FEMA-EC9707147The`/]yyl}r. 21433D D
y With A Beautiful Future � �
B ILDIN PERMIT APPLICATION
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Print or Type in a Clear, Legible Manner JI IFJUN 8 1997
Job Address: � � � � Date: -- tNS EN EPT
Lot: Block: Subdivision: R t &%m6 Phase or Section Number:
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Owner Address: Phone #:
Contractor: PE,-9{� . Address: C� 1 , Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑l Alteration ❑ Repair ❑ Demolition
l�� tM.1 `C3y�
AFea of Building in Square Feet
First Floor- Eiqn— Garage Value of Work
to be Performed poo`��
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- Second Floor Other
S GRAY AREA FOR OFFICE USE ONLY
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NOTICE
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This permit becomes null and void if work or construction authorized is not commenced
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within 180 days, or construction on work is suspended or abandoned for a period of 180 days
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at an time after work is commenced.
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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
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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 lawNINE
regulating construction of the performance of construction.
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ignature of Contractor or Authorized Agent Print
Ele trical Contractor Plumbing Contractor Mechanical ContractorON
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FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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O.M.R. NO. 3067-0077
ELEVATE "iA CERTIFICATE Expires May 31, 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
_� r r -- lyo_m e--- -- - - -- - - ----- ---------------------
STREET ADDRESS (Including Apt., Unit, Suit and/or Bldg. Number) OR PO. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and lock Numbers, etc.)
'TAe- Pe h i ki Y u �Q s o (-o Le-
ot--- -------_-------
CITY 2 I _ --- TK STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER
1801-70
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
q-
S. FIRM ZONE
X
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
y53,0
Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1S4`NGVD '29 _� 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: I__I-1_I. 1. 1.1 _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_ .I _ly 1 171 AC)J 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 II !_I! 1.I-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 UJ.L 1 feet above [J or
below [J (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 1ATU .L_j feet above [J 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? U Yes [J No D Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: [�NGVD'29 L-1 Other (describe
under Comments on Page 2). (NOTE: It 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: I._ 1 Yes 14 No (See Instructions on Page 4)
5. The reference level elevation is based on: L�actual construction n 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: L1JyL141.LJ .feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION "
1. It 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: L1 -_1--1__.J _' . ! ! feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 51-31, 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 S - 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.
t certify that the information in Sections B and C on this certificate represents my best efforts to interpret tire data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME
TITLE
S --7 z �- 8-S--- Ft e
ADDRF��^S
SIGNATURE •fro -`sow^./
-KP (- S -a
LICENSE NUMBER (or Affix Seal)
NQ��_- FIELD S�r�y(cE.S
COMPANY NAME �1 1 —TA ^ 6 Z q0
CITY STATE , ZIP
-7Z) Z 3 - g3S9
DATE PHONE
Copies should be made of this Ce—r v unity official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
_5_U__7F� e cv4 5 X10-- Ccs 7 v4 sf/yc.Tv�,e• �Cisf..T� I �� File,,
<_yer!ke__ w-rcV Aga 9eAlt)lrl e�Yc��s �
_ FIKOLOS
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
ElEVA710N
BASE
BASE ADJACENT .�.;�1�. REFERENCE
FLOW
ELEV TA ION
FLOOD GRADE LEVEL
ELEVATION REFERENCE ADJACENT -
LEVEL GRADE
ADJACEW
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
18 6�
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20' REARYARD SETBACK
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/ \ VARIABLE DTH
� \ DRAINAGE MAINTENANCE
/ \ ESM'T.
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\ X / PLATTED LINE
00 / \
/ FLOOD PLAIN
CV , �0
5
54'-11.0000"
TV -STORY
TORY
20' BUILDING LINE
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PROPERTY DESCRIPTION
ADDRESS: 641 WEST PENINSULA DRIVE
LOT 9 , BLOCK A , OF AMENDED PLAT OF THE PENINSULAS OF COPPELL
AN ADDITION TO THE CITY OF COPPELL , DAIIAS COUNTY, TEXAS, ACCORDING TO THE
MAP OR PLAT THEREOF RECORDED IN VOLUME 96203, PAGE 1563
OF THE MAP RECORDS OF DA -LAS COUNTY, TEXAS.
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MIYNTEMNCE EA UAEI/r
Doha+ COUNTY UO NO. 1 'o-
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LEGEND
Iron Rod Set
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OR UNE
LOT 9
BLK. !t - 5 r
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IRF
Iron Rod Found
N :WT
30.5—
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44. 3.�
L. Freeway, Suite 210
SURVEYED BY: DB
• -6-
FORMS rn
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R TOP OF FORMS I V
ELEV. 457.00
IW
Parenthesis
indicates
(972) 239-4359 Fax: (972) -490-7857
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1-800-659-6735 Fax: 1-800-659-6738
JOB NO.: 7-147-97
1�rar
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64 > WEST
PENINSULA DRIVE
(50' R.O.W.)
Subject 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: 4-15-94
BUYER:
TITLE CO.: _ PERRY HOMES
G. F. NO.
LOT 5. BLK. G
VISTA RIDGE
CAB F, PG 271
LOT 5, BLK. G
VISTA RIDGE
CAB F, PG 271
The undersigned does hereby certify that the foregoing plat represents an
accurate survey mode 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
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 an official document unless an original signature appears below.
All measurements are in feet, except where noted.
2,=
7-147-7 RE—FORM TROY ALLEN ROOP
FILE NO: 6-522-7 R.P.L.S. NO. 5141
IRS
LEGEND
Iron Rod Set
LANDATA FELD SERVICES
SCALE: 1"=30'
DATE: 7-11-97
IRF
Iron Rod Found
EM
Electrical Meter
L. Freeway, Suite 210
SURVEYED BY: DB
GM
PP
Gas Meter
Power Pole
Dallas, e s DALLAS DIVISION
Dallas, Texas 75240-8335
DRAWN BY: KEN
Parenthesis
indicates
(972) 239-4359 Fax: (972) -490-7857
1 APPKOVED BY: BILL
record
or deed calls
1-800-659-6735 Fax: 1-800-659-6738
JOB NO.: 7-147-97