FEMA-EC970505®(A)rn 1 a 3s a 0 UCo a
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The City With A Beautiful Future BUILDING PERMIT APPLICATION MAR 1 91997
(03 Print or Type in a Clear, Legible Manner
Job Address:
Date:- _ �N �E�
Lot: Block: Subdivision:. , 1 [ &1 JA� � /I ase or Section Number:
Owner V Address: t C/�J l Phone #:
Contractor: Address: 'j Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair/ ❑ Demolition
&�Ew )nL-r= T�-(�&
lc;�
Area of Building in Square Feet
t-5
First Floor Garage Value of Work �i11..LW
to be Performed v v
Second Floor Other
GRAY AREA FOR OFFICE USE ONLY
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 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.
r /I(',ii� ;:S-1 M me 11
ture of Contractor or Authorized Agent Print _Name
Contractor Plumbing Contractor Mechanical Contractor
1 (4/94) SV 1-ca.Tt—&
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATt Expires May 31, 1996
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does r1of provide a waiver of the flood insurance purchase requirement. This form is Used only to
provide elevation information necessary to nsure 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 I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME POLICY NUMBER
_ pa r r - lyo m e 5---- -- - --
STR/)EET ADDRESS (Including Apt.. Unit, Suite and/or BBldg. Number) OR PO. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
_-70_1
OTt4ER DESCRIPTION (Lot and Block Numbers, Q/
_ / --3-5 -- Q_� c ._ Afilittr�'n9il4fd—j� �/ A e peh /CL.,
✓Iyy /c�
CITY � I I '/ STATE ZIP CODE
�ppe
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER
`4 0
2. PANEL NUMBER
c)0
3 SUFFIX
4. DATE OF FIRM INDEX
�� Is -9y
5. FIRM ZONE
i<
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
y53.o
1
10
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): M 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 J - J ) . 1_ J 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 J _ .
2(a). FIRM Zones At -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
oil I .Iyl5j$1.I9) 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 !___1 --- 1.11 -1 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 LL�.L_I feet above L1 or
below f ) (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 LLJ.LJ feet above U or below LJ (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: [?NGVD '29 [J Other (describe
under Comments on Page 2). (NOTE: N 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: Ll Yes I/ No (See Instructions on Page 4)
5. The reference level elevation is based on: Vractual construction 1] 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: feet NGVD (or other FIRM datum, -See Section B, Item 7). ,
?. Date of the start of construction or substantial improvement
FEMA Form 8 1-31, MAY 93 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 stale or local law to certify elevation
information when the elevation information for Zones At -A30, AE, AH, A (with BFE),VI-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 6 - 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 t, 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.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
l ►^o../ A��evt �oo,o IZt�C.S � SI 7 � _
CERTIFIE 'S NAME LICENSE NUMBER (or Affix Seal)
S E i2 V (C E S -
Q T -} e COMPANY NAME
sV� �t--�(
TITLE^ I ���--- ��'�S 1/� 6 �qO
STATE ZIP
ADDRF^S OF.CITY
S , -S �(9 -7Z) Z Yl - q 351
URr? ------------- --
SIGtwA7URE r':7 DATE PHONE
Ai*1
Copies should be made Alficate foe:' ommunity official, 2) Insurance Bgent/company, and 3) building owner.
COMMENTS:. _f i 5---- -- .fro of— �' e t- i t Cc{ I S T a( 2 1 z 1')
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p'--e,7r`IY 06--/D_�__,`���_��e,. �v IS /I�O.Cc��
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WITH ON PILES,
ON
BASEMENT PIERS, OR COLUMNS
SLAB
A A v
A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL FLOOD �
ELEVATION
I t i
y 'p;
.,
BASE
•; v
.y
BASE --` F' REFERENCE
FLOOD
ADJACENT
FLOOD GRADE "'1' LEVEL
ELEVATION
ELEVATION REFERENCE ADJACENT -
LEVEL GRADE
i �_.!�::: :•: ''I:i::.;;°:
ADJACENT..
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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TIONS OR
1Pl�OT PIAN
I' ' REVIEWED
I APP OVED.
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794 / DATE
-- --1 Approva of the nd specifications shall not
be con,tr, jean constructlon in direct conflict
with the City of Copp°II Building codes aad Zoning
Ordinances.
PERRY HOMES DESIGN
• - 1997 - PERRY HOMES''
ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, TEXAS
PROPERTY" DESCRIPTION
ADDRESS: 7Q1 EAST PENINSULA DRIVE
LOT 35 BLOCK B OF AMENDING PLAT OF THE PENINSULAS OF COPPELL,
AN ADDITION TO THE CITY OF COPPELL DALLAS COUNTY, TEXAS, ACCORDING TO THE
_ PLAT THEREOF RECORDED IN VOLUME 96209 PAGE 3323
MAP RECORDS, DALLAS _ COUNTY, TEXAS.
LOT 34
H
UNIVEST PROPERTIES, INC.
VOLUME 90003, PAGE 3422
S, bject Property is located in Zone
__ X according to the Federal
Emergency Management Agency
National Flood Insurance Program
Flood Rate Map, Community Panel
No. 480170 0010E
Effective: 04-15-94
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1 .5 FORMS I N
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IRON FENCEt 4 12.5 8 -4.6 r I I Z
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5/8 IRF 5 — I VARL48LE WIDTH
W/CAP VISI81L(TY ESMT.
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2 75, NAlL
A'57.86 1/2 -IRF 14.72 FND
N 88'29'57"E
701 EAST PENINSULA DRIVE
(50' ROW)
The undersigned does hereby certify that the foregoing plat represents an
accurate survey made on the ground and there are no visible conflicts,
encroachments, overlapping of improvements or easements except as shown
hereon; this plat correctly represents the boundaries as found or located
�v on the ground with respect to the recorded references shown and the area,
if shown, correctly represents the area enclosed by said boundaries. This
property has access to and from a public roadway, except as shown hereon.
This is not on official document unless an origonal signature appears below.
BUYER: ?,, Z��, 5--5--97
TITLE CO.: PERRY HOMES TROY ALLEN ROOP
G. F. NO. _ FILE NO: 4-410-7 R.P.L.S. NO. 5141
LF( F NLI> r,
UN09A FELD SOMCES
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DATE
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Lr�l L C tr �f I at�r
5728 L. B. J Freeway, Suite 210
SURVtr t L-,
DRAWN B f D r1ARRi
c rrl las Meter
' DALLAS [DIVISIO
Dallas, Texas ��; 40-6335 I`8
FP Power Pole
(972) 239-4359 F'ax: (972) 490-7857
APPROVED B'f.. TRO,'
Parenthesis indicates
1-800-659-6735 Fax: 1-800-659-8738
JOB NO.: 04-410-97
record or deed calls