FEMA-EC971104a7They With A Beautiful Future B U I L Dig N G PERMIT APPLICATION
If3ZS; Z- q Print or Type in a Clear, Legible Manner
Job Address: 060 L-T�� ���� r Date: 10/3 7
Lot: Z Block: Subdivision: 60 N) Vj VT i}T -7j4E S I pA/4 Phase or Section Number:
Owner --7btE- /n4.c5 Eu Address: /406 PAla� �Jkq SU rff iCo Phone #: ZI/Z--1 770
Contractor: -pr Address: 14MSN W-44 tTe'cc Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
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Area of Building in Square Feet
First Floor 331S40 Garage Value of Work
t� G to be Performed ccPP
Second Floor ! Z Other
J GRAY AREA FOR OFFICE USE ONLY
NOTICE
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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
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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
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give authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance of construction.
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Si nature of Contractor or Authorizedent Print Name
Electrical Contractor Pluing Contractor cto
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FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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.
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
POLICY NUMBER
ST ET ADDRESS (In uding Apt., Unit, Suite and/or Bidumber) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I
OT R DESCRIPTIO (Lot and ck Numbers, etc.)
A�14_45e -72
CITY // _ _ 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
& BASE FLOOD ELEVATION
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(in AO(Zo�n s se depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [klqGVD '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: I I I I I . ❑ 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 _�__- .p�
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the refs eee�from the selected diagram is at an elevation
of I 1 5 to I IJ.T 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 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 Li -J. ❑ 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 LL.,_ feet above ❑ or below ❑ (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? _' Yes No El unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: i� NGVD '29 ❑ 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 7], 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: Elfe
Yes Pr'No (See Instructions on Page 4)
5. The reference level elevation is based on: 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.)
6. The elevation of the lowest grade immediately adjacent to the building is:1 1 I44q . -1 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: I I I I 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 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 Feature(s�,.thgn list the Feature(s) not
included in the certification under Comments below. The diagram number,tection C, t40"" ' ptered.
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1 certify that the information in Sections 8 and C on this certificate represents m ~p � t the data available.
1 understand that any false statement may be punishable by fine or imprisorlrri 9is „;Section 1001.
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CITY —./ 1 'vS+j °:4 STATE dZIP
SIGNATURE (- n 4 _/1
Copies should be made of this Certificate for: 1) community official, 2) insurance agenVcompany, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
LL :-E i:;�:r
BASE '. REFERENCE
BASE
FLOOD
ADJACENT �' LEVEL
FLOOD . -:..:•--.CE GRADE ' �' ��
ELEVATION
ELEVATION REFERENCE ADJACENT .�
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LEVEL GRADE &'
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:::: •:.i::::,:::-::;�`.;:i: ;:. ±i:•: '::�'
ADJACENT;'.
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
7 ,
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CITY OF COPPELl. PI. ARE REMWMIM
a . IEWE'D D�. �rPR0 L O s
FAMILY RESIDENCE ONLY,
OTHER DEPI4MONS OR
I DATE CALL -OUTS ON P40T PLAIN
1 sand specific i - - ---_ _ _ _ RR Vw
• � ..uproval of the in dl '---•----_ 99.33• ��
e construed to mean Bfl and Z �' UTIL. EAS t _
with the City of Coppet — — — ` Mr. --- _ _�y- -
Q04194CPL AN
SCALE 1'- 20'-0�•--
Lor 42. BLOCK F)
T A TIME SPRINGS '
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PHASE II / Ems-rl �41T
DALLAS COU4fY / OI' LL LINE
COPPGLL, TEXAS
48" N._(= NT /
/ 10t4'FENCE Tl RI�
POOL ` -RAIS- \_•\
! ry / SPA 12' \
NORTH \�
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P--ATIO BY -
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/ PAD RESIDENCE PADS v `ATE
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5'UTIL, E ASMT. 49.10'
,r /a't CONC. WALK AS PER CIT'f --^
EXP. AGGR. CONC. DRIVE -
W/ 12' W. TROWELED BORDER 6
—f` NO CURB CUT (LEAVE EXISTING CUR / _---
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260 STANTON COURT qw
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��-IV-'M� vin -0 A M1,�1; c�r�� L/"'Cal.ir To Rijkl7l�F) 10 FV–.9A]7-- \!'ALI-n
ti.. 260 STANTON COURT in the city Of. _ COPPELL _
42 Bhx,l, No B 01I Blikk Nil
SUMMIT AT_T.HE-SPR TNGS,--PHASE- 11 _._ _-_ - .-- an addition to the
Ott 'if COPPELL, DALLAS COUNTY, Texas, acLording to the MAP thereo'�
rt,iaded in VOlume __- 97023 Page____ 3469 _MAP_._ Records _-DALLAS_ Count,. Texas
FLOOD PLAIN NOTE: (FROM PLAT)
A CONDITIONAL LETTER OF MAP REVISION (CLOMR) HAS BEEN ISSUED FOR THIS PROJECT.
THE CASE NUMBERR IS DATED.
UPON CONSTRUCTION OF ANY STRUCTURES
WITHIN THIS AREA OF RECLAMATION THAT ARE UNSURAGLE, THE PROPERTY OWNER MUST
SUBMIT THE TECHNICAL DATA NECESSARY TO OBTAIN A LETTER OF MAP REVISION FOR
EACH IMPROVEMENT /S 8
2 02" E REFERENCE B - -
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The plat heron is a true representation of the property, as determined by on the ground survey. the lines PAUL�A�' -
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and dimension+ re sats property bang as indicated by the plat, the size location and type of buildings and REGI STE ,p 94a* 'ONAL
imms pements are as shown, all improvements being within the boundaries of the property. set back from ,
property lines the distance indicated. and that the distances from the nearest intersecting street, or road. LAND S .4490
is as shown on said plat, all corner monuments are as shown
THFRF ARE NO ENCROACHMENTS OR PROTRUSIONS
1 as =20 a Trus survey was performed in connection with the transaction
Scale ______ __ described in GF No
10-31-97 of __-- HO MES__ Bi.pRS_ _
Datc _ __--- __ _ Title Company Use of this survey for any other purpose or by any
other parties shall be strictly prohibited as this survey is a copyright
owned by Jimmy W. Palm, Inc., and all other uses arc forbidden.
!O Nn without pnor written consent of Jimmy W. Pogue, hoc.
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JIMMY W. POGUE, INC.
3510 MARVIN D. LOVE FREFA'A"t
DALLAS, TEXAS 75224
PHONE ( 214) 371-0666
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The plat heron is a true representation of the property, as determined by on the ground survey. the lines PAUL�A�' -
J�
and dimension+ re sats property bang as indicated by the plat, the size location and type of buildings and REGI STE ,p 94a* 'ONAL
imms pements are as shown, all improvements being within the boundaries of the property. set back from ,
property lines the distance indicated. and that the distances from the nearest intersecting street, or road. LAND S .4490
is as shown on said plat, all corner monuments are as shown
THFRF ARE NO ENCROACHMENTS OR PROTRUSIONS
1 as =20 a Trus survey was performed in connection with the transaction
Scale ______ __ described in GF No
10-31-97 of __-- HO MES__ Bi.pRS_ _
Datc _ __--- __ _ Title Company Use of this survey for any other purpose or by any
other parties shall be strictly prohibited as this survey is a copyright
owned by Jimmy W. Palm, Inc., and all other uses arc forbidden.
!O Nn without pnor written consent of Jimmy W. Pogue, hoc.
^s
JIMMY W. POGUE, INC.
3510 MARVIN D. LOVE FREFA'A"t
DALLAS, TEXAS 75224
PHONE ( 214) 371-0666