FEMA-EC9312149 373 375 S )A
to
I,.CityWittiAB�eNifulfNuro BUILDING PERMIT APPLICATION
Building Inspections Division I EN
>� lei Q3
7Z Print or Type in a Clear, Legible Manner 1
Job Address: / L a- g -, n e, Date: 1 1 12 % 5;7j _
Lot: Block: A Subdivision: a4 e r,5 � j 5 Phase or Section Number: L
Owner:
Address: L)e-1/05 Phone #:
�7 �! //�� 3 d' O- 0 a 7
(/ e ''�/ �d GCf !/Y�S � /�l4 kJ OVC n.. nDr% TX.7S,2S1
Contractor: s o C Address: Phone #:
Description of Work to be Done Class of Work: ew ❑Addition ❑ Alteration ❑ Repair El Demolition
s IA- / leo .+�
BIR -1 (2/92)
CITY OF CCPPELL
REV I EW E®
DATE
Approval of the p ns and specifications ihall\not
be construed to mean construction in d*kU IRON FENCING
flirt with the City of Coppell Buildins, BY DEVELOPMENT 9 7,
Zonins ordinanrPs1 7.37' K---, �i-91
,.�
0, FLOOD PLAN LIMIT UNE
y
20' MAINTENANCE & ACCESS ESMT
FORM BOARD ~
SURVEY REQUIRED ,
F.E.M.A. LETTER, RE LIMED
4151
" MII�fIMi"M f,'
14.5D'
y (PMN 2907)
y
bo+r? b NEW RESIDENCE m n
FF = 451.86 r,
�3 rr — 451.06
B' IIGII t �' 6' HIGH
W FENCE d WD. FENCE
11'2 %2CONC
CONC WALK
Ln � DRIVE }
65 62 � . o
IWO
CI(Y SIULWALK
9 9 4 L A C U N A DRIVE
SITE P NORTH
SCALE: 1 "=2a'0" LOT--- 2 BLOCK A
(141 VJf 1 J,J'v A , . .'••
ELEVATION CERTIFICATE a :,May �r 199,)FEDERAL_ EMERGENCY MANAGEMENT AGENCY
NATIONAL. FLOOD INSURANCE PROGRAM
ATTENTION: Use pf this cerlificute does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessalry to ensure compliance with applicable community floodplain management ordinance$. to
determine the proper Insurance fuemlum rate. and/or to support a request for a Latter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found an the following pages,
SECTION A PROPERYY INFORMATION
$UILDINO OWNfln'b NAME
SrRElT Ap l:S5 I(Inck dirq Aol., U#1148�ulta=cwPOW00) OA P,O. ROUTE AND BOX NUMBER
} A
OTHER 011118 „"RIPTION (L SFS B*k N mbers, ale.)
W���C,�S�
CITY
C0
STATE
FOR INIIAWOCE COMPANY U94
POLICY r1UMIiER
COMPANY NAIL NVM6EIt
ZIP COOP
SECTION B PLOOD INSURANCE RALE MAP (FIRM) INFORMATION
Provide the fallowing from the proper FIRM (See Instructions):
i, COMMUNITY NUMBER 2. PANEL NUMBER 3. suffix 4.OATS OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELIVATION
fin AO Zona. vs. aPth+
7. Indicate the erevtition datum system used on the FIRM for Sass Flood Elevations (OFE): ElNGVD'20 001hirr (describe on back)
8. For Zones A or V. where no BrE is provided on the FIRM, and the community has estabfishod a SFE for this building site, indicate
the community's SFE::,.,' ! _! ..I . L J feet NGVD (or other FIRM datum -sea Section B. Item 7),
BECTION C BUiLD1NO ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, Indicate the diagram number from the diagrams found on Rages 5 and 6 that best
describes the subject building's reference level '
2(a). , The top of th'v.,� ,_� is at an elevation
of �i�Z1.149 feet NGVD (or other FIRM datum -see Section H, Item 7).
(b). FIRM zones VI V30, VE, and V (with SFE). The bottom of the lowest horizontal structural member of the reletence level from
'the selected diagram, is man elevation oil I I I I-J,U feat NOVO (or other FIRM datum-soe Section 8, Item 7),
(c). FiRM Zone A (without SFE). The floor used as the reference level from the selected dlagram Is LU _U feet above ❑ or
below ;l (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used at the reference levet from the selected diagram is LLi.0 feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. It no flood depth number Is avail0le, Is the building's lowest floor (reference
lever) elevated in accordance with the community's floadplAllt management ordinance? C] Yes (.J No Q Unknown
3. Indicate the elevation datum system used In determining the above reference level olevatlons: ❑ NGVD '29 Cl Other (describe
ander Comments on Page 2). (NOTE. 1f the elevation datum used In measuring the elevations Is different than that used on
the FIRM (see Section 8, Item 71, them convert the elevations to the datum system used on the FIRM and Show the conversion
equation under Comments on Page 2.1
4. Elevation reference mark used appears On �F-IIR,�M; D Yea D No (See Instructions on Page 4) u,-
S. The reference level elevation is based on: t►_ actual construction ❑ construction drawings G
(NOTE: Use of construction drswliVs Is only valid if the building does not yet have the relerence level floor in place, in which
case this cotilficale will only be valid for the building during the course of construction. A post -construction Flevation Certificate '
will be required once construction Is complete.)
S. The slav,tion'of the lowest grade immediately adjacent to the building Is: i i i I - Ll feet NGVD (or other FIRM datum•ses
Section B. Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level Indicatad In Section C. Item t
is not the "lowest floor" as defined in the community's floodplaln manepement ordinance, the elevallon of the building's "lowest
floor" as defined by the ordinance Is: U.I,.1.1 U feet NGVD (of other FIRM datum -see Section 9, item 7).
2. Date of the start of construction or Substantial Improvement
f IMA form 01.111+1WAY 90 REPLACES ALL PREVIOUS 1011IONS SEE REVERSE SME FOR CONTINUATION
�—`—
BECTION E CERTIFICATION
This certification Is 10 be signed by a land surveyor, engineer, or architect who Is authorized by stAte or iocal law to Certify elevation
Information when the elevation Information for Zones Al—A30, AS, AH. A (with 8FE),V1—V30.VE. and V. (with BFI:) Is requlred.
Community officials who are authorized by local taw or ordinance to ptovlds floodplain management Information, may also sign the
cerillicalion. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a proparty owner, or an
owner's representative may also sign the cerillication.
Reference levet diagrams 6, 7 and a - Distinguishing Features—if the certifier is unable to certify to breakewayrnon•breakaway wall,
enclosure sl2e, location of servicing equipment, area use, wall openings, or unfinished area Fealure(s), then list the Feature(s) not
included in the certlficatlon under Comments below, The diagram number, Section C. Ilom 1, must still be entered.
i certify that the Information in SectAms B artd C an this cealflcato rpprossnts my best eliorra to interpret the data available,
I\unnd/areland that any false statement may be punishablo by flee or imprisonment undat 18 U.S. Code. Section 1001.
C"011FIJA1 NAME
(o/ Allis Std)
4 Lee,. Sy►- K�-t rC
TITLE COMPANY NAME 7.. .W
ADDRESS c" 11TATI ZIP
E
ti1dNATU "^ ��
�� JO� �% �� PATE PHONE
Copies should be mode of this Ce1111ICatte for,, 1) oommuntty official, Z) Insurance egent/company, *Ad 3) building owner.
COMMENTS:
_ NOTE:
This "Efevardon CwVncmfa" Is valid for Item 2(4) only and in so much as changes made on the
face of this document. This Is a1 cartificallon of elevation of form boards only. ...�
The property referenced hereon Is not Imled In a FEMA 100 year flood hazard as per referenced
panel ..�.
The elevations shown were taken *am groding plan of Waters Edge Addidon.
on "TN ON PILE1.
er, LAS„ fAs ir1NT 141141, OR
A V A A v
RCNE1 XG146 ZONfte ZCNIE 10NEa
hFF9 W.1
Ott NCI ►Wn
,It MG
i VtL /tow
IL YATION
v
e ., T
/laps) s, icf,. •,.. AluAtt A[,cE
t
avow
�i �19a
Y 1 /IRI 1 •4M6tMT �^"�
t a
q
The diagrams 11bove illustrate the point at Which the elevations should be measured In A Zones and V Zones.
,
Elevations for a1.A Zones should be measured at the top of the reference level floor.
Elevations for all V tones should be measured at the bottom of the lowest horizontal structural mambos.
Page 2
SURVEY PLAT
ADDRESS: 994 LAGUNA LANE, COPPELL, TEXAS.
Lot 2, Block A, Water's Edge Addition, Coppell, Texas.
N 39 ° 17' 51"E
14.45
' /
N36033'57"E
S
BLDCK 3 o
ti
0
Z
'/'Z
7Z - i
L 44 /` - 6-
ni aaoaa' -A Q" F
ni ti-7ory:i' g;d"F
LACUNA LANE
( v a .e l A ec.e wr la-rk )
Bearing Source: Recorded Plat
/Xd
K1r,9019'-Ar,"F
TO: THE PROPERTY SHOWN HEREON IS NOT LOCATED IN A DESIGINATED
ZONE A (100 YEAR FLOOD HAZARD ARE) ACCORDING TO FEMA MAP:
AVERY EDWARDS PROPERTY IS LOCATED IN ZONE: A .
PANEL O 0 O.D DATED: /0-/6--9/
I do hereby certify that the plat shown hereon represents the results of a survey made on the ground by 0 F
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 ••'•••+•• ;C
protrusions of improvements found on the ground. This survey Is subject to aU easements of record ? -'•+� S 7 F R '+�q
This
survey was performed exclusively for the above mentioned parties. Use of this survey for any other �� G �i Fp :•
purpose or by others shell be at their risk. , .•••••••••••••••w••;+++.+
SHIELDS AND LEE SURVEYORS :+•.............
W' R LEE
........................
20sa - �
SCALE /r'2D
DATE le -/4i -93 (oea.1z-z1.93)1421 FERNDALE AVENUE ~� svav�'
JOB NO. 91��ly DALLAS, TEXAS 75224
(214) 942-8496 �
DRAWN BY Xhc W.R. Lee, R.P.L.S 2038