FEMA-EC000516J
Tin My WOASmutBulFuture BUILDING PERMIT APPLICATION
. Print or Type in a Clear, Legible Manner -2, 4 3)F>
Job Address:
a L
e
Date:
Lot:
Block:
Subdivision: V s t: i s o �;o pp e i ?
Phase or Section Number:
Owner
:" 1Io1c'i.lt
C.cr po: r: tion
.f l.%
Addresi:u ip S. Stei,l„lons, `.a.�J
��. Y'JLu`�..1 .14
Phone #' '
Contractor: Address.,• ; one
#;
i�;cei' ex 111wiles iJb'J S. JtCI''1�i5 r1 UL•� -ext J/"
Description of Work to be Done Class of Work: IoNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
:. rr- -
'tin; i F iti Y ResicieutiaI Lwe' i In
of Building in Square Feet
First Floor Garage�✓ -� Value of Work 7S
to be Performed
Second Floor Other
1Z1111 li CEJ y
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.
r t V Brenda Co.Lortt-Y
Signature of Contractor y
Authorized Agent Print Name
uane'rrart Buckner Tempo
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
!;4:r
BUELDING INSPECTION - WHITE, APPRALSAL - YELLOW, CUSTOMER - PINK `
Rpr 14 00 10:46a TW BRRROW
PLOT PLAN
SUBMITTED BY: CENTEX HOMES PLAN #
SU13DIVISION: VISTAS OF COPPELL, PHASE 3
BLOCK D LOT: 3 DATE: _
STREET ADDRESS: 261 LYNDSIE DRIVE SCALE: _
CITY: COPPELL, TEXAS
I nT rPAnING TYPE B
(817)-268-0411 p.2
F339RA
1" = 20'
�:# • 261 LYNDSIE DRIVE4$1
T.C.=51.2 50' R.O.W. T.C.=60.65
° w.M.
4' WALK
66.00'a Lk 4�� E U.E. _
REVISION. 04/14/00
VC3-0-03
LEGEND: JEM
F.G.
FINISHED GRADE
T.S.
TOP OF SLAB
K
NATURAL GRADE
D.G.
DROP GRADE
E.B.
TOTAL EXPOSED
T.C.
D.P.
TOP OF CURB
E.P.
DROPPED PATIO
EDM OF PAVI C
A.C.
"RT GRADES
AR-CONDITIO "
PAD
REVISION. 04/14/00
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION I Forinsurance Company. Use: (
BUILDING OWNER'S NAME
CENTEX HOMES
BUILDING STREET ADDRESS (knduding Apt, Unk Sure, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Go*" NAIG Nummrer I
261 LYNDSIE DRIVE
CITY STATE ZIP CODE
COPPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT3, BLOCK D, VISTAS OF COPPELL, PHASE 3
BUILDING USE (es., Residential, Non-residential, Addifim, Amessay, etc. Use Commit section Inecessary.)
RESIDENTIAL
LATrrUD6t.ONGITUDE (OPTIONAL) HOR¢ONTAL DATUM: SOURCE: ❑ GPS (Type):
( ##A -#9 -##.##' or ##.###W) ❑ NAD 1927 ❑ NAD 1983 ❑ IISGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
r i. NFP COMMUNITY NAME & comm INry NUMBERI D�OU� � I � STATE
COPPELL480170
B4. MAP AND PANEL
85. SUFFIX
B6. FIRM 14DEX DATE
B7. FIRM PANEL
B8. FLOOD ZONE(S)
B9. BASE FLOOD ELEVATION(S)
NUMBER
1
NONE
EFFECTiVEIREVISED DATE
I
X
(Zane A0, use depth of Hooding)
0010
E
411511994
460.4
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 139.
❑ FIS Profile ❑ FIRM ® Community Determined ❑ Other (Describe):
611. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designaafiaon Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Wdng elevations are based on: ❑ Construction Drawings' ® Building Under Construction* ❑ Finished
'A new Elevation Certificate will be required when construction of the building is complete.
C2 Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. ff 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, ARIA, AR/AE, AR/Al -A30, ARIAH, ARIAO
Compete Items C3a4 below ao=dng 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 Conmmernts area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No
o a) Top of bottom floor (including basement or enclosure) 463.3 fL(m)
o b) Top of next higher floor NIA. —A(m)
S T
o c) Bottom of lowest horizontal structural member (V zones only) NIA. ft.(m)
�.;....
o d) Attached garage (top of slab) WA. _ft.(m)
$ 'g
w
..
......BARROW
o e) Lowest elevation of machinery ardlorequipment
.
servicing the building WA . _ft.(m)
462
E r
0 c
: p 1994 P
< •'OF Q�
.0 0 Lowest adjacent Wide w (m)
c y
9,j;O..fU Rvp
o g) Highest adlao�mt grade((HAG) th(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
B
o ) Total area of all permanent openings (flood vents) in C3h WA sq. in. (sq. an)
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.
CERTIFIER'S NAME TW BARROW LICENSE NUMBER 1994
TITLE RPLS COMPANY NAME TW BARROW LAND SURVEYING
ADDRESS CITY STATE ZIP CODE
FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spacesti copy 6Fcorresponding information from Section A For Insurance Company use:
BUILDING STREET ADDRESS (IndudkV Apt, Unit, Suite, andlor Bldg. No.) OR P.O, ROUTE AND BOX N0, Poky Number
?61 LYNDSIE DRIVE
CITY STATE' ZIP CODE Company NAIC Number
COPPELL TX
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentkornpany, and (3) building owner.
COMMENTS
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zane AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Cartilage is intended for use as supporting inlwmabon for a LOMA orLOMR-F,
Secton C must be cornpWed.
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 _ ft(m) _in.(cm) ❑ above or ❑ below(check one) the highest adjacent grade.
B. For Building Diagrams 643 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
gam•
E4. For Zane AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's fkhodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local offical 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 FEMA4ssued or comm unityissued BFE) or Zone AO must
sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE 7JP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here 9 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 items) and sign below.
G1. ❑ 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 aufhorized by
state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community ofW completed Section E for a building located in Zone A (without a FEMA4ssued or commun ity4ssued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
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 NAM: TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
Check here if attachments
FEMA Form 81-31, AUG 99 - REPLACES ALL PREVIOUS EDITIONS
FORM SURVEY,
SUBDIVISION
BLOCK C) LOT U-'�l
STREET ADDRESS 2.� �-- �-1 r -0)7S- 1 e 01-1 V�
CITY
�vE
Zb� �5V lk.0 A0 Wot
5a
010 %t1' if
l Ems, 66 0V - -
N ?5.52
.00 cto
ss -
to
�t2
�EoFr
Q �CPCa\STE�Q�'9
........................................
T. W. BARROW
1.994
8.0
\ SOCK 0
J
tW
66.00
ww-t #1
VZ
VOW
C1
1 hereby certify Nat tfw forms we to pace
Won We lot according to on dstarmos to
pp�rooerly Ina dow srrd owe detwnrined
hem a survey me& an the ground
DATE:
LME
LME
T.W. BARROW
REGISTERED PROFESSIONAL
LAND SURVEYOR
7104 GRAPEVK HIGHWAY
FORT WORTH,TEXAS 76118
(817) 268-0200
SCALE: 1" _ 20' vE-._ n