FEMA-EC030530-.T H EC I T Y F._. BUILDING PERMIT APPLICATION �3 y 313�f3
COPPELL �I�I
Print or Type in a Clear, Legible Manner S , 541
Job Address: aq l� � � C-Ourt Date: 51 a (0-:;5
Lot: I Block: Subdivision: I f " Ru.QfvZ-'
OwneJ . ss: WAY TE
100
6,�REoIToNX%50—
Contractor Address: GFln E, AbDVE
Description of Work to be Donne Class of Work: � It,
Ll Addition
'5 ` —
1'v\�G,M t 1\/ wookef C re-, � `� I , on
Area of Building in Square Feet
First Floor 3J
Second Floor aoa$
Garage 7q5
Other LIP
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 or the performance of construction.
L do) Q04t(�-
Sign#re of Contractor or Authorized Agent Print Name
Q0, TLC., ti 1 Ronb�c\Act �e
Electrical INtraitor Plumbing Contracm Mechanical Contractor
Phase or Section Number:
Phone A c1%2- 9,1a_/770
Phone #:G7a_at(o-L-/770 6C't
❑ Alteration ❑ Repair ❑ Demolition
Value of Work � SK � S916to be Performed i
ISSN GRAY AREA FOR OFFICE USE ONLY
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
CITY OF COPPELL
REVIEWED
B 051 J1
DATE
Approval of th plans and specifications shall not be
construed to mean construction in direct conflict
with the City of Coppell Building Codes and Zoning
'549, Ordinances.
\ 20' 4'H. W.I.
FENCE
FORM BOARD
VEY REQUIRED
F.E.M.A. LETMR Z
COV'D.
MINIMUM
f f
VERANDA
101'-4"
A/C RESIDENCE
PADS `^
ENTRY
CONC.
3 -CARS MOTOR -
COURT
4'H. W.I.
FENCE
SET UP
LINE
'-0" 2525 BL. N\
a
v
i
PORCH
4'H. W.I.
FENCE
I EXISTING D
SCREENING
C.
WALL VERIFY LOCATION RIVE
PRIOR TO CONSTRUCTION DRIVE
0. 6K
0�
' N
O��
SITE PLAN
/C
AD
SCALE: 1"=20'—O"
LOT I BLOCK B
THE RESERVE
COPPELL, TEXAS
EXISTING
FENCE
Jan 07 2004 3:20PM BARRY RHODES LAND SURVEYI 972475903E P•1
NAME
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Mortant: Read the lnstn�logs on pages 1 7
SECTION A - PROPERTY OWNER INFORMATION
STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No ) OR P 0 ROUTE AND BOX NO.
CITY
STATE
O.M.B. No. 3067-0077
Expires July 31, 2002
For Insunnos Company use.
roam, Addition, Accessory, etc. Use Comments section if necessary.)
HORIZONTAL DATUM: SOURCE: LI GPS (rype):
b"AD 1927 U NAD 19&3 LJ USGS Quad Map Other
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITV Meuc a rnu■.� wiry __... _ _ _ _ _ __ _
NUMBER 00• rLvvo 1 09. BASE FLOOD ELEVATIONS
DATE EFFECTIVElREVtSED DATE ZONE($) (Zone AO, use depth of flooding)
B10. Indicate the source of the Base Flood Elevation (BFE)
data or base flood depth .interact in B9. T v
1_1 FIS Profile LX�FIRM LJ Community Determined U Other (Describe):.
611. Indicate the elevation datum used for the BFE in 89: ($LNGVD 1929 U NAVD Islas J_I Other (Describe):
812. Is the building located Ina Coastal -Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 U Yes L4 No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 1_JConstruction Drawings' 1bouilding Under Construction* L—JFinished Construction
"A new Elevation Certificate will be required when construction of the building iscomplete.
C2. Building Diagram Number __j___ (Select the building diagram most similar to theibuilding for which this certificate is being completed - see
Pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Itern C2. State the datum used. If the datum Is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calctAatlon. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum ""14T� Conversion/Comments 3KL IV 41910MBN SW
Elevation reference mark used Does the elevation reference mark used appear on RM? U Yes No
ZI aj Top of bottom floor (including basement or enclosure) _ 44A M ft 0)
O b) Top of next higher floor _ it.(m) 0 F T
O c) Bottom of lowest horizontal structural member (V zones only) _ R.(rrt) a 5 i S .. .
Z) d) Attached garage (top of slab) 0.
Z3 e) Lowest elevation of machinery and/or equipment
servicing the building _ Y RH I
All ft. S. S.
❑ Q Lowest adjacent grade (LAG) _ ..' "�Sg;�••
❑ g) Highest adjacent grade (HAG) R j
❑ h) No. of �L •� R -fes) t',9 • ABSS;O Q.
permanent openings (flood vents) within 1 It. above adjacent grade _ O
O i) Total area of all permanent openings (flood vents) in C3h ttl.. 6 RV
�__ _-__ sq. in. (sq. CM)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
1- ,:eruncaoon Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A. 8, and C an this cetificate represents my best efforts to interpret the data a variable.
I understand that any /else statement maybe punishable by fine orlmprfsonment under 1a LI -S-
FE 11 MA
I.S_
FEMA Form 4111-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL
EDITIONS
Jan 07 2004 3:20PM BARRY RHODES LAND SURVEYI 9724759036 P•2
IMPORTANT: In thesi
CITY
the
n From
A. I For Insurance
Company llae:
ZIP CODE
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official. (2) insurance agenVeompany, and (3) building owner.
MMENTS
ILI Chick hider if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A THOUT ffg)
For Zone•AQ and Zone A (without SFE), complete Items El through E4. If the Elevation Certificate is intended for use as supportfng
information for a LOMA or LOMB -F, Section C must be completed.
E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed–
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is LL) fL(m) IIin.(cm) LI above or Lj below
(check one) the highest Pd1eeent grade,
E3. For Building Diagrams 5-8 with openings (see page n, the next higher floor or elevated floor (elevation b) of the building is
I_LJ ft.(m) I .i_jin.(cm) above the highest adjacent grade.
E4. For Zone AO or*:• tf'no flood depth number is availablat; is'the tpp of ttu •bottom floor,elevIlexiirp acoordance with the com*unlWs:
floodplain management ordinance? I Yes I_I No L.—I Unknown. The local official must this information in Section G
SECTION F - PROPERTY OWNER (OR OWNERS REPRESENTA17VEI CERTIFICATION
The property owner or owner's authorized representative who completes Sections A. B, and E for Zone A (without a FEMA4ssued or
commuNty-issued 8FE) or Zone AO must sign hero.
PROPERTY OWNERFSORR'S AUTHORIZED REPRESENTATIVE'S NAM
ADDRESS CITY STArEZIP E
SIGNATU DATE
TELEPHONE
COMMENTS
SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if attachments
The local Official who is authorized by law or ordinance to administer the comr9pity's flooldplain management ordinance can complete
Sections A. S. C (or E), and G of this Elevation Cer4ificate. Complete the applicable item(s) and sign below.
G 1. 1_1 The information in Section C was taken from other d9cpmentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized bjy state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. IJ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone A0.
G3. IJ The following information (Items G4-Gg) is provided for community floodplain management purposes.
t7 r. I nls pertrill has been issued for Lj New Conduction L Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the buildlog is: _ tt.(m) Datum:
G9. SFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum:
LOCAL OFFIClALS NAME TITLE
COMMUNITY NAME TSLEPHME
SIGNATURE
COMMENTS
Check hent attachments
FIRMF 81-31. AUc3 tt9 REPLACES ALL PR&NAOUS EDITIONS