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FEMA-EC960102FPMC - 1 (4/94) R ' 7They With A Beautiful Future BUILDING PERMIT APPLICATION oEc 1 1 95 163 6- �' I Print or Type in a Clear, Legible Manner Job Address: 32�s -*I, )I . tO Date: Lot: ' Block: Subdivision: ( f Phase or Section Number: 11� Owner All' ec �s R Adcd ess: ,{/�, 63 fjZ Phone #: VV es Contractor: 13f 11 & P D' Q Address: 6" h2x 6 � J Phone #: y 19-31 � I 7� / `1 J Description of Work to be Done Class of Work: [9" l ew Addition 3o&3 El Alteration ❑/2Repair ❑ Demolition FPMC - 1 (4/94) O.M.B. NO. 3067.0077 ELEVATION CERTIFICATE Expires" 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 STnEET ADDRESS (Including Apt., Unit, Suite andlor Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY NAIC NUMBER I 1324 STONECREST DRIVE OTHER DESCRIPTION (Lot and Block Numbers, etc.) LOT 5, BLOCK A, RIVERCHASE ESTATES CITY STATE ZIP CODE COPPELL TEXAS SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): I. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AD Zones. use depth) X (Shaded) 480170 0010 E 4-15-95 & AE 446 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '29 L; 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: LI feet NGVD (or other FIRM dmfum-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 1441 a A feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1 430, 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 II ILI 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 feet above ❑ or below t_ (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 .! 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 [I Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ 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: ❑ Yes EK 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: I ' ' 4 41 $ . �� .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 r : tie "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest flc'-fined by the ordinance is: I ' I I I I .L feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date c! the start of construction or substantial improvement ter_ +Ice .II ronnilf-Vve emmivoe ecr. vrvro�r SIDF. rr f( pr(1`►lrR�n�J 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), then list tho. Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be erltptprc7. I certity that the information In Sections B and C on this cer0cate represents my best efforts to interpret Available 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,.; 0-4604; CERTIFIERS NAME LICENSE NUMBER (or Affix See]) , ROLAND RODRIGUEZ 4987 TITLE COMPANY NAME PRESIDENT JAMES H. DOWDY LAND SURVEYtc�x;;b I TC., ADDRESS CITY 1i N - ""� ZIP 1550 N ORWOOD 10 HURST, TEXAS 76054 SIONAT DATE PHONE 1-2-96 817-589-7107 Copies should be made of t CerlM a for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: ON VRTH ON PILES. sue BASEMENT Plan, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL I FLO00 LEVEL ELEVAtON r BASE BASE.. REFERENCEFLOOD FLOOD •.�::;•� ELEVATION RE,ER�E ---ENT MADE LEVEL ELEVATION LEVEL GRADE OPADE 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. l PLOT PLAN=20��moo= —VoT �h/CQLF�4iE ESTATES . ?6945 REFERENCE NO. 44118 FORM SURVEY 12-27-95 1 If I.R. FND. 1 /2" I.R. F N.88'55'47" E. 24.17' CPa LOT 5 a.s 4 �CP. � 92225/2567 O c3` N; r^ 1 FpRMFpRM 1,9 25' BUILDING 1 MVV LINE 6 92225/2567 �1 1/Y I.R. FND. Z i 0 00 0 0a, S 1/f I.R. FND. 00 1/2" I.R. FND �(0.T 132 S,v``r Lot 5, Block A of Riverchose Estates, an addition to the City of Coppell, Dallas County, Texas, according to the plat thereof recorded In Volume 92225, Page 2567, Map Records, Dallas County, Texas. SURVEYORS CERTIFICATION The undersigned Registered Professional Land Surveyors certifies that; (A) this plat of survey and the property description set forth heron are o true and correct representation of facts found of the time an actual on—the—ground survey; (B) such survey woo conducted by the surveyor, or under his supervision; (C) all monuments shown hereon exist and the location, size, and type of malarial are oorreofly shown; (D) the location of forms are as shown hereon. `. _<, •.aur., '°° ;✓"'A \ U R.P.05 Nod498 wh-< "ay�►.0a1)LZ p • 47� +TZ e 1550 NORWOOD,' O -O cj HURST, TEXA 4 • (817) 589-7107 ``�`U:-1 THIS SURVEY NOT VALID WITHOUT EMBOSSED SEAL do ORIGINAL SIGNATURE