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FEMA-EC960524 (2)The City With A Beautiful Future BUILDING PERMIT APPLICATION 1.r'� 5 96 -w f . f 2 Print or Type in a Clear, Legible Manner Job Address: \, Date: �\ C� J Lot: ��\ Block: Subdivision: C _ \ Phase or Section Number: Owne Address: o\� \�Phone #: \ Contractor: Address. Phone #: Description of Work to be Done Class of Work: —0 -mew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor !r C, Garage Value of Work C' C to be Performed Second Floor Other A hvzl4 rP/m i 0�j9-il)kl-ln.f i � r1 l7 o 2 ,a 5 Me lr MSL GRAY AREA FOR OFFICE USE ONLY 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 construction of the performance of construction. c Signature of ntractor or Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) � �r 1 � O:M.b. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 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. BUILDING OWNER'S NAME SECTION'A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I 548 Lla�fTot.� OCt�vE OTHER DESCRIPTION (Lot and Block Numbers, etc.) Lo T 5'�) bLoC, A G0TT0NWOOD CGE F, V_ SEC-TIOtJ -Sa- CITY STATE ZIP CODE GoPPE L1... TEY45 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. BATION AO Zones, use E FLOOD depth) 4$0wlo CKAO ►5, kcn)4 dE 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): '�&NGVD '29 L_� Other (describe on DaCK) 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: LL_ _L_L.0 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 Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of'4- T'O .f 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 ' ' 1 1 L 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 ! I .0 feet above ❑ or below i_ (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 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 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: X Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: I7 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:! 47TI O! . �J .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 : ! . L✓I feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement 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 S - 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 B and C on this certificate represents my best efforts to interpret the data ble. /understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Secti CERTIFIER'S NAME LICENSE NUMBER for Affix Seal)14% GLWtJ W. kUk-E2 GLENN W. MILLER TITLE COMPANY NAME 4 2.P.L.S. GE4oA v J� ttJG 1►JG. 4223ot�ro ADDRESS CITY V A ZIP t o R S G JSQ L T GOV5 SIGNATURE DATE PHONE 5-24 8n - 2rt - IM78 Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION ::�t" : r Rtl .. �`�)r:; :...::•: �:i .t; �: ;.? F ROOD ... ADJACENT �::: •�. ;•yf : REFERENCE BASE FLOOD ELEVATIONRERERENCE ADJACENT GRADE ... LEVEL ' ELEVATION LEVEL GRADE 77. ' •V•ii;.::i:i :. • fir.;.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. Paae 2 "1� —N"N6 oc eL S s 0 1, o� OP 0� eoct - �j°D•�p5 �a� to s� 0 to o Qo 1 0, i c 00� p • o� �`°�. 8` rL o eL d PLAT SHOWING 000 tea`, � q.� LOT 59, of BLOCK A, of VILLAGE AT COTTONWOOD CREEK SECTION VI, BEING A REPLAT OF LOTS 1, 2, 3 and 4, BLOCK 1, VILLAGE AT COTTONWOOD CREEK SECTION II, an Addition to the City of Coppell, Dallas County, Texas, according to the Map or Plat thereof recorded in Volume 95036, Page 1867, Map Records, Dallas County, Texas. Commonly known as 548 Layton Drive. THIS PROPERTY IS Ln('ATED IN ZONE (S) AS DELINEATES ON FLOOD INSURANCE RATE MAP PANEL NO. EFFECTIVE DATE LOCALIZED FLOODING NOT DETERMINED. P. 0. Box 13556 ' Land Surveying Arlington, Texas • Land Planning GEODATA SURVEYING, INC. 76094.0556 • Topographic Metro 261.2878 Mapping of E I hereby certlry this to be a true artd correct representation of a SCALE t" ' �� wn►ay made on the ground under my supervision and there an visible w4mechments or protrusions except as shown. NN W. Mug* LEfiENO 4223 airon rod 7�0� O GLENN W. tiItILLEfl R.P.L.S. -STATE OF TEXAS N0. 4223 — x— — x— — ...... fence line y DATE -5 - (o • 'IG —T— —E— — • . • - .. utility line