FEMA-EC971224The City With ABeautiful Future BUILDING PERMIT APPLICATION i 0 1997.
's
7 Print or Type in a Clear, Legible Manner �-- -In'r-`
Job Address: 30
� -�1 qm# Date: — T7
Lot: v Block: Subdivision: �D u� Phase or Section Number: S
wner Address: I SSD wI1'e'5t 51rco00
Phone #:O # 7`). 36 4
Contractor: S A-rn L Address: S yrm c Phone #: S
Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Ar -P f O- n
Area of Building in Square Feet
First Floor 6 9
Second Floor 11-7
NOTICE
Garage 7 1-14 '6'
Other 1,87
zlzf?A S�
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 wh 'ed herein or not. The granting of a permit does not presume to
give authoriOviolate or canII the provisions of any other federal, state or local law
reeulafine st cti0n of theme nce o _c ruction.
S ipAafbFr. of actor or Authorized Agent Print Name
c e i:=6'
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value Work 75 ono
to be Performed �/
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE O.M.e. M 306,7-0077
r993
Expires May 31, 1993
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
de.ermine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOk INSURANCE COMPANY USE
BUIL WWNER.S NAMEPOLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
3.03_Z__AV25--------- -- - -- -
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
_1�az-_ AQ,._ Id Er
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
4. D TE OF FIRM IND X
�
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
�O/ 76
QS
'. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I -�NGVD '29 [ 1 Other (describe on back)
3. 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 L. I_ 1 ]I_ l .I_ 1 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 (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I_ 4107.1Z feet 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 L IJ LIA .L] 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 feet above [ or
below [ _) (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is (__ �__� .I__J 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? �� Yes [] No [_ ]Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: [_—i -MVD '29 1 ] 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�L�s 0 No (See Instructions on Page 4)
,
5. The reference level elevation is based on: I actual construction F1 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.)
6. The elevation of the lowest grade immediately adjacent to the building is: 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: L._ I_1 1__[AU feet NGVD (or other FIRM datum—see Section B, Item 7).
?. Date of the start of construction or substantial improvement—__—
FEMA Form 81-31r MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
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 13FE),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.
/ understand that any false statement may be punishable by fine or imprisonmentupgprOJ;�6L�Code, Section 1001.
CERTIFIER'S NAME LICE E 17UMBER I4Hix SeanV1
•••• •
TITLE COMPANY NAME • • • • ..... s , , d
ADDRESS,/� CI Q' .!asst ...' STATE ZIP
---�C�A
SIGNATURE DATE "' PHONE
Copies should be maa of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
BASE
BASE - - ADJACENT REFERENCE
FLOOD
FLOOD
GRADE LEVEL
ELEVATION
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
ADJACENT '.
m �,r1.
.'11f 11
f: �. GRADE.
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
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Lot Area: 18251 Sq -Ft
GENERAL NOTES;
DRIVEWAYS 12' WIDE
ENTRY WALKWAYS 3' WIor
PARKWAY SIDEWALKS 4' WIDE
(* UNLESS OTHERWISE NOTED)
16610 DALLAS PARKWk. SUITE 2300
oALL*3 TEXAS
75248
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ARC TABLE
ARC LEN. RAD.. CHIRD, BRO,
:Al: 02.17• 50.00
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, M 915-00,
F.E.M.A, LETTER REqUjRp.
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PLAN NO.
3542 A
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P,W = W.60
;LANS ARE REVIEWED FOR
APPROVAL OF SINGLE
,AMILY RESIDENCE ONLY.
OTHER DEPICTIONS OR
TALL -OUTS ON PLOT I'LeVV
[AVF NOTBVEN REVIEWED
AND ARE IN(1 APPROVED.
4 1 Car
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F0 '67-A-1
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3 0 3
MARTEL
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t 1� ns and specifications shall n7:
,.)PrLo)val of 1;t,�
constrypt,
in direct conflW
V14.h til" "it'! of -oppel,' Buildin codes and Zoniri�.
Top of Curb: 40.".mcm,
Type 'B' Cjroif-,,ajqe (except as shown) Fence Length; 342'
rnktd. as
COPPERSTONE
subdiv. COPPERSTONE
lot 10
303 Marlel LrAric
city
COPPELL, TX
dote
PENCE LENGTH SHOWN 13 MAX.
rIELD VERIFY EXISTING FENCES.
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LOT 11
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CUT "X"
112 "IRF FOUND
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I hereby certify that on the Z3 ay of—Z �, 1997 this survey was made an the ground as per the field notes shown on this surrey
and is true, correct, and accurate as to the dimensions of the subject property and size, tocation 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.
OF
Date DECEMBER 24, 1997 _
JOB # :
HARRY J. ROWELL
...... , . .
_. CF No. 4597
Scale: > - - zs' ��i��-�s�fos►`aJ ----- ---
Steel / Iron Rod Found
t/2" Steel / Iron Rod Set 0
uperty Line
I Nuod Fence — . — . — —
i e,ain Link / hire Fence x—x—x—x—x
Ovwrhead Electric
- r -
�f�'�7rT-.-,T%/rT:.-.
11ARRY
I1' 0 WELL
Associates, INC.
CurveVing & Engineering
1.701 Elm. Street Ste. 201
Carrotlton, Texas 7.5006