FEMA-EC000530BUILDING PERMIT APPLICATION
I'S—L? 11 P? Print or Tvne in a Clear. Leoible Manner i 1 1 cit
4 �f��3ac
Job Address: &5 L SL
Date: 5
Lot: Block: Subdivision:
C -S Phase or Section Number:
Owner Address:-
Phone #1'
Contractor: Address:
Phone #:
Description of Work to be Done Class of Work: 4New El Addition
0 Alteration El Repair 0 Demolition
V
Area of Building in Square Feet
First Floor- c2 114 'Z Garage
Value Work
of
Second Floor Other
to be Performed
V3
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee:
Receipt Number:
Zoning District:
Occupancy Classification:
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.
Approved By:
Date:
IY2
I hereby certify that I have read and examined this application and know the same to be true
Comments:
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.
Signature of Contractor or Autrized- Agent Print Name
- -, Llt —1, 1j,-;
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
1
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT4, BLOCK D, VISTAS OF COPPELL, PHASE 3
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section I necessary.)
RESIDENTIAL
LATTTUDEILONGrrUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( #10 -#9 -##.##' or ##.####1,) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
COPPELL480170 DALLAS AND DENTON I TX
B4. MAP AND PANEL
FEDERAL EMERGENCY MANAGEMENT AGENCY
B6. FIRM INDEX DATE
O.N.-.B. No. 3067-0077
B8. FLOOD ZONE(S)
NATIONAL FLOOD INSURANCE PROGRAM
NUMBER
Expires July 31, 2002
NONE
ELEVATION CERTIFICATE
X
(Zone AO, use depth of flooding)
Important: Read the instructions on pages 1- 7.
E
SECTION A - PROPERTY OWNER INFORMATION
Forl Company Use:
BUILDING OWNER'S NAME
Policy N
CENTEX HOMES
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX N0.
NAIC Number
265 LYNDSIE DRIVE
CITY
STATE
ZIP CODE
COPPELL
TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT4, BLOCK D, VISTAS OF COPPELL, PHASE 3
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section I necessary.)
RESIDENTIAL
LATTTUDEILONGrrUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( #10 -#9 -##.##' or ##.####1,) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
COPPELL480170 DALLAS AND DENTON I TX
B4. MAP AND PANEL
tis. SUFFIX
B6. FIRM INDEX DATE
B7. FIRM PANEL
B8. FLOOD ZONE(S)
B9. BASE FLOOD ELEVATION(S)
NUMBER
NONE
EFFECTIVEIREVISED DATE
X
(Zone AO, use depth of flooding)
0010
E
411511994
460A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9•
❑ FIS Profile ❑ FIRM ® Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Constnlction Drawings* ® Building Under ConstnKtan* ❑ Finished Constriction
*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. 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, ARIA, AR/AE, ARIA1-A30, AR/AH, ARIAO
Complete Items 0amii below acoording 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 used Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No
o a) Top of bottom floor (including basement or enclosure) 462.8 ft(m) ✓ O Fi
o b) Top of next higher floor N/A.. _ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) WA ._ft.(m) o o CO,�,C' '9F:•. tS� \
o d) Attached garage (top of slab) WA. ft.(m) :'�
o e) Lowest elevation of machinery and/or equipment W M T. W. BARROW
................... ......
servicing the building NIA.. _ft.(m) E 1994 P
o f) Lowest adjacent grade (LAG) 462.Oft.(m) z L
o g) Highest adjacent grade (HAG) NIA. _ft.(m) U �
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
o i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm)
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.
I 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
7104 QRAREVINE EIWORIH ix 76118
SIGNATURE DATE TELEPHONE
FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces; copy the coresponding information from Section A For Ins Cam" Use:
BUIt,DIN,G STREET ADDRESS (IftjdN Apt, Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number
265 LYNDSIE DRIVE
CITY STATE ZIP CODEi NAIL Number
COPPELL TX
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenYbompany, and (3) building owner.
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (Wfl}fOUT 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 _ fL(m) _in.(cm) [:]above or [:]below (check one) the highest adjacent grade.
E3. For Building Diagrams 6.8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(crn) 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?
❑ Yes ❑ No ❑ Unknown. The local official must certify this infomration 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 FEMAassued or oommunity4ssued BFE) or Zone AO must
sign here.
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the communitys 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. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This permit has been issued for: ❑ New Contraction ❑ 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
t
FORM SURVEY
SUBDIVISION VISTAS OF COPPELL, PHASE 3
BLOCK
STREET ADDRESS
CITY _
112,ff
N�
4o
T. W. BARROW
1994
LOT 4
265 LYNDSIE DRIVE
COPPELL, TEXAS
`YNpS�E w.RgE1�vE
265 �t� £a
t
(�tt� �.� 66.x.
32" E _Ss•
,r2- to
I hereby certify that the forms ore in place
upon this lot according to the distances to
property lines shown. and were determined
from a survey mode on the ground.
lir �`
T.W. BARROW
REGISTERED PROFESSIONAL
LAND SURVEYOR
DATE: 5-30-100 7104 GRAPEVINE HIGHWAY
FORT WORTH, TEXAS 76118
o................................................................ IRON ROD (817) 268-0200
--X--X-- ..............................................FENCE LINE
--T--E-- ........................................UTILITY LINE SCALE: 1" = 20' VC3-0-04
Apr 11 00 08:16a TW BARROW
(817)-268-0411 p.2
,-03„ LYNDSIE DRIVE
T _ 50' R.O.W. T.C.=60.30
WW.M.
5U,E, 66.00' S.S. LATERAL C/0 60 6F
C
I CONC.
N DRIVE
0'
61 6F
8,
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N
20' B.L. o
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WALK
25' B.L.
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I 61 [IF
49'- 0" 119,
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OV331ORS N
T.S.=462.7 I I I
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PAT10 I J
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LOT 4
BLOCK D
BLOCK o
F.P.=461.9
MIN. F.F.=460.4
61 10F �, 66.00` 601 4F
LOT GRADING TYPE 6
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VC3-D-04
LEGEND: JEM
PLOT PLAN
F.C.
FINISHED GRADE
SUBMITTED BY:
CENTEX HOMES
PLAN OV331OR6
#
T.S.
TOP �s�
SUBDIVISION:
VISTAS OF COPPELL,
PHASE 3
D.G.
GE
TOTAL EXPOSED
BLOCK D
LOT: 4
DATE: 04/10/00
pp:
DRO PE CURB
DROPPED PATIO
STREET ADDRESS:
265 LYNDSIE DRIVE
SCALE: �� - 20'
EP
A.C.
ING
NVE GE GRAMSS
AR -CONDITIONING
CITY:
COPPELL, TEXAS
PAD
,-03„ LYNDSIE DRIVE
T _ 50' R.O.W. T.C.=60.30
WW.M.
5U,E, 66.00' S.S. LATERAL C/0 60 6F
C
I CONC.
N DRIVE
0'
61 6F
8,
,4 0
N
20' B.L. o
i
\
WALK
25' B.L.
I
I 61 [IF
49'- 0" 119,
I
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OV331ORS N
T.S.=462.7 I I I
I
PAT10 I J
m
LOT 4
BLOCK D
BLOCK o
F.P.=461.9
MIN. F.F.=460.4
61 10F �, 66.00` 601 4F
LOT GRADING TYPE 6