The URL can be used to link to this page

FEMA-EC970410 (2)® w UItV 7They With A Beautiful Future BUILDING PERMIT APPLICATION MAR 18 1997 Z�_Z Print or Type in a Clear, Legible Manner Job Address: 4'5 lila(fd Date: � �/ / �J 1q,07 Lot: '% Block: Subdivision: Phase or Section Number: Owner" ? / Address:27-19 Lp - Oil/611v1�1 /J�,�'�, hone 11:472 -47i -al : c7Z_/, 7l �j llo- 720 Contractor: Address: �� % nt/,/' ��o Phone #: _ �( J, 41 rr��ii (�NJII' 4 1 Description of Work to a Done Class of Work: C9 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor � -` / `� Second Floor 1 NOTICE Garage 4� Other SD�S'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 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. I'll"" t igna ure of ontractor or Authorized Agent Print Name it�ecf � D meelt,aNu (!aQ Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) Value of Work 4n 12 MQ to be Performed `t t �J BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK ELEVATION CERTIFICATE E0.110I.S. No xpires May 370°" . *Expires May 3 r, 1906 'FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE GROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only Ib provide elevation information necessary to ensure compliance with'applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION BUILDING OWNERS NAII>IE STREET ADDRESS t Unit, 4oft Of Bldg. Numbs) OR P.O. ROUTE AND BOX NUMBER OTHER OESCRpI rION(Lai,and Block ) CITY k24 FOR INSURANCE COMPANY USE POLICY NUMBER' COMPANY NAIL NUMBER STATE ZIP CODE SECTION 8 FLOOWINSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITYiNUMBER 2. PANELr1UMBER 3: SUFFIX 6. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [JNGVD '29 00tfler (describe on back) 8. 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: I I I I I I IJ feet NGVD (or other FIRM datum -see Section.8, 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 of7�J,� feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRIA Zones V1 -V30, VE, and V (with BFE). The bottom of Ilia lowest horizontal structural member of the reference level from the selected diagram, is at an elevation ofIl ' I I I ,L feet NGVD (or other FIRM datum -see Section B, Iterr• 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is LTJ feet above ❑ or below D (check one) the highest graoe adiacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I . U 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) wevated in accordance with the community's floodplain management ordinance? E] Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: El NGVD '29 D. Other (describe uncle, Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than fnat used on the 'rIPM (see Section H. Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion eouation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: i+F-' Yes 0 No (See Instructions on Page 4) 5. The reference level elevation is based on ;� actual construction r construction drawings • NO7 E: Use of const,uction drawings Is only valid If the ouilding does not yet have the reference level floor in place. in which Case this certif+ca!e wfil only be valid for the budding during the ccurse of construction. A pcst-construction Elevation Certificate wig De required once construction is complete ) 6. The Plevatlon of the lowest grade immediately adjacent to the building is:1 1.�-70 93 feel NGVD (or other FIRM datum -see Section B. Item 7). SECTION D COMMUNITY INFORMATION '11. It the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item 1 's rot the 'lowest floor' as defined in the community's floodplain management ordinance, the elevation of the building's *lowest tlxr' as defined by the ordinance is: I I I 1I .I...-1 feet NGVD (or other FIRM datum -see Section B. hem 7). c. 2. Date of the start of construction or substantial Improvement FEMA form 111.311 MAY 90 REPLACES AL. PREVIOUS EDIT IONS SEE REVERSE SIDE FOR CONTINUATION 4; ' SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or arct,ltect who is authorized by state or locial law to cel:ly u:.:v is information when the elevation intormation for Zones Al -A30, AE, AH. A (with BFE),V1-V30.VE, and V (with BFE) is requir+u)', Community officials who are authorized by beat law or ordinance to provide floodplain management information, may also sign if is certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building offidal, 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-brepkawat Nall : enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Fsatursf4` •.�r included to the certification under Comments below. The diagram number, Section C, Item 1, must sW be entered. 4 OF �► I certify that the information in Sbctions B and C on this cbrtilicate represents my best efforts to interpret the data availab AV -b STER ••• I understand thal any false statement may be punishable by line or imprisonment under, t@ U.S. Code, Section 1001: i y.�Q� �Q, FO••;f' i •..5......• .........:.. CERTIFIER' LICENSE NUMBER (or A*x SW) •6#90441660•'x•"'••r•i' • • t,;�E �� _9I __ 0.6 030116911 3691 COMPANY1v S •!;Esse ADDRESS CITY STATE 75 0 SKiNATURE GATE 4" /o-P7P"°` Copies should Do/made of AS le for: 1) cilmmunity official, 2) insurance agent/company. end 3) building a,,, .r COMMENTS: oN —SLAB A v ZONES ZONES - •: LAO l .•I` M!'4F•►.E AC -AGM . F . h OAACE Ar... :ENT.`!', WITH BASE10WAT A tT ZLNES FLOW oN PILES. PIERS. On COLUMNS A v ZONES ZONES r 17, 7 , L Tr a dlaorams above Mustrale the points at which the elevations should be measured in A Zones and V Zone, ! E'- .arizns for all A Zones should be measured at the lop of the reference level floor. E _ vat ons for all '✓ Zonas should oe meascred at the bottom of the lowest nonzontal structural member. I "P.90 2 CITY OF COPPELL REVIEWED 219-7 DA E Approval of the s and specifications shall not 85.00' be construed to mean constrtt ion In"~coniki -- -- -----;a�tl►a-Chy o$ Copoell Baltdinn codes and Zonino 7rdlnances. � GARAGE F.E.M.A. LETTER REQUIlIZED. U ULMINIMUM f f.,. � Z�-1 ... o PATIO 00 v O � � ui CONC. `-r DRIVE � 68.,0. M lk NORTH RESIDENCE SITE PLAN 4t �" FORM BOARD SCALE) IP- 20'-0' i $' GAR. SmvErY RBQUMW � LOT 23, BLOCK E COPPERSTONE PORCH i DALLAS COUNTY COPPELL, TEXAS i $ 48' CONC. i WALK i 85.00' CONC. WALK AS PE�2 CITY ? 2�. , I r STOOT Col411MARTEL LANE } SURVEY PLAY ' BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940 This it to certify that I have, this date, made a careful and accurate survey on the ground of property located at No. 413 A% ZT2G ZAif/E , in the city of �OPPEGL Taxes Lot No. 23 , Block No. E City Block No. of CooPE�2,SToc/� , an addition to the City of �o•�P��G Texas, according to the recorded in Volume at Pape of the Map Records of Z�GG.,4.5 COUNTY, TEXAS. o SKF � N o ti Z7 S nl • N S.5 � q1- -77o. N s3• r \ 0 �! pn M N zy.�t 1-07- COTZ3 03- + N z.¢6 t,CF IV 1�19� id ,oma'" w S.S. 00 ` G. 03 0• The plat hereon is true, correct, and accurate representation of the property as determined by •( •• OF the lines dimensions being Q;••�1ST •F^�" •• survey, and of said property as indicated by the plat: the size, location, and type of buildings and improvements are as shown, all improvements being within the boun- oun daries daries of the property, set back from property lines the distance indicated, and that the distance ...:..• from the nearest intersecting street, or road, is as shown on said plat. "•s•� **see RY DES BA THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS. seed •' "� Scala: /"= 2o' THIS SURVEY WAS PERFORMED EXCLUSIVELY F 3 'p USE OF THIS �• • RJ G. F. No.: SURVEY FOR ANY OTHER PURPOS Job : 57052 OR OTHER PARTIES SHALL BE AT THEIR RISK AND UNDERSIGNED IS NOT RESPONSIBLE TO HERS Chocked Chocked by: FOR ANY LOSS RESULTING THEREFROM. ICKVTIV[ ava� nurii