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FEMA-EC000410BUILDING PERMIT APPLICATION l 0 ?0M Print or Tvoe in a Clear. Leaible Manner Job Address: C) , / Date: 3 D© Lot: 3 e Block: B Subdivision: SiaM M IT ArT -(ISE S5�,J45 Phase or Section Number: Owner _Z G Address: G µ �_ Phone #: 9 j& F-41,7-177CContractor: Address: 1,+,(t HAL6 A -i *6- /ate Phone #: XL d 7V--, -75cc 9 7Z- Z, -VZ- /-7 70 Description of Work to be Done Class of Work: Ekgoe'w ❑ Addition ❑ Alteration ElRepair ElDemolition \A// Onp FOAMED SK16C ')(=J4FBZ- 611410-E, Area of Building in Square Feet First Floor Garage ZE Value of Work q Second Floor Other to be Performed GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: ; O d. Receipt Number ` This permit becomes null and void if work or construction authorized is not commenced 180 days, or construction on work is suspended or abandoned for a period of 180 days Zoning District:Occupancy ` Classification:within 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':•+ Approved B Date:, Commento?, 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. '!�bmV Aemiw4tz/4 S nature of Contra r or Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 0 9 FI� RAL EMERGENCY MANAGEMENT AG:� NATIONAL FLOOD INSURANCE -PROGRAM ELEVATION CERTIFICATE 1:7 'Y 'Y O.M.B. No. 3067-0077. Expires July 31, 2002 Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For insurance Company Use: BUILDING OWNER'S NAME I Policv Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.4 t.,I Company NAIC Number I ? 3 .�-t Wfift-U :4 ^\J CITY STATE ZIP CODE C -Owe .L- "re"k AS PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) I.oT 35 p -O cac. 5 SurMA %r lr-T--n+E SW (11 65 BUILDING USE (e.g., nhil, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) °RE'5%Ve;; `r1AL. LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L_I GPS (Type): ( ##° - ##' - ##.##" or ##.###W) LI NAD 1927 L_l NAD 1983 L_I USGS Quad Map 1_1 Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER I DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 4$01'70 00tc) t I (S 1 —7-570 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. IJ FIS Profile LJ FIRM LJ Community Determined IJ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: I_L NGVD 1929 I—I NAVD 1988 LJ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1Yes LJ No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: L_IConstruction Drawings" MBuilding Under Construction" IJFinished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark us oes the elevation reference mark used appear on the FIRM? I—L Yes No ❑ a) Top of bottom floor (including basement or enclosure) $08 .34 ft.(m) —m - El ❑ b) Top of next higher floor _ ft.(m) .� OF -~ ❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) q c �p:•'GIST R••;f1 ❑ d) Attached garage (top of slab) b0 -j �p ft.(�) w a y'P� FO' ❑ e) Lowest elevation of machinery and/or equipment ......:... servicing the building _ft.(m) �• A••. • YR•��.DES. ❑ f) Lowest adjacent grade (LAG) 5'0 (o . "L ft.w* z3 ❑ g) Highest adjacent grade (HAG) SO? . t5k ft.(ta* ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ' • FSSP... ❑ i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) S U RJ 1 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, 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. G( P_ STATE ZIP FEMA F4ff p41-31, A(JG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy theL'' esponding information from Section A. For Insurance Company Use: BUILDINGSTREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 743 t xm�J "iafJ OW CITY STATE ZIP CODE Company NAIC Number C0?7Qi.L_ T4__71e4S SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS 1_I Check here if attachments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is L_1-1 ft.(m) L—Uin•(cm) LI above or LI below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_I-1 ft.(m) I—Llin.(cm) above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes I No I Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1_1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. I-1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LI A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes. G7. This permit has been issued for: L1 New Construction L1 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS SURVEY PLAT BARRY S. RHODES Registered F'rofessional Land Surveyor (972) 475--89,10 This is to certify that I have, this date, made a careful and accurate survey on the ground of property located at No. 743 LEXINGTON AVENUE , in the city of COF_PELL Lot No. 38 o. B Block No.— ----------- _ _ -_Texas. City Block No. of SUMMIT AT _ _ I HE SPRINGS, PHASE II _ an aa��ition to the City of COPPELL, DALLAS COUNTY Texas according to the _ PLAT RECORDED in VOLUME 97023 at _PAGE 3469 _of the MAP _ records of DALLAS COUNTY, TEXAS. THIS CERTIFICAIIGN DOES NOT TAKE INTO CONSIDLRAtION ADDITIONAL FACTS THAT AND ACCURATE TITLE SEARCH AND OR EXAMINATION MIGHT DISCLOSE. In Of W 7 M Cr) W J 0 M DID 0 W T U7 z W Y a, O O Z F- C) Q (n M Q 0 z a w J STgN 01V \1/2 IR S 6S S)ro,Rco CO� S 25'31'57" E 1/2 IR 0 23s \UTILITY ESM'T \1/2 Illi 9 40 60 Al O' J 01 Lu '� N ONS MS f 26.5 • j _ 2 cn 10. 25.1' l � O 38 I _ 1/2 IRF I h rn I N � m Q) 1/2 IRF 112 11R i S 89'47'01 " W 121.57' iW z J 32X COMMON AREA 37 The plat hereon is true, correct, and accurate representation of the property as determined by survey, the lines and dimensions of said property being as indicated by the plat: the size, loco and type of building and improvements are as shown, all improvements being within the bou of the property, set back from property lines the distance indicated. w 69 THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS, ; THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR Scale: 1 = 30 HOLMES BUILDERS Date: 03-21-2000 USE OF THIS SURVEY FOR ANY OTHER PURPOSE G. F. No.: _ OR OTHER PAR PIES SHALL BE AT THERE RISK AND Job no.: 66250—A UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS Drawn by: R.G. _ FOR ANY LOSS RESULTING THEREFROM. r, . �•(�' � _� 4' WROUGHT � �5 IRON FENCE W.I. GATE i i 8' CEDAR BD. ON BD,, FENCE W/ ME-�AL-POSTS \3-8'-8'W. ST L� �OLUMNS GATE / A/C \ PA g �.., o C.J POOL VERAN A EOUIP. BY POOL \ �I CNTRCTR. PADS p y1\ 74•-129/32'8'-0. / z C. oc 1 RESIDENCE W.I. G E 1 C. • STEP1 PORCH 6' WROUGHT f �4 BRICK PAVERS IRON FENCE ;A O 1 a C.J. 11 �BROO 64 FIN CONC DRIVE c.J1 1 GARAGE c.J. 1 Ir W. 0 Z IRON G TE 1 (SEE TAIL) ELECT. LOOP I 1 FOR GATE NORTH — — — ---- 1 25' B.L. — — —6RO ' W 12.-6. • rn 1 IRON CE 1 2-8'-8'H. TONE SITE PLAN 1 co C. SCALE, I' - 20'-0' � N LOT 38, BLOCK B �`s� 2' SUMMIT AT THE .�— — — — — — — — 77.6 — — — — SPRINGS PH. 2 - -- -- C.J. DALLAS COUNTY COPPELL, TEXAS STANTON COURT M7R'. � Agt .._t . D� c_ 3 lyqrN UM ul DATE ApproVai of th6 plans and specifications str,�ii 2�ploot be construed ru mew cgnstruction in direct a%ri lict with the City of Coppell Building codes ars Zoning