FEMA-EC960425 (3)The City With A Beautiful Future
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BUILDING PERMIT APPLICATION
1 , � "'7 Print or Type in a Clear, Legible Manner
2 9 96
i
Job Address:
tJ tkl`�() L6 R.
Date:
Lot: Block:
Subdivision: l
Phase or Section Number:
Owner
Address:
Phone #:
` /
Contractor:Peg
�( Ell
Address: f ` ✓
� Phone #: 4 1 ! C ,
Description of Work to be Done
Class of Work: ew ❑ Addition
❑ Alteration ❑ Repair ❑
/ p Demolition -
03697
Area of Building in Square Feet
First Floor Y
/^
Garage
Value of Work f��Oc
to be Performed v cJ -
Second Floor
�^
� /Other � � l�
T 3a GRAY
AREA FOR OFFICE USE ONLY
NOTICE
Permit dee:3 go
Receipt Number:
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.
Zoning District:
Occupancy Classification:
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.
Approved By:
Date: ,
Comments:
%Ix /
C.I�I�J
Sig toe of Contractor or Authorized Agent
jHS&a -�� ►2
Print Name
-Tz-�-.m On
cal Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
z
O.M.B. NO. 3067-0077
ELEVATION 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 ' FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME POLICY NUMBER
_ __ a r r v o��------ -- --
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.)
Low to g CcLk A _ TA e- Pe h f in
CITY i• � P P e I I STATE ZIP CODE
(_ SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
'480
2. PANEL NUMBER
00
3 SUFFIX
4. DATE OF FIRM INDEX
is -5y
S. FIRM ZONE
X
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
`i!�;3.0
V
16
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): LJ1NGVD'29 [-]Other (describe on back)
S. 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._❑__ -1_ -1.1--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 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.1/� !h_7J J 6 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 _1__ J.1_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 I I I .❑ 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 _ j . L_ feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. II 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: r—trNGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: 11 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 rFIRM: F-1Yes0 No (See Instructions on Page 4)
5. The reference level elevation is based on: L�fIRactual 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.)
6. The elevation of the lowest grade immediately adjacent to the building is: ❑ IV] J .0 .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: LLLLL i J_ _ I 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 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 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 8 - Distinguishing Features -It 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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Co�de, Section 1001.
*-Tri) Ail�evk 2o /
c3,0 pcs S1 1
CERTIFIE 'S NAME LICENSE NUMBER (or Affix Seal)
Sore _os� C,AMDA-TA FIELD SEP—WOES
TITLE COMPANY NAME ' !O
S7-7 7 L B� .,te Z l o �•� S �X % y
' S - n, ' "• •. CITY STATE ZIP
ADDRF
//_' P�'p�STf9-%� 0 S -5 2 / y
SIGNATURE `......................DATE PHONE
0141
v:
Copies should be made oft mmunity official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: A L5 e e F✓ct le ;.5 q W
S�r►�tl E�/ Tner�
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jello /`Ede � ��1�erse�>•cy /%%Qr�a &new ej7c_y �s�
p 15 /1� LJ do Ca J C f!F r n
p it
nc"
r 0 s h o w S,._9-_—
WITH ON PILES,
ON
BASEMENT PIERS, OR COLUMNS
SLAB
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
REFERENCE
REFERENCE SASE
LEVEL
LEVEL fL000
ELEVATION
,i
i;
EASE
SASE ADJACENT .FL. REFERENCE
ELEVATION
FLOOD GRADE +T. LEVEL
ELEVATION REFERENCE ADJACENT #.:-
LEVEL GRADE �f4
[c F `ti !fit'
"::r•,:
Ate'•:
r,....l:i :.;::•:: •:: .,n
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
CITY OF COPPELL
I REVIEWED
L
BY DATE
Approval of th lans and specifications shall not
be canstrued to can construction in direct conflict
with the City of Coppell Building codes and Zoning
Ordinances.
FLOOD PLAIN BUILDING LINE / I
rn
PLANS ARE REVIE Y'YED FOR
�j t11'�.I'I_'ROj'V{AL[�0OF S�'I;'�, GLE � �:
♦ AlsI?iL i. R4�S`.V x.1E 7"�...Ed 007 LY. Oj'
d�171iEI1. P)l:,ls1CTI'NS O�1 4
HAN'7E NOT 13EEpl R'FIVIENVE � �.E•M.A. LETTER REQUIRED.
AND AkE i' .`:T AFP R• ;NTD. �� MINIMUM f f. N 5
CONC.,
PATIO
15' BUILDING LINE --\ /
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/
O
7.5' UTILITY ESMT.
20' BUILDING LINE
FORM BOARD
SMVEY REQUIRED
69'-7"
3687-E2
to TWO-STORY
56.02'
29' CONC.
DRIVE
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N=59709'�77W 13.18'
P/D+ 1847 S.F.
P�W+ 842 S.F. 4' CONC. WALK �Q�i'�i �.,��.�
BfW+ N/A L.F. - L 1 STOW C"
PERRY HOMES DESIGN
*_1998 - PERRY HOMES"
ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, TEXAS
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PROPERTY DESCRIP I ION
ADDRESS: 652 WEST PENINSULA DRIVE LOT 10. _BLOCK _ A . ......
OF PENINSULAS OF COPPELL
AN ADDITION TO THE CITY OF COPPELL DALLAS COUNTY, TEXAS, ACCORDING TO THE
PLAT THEREOF RECORDED IN VOLUME 95139. PACE 2237.
OF THE MAP RECORDS OF DALLAS COUNTY, TEXAS.
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co
LOT 5, BLOCK G
FINAL PLAT OF
VISTA RIDGE
CAB. F, PG. 271
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5/B" IRF
5/B" 11tr•
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/ s,4 LOT 10
�4�` BLOCK A
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FORMS Gi I'll
EL.=457.11
R O mN 31.2 .b -I
— .- 11.9 IF- - - --- --
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��85. o� 20' B.L.
7.5' UTILITY ESMT.
5/8" IRF — --
1 �
R=275.00 1/2" IRS
A=56.02 N 59'09'27"W
652 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
LOT 1I
1 /2" 11ts
13.18
The undersigned does hereby certify that the foregoing plot represents on
accurate survey made on the ground and there are no visible conflicts,
encroachments, overlapping of improvements or easernents except as shown
hereon; thl pial correctly
r pf( SeiitS
the bounuarle5 found o: 1c)catr:d
on the ground with respect to the recorded reterences shown and the area,
if shown, correctly represents the creo enclused by said boundaries. phis
property has access to and from a public roadway, except as shown hereon.
This survey is not on Official docurnent unless an Original signature appears below
BUYER:
TITLE
CO.: PERRY HOMES
t
TROY ALLEN ROOP
G. F.
NO. PO. NO. 80938
FILE
NO: 4-210-6
R. P. L. N0. : 5141
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Electrical Meter
5728 L.
B. J. Freeway, Suite 210
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Gas Meter
Dallas,
Texas 75240-6335
DRAWN BY 111-M
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Power Pole
(214)
239-4359
Fax: (214) 490-7857
APPROVED BY: iRGY
Parenthesis
indicates
deed calls
1-800-659-6735
Fax: 1-800-659-6738
IDES 1`40 : 4- 29'-) 96
record
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