FEMA-EC9802067The City With A Beautiful Future
-3 1999
BUILDING PERMIT APPLICATION
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31 Print or Type in a Clear, Legible Manner
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Job Address: 1-N, l� , �' f r n� �c'�.?� Date:
Lot: 7 Block: Subdivision: 06Ae Lx 5 h�-� Phase or Section Number:
OwnerAddress:
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Phone #:
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Contractor: Address: ?Sa 3 Phone #: 7'2 .18g - 3�ig '�h fi
Description of Work to be Done Class of Work: D(New El Addition ❑ Alteration 0 Repair El Demolition
Area of Building in Square Feet
First Floor Garage Value of Work
to be Performed C:(
0
Second Floor I Other J C 6p
7!S P'-' ' GRAY AREA FOR OFFICE USE ONLY
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
abandoned for a period of I
within 180 days, or construction on work is suspended or ab 80 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
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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 onstruction of the performance of construction.
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Signature of Contractor or utho ed A7nt N 1t arne
Electrical Contractor Plumbing Contractor Mechanical Contractor
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FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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ELEVATION CERTIFICATE ExpiesMa3031,19 3
Expires May 31, f 993
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
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 FOR INSURANCE COMPANY USE
BUILDIN ER'S NAME POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY STATE ZIP CODE
SECTION B FLOOQ.INSURANCE RATE MAP (FIRM) INFORMATION
h.
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
S. BASE FLOOD ELEVATION
'5� — I.�
Z,"4l—Zs-Z
` ,
x
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): E�NGVD'29 ❑ Other (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 . U 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 Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I 1 4173 .4 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 I I I I I I .0 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 I 1 1.0 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 M. 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) 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: �IGVD'29 ❑ 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 71, 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: 0 Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on:actual construction ❑ construction drawings
(NOTE. Use of construction drawings is only valid if the building does not yet have the reference level Noor 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 COIIIMMUNITY 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: I I I I I I .0 feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION v r
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 BFE),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.
1 certify that the information in Sections 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 imprisonm2gkofl�+F.tA ,U.S. Code, Section 1001.
NAME
TITLE
ADDRESS
CITY
(or
STATE ZIP
Copies should be moo of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
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
z
'`'ri�:�>•:. �:.Cv: .•
••ADJACEM •::::
BASE
BASE.. .• ` REFERENCE
FLOOD
FLOOD
GRADE LEVEL
ELEVATION
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
{•:air: i.}i:. ;:•$y.
;ti �,p,
.:.;i:.: r:..:.::r:}•.;..yy •, .::•r::
'. 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
+1-214-387-9314 HIGHLAND OPS/PORCH
FG 4 72. 0
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E.M.A. LETTER
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SCALE: 1 t- 20'
D.
cay OF COPPELL
EVIEWED
pproval of the Pla ano s�,11'ificati()ns shall
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J to mean construction in direct c0
1tf , -�and Z06.; -J
i 1,0i.,ki of Coppell Building codes
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FG 472.
996 P02 JAN 19 198 15:33
ARC LEN. RAD. CHRO. BRG,
'Al 66,02' 50-00,
FG 471.5
Lot Area: 11319 Sq.Ft, Type 'A' Drainage (except os shown)
DR04WAYS 12' WIDE *
ENTRY WALKWAYS 3'. WIDE
PARKWAY SIDEWALKS 4' WIDE
(* UNLESS OTHERWISE NOTED)
16910 DALLAS PAM
DALLA'JjTE
(2,)7
41-7o,7
ml<td, as
DPPERSTONE_
sub div. COPPERSTONE
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FC 472.5
421
MARTEL
LANE
Fence Length: 207'
FENCE LENGTH SHOWN IS MAX,
FIELD VERIFY EXISTING FENCES.
address
421 Martel Lane
1��city
COPPELL, TX
7
2300 date 12/05/971 plan 3814.00 ELEV--,.A RIGHTI
PRR SUR VE Y PLA T HR
LOT 7, BLOCK F, OF COPPERSTONE, AN ADDITION TO THE CITY OF
COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN VOL.960131 PG.87.
VILLAGES AT COTTONWOOD CREEK «� chill NNIIII 111110 fil.
SECTIff
VOL.9303ON 9, PVG. 1542
CALL 114.13' MEAS. 114.90'
NR O 1 RENCZ 08' 808 !N W 1/2 "IRF
1 /2 "IRF 10' UTILITY ESM'T
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— — — — — — — — — — — — — — — — — — — — — — — Q
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FORMBOARD
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421 MARTEL LANE
LOT 6
1 hereby certify that on the "day of �,, /9- th{e survey was made on theground as per the field rotas shown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and sise, location 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 ars no encroachments, conflicts, or protrusions visible on the ground other than those shown.
Date : FEBRUARY 6, 1998
LEGEND 0
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
Food Fence — . — • — • — —
Chain Link / hire Fence x—x—x—x—x
Overhead Electric—E—E—E—
GF No.
Scale: I" = 20.0'
rt aA t. +a N
JOB # .
HARRY J. ROIIELL
4697 • • ,� •
HARRY
R 0 WELL
d• Associates, INC.
Surveying & Rngineeri
1301 Elm Street Ste. 20f
Carrollton, Texas 75006