FEMA-EC000202 (2)' v
®I \A, I ry) A& �A v
noCWjWMA8"uM1FuWre BUILDING PERMIT APPLICATION
j 9v Zq Print or Type in a Clear, Legible Manner
Job Address: .5? 41-7 L �S; Date: l Q p O
Lot: I Block: Subdivision:V-6�� 1 Phase o Section Number:
Owner D �Irf'.�,1L C/ lYl •p �/ Address: f 0 lLO s ; �-- /M til /i/1 1� Phone #: �7 a
Contractor-:`CSr� e fzAddress: Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair
VC'-;;�►o Rc'
Area of Building in Square Feet I
First Floor Garage r
Second Floor 10-76 Other
I ZZ
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 saw -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.
�c) A t�
Signatyre of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Co�tor
FPMC - 1 (4/94)
❑ Demolition
Value of Work — q O
to be Performed O
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVAnoN CERIrmc 'hE
FEDERAL-EMERGENCYMANAGEMENT AGENCY Expires Jv'r 21,199C
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTIOi 1: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form it. used only to pro.
vide elevate. In intormation necessary to ensure compliance with applicable community floodplain management ordinances, to determine
the proper i isurance premium rate, andfor to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are no -
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 far completing this form ean.be found on the following pages.
i.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY Usti
BUILDING Or NER'S NAME POLICY NUMBER
CENTER HOMES
STAfET ADC- LESS ;1nd," AIX. Unn. Sunt 0 Wor Bldg: NwnbYr) On P.O ROUTE AND BOX NUMBER COMPANY NAtC NUMBER
2ndsie Drive
OTHER DES( iiPTrON (tot and Bock Nuniars. sic.)
110t1.2, Block D, VISTAS OF COPPELL PHASE 3
CITY STATE ZIP CODE
Co�pell Texas
SECTION 8 FLOOD INSURANCE RATE MAP (FIRMA) INFORMATION
P-ovlde the 191 vvieq from the proper FIRM (Sag instructions):
7. Indicate tIh a elevation datum system used on the FIRM tot Base Flood Elevations (BFE): ® NGVD '29 0 Other (describe on back)
8. For Zone: A or V. where no 8FE is provided on the FIRM, and the community has established a 8FE for this building site. indicate
the comm rnity's SFE: I I l 1. U feet NGVD (or other FIRM datum -see Section B: Item 7),
SECTION C BUN.DINO ELEVATION INFORMATION
t . Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages S and 6 that best
describe: the subject building's fefersnce level 1 .
2(a). FIRM :: ones AI -A30, AE, AH, and A (with SFE). The top of the. reference level floor from the selected diagram is at an elevation
Of _ 4 6 1A." feet NGVD (or other FIRM datum -see Section B. item 7).
(b). FIRM :: ones V1 430. VE. and -V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selr c"fi m. Is at an elevation of i ' .J feet NGVD for other.FIRM datum.sve Section B. Item 7).
(c). FIRM 4 )ne A (without SFE). The boor used as the reference level from the selected diagram is LJ_J . LJ feet above L.1 or
below. _ (check one) the highest grade, adjacent to the building.
(d). FIRM .". one AO. The floor used as the reference level from the selected diagram is L.0 . U feet above 'tE3 or below 1 (check
one) the - highest grade adjacent 10 the building. It no flood depth number is available. is the buldirig's lowest floor (reference
level) a avated in accordw.ft with thio community's floodplain management ordinance? I:: Yss J No -:� Unknown
3. Indicate tr a elevation datum system used in determining the above reference level elevations: X. NGVD '29 r--., Other (describe
under Cor lments on Page 2). (NOTE: U the elevation datum uWd in measuring the ekvaMons is different than that used on
ft FIRM (ser Section 8. #am 71, than conwrt the elevations to aro datum system used on the FIRM and show are mwersion
sgwlio►i . rider Comments on Pape 2.) _
4. Elevation eference mark used appears on FIRM: Yes No (See instructions on Page 4)
S. The refer ice level elevation is based on: $ actual construction n construction drawings
(NOTE: 1. se of construction drawings is arch valid if die buikft does not yet have die re/erence level floor in place, in which
case das C. r,Tfficailt will any be valid for are bribing dwiV are course or construction. A post -construction Elevation Certificate
wile b3 req- fired once aonstrcretron is COMP01 te.)
6. The eleVal on of the lowest grade immediately adjacent to the building is: I 1112 feet NGVD (or other FIRM datum -see
Section B. Item 7).
sECTtON D COMMUNITY INFORMATION
I It the come iumty off" responsible for verifying building elevations specifies that the reference level indicated in Section C. Item f
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. ! ! feet NGVD (or other FIRM datum -see Section B. Item 7).
2. Date of the start of construction or substantial Improvement
CCAAA C---. 01 'Sq GAA 0 07 VON APrc All lib"f A K rr1TW11.K eer nr% oenee e.ne r/.n O'^.IA.N IAttlr ,
I COMMU 4ITY NUMBER
i PANEL NUMBER
7. SUFFM
4. WE OF FORM INDEX
S. FIRM ZONE
a. BASE FLOOD ELEVATION
(in AO Zonn. we daptlll
480170
.0010
E
4-15-94
AE
456.00'
7. Indicate tIh a elevation datum system used on the FIRM tot Base Flood Elevations (BFE): ® NGVD '29 0 Other (describe on back)
8. For Zone: A or V. where no 8FE is provided on the FIRM, and the community has established a 8FE for this building site. indicate
the comm rnity's SFE: I I l 1. U feet NGVD (or other FIRM datum -see Section B: Item 7),
SECTION C BUN.DINO ELEVATION INFORMATION
t . Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages S and 6 that best
describe: the subject building's fefersnce level 1 .
2(a). FIRM :: ones AI -A30, AE, AH, and A (with SFE). The top of the. reference level floor from the selected diagram is at an elevation
Of _ 4 6 1A." feet NGVD (or other FIRM datum -see Section B. item 7).
(b). FIRM :: ones V1 430. VE. and -V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selr c"fi m. Is at an elevation of i ' .J feet NGVD for other.FIRM datum.sve Section B. Item 7).
(c). FIRM 4 )ne A (without SFE). The boor used as the reference level from the selected diagram is LJ_J . LJ feet above L.1 or
below. _ (check one) the highest grade, adjacent to the building.
(d). FIRM .". one AO. The floor used as the reference level from the selected diagram is L.0 . U feet above 'tE3 or below 1 (check
one) the - highest grade adjacent 10 the building. It no flood depth number is available. is the buldirig's lowest floor (reference
level) a avated in accordw.ft with thio community's floodplain management ordinance? I:: Yss J No -:� Unknown
3. Indicate tr a elevation datum system used in determining the above reference level elevations: X. NGVD '29 r--., Other (describe
under Cor lments on Page 2). (NOTE: U the elevation datum uWd in measuring the ekvaMons is different than that used on
ft FIRM (ser Section 8. #am 71, than conwrt the elevations to aro datum system used on the FIRM and show are mwersion
sgwlio►i . rider Comments on Pape 2.) _
4. Elevation eference mark used appears on FIRM: Yes No (See instructions on Page 4)
S. The refer ice level elevation is based on: $ actual construction n construction drawings
(NOTE: 1. se of construction drawings is arch valid if die buikft does not yet have die re/erence level floor in place, in which
case das C. r,Tfficailt will any be valid for are bribing dwiV are course or construction. A post -construction Elevation Certificate
wile b3 req- fired once aonstrcretron is COMP01 te.)
6. The eleVal on of the lowest grade immediately adjacent to the building is: I 1112 feet NGVD (or other FIRM datum -see
Section B. Item 7).
sECTtON D COMMUNITY INFORMATION
I It the come iumty off" responsible for verifying building elevations specifies that the reference level indicated in Section C. Item f
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. ! ! feet NGVD (or other FIRM datum -see Section B. Item 7).
2. Date of the start of construction or substantial Improvement
CCAAA C---. 01 'Sq GAA 0 07 VON APrc All lib"f A K rr1TW11.K eer nr% oenee e.ne r/.n O'^.IA.N IAttlr ,
SECTION E CERTIFICATION
This certi. cation I$ to be signed by a land surveyor, enginew, or architect who is authorized -by statror local law to certify elevation
informatw i when the elevation Information for Zones Al -A30, AE, AH, A (with 8FE),Vl-V30,VE, and V (with GFE) is. required.
Commun. y officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certfficatir. n. In the case of Zones AO and A (without a FEMA or community issued OFE), a building official, a property owner, or an
owner's r-• presentative may also sign the certification.
References 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, will openings, or unfinished area Feature(s), then list the Feature(s) not
included it - the certif3cafion under Comments below. The diagram number, Section C. Item 1. must still be entered.
I certify H. it the information in Sections 8 and C on this c"Alcafs represents my best efforts to interpret the data available.
I understa id that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001.
T.W. Barroom Texas # 1994
CERTIFIER': NAIVE LICENSE NUMBER (or Alhs Soot) r�-
TITLE
7104
ADDRESS
1994
Copies sh traced be made of this Certificate
COMME14 rS: ... .
M, Texas 76118
SPATE ZIP
_ Z-o2.-Zio®o _S8121-268-020
DATE PH"
2) insurance agent/cofnpany, and 3) building owner.
ON WITH ON Ml:s.
SLA/ eASEMSUr TIERS. 00 COLUMNS
A v A A V
ZONSS ZnNcS ZONES ZONfIS ZONES
ry
p.
!UW M 11lRtMtlCf ' �OJIKIIrt
llKl MAM
A/JACENr
0"
G"I
.tqq
JOWS' t
%%(Il lift °�'Of
The c 3grams above illustrate the points 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 Noor.
Eleva' ons for all V tones should be measured at the bottom of the lowest horizontal structural member.
Page 2
Jan 04 00 09:10a TW BRRROW
M
(817)-268-0411 p.4
297 LYNDSIE ' DRIVE
TC -459.30 50' R.O.W. CO=459.62
WATE�I(TER
4' WALK
CTR BOX 66,00' S.S. LATERAL C/
5' U.E. _
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IBLOCK D FP -460.8
TYPE B
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Jug III
V4.) -U- I
PLOT PLAN
LEGEND:
SUBMITTED BY:
CENTEX HOMES PLAN # VC3108RC
F.C.
�S•
FINISHED GRADE
TOP OFLSGRADE
SUBDIVISION:
VISTAS OF COPPELL PHASE 3
D.G.
E.B.
DROP GRACE
TOTAL EXPOSED
BLOCK D
12 12-29-99
LOT: DATE:
T.C.
D.P.
BEAM
TOP OF CURB
DROPPED IO
STREET ADDRESS:
297 LYNDS I E DRIVE 1'
SCALE: - -
INv.
A.c.
EDGE OFPATING
INVERT GRADES
AIR-CONDITIONING
CITY:
COPPELL, TEXAS
PAD
297 LYNDSIE ' DRIVE
TC -459.30 50' R.O.W. CO=459.62
WATE�I(TER
4' WALK
CTR BOX 66,00' S.S. LATERAL C/
5' U.E. _
COT �59 6F — — — — — 60 OF
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25' B.L. — — — 60 3F
CONC
I DRIVE
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N I N
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O O
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60 1F oI
I TS=461.6
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50'-0"
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IBLOCK D FP -460.8
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—X--X— ..................... rM LINE
=T--E.....................Unfow toNe
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T,W. BARROW
REGISTERED PROFESSIONAL
LAND SURVEYOR
7104 GRAPEVINE HIGMAY
rM WORTH. TEXAS 76116
(817) 268-0200
SCALE: 1 "=20'