level elevation is based on: N actual construction ❑ construction drawings OF FORMS (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 Elevatioir Certificate will be required once construction is complete.) 6. The elevation of the lowest grade Immediately adjacent to the building is: l 1 14151.0 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 I I I I I,U 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 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),V1430,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 Brand C on this certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001. GEHTIFIER'S NAME LICENSE NUMt�BER (or Affix Seal) W.R. Lee No. 203tf TITLE COMPANY NAME Registered Professional Land Surveyor Shields & Lee Surveyors ADORES TATE I 1421 Ferndale Avenue Dallas JJ(( 7522+P SIGNATURE - 6 -a5 DATE (2MM42-8496 Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: NOTE: This "Elevation Certificate" is valid for Item 2(a) only and In so much as changes made on the face of this document. This is a certification of elevation of form boards only. The property referenced hereon is not located in a FEMA 100 year flood hazard as per referenced panel The elevations shown were taken from grading plan of Waters Edge Addition. --- ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS AV A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE LEVEL EASE LEVEL REFERENCE +. FLOW LEVEL ELEVATION BASE FL000 • .,.' ••"• •AD,lACENT :;•' iLT REFERENCE �}}�rll EASE FLOWELEVATION REFERENCE OMDE "' P LEVEL ADJACEM � I ELEVATION LEVEL GRADE <n; ' .i;. ADJACENTi: 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 AVERY—EDWARDS HOMES TEL 14-407-0318 Jun 1' 95 16:26 No.008 P.01 PIANS ARF RFvj SINGLEDff. O OVAL OF .PPR. CA,0STt-ER !;tE, k jQ.0NS b0p7o, 32.86' IRON FENCE >FL0 I �:,/"'AS REQ'D HAVE ? BrEN l`�E�1'FJ���:;� ` ANIS AR N (y APPROVED. � ` � '�� 2,3 -,19' a ` -.. 24.95 2.82' 0' �a t • "Sur. 20'Accr'SS 14 N --------- ti --- & �w t t - 1 1 � t � t 50'011 `I 1 NEw FsIDFNcP' Q 6' HIGH WD. FENCE x}53,;, FORM BOARD � SURVEY`' MUD=� F.E.M.A. LFTTER, RE TR.Eff MINIMUM ff. � -� �5_ CITY OF COPPELL EVIEWED 4 a /,, z ATE proval of the, pla s and specifications shall not construac, r Tiean construction in direct con - I ,V&% /♦'n1 GGoppph Building Codes and t FP — 454.2 t ' t FF 455 HIGH 1 i YVD. FENCE t t � �1 t W1 t 1 --— — —_ — — —`' —�25 ` %, 'a CONC. DRIVE 4c"' 41;$,7 % r — — — 10' UTILITY ESMT. t '� 90.06' SIDEWALK STREET CUT 9 3 8 LAGUNA DRIVE SITE PLAN NORTH SCALE: 1 " = 20'0" LOT — 16. BLOCK --- A. SURVEY PLAT I ADDRESS: 938 Laguna Drive, Coppell, TEkas Lot 16, Block A, Water's Edge Phase 2, Coppell, Dallas County, Texas. N 19' * PER V. 84244 P. 5412 4739„ c AND AS SHOWN ON PLAT TONE RET A ING WALL N 03°0 „ 6 02, lReFfRfNCf 03" E 111" W 24.93 BE4piNG� 16- `' ` O 1/2 IR.F. -G 0.1 N IO.59'461126' N ,Q, M E 23 r q�Nr. z Eq SEMEN T * o .I' aD CTI 'N CP �. 0.3' m l 4.5 _7Q 1/2" IR.F. CID � � N OD 16 `° 2 � 17 o BLOCK A 0 15 P N FORMS ONLY v► NZ� O .p 0.3' ` �? ELEV. TOP OF W FORMS= 455.04- 8, -7 55.048.7 31.0 __- 251 B.L. � -J U; N 10' UTILITY EASEMENT ,0 \0 90.00' 1/2" I.R.F. Irl " IR.F. CONC.PAVEMENT LO-G ."-A - - �- ."A -V -E TE: REFERENCE BEARING TAKEN FROM RECORDED PLAT TO: THE PROPERTY SHOWN HEREON IS NOT LOCATED IN A DESIGINATED Avery Edwards Custom Homes PROPERTY IS LOCATEDZONE A (100 YEAR ON ZONE: RD AREA) ACCORDING TO FEMA MAP: PANEL : Z80170 oo/oE DATED: -/ -9¢ I do hereby certify that the plat shown hereon represents the results of a survey made on the ground by me or under my direction and supervision. Visible and apparent Improvements to the property found on the ground are shown hereon. Except as shown hereon there were no visible and apparent encroachments or protrusion of Improvements found on the ground. This survey Is subject to al easements of record. TMs survey was performed exclusively for the above mentioned parties. Use of this survey for any other 0 F purpose or by others shall be at their risk. '� ..••••••.. �Q + ••`sTf F9 SHIELDS AND LEE SURVEYORS R SCALE �` 26 ,• W. R. ............... LEE .......... DATE 61 23- 9523' 95�F�,Qex�'sP�C 1421 FERNDALE AVENUE <0 0. 0 toss 0� �•e JOB NO. ���6P-28'35 DALLAS, TEXAS 76224 9 •'• :E ::: •• (214) 942-8496 DRAWN BY LL- W.R. Lee, . .L.S 203 .,: