FEMA-EC000309The City With A B"utgul Future
tq
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner ?1) M P6 4 1 q y )
� FEE 01 8 2D
Job Address: L
Date: l ^a -7-0 o
Lot:Block: Subdivision:
L
-7 D
Phase or Section Number:
Owner Address::,
-P'�jt' Phone
Contractor: Address:
one #z,,,.
Description of Work to be Done Class of Work: ,New El Addition
C1 Alteration D Repair 0 Demolition
by 33l
Area of Building in Square Feet
First Floor l Garage
Value of Work If
Second Floor /171 Other
to be Performed
3&77
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee:12-75,
01) Receipt Number: "Qt
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
Approved By:
Date
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
,02
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
Comments:
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 Authorized Vgent Print Name
Plumbing Contractor
Electrical Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
Al,
CP
SUBDIVISION
BLOCK
LOT
STREET ADDRESS
.,�?.LY,�
.,...
....���
CITY
OF
. .....\ ..........
S T
T -W......BARROW
. .... ...........
1994
Vp
0
101
1401 p
coo A
It % ID
I ksr%*NWV 60 ft owm we In pbw
p" 4v=woml =1=16or
befe *-grow w4ft *a vwAd
DATES -cc
0 ROD
LM
LK
-10"-
T.W. BARROW
REGISTERED PROFESSM&
LAND SURVEYOR
7104 GRAPEVK Hl"AY
FORT MORPH TEXAS 7A 118
(8 17) 2684"W
SCALC: I VC5-
CP
101
1401 p
coo A
It % ID
I ksr%*NWV 60 ft owm we In pbw
p" 4v=woml =1=16or
befe *-grow w4ft *a vwAd
DATES -cc
0 ROD
LM
LK
-10"-
T.W. BARROW
REGISTERED PROFESSM&
LAND SURVEYOR
7104 GRAPEVK Hl"AY
FORT MORPH TEXAS 7A 118
(8 17) 2684"W
SCALC: I VC5-
reo u1 uu 11:caa IW BHKKUW
PLOT PLAN
SUBMITTED BY: CENTEX HOMES PLAN #
SUBDIVISION: VISTAS OF COPPELL, PHASE 3
BLOCK D LOT: DATE:
STREET ADDRESS: 277 LYNDSIE DRIVE SCALE: -
CITY: COPPELL. TEXAS
I.81'/J-?-b8-U411 p.5
F.C.
OV3310RA T.S.
N.
D.C.
E.B.
-31-2000 TC
D.P.
1' = 20" Kv.
A.C.
)GI
7 LYNDSIE DRIVE
T.C.=59.7 50' R.O.W T:G.=59y
OwATER METER
4' WALK
59 9F 66.00' s.s. LATERAL C/O I =ELECTRICBOX
— T5' U.E. _51 6F
p U W
O�
in
On
N
WALK
60 3F
OP
60 of
I
o I OV3310RA 0
TS=461.4 I N
49' —0" 81-6
FMM Bay
SMVLTY REQUWM
�ATIOU
� cn
0 20' B.L.
LOT 7 rAIN.
BLOCK D
F.P.=460.6
LOT GRADING TYPE 8
591517 66.00' 5912F
LEGEND: CLW
FLASHED GRADE
TOP OF SLAB
NATURAL GRADE
DROP GRAGE
TOTAL EXPOSED
BEAM
TOP OF CURB
DROPPED PATIO
EDGE OF PAVNC
WART GRADES
AR-CONDIT04K
PAD
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires Jujy 31. 199c
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTIOi 1: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro.
vide elevat . in information necessary to ensure compliance with applicable community floodplain management ordinances, to determine
the proper i 1surance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are nc
required to espond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form
Instructions for completing this conn can be found on the following pages.
SECTION A PROPERTY INFORMATION
BUILDING Ot' NER'S NAME
STREET ADC LESS ;including Apt . Unit. Suse snWor Bldg. Nu tow) OR P.O ROUTE AND BOX NUMBER
FOR 64SUMANCC COMPANY USE
POLICY NUMBER
COMPANY NAIL NUMBER
277 Lyndsie Drive
OTHER DES( IMTrON (Lot and Skmk Numbers. me)
Lot 7, _Block D , VISTAS OF COPPELL PHASE 3
CITY _ STATE ZIP CODE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the I Alowing from the proper FIRM (See instructions):
+ COMMU CITY NUMBED
z PANEL NUMBER
a. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AD Zom. use depth)
480170
0010
E
4-15-94
x
460.3
7. Indicate t1- a elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0 NGVD '29 LOther (describe on back)
8. For Zone: A or V. where no BFE is provided on the FIRM, and the community has established a 8FE for this building site. indicate
the Comm,nity's SFE: 1 f I I ! 1. LJ feet NGVD (or other FIRM datum -see Section S. 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 1 .
2(a). FIRM ,: ones Al -A30, AE, AH, and A (with 8FE). The top of the. reference level floor from the selected diagram is at an elevation
of _ 461 1,1_ feet NGVD (or other FIRM datum -see Section S. Item 7).
(b). FIRM;; ones Vt -V30. VE, and V (with 8FE). The bottom of the lowest horizontal structural member of the reference levet from
the seb- cted diagram, is at an elevation ofd I.LI feet NGVD for other FIRM datum -see Section S. Item 7).
(c). FIRM 7 me A (without BFE). The floor used as the reference level from the selected diagram is !._IL . LJ feet above 7 or
below. _ (check one) the highest grade adjacent to the building.
(d). FIRM 2 ane AO. The floor used as the reference level from the selected diagram is L_;_j . L; feet above 0 or below (check
one) the highest grade adjacent to the building. It no flood depth number is available, is the building's lowest floor (reference
level) a avated In accordance with the community's floodplain management ordinance? i Yes J No � ;; Unknown
3. Indicate tf a elevation datum system used in determining the above reference level elevations: M. NGVD '29 1:: Other (describe
under Cor iments 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 71, then convert the elevations to the datum system used an the FIRM and show the conversion
equation • rider Comments on Page 2.) _
4. Elevation eference mark used appears on FIRM: Yes No (See instructions on Page 4)
5. The refers ice level elevation is based on: i% actual construction 0I construction drawings
(NOTE: L. se of construction drawings is only valid if the building does not yet have die reference level floor in place, in which
case this r wrrificats, will only be valid for the building during brie course of construction. A post -construction Elevation Certificate
will be req: tied once construction is complete.)
6 The eleval on of the lowest grade immediately adjacent to the building is: L! I 14f01.a feet NGVD (or other FIRM datum -see
Section B. Item 7).
SECTION 0 COMMUNITY INFORMATION
I It the com! iunity official responsibie for verifying building elevations specifies that the reference level indicated in Section C. Item t
is not the owest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as d. -fined by the ordinance is: i : 1 1 —j feet NGVD (or other FIRM datum -see Section B. Item 7).
'. Date of the start of construction or substantial improvement
SECTION E CERTIFICATION
This certl. cation Is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to cenify elevation
informatici i when the elevation Information for Zones At -A30, AE, AH, A (with 8FE),V1-V30,VE, and V (with BFE) Is required.
Commun• y officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
cerfificatir: n. In the case of Zones AO and A (without a FEMA or community issued SFE), a building official, a property owner, or an
owner's r• presentative may also sign the Certification.
Refereno: level diagrams 6, 7 and 8 - Distinguishing Fgatures-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 iI, the certification under Comments below. The diagram number, Section C. Item 1, must still be entered.
I certify tf.. It the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available.
I understa Td that any faIse,statemont may be punishable by fine or imprisonment under 18 U.S. Cody, Section 1001.
T.W. BAX;1 * _9F Texas # 1994
CERTIFIER'`. NAM�Ji ��: ; \ �. C •.q_ I\� I IheMec NUMBER AM T -ice
TITLE.....:...................................
T. W. BARROW
7104 ........
ADDRESS % Q
"o Es \o?oe
,SIGNATURE _ I
CITY
NAME
(or : of
_ Barrow Surveying Oo.
_ Texas 76118
STATE ZIP
_1$1,71_268-0200_._
DATE PMONE
Copies sl- twld be made of this Certificate for: 1) community official, 2) insurance agenticompany, and 3) building owner.
CCMMEN rs: _
ON
SLAB
A v
ZONES ZONES
•tR� f ht ,:
ll. ft
UtV�. rt1N 11V[AE'
AOJAC[NT
CA.ftr
Wffm
BASEMENT
A
h' zo-es
"SE
rt cac
ON PILES.
VIERS. OR COiUMNS
A v
ZONES ZONES
�F�E•ff.'i
IE�Ft f/ i lW:�rl
u �
[as[
A I �t^•
EIE.��tIN
rliyf.LNi
The c 3grams above illustrate the Doints at which the elevations should be measured In A Zones and V Zones.
Eleva! ons for all A Zones should be measured at the top of the reference level Moor
Eleva. ons for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2