FEMA-EC9510277They With A Beautiful Future BUILDING PERMIT APPLICATION OCT 3 o 95
i
/ 7 a Print or Type in a Clear, Legible Manner 6_ f
Job Address: I "� Date: 10 -2 -Lf . U cp
Lot: Block: n Subdivision:\ �� J Phase or Section Number:
Owner �T j� _ Address: ' cc i t 1 Phone #:
C ntractor: Address: 1(,I++ Phone #: 7-71
Description of Work to be Done Class of Work: [1 ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor Zz z
Second Floor , V
Garage
Other
Value of WorkCn
i`
to be Performed t
FPMC - 1 (4/94)
O.M.B. NO. -3067-001'7
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 I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME POLICY NUMBER 1
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.)
CITYSTATE ZIP CODE
• 1= -T A -S '7 501
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
1, k 11
(in AO Zones, use depth)
+SO � 7O
00 1 O
b
OCfiod�2 Ib 1991
5
'. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFEX NGVD '29 1..1 Other (describe on back)
3. 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-L LIJ.❑ 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 A_ .
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 1-46V4 4i feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1430, 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 LLLL1-1. LJ 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 ❑J . Llfeet above �_� or
below I] (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❑.❑ feet above ❑ or below [I (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 ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations:>4 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 >d No (See Instructions on Page 4)
5. The reference level elevation is based on: Vactual construction ❑ construction drawings
(NOTE: Use of construction drawings is orfly 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: Li_+41.51.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: U❑41V-71.01 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), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, 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. Code, Section 1001.
UtN IIF It:K5 NAME LICENSE NUMBER (or Affix Seal)
COMPANY
ADDRESS
STATE
Copies should1be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: knY1? C �,.� t Ij �T—b D —.�5� 5 f prc �-
-2�►
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE L
BASE LEVEL
REFERENCE
LEVEL
FLOOD
LEVEL
ELEVATION
r
,S
�':.
BASE .'. �."'•' .:....: •: 1'•:. .: a"k
BASE
FLOOD ADJACENT :'� rREFERENCE1
FLOOD
ELEVAT*N REFERENCE ADJACENT GRADE j.L LEVEL
ELEVATION
LEVEL GRADE
W��-,.
.' ADJACENt
., ._:L}..:.. .:..'.. �:.....!.•..:..'4.,
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
SUitVT X PLA'1
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ti \LL PARTIES INTEJREST�D 1N PREM{SES SURVEYED:
',T:,; is :o certify that I have, this date, made a careful and accurate survey on the ground of the property located w
2 STONECREST DRIVE, in the City of Coppell, Texas, described as follows:
County, "texas
3, BLOCK A, of RIVERCHASE ESTATES an addition to the City of COPPELL, DALLAS i
to the map thereof recorded in Volume 92225, Page 2567 of the Map Records of Dallas County, texas. ;I
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(D
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10' Drainage Esm't.--
75.69.
T COT 3
BLOCK A
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1 .67 17.5' 14.0' 2.5
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N CONCRETE FORMS
1332 STONECREST DRIVE
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—proposed
form line
1.0'
4.7'
25' BL J V
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8.0'
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1.0'
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4.7'
_ 10'X10' Tronsforr.,er
Pad Easement
20' 75.00' 5' T.U. Electric
Co. Esm't.
~STONECREST DRIVE (50')
Note: Iran rod at all corners unless noted. All lot lines and easements are according to said Plat of Record, unless nolod.
hereon is a true, Correct and accurate representation of the property as determined by survey; subject to a
:ii basements, reservations and restrictions that may be of record, the lines and dimensions of said property bci,��l
as indicated by the plat; the size, location and type of buildings and improvements are as shown, all improvernerts
c ng property lines the distances indicated. There are no visit`-
witi�4-i the boundaries of the property, set back from
t m nts, encroachments, conflicts or protrusions, except as shown.
October 25, 1995
1"= 20'
No.: 7403-39059
Re,aistcre 'ro essiona an Surveyor o. 4 2
'l P.O. BOX 210856 - L,LAS, -330-9823
TEXAS 75211 214
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REVIEWED
BUYER: DARRAHZv!alZd I // 2.�— 2
dii DATE
JOB # 5105cl zkpproval of the 4ans and specifications shatI
,)e construed to mean construction in direct
DATE: 10-12-15 IlORDIERY0290901lding
�vRe�caysnarcTlow or
ANY KINp, BUIUMM C4N-
7TiI11CTom On rowsom IN
'AV111-10mly or T"Is Jm Is
TO CrecK • l lMrY A"
rRORRT'P LINGS, xTDACK9,
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ALL RaCRAL, WrAM •
LOCAL C4np1w, ORaINA eas,
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HOMES
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M AFFII.UTE OF RCS MWSTMENT5
FLOT FLAN 5cALE:
LOT 5 of BLOGK A
RIVERGHASE E5TATE5
GOFFELL TEXAS
DON R. MOORE
cnd A5506., ING.
1000 AOR.Mb 01MM
dMw I M-1 Fxw.
VALLAQ TX. 99245
214690-5900