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FEMA-EC990114s Thy Withutiful Future BUILDING PERMIT APPLICATION Z8 Z� Print or Type in a Clear, Legible Manner Job Address: 7l l Date: Lot: Block: R-� Subdivision:J o M m f T' A--(' -� ,P(� j o Phase or Section Number: Owner. Address: 14a6 Phone #: (77Z ` �% /770 4 jjfj-ME/2 FLoLDS5 CAFt?LC;r -1'F -7ZZ 7 140ep {-+"eq ji+y SupTl: /C0 Contractor: Address: u u .-Z Phone #: q7Z- 7-412 —1770C Description of Work to be Done Class of Work: 2<ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor Second Floor Z/ /® 17 F Garage / Other 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. �Zs�5 C> Value of Work to be Performed AREA FOR OFFICE USE ONLY 10 Receipt N ber;, &q O.M.B. NO. 3067-0077 Expires May 31, 1996 ELEVATION CEfITIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Usof this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to e provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine then proper insurance premium re Ions rate, and/or to for completing his form can beort a request orfound eon the following pages r of Map Amendment orRevision (COMA or LOMR). SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE POLICY NUMBER BUILDING OWNER'S NAME COMPANY NAIC NUMBER STREET ADDRESS (Including Apt., Unit, Suite anWorr Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 1 G I I' G1!'�. _ I�Cc,'�l\J� A 0. - OTHER DESCRIPTION (Lot and Block Numbers,etc.) M M LT 'tel "` �� �—t �(0 f' (� tJ STATE ZIP CODE CITY 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 IN 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zonas.© depth) 4-2.."D FI O 00 10 E Afp(L I ,3 q- 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '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: L I L LJ •U 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 —_ . lDQM 2(a). FIRM` Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level 4Wwfrom the selected diagram is at an elevation of I.�-� .U 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 LL I I l 11-1 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 I LLJ 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 1. LJ feet above El 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 er (describe 3. Indicate the elevation datum system TE used the elevation datum used inve ference level ineasuring the elevations❑is different han❑that used on . under Comments c Page 2). (N the FIRM [see Section B, item 7j, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) rcr1 4. Elevation reference mark used appears on FIRM: I� Yes ❑ No (See Instructions an Page 4) 5. The reference leve( elevation is based on: actual construction El 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.) � Q.� feet NGVD or other FIRM datum -see 6. The elevation of the lowest grade immediately adjacent to the building is: Ll_t�' I Ij .j1J 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: �_._ iI -1-� .� feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement SEE REVERSE SIDE FOR CONTINUATION Form 81-31 , MAY 93 REPLACES ALL PREVIOUS EDITIONS M SECTION E CERTIFICATION This certification is to be signcd by a Ia.,id surveyor, enginee(, or architect who is authorized by state or local t;.rw to certify elevation information wh;n the elevation information for Zone; 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 owrter, 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 serocing eq;,ipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification unc;: r 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 available. I understand that any false statement may be punishable by fine or imprisonment under 18 U ode, Section 1001. G =RTIFIER'S NAM LICENSE N 0QL1 i7�ffix ' aiTzo ,�V' TITLE COMPANY N ME BARRY S. RHODES STATE ZIP ►� y ADDRESS 5 1 7NAT should be of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: _ --- - — -- ----- -- ON WITH ON PILES. Si.AB BASEMENT PIERS, OR COLUMNS A i v A A v ZONES ZONES ZONES ZONES ZONES - REFERENCE. LEVEL REFERENCE REFERENCE M BASE LEVEL FLOOD ft fYATION µ_ ! I��91 } [ BASE ADJACENT FLOCO BASF \ ,,,......���JJJH'''F i`1:NENCE ELEY TA ION FLOOD ,;RAPE EVEL ELEVATION REii'Yt`reCE -ENT S j- FNI .. .. .ryn t ., ' . tT.':l. GRADE The diagrams .:!r; �e iliustr<ite the ;;pints at which the el, vations shat ld be mcrc°.Llred in A Zones and V Zones. Elevations for .c ! ..'.-ones should be measures at the tcp of the reference lev+., i !:nor. Elevations for au Zones should ba measure,': at the bottorn of the lowest hori ontal structm ii men -cher. Page 2 " I . 11- . I in '151 LEXINGTON AVE. 5' HIGH WROUGHT IRON FENCE 10' UTILITY EASEMENT SCALE: I" a 20' SUMMIT AT THE SPRINGS N 07 F CWa, *Vl LOT aro 5LOCK 5 DALLAS COUNTY COFFELL, TEXAS 23 NOVEMBER I898 DA z y and spgcItjL-at)rfs Ma I �wN2� vief vie ,onstrilad tn Wai n-scott".6,005SOL" 00000 Ass iates' OWNER: ARTHUR O 000Pc. O O O O ��� .�a PROJECT: 88100 4013 Koller SprIngs Road e Addloom, T*xEj_jC972 447-9119 PLAN: 5425 cocmt and 4 Y! VEY PLAT r,ARRY Si. hl--IODEk'�3 Regisicl-red Professional Land Surveyor (972) -11,75-89,10 1 Uis s, to L.ftiij tho I have, this data, fliiJx: 6 .«Jul grad accurate iu(vey on the viowid of property 't No. in the city of C --t;; Gut NO. Block No. Cit{ Block Wo. ,4 an addition to the Ciiy of TbXa4, acculailij 10 the recorded in Volume Tia at PbJ6 ul tho map Rucards of CUUNTY, TEXAS. 1.4 Oct s'v C, ra'v V/-- "V'x'6 TITLE ABSTRACTING WORK FURNISHED BY Z 112: Tho plat I «raun it true, cufeact, and siccurita rbprosantation of the property as determined by &u(vvV, tha ;i!,4s 4.ij dimwitions of said ptupuay being as indicated by the plat: the :iia, location, &114j typt, o buiijinos &J improv6monts wre as shown, all improvements being within the buun- diiri.s of thi yopo(ty, ut Uack from pr,iFerty lines the distance indicated, THLi'iL ikfIL- &0 '4-NCHUA(A,iMENTS, LbiiFLICTS, 08 VROTRUSIONS. 1K,.J _)'HVL.Y LEAS PERFORMED EX1','i_.lJS1VE,,.,( . N LKIL. 10F THI'D _"URVEY FOR ANY 01"IER P'�A G. i 0, 1 L i _�i�IR !-, _-K A PAM IES SHALL BE AT TiTFiL '-I _RSIGNED IS NOT PF'PONSM! E T' Alir UtIPL -1 — J LOSS F�ESLJL_1CNG 1Y S. RHOMS