FEMA-EC960423The City With A Beautiful Future BUILDING PERMIT APPLICATION I rint or Type in a Clear, Legible Manner
Job Address:
1
s v
Date:
`
Subdivision: hase or Section Number:
Lot: Block:Pp
Owner Address:
Phone #:
Contractor:
Address: -7
' F E' Phone #: )4•— C-'� �
�' 16
Description of Work to be Done Class of Work: New El Addition
❑ Alteration ❑ Repair ❑ Demolition ;
"rrea of Building in Square Feet
First Floor < V✓ Garage Value of Work
A to be Performed c9mD
Second Floor Other
3 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.
Permit Fee: /
Receipt Number:
Zoning District:
Occupancy Classification. -
Approved By:Date:
IK��
Comments:
/ f0// ��•
S. nature of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE Expires May 1. 1, 1996
•
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 I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME POLICY NUMBER
_ Perror►�es
STREET ADDRESS (Including Apt.. Unit, Suite and/or Bldg. Number) OR PO. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
_7_3 y rFgi f ,VH in LU A JO.-" tJ c-- - - . -.--
OTHER
.-OTHER DESCRIPTION (Lot and Block Numbers. etc.)
totes t?1 iot•8 7-Ae Pehi✓I5,v1cLs of 6>ppe//
CITY ' ( TX STATE ZIP CODE
�ppe
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
`480
2. PANEL NUMBER
3 SUFFIX
E
4. DATE OF FIRM INDEX
q-ts-gy
5. FIRM ZONE
X
6, BASE FLOOD ELEVATION
(in AOZones, use depth)
y 3.o
�
oo io
7. Indicate the elevation datum system used on the FIRM lot Base Flood Elevations (BFE): KNGVD '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: L_LL_ I__.l_ _j.! I feel 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 1 __ .
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 L.L_V_tC_ J2_] 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 ❑_-1.1_ I__ I I___I 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 L 1_ 1. LJ feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the relerence level from the selected diagram is feet above U or below ❑ (check
one) the highest grade adjacent to the building. It 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: [a"NGVD'29 ❑ Other (describe
under Comments on Page 2). (NOTE: /I 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 referenc8 mark used appears on rFIIRRM: El Yes L4 No (See Instructions on Page 4)
5. The reference level elevation is based on: Eo; actual construction ❑ 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.) ' vl
6. The elevation of the lowest grade immediately adjacent to the building is: L_L_19LSJ .B .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 delined by the ordinance is: [A_L-LH_ I feel NGVD (or other FIRM datum -see Section B, Item 7).
?. Dale of the start of construction or substantial improvement
FEMA Form 81.31, 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 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 Fealure(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.
I understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001.
Tou Aflevi
Pog,n
-KPLS 41 S(7
SLAB BASEMENT
CERTIFIES NAME
LICENSE NUMBER for Affix Seal)
LANDA?A FIELD SEtey(cES
A v
v
6
ZONES ZONES
TITLE
5^7 2
_
LB_S ilee wG A_
COMPANY NAME
Sote Z10 U-J1SS
T( %6280
ADDRF^SCITY
ZATUVR7SIG
_ E OF
X�Ot$T�r9.,�
`>l -Z 3 -S �Z/50
STATE ZIP
-'3 -9- 513 5
LEVEL
'tf
DATE PHONE
Copies should be made
COMMENTS: _ % r 5 tag
-04-/o
Ity official, 2) Insurance agent/company, and 3) building owner.
C e i L 1%`1%ica /I
,010 QC•7 vQ / 51rcec-1w
> a 4fry 6oq
fie_ e e, C
'd e� � �f11e/"tie-�rC�l ///411114
G
t 1 F 11F It _ .
--_s how m_6__—
ON WITH
ON PILES,
SLAB BASEMENT
PIERS, OR COLUMNS
A v A
A v
ZONES ZONES ZONES
ZONES ZONES
REFERENCE
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL FLOOD
ELEVATION
..,�
BASE
BASE - ADJACENTREFERENCE
FLOOD
ELEVATION
FLOOD GRADE
ELEVATION REFERENCE ADJACENT
LEVEL GRADE rF4
>.
�ai:.., :: •
. 9:: {_ ;Air..:
ORADE
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 lop of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
FLOOD PLAIN BUILDING LINE
20' REARYARD SETBACK —�
CITY OF COPPELL
REVIEWED
Y DATE
Approval of the lans and specifications shall not
be construed to mean construction in direct Conflict
with the City of Coppell Building codes and Zoning
5 86'32' _ _ _-Ordinances.
PL I oS ARE REVIEWED MR
OF SINGLE
N FAMACLY 1ZE3!T3ENOE ONLY.
UffiER DEPICTIONS OR
CALL -OUTS ON PLOT PLAN
1
� z
I
p 59'-11.0000"
0 39—E2
i o
TWO
Y
LE9T
100 PL
� a
Vy
C 25' BUILDING LINE
P 1D+ 947
02'42—W 7 -0 .
O
( 4' CONC. WALK —
PERRY HOM ESIGN
• — 199' —PERRY HOMES"
ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, TEXAS
E Ni7T i3EEP+1 ?REVIEWED
AIV ARE lel(°T APPROVED.
I
0
01
w
10
I
rn
Oo
rn
cD
*20V'
J
5' ACCESS ESMT.
7.5' UTILITY ESMT.
PROPERTY DESCRIPTION
ADDRESS: 734 EAST PENINSULA -DRI-VF�
LOT -9 BLOCK _ 13OF PENINSULAS OF COPPELL _
AN ADDITION TO Tt1E CITY OF CO_PPELL _DALLAS COUNTY, TEXAS, A( CORDING 10 HTE
MAP OR PLAT RECORDED IN — VOLUME 95139, PAGE__2237
OF THE MAP RECORDS OF DALLAS COUNTY, TEXAS.
5/8" IRF S f3(,'32j j ]�
�>
X37.34
LtT. LIN —_.—.--
FLOOD P_ L•AI Sh
LOT 8
N
M E
s
4-8
27.8
_20.8
OPEN
co LOT 9
I-3LOCK �
n 8.0 �
17.6
FORMS
TOP OF FORMS
ELEV. 456.20
o� o 1•
0 10.6—9.4co
2 09 BLDG- LINE
7.5' UTI1 F.SMT•
VISTA RIDGE
CAIS. F, PAGE 271
rn
12.2 0 7_0
6 r (0-y', ' 4 22" W '7'7.O t3
5/8" IRF
7 EAST PENINSULA
r (50' ROW)
9.0—__.
19.
5/ti" Ilcl�'
F."
W
r-,
0
U"1
COMMON AREA
NO. 1
of
5/13" IRF
O
O RD
O C�
UJ d"
Q'
5' x 5' VARIABLE
WIDTH A 'Cl
ESM SOF T
5/8" IRI '�p�'•tc ••'••
•.
96i see so 0.
DI•••b.{.r x.6.3 ..OY.?�...
Subject Property is located in Zone The undersigned does hereby certify that the foregoing plat repfesents an
X according to the Federal accurate survey made on the ground and there are no visible confli(As,
Emergency Management Agency encroachments, overlapping of improvements or easements except as shown
National Flood Insurance Program hereon: this plat correctly represents the boundaries as found or located
Flood Rate Map, Community Panel on the ground with respect to the recorded references shown and the area,
No. 4880170-0170 E if shown, correctly represents the orea enclosed by said boundaries. This
property has access to and from a public roadway, except as shown hereon.
Effective: 04-15-94 This survey is not on Official document unless an Original signature appears below.
BUYER:
i
TITLE CO.: PERRY HOMES IA6
G. F. N0. 130874 AFILF NO: 4-211-6 R.P.L..N. �7-2 (�
LEGEND i .iii wir■�r 11111111:0010: r i ■iiwiri� i SCALE: 1" — 220'
RS Iron Rod Sel ■ rrrrrur.■rr■ rrrrr■ ■r —r•omc on See -- -- —
iriiism�iiiia a immii 9lirri.namm"W W DATE. 04-20-96
IRF Iron Rod Found
EM Electrical Meter 5728 L. (3. J. Freewa Suite 210 `_�URVFYI D Hy: Z.H.
GM Gas Meter y ' ALLAS DMS
PP Power Pole Dallas, Texas 75240-6335 DRAWN BY. I). HARRIS
Parenthesis indicates (214) 239-4359 Fax: (214) 490 7857 APPROVED BY: TROY
record or deed calls 1-800--659-6735 Fax: 1-800--659-673H SOH NO.: 04-20-96