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FEMA-EC940228The City With ABetDi BUILDING PERMIT APPLICATION Building Inspecctioo ns Dvision 1 r i%'ti _ q Print or Tvne in a Clear, Leaible Manner Job Address: Date: Lot: Z Block: Subdivision: I4 4rz� F, Phase or Section Number: FEB 2 5 Q4 L Contractor: v O 5 Address: O t Phone #: 3 Description of Work to be Dolne Class of Work: New ❑Addition Job Address: Date: Lot: Z Block: Subdivision: I4 4rz� F, Phase or Section Number: Owner: Address: Phone #: Contractor: v O 5 Address: O t Phone #: 3 Description of Work to be Dolne Class of Work: New ❑Addition ❑ Alteration ❑ Repair ❑Demolition Area of Building in Square Feet First Floor 0;�)3 Garage a Value of Work b Second Floor Other 1 Q to be Performed 1'/0 GRAY AREA FOR OFFICE USE ONLY NOTICE - Permit Fee:6 V� Receipt Number: 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. 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 Approved By: ��-"I ,Date: Comments:' give authority to violate or cancel the provisions of any other federal, state or local law regulating construction or the performance of construction. �• &44 v — ` t— -- Srgnetur of Contractor o�uthorized Ag I, Lintme unAlt— Electrical Contractor Plumbing Contractor KiechinitaLiQ9,litractor BIR -1 (2/62) �y O.M.B. No 3067-0077 ELEVATION CERTIFICATE Expires May 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 LOMB). 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 STR T ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER c�L 4 ACurJ1* t'JnIVL OTHER DESCRIPTION (Lot and Block Numbers, etc.) l,or- I2, BIK A , o�- 0AffCWS �� Pct cs1�C CITY C��eEI� ' STATE ZIP CODE 7C 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. FIRM ZONE 6. BASE FLOOD ELEVATION Q� � (� �� I � (in AO Zones, use depth) 1 / 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE)/?(dGVD'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: I 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). FIRMS Zones ��Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation 1 of 1 415131.LI 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 I I I I I .❑ 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 L—❑ . ❑ 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 ❑ I. ❑ 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:tifferent GVD'29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations 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: Yes El 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 dusting 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 1 5 2 .9 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 .❑ 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 13FE),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 the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Sea[) 6006y W, 5iRvA1,LPPL-S 370 TITLE COMPANY NAME Pews IID(Vr SVVALL � 45sOC)Ar6_S ADDRESS CITY STATE ZIP () P(3t�-lam S u i 7U N Q�1'L,1-�%-S 7� F SIGNA RE DATE PHONE �' Zml) -! Copies shot{Jd' ade of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE I LEVEL BASE LEVEL REFERENCE FLOOD LEVEL ELEVATION BASE FLOOD "```''" ADJACENT ::"'kik REFERENCE BASE ELEVATION REFERENCE ADJACENT GRADE j LEVEL FLOOD ELEVATION LEVEL GRADE`S' ' • . : •t•; :: i.::: i:, . :.:�! ADJACENT m r•:.. 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 Being Lot 12. in Block A. of Wa+ers Edge Phase One an Addition to the City of Co Sell. Dallas County. Texas. accordmq to the map thereof recorded in Vol 92228. POQe 3869. Deed Records. Dallas County. Texas. NOTE According to F.E M A. Flood Insurance Rate Map. Community Panel No. 4801700010D. dated Oct. 16. 1991. this property hes in Zone x This property does not appear to lie within o 100 -year flood plain. I Lakes of Coppell 20 Motnr.& Access Emir to Lakes of Coppell Owners Assoc. vol 8.5233 Pg. 3420 N?1°20 4,-E Nf0°24 47-E i.2 2� 3;' . i,2.. 128° 10 4i t ,5 S),I' 25 22 lid V D � O O m 2c,g� 1/2" 2 L oguna Drive �/ �' ��••� .t. p,;idE3Y W. AL 3703 vo • e S U Lot Y t Bobby 'itovali Registered Public Surveyor State of ?eros do cort,{y that the plot hereon is a true. correct and accurate representation of the property as determined by survey perf—med on the ground the lines and dimensions of said propertyy being indicated by the plat, the improvements are within rhe boundor es of the property. set bock from the property Innes fhe distances indicated and there are no VISIBLE f ASEMENTS. ENCROACHEMENTS CONFLICTS OR PROTRUSIONS except as shown on the soave plot s obbv w St all RPL. No 3703 S T 0 VAL L & A SSOCIA TES. INC. – SURVEYORSLEGEWT --------.--- &AMAR', LK _ OOOMTE 2 2$ • • - I uoe w94CM41_ of w - ELEC?tiG iRS ---- ELEC 5£iM(f __-_—.-- CNOSS t'E WALL WK1.—__i tAT 6210 CA EEL,_ ROAD SU?E 144 • DALLAS, TE:(A'S 7548 • FT -i M (214, 407--1044 pf NORTH 95.4 �Jmpw wwmmri1 v E P@98i;wpn DX fE Lns shall not r irect con - "Modes amf II%n Oro -LOT 12 BLOCK A WATERS .EDGE PHASE I ,COPPELL., DALLAS CO., TEXAS