FEMA-EC970416®wI��19Ya� 3 �MAWRIr9
r �'ATheCityWithABeau"F'`uieBUILDING PERMIT APPLICATION 1997
u
f 7(o / Print or Type in a Clear, Legible Manner
Job Address: / I j �'� P� � } ! �0 � Date: 15 1 1 �T
Lot: < � Block: 177>
� Subdivision: �tk%ojo s r TzC b T� Zhase or Section Number: 1
Owner
Address:
Phone #:
Contractor: � Address: � `� (�.� A \� —� Phone #:
Description of Work to be Done Class of Work: New �❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
K)C--f) n y -DL E-
Area of Building in Square Feet
First Floor i 2Garage Value of Wor
to be Performed
Second Floor-.19/10nOther
Dto 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.
" " (( 'ytM KIW 163K.T
Signature of ontractor or Authorized Agent Print Name
`
trical Contractor Plumbing Contractor Mechanical Contractor
-1 (4/94) 5
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
O.M B. NO. 3067-0077
ELEVATION CERTIFICATE Expires May 31, 1996
FEDERAL EMERGENd 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 floodplairi 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
- - pe-rry - -°'' e ---- - - ----------- --- - ----- --------------
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR PO. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
4�s _ l�/P5?' - #'ter h Sd fa -��, t/c _
OTHER DESCRIPTION (Lot andBlock Nu bers, etc.)
_-o 7 _ TA e ine h i vl 'y �a5 ofCo p p e
CITY II STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
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
6. BASE FLOOD ELEVATION
lin AO Zones, use depth)
180 1-70
q- IS -9y
X
`V 3.0
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): VNGVD '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 � 1. 1 I_j _!.I -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 _(
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_ !_ 4I57.I � 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. 1-_1 I-_I.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 L-LJ.L 1 feet above Ll or
below L] (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 __l. .I__ j feet above L_) or below L_) (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? 0 Yes 0 No (_) Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: [�NGVD '29 L] 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: P Yes f( No (See Instructions on Page 4)
5. The reference level elevation is based on: actual construction Ll 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: L_LJY!LS 9. M .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: LJ__1-J-_'_ ' ' feet NGVD (or other FIRM datum -see Section 8, Item 7).
t. Date of the start of construction or substantial improvement
FEMA Form 51-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTIONsE C"TIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by slate or local law to certify elevation
information when the elevation information for Zones Al -A30, AE, AH, A (with SFE),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.
t understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001.
l rou_ A/(eV �0C3 TLS SI �l
CERTIFIE 'S NAME LICENSE NUMBER (or Affix Seal)
- ,_ vay _ CN_q ATA— - IE D S EI_U (CE S
TITLE COMPANY NAME
S7 Z6 L 8-S Ft e to Z ICO -TJ( % 6 2'10
ADDRF / �,O�sp_, CITY
STATE , ZIP
�
-,
-7 -7z) 9 -7z) Z 3`j - X359
SIGNATURE ....«.,,,,,,..».... " .... DATE PHONE
Copies should be made of this _ �,,. unity official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: _ A;
5
tle r l Oct(/
Su��v T�tFr a C&ACZ S 00 CZC' Vq / .5 r(AC 4,1e_ e1Cis7�i•�
/P f e r ---1 �^@ _--�P�Ei�[ Eazeryev-rc 04410 9eAwe,�7 er7C�5-4p--
t
06--%�s!`1 ���,`s �''��e,:y /5 /1_Q�,�COCc�✓�o/ f
m
ap
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
r
REFERENCE
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL - FLOOD
ELEVATION
BASEa %
RE RE
BASE
FLOOD
LE ELCE
FLOOD ADJACENT itf
GRADE '"S;
ELEVATION
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
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
25' BUILDING LINE
I
1�
`1
I�
E�aO� P01
1
1"
w
CJI_
of
f
y}
�f f
4f
ff
I�
4i
f
N f
TI
r�
N 15' LANDSCAPE
& UTILITY ESMT.
ZI
11'-10"
I c
V1 LI
2A
7.5' UTILITY ESMT.
12' CONC. DRIVE
P/D/S 1554 S.F.
@,f W+ N/A L. I_
I I co
n + M
r Ln
� a 1
w
N
M
d
17'-10" N
I
52'-5.5000" I
C�
4` CONC. WALK
- ---
PERRY HOMES DESIGN
• - 1991 - PERRY HOLES"
ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, TEXAS
3736-E2
FORM BOARD
TWO STORY
I
I
' MNTEY "QUMED
o
C15:1F.E.M.A.
lr ETTVR 'U `s D.-
f
MINIMUM
I�
J
co
STREET C -V K
O
tT-s" `n
CITY OF COPPELL
REVIEWED
B
--
f 0 o
0o 0 o
DATEv?
Approval of the plans and specifications shall not
be construed too mean
0
o o
00000
construction in direct conflict
with the City Co 9
Ordinances. ppell Building codes a�ld Zoning
67,86'
O
00000
—�
O0 0
O
nO X0 070
`00
-
OO
0- -00
4` CONC. WALK
- ---
PERRY HOMES DESIGN
• - 1991 - PERRY HOLES"
ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, TEXAS
A
r
t
PROPERTY DESCRIPTION
ADDRESS: 645 WEST PENINSULA DRIVE
LOT 8 , BLOCK `A , OF ;AMZNDED PLAT OF THE PENINSULAS OF COPPELL
AN ADDITION TO THE CITY OF COPPELL DALLAS COUNTY, TEXAS, ACCORDING TO THE
MAP OR PLAT THEREOF RECORDED IN VOLUME 96203, PAGE 1563
OF THE MAP RECORDS OF DALLAS COUNTY, TEXAS.
,4
Of
IAS`' 10.14.�'E
ROf Fp11LWE PARj1, O.R•0•CT.
vo►- gyp. Pc v
N
1 13
3p 15 N 49' 17 4G' W 52.16
N 5T 45
35 93
►out(" u0"0 1
DEW
01
\O 00 I
w/cw
LOT 8 m
w/cAP BLK. A
rn
O �^ Ur r) _OPEN 10 0 W
N 4 N
ILI
t
^ IZ
-7- FORMS
TOP OF FORKS
Subject Property is located in Zone
X according to the Federal
Emergency Management Agency
National Flood Insurance Program
Flood Rate Map CommunityPanel
No. 480171-0010E
Effective: 4-15-94
BUYER:
TITLE CO.: PERY HOMES
G. F. NO. N23378
^ o
13.1 2.i° c
,/rRF
20' B.L. / S q��yt
5 X5.
'X5' VAR1AW
WHACCESS
S/e'IRF 1/rIRF E&SEMENT
R�275.00
q=27.93
645 WEST I-ENINSULA
(SO' R O. W. )
-9-
DRIVE
9-
DRIVE
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
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 ongonal signature appears below.
All measurements are in feet, except where noted.
��--�V-/&-7-7
TROY ALLEN ROOP
FILE NO: 3-314-7 R.P.L.S. NO. 5141
LEGEND ����UNDffA FOLD SWCES SCALE: 1"=30' _ _
QRS iron Rod Set
iRF Iron Rod Found DATE: 4-14_97
EM Electrical Meter 5728 L. B. J. Freeway, Suite 210 SURVEYED 67:
GM Gas Meter Dallas, Texas 75240-6335 DALLAS DIVISION DRAWN BY: KEN
PP Power Pole
Parenthesis indicates . (972) 239-4359,, Fax: (972) 490-7857 APPROVED BY: DEREK
record , or deed calls 1-800-659-8735 Fax: 1-800-659-6738 IJOB NO.: 3-314-97