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FEMA-EC940808® ►4f3�ZJ, 1 Tht��� dur� l Future 2 6 a4 Building Inspections Division BUILDING PERMIT APPLICATION 11 P�,� Print or Type in a Clear, Legible Manner Job Address: I ©4 t _C N C.3 (,Aj t Date: Lot: Block: Subdivision:�GI IJ`T' Phase or Section Number: Owner: PCA NTi r i GTt: Q P0-10 Address: oZ �pr.�%r�r � Phone Contractor: PIS V S Address: Phone #: Description of Work to be Done Class of Work: ID New ❑Addition ❑pAlteration ❑ Repair ❑Demolition of Building in Square SFeet .First Floor a— �3 Second Floor I Garage -43:!± Other NOTICE I'Permit Fei 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 Di! days at any time after work is commenced. Approved 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 Comment give authority to violate or cancel the provisions of any other federal, state or local law regulating constructionyythe PY(formance of construction. Signature of Contraclibr Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor BIR • 1 12/921 ELEVATION CERTIFICATE O.M.B. ExpiresM y31, 1077 May 31, 7993 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. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER POLICY NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) ' DoT CITY STATE ZIP CODE 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 ¢ DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �VD'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 I I 1 .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 Al -A30, AE, AH, and A (witti BFE). The top of the reference level floor from the selected diagram is at an elevation of .�eet 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 1.0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AC. The floor used as the reference level from the selected diagram is 1. U 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? E]'YBS ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: E NGVD'29 El 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: U 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 during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) ,� p 6. The elevation of the lowest grade immediately adjacent to the building is: I I IBI.4 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 . U feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-311 MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION CERTII yR'S NAME L'�'� 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 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. 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.S. Code, Sectio. nn 1001. �,E011w >_16___ CERTIFLFR'S NAME TITLE �iy�Grs� ADDRESS _ 3 SIGNATURE Copies should be COMMENTS: — LICENSE COMPANY CITY n of this Certificate for: 1) community official, 2) insurance ON SLAB A V ZONES ZONES ADJACENT GRADE WITH BASEMENT A IT ZONES ji 'STATE Or A;L and 3) building owner. ON PILES, PIERS, OR COLUMNS A V ZIP 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 -/ ---------- ----------------------------------------------------------------- z - - - - - - - - - - - - - - - - - - - - W. E. ,-6 446.80i2.b, i' j 0 F.E.M.A, LETTER MINIMUM ff. I Let Area: 8974 Sq.,Fi. GENERAL NOTES: DRIVEWAYS 16, wDE ENTRY WALKWAYS -;' WIDE PARKWAY SIDEWALKS 4' WIDE . UNLESS OTHERWISE NOTED PLAN 2641A 6t'' 4i4eeELL Al -RC TABLF- -' ARC LEN. RAE). CHRD. RR 'Al' 21.84' 680.00, REVIEWED 'A2' AY -7 5) .87' 27.96' ztto-K)01 1 *1 42.55' 25.00' -- IT 41 0' 50,00' Apporoval! of th(,, IEm� and specifications shall not ,1 ,Dj t �y , a I SCALE: 1 = 20' tie construes r': -nean construction in direct con- iirt with the.City 0' &444ig-C-odep+� .P-1 10 FG 447.JO W. E. ,-6 446.80i2.b, i' j 0 F.E.M.A, LETTER MINIMUM ff. I Let Area: 8974 Sq.,Fi. GENERAL NOTES: DRIVEWAYS 16, wDE ENTRY WALKWAYS -;' WIDE PARKWAY SIDEWALKS 4' WIDE . UNLESS OTHERWISE NOTED PLAN 2641A TOS = 445. 70 448. CID 48.30 T 03 cy o FG 448,.10 0 TOS = 445. 70 448. 7 nti, r rely -, 7OP Of C.Lirb: 447.11�, Type 'F3' Drairoge F6 447.60 Fence Lencth: 154' VENCIE. tFNGTH SHOWN IS MAX. FIELD VERIFY EXlTiNs - - - ---------------- Eagle Point UUbdiv- Eagle Point Vlq. Riverchase bik F 12 E address 104 Longmeadow Drive • Coppell, TX Ti F�-yy-- -- -'i Au-n-tingtm Fd., --- mew CALLAO PARKWAY, 8=5 2506 DA�LAO, TIXAI YO248 07/19/c),4 I ?F).41 nn F1 FV A P I C H T Ak CID T 7 nti, r rely -, 7OP Of C.Lirb: 447.11�, Type 'F3' Drairoge F6 447.60 Fence Lencth: 154' VENCIE. tFNGTH SHOWN IS MAX. FIELD VERIFY EXlTiNs - - - ---------------- Eagle Point UUbdiv- Eagle Point Vlq. Riverchase bik F 12 E address 104 Longmeadow Drive • Coppell, TX Ti F�-yy-- -- -'i Au-n-tingtm Fd., --- mew CALLAO PARKWAY, 8=5 2506 DA�LAO, TIXAI YO248 07/19/c),4 I ?F).41 nn F1 FV A P I C H T Ak TT7?T7 7-7-1 TTTT-Ti-i r�R ISURVEY PLAT HR LOT 12, BLOCK E, OF EAGLE POINT VILLAGE AT RIVERCHASE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. 'A ko . w s ,• ��� 76 23'10" 104 LONGMEADO W DRIVE LOT 13 I hereby certify that on the % day of,!O . 19_M this survey was made an the ground as per the field notes shown on this Purvey and is true, correct, and accurate as to the dimensions of the subject property and rise, location and type of buildings and improvements thereon, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property. There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. 'fE• °F ��. Date HuGusT Z. l99� JOB # . HARRY J. ROIIELL GF No. 4597 LEGEND Scale. '" = zo ' 9�sUR°J HARRY 1/2" Steel / Iron Rod Found 0 1/2" Steel / Iron Rod Set R 0 WELL Property Line �d' Associates. INC. Surveying Food Fence — r! k Engineering Chain Link / hire Fence X—X—X—x—x f +0f F,lrrt ,Street Ste. 201 ,,,.n,,: - ` lt7rt, "S 7'exav p06 7 i ; _ _ ., �. Car i 77TI_TI7._ g 6 ' ''�� ummi IIIIIIIIII 45.88' IIIIIIIIII ui 27 ` 1nu- ELF.C.- fi-SL 1 - - - - 20' BUILDING LINE �- 8.0' �C! k4o �sv v 0 q4 C6 V FORMBOARD SURVEY FF.ELEV. 449.55 4- x o� CIO UrldlN� 'A ko . w s ,• ��� 76 23'10" 104 LONGMEADO W DRIVE LOT 13 I hereby certify that on the % day of,!O . 19_M this survey was made an the ground as per the field notes shown on this Purvey and is true, correct, and accurate as to the dimensions of the subject property and rise, location and type of buildings and improvements thereon, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property. There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. 'fE• °F ��. Date HuGusT Z. l99� JOB # . HARRY J. ROIIELL GF No. 4597 LEGEND Scale. '" = zo ' 9�sUR°J HARRY 1/2" Steel / Iron Rod Found 0 1/2" Steel / Iron Rod Set R 0 WELL Property Line �d' Associates. INC. Surveying Food Fence — r! k Engineering Chain Link / hire Fence X—X—X—x—x f +0f F,lrrt ,Street Ste. 201 ,,,.n,,: - ` lt7rt, "S 7'exav p06 7 i ; _ _ ., �. Car i 77TI_TI7._