FEMA-EC950919 (2)T
A arutlU Fuh"nspec ow MDh-Wm
Job Address: 133 G
Lot: 3 Block: f j�
7 //
Contractor: Z -
Description of Work to be Done
a of Building In Square Feet
First Floor a ? /'-
Second Floor I f 9
3q8• Zq wnti
2s
BUILDING PERMIT APPLICATI N
& Z 7 Print or Type in a Clear, Legible Manner
Subdivision: V I ��
Address:
Cuss of Work: CkNew
Garage 74! 62
Other % 7
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 specked herein or not. The granting of a permit does not presume to
give authority to violate or cancel the pro ions of any other federal, state or local law
regulating construction or_* perfUrWncqAf
Signature of Contractor or Authorized t Print Name
Electrical Contractor Plumbin Contractor 1 .-
BIR - 1 121921
❑Addition
�M 2 6 93
Date:
Phase or Section Number:
23C2,Phone
Plane #:
❑ Alteration ❑Alteration Repair ❑ Demolition❑` )Demolition
Value of Work
to be Perform
OFFICE
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 I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME I POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I
-- 1V 3
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lo -t- Z. T (21. Ar
CITY STATE ZIP CODE
oo�I T � 75019
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
t. X
(in AO Zones, use depth)
4-Q,O 1-7 D
0010
t>
OeTobeg 1M991
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): >—ZNGVD '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 . U 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 1_ .
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 I4I5_& .1J 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 )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 W 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 W I. U 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 ❑ 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 1�4Vo (See Instructions on Page 4)
5. The reference level elevation is based on: .54 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 o% 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 "91. a .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 14+7.) .9 feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement 9 - 19 - 9 S
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 8 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.,,.,,
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
TITLE COMPANY NAME
ADDRESS —� l�� p C CITY STATE ZIP / t, �� 'Z DATE PHONE
SIGNAT
Copies should I* made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: S�-l-4LZE C .zA— j
ba, je
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
BASE
BASE;V
ADJACENT` " REFERENCE
FLOOD
FLOOD:..(.:. GRADE
ELEVATION REFERENCE ADJACENT
ELEVATION
LEVEL GRADE
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
�I
f
CITY OF COPPELL
REVIEWED
Bi' V�/` DATE
Approval of the p s and specifications hall r
be construed rc mean construction in dii ect cc
flict with the City of Coppell Building C des a
Zoning Ordinances.
RIV
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brupriT
G r A
41 vr-,)2CHAS1!--
TAXAs
HR
SURVEY PLATj� R
- -� LOT 2, BLOCK A, OF RIVERCHASE ESTATES, AN ADDITION T
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. r
co
M
LOT J
75.00'
M
LOT f
7336 STONECREST DRIVE
I - hereby certify that on the ay of -� 19� this survey was made on the ground as per the field notes shown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon.
if any. The surkey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. _
Date����t
�r
1 9
ARRY Ju. ROMELL
GF No. 4597
Scale: I" =Zl sUR
Registered Pro 10ssional Land Surveyor
Registered ofessional Engineer
JOB # : _ __.
141Y----__---
ROWELL
& Associates, INC.
---- -------
Surveying & Engineerti
1301 Elm Street Ste. 201
Carrollton, Texas 75006
LEGEND
4Fi
Steel / Iron Rod Found
l%
Steel / Iron Rod Set
Property Line
Wood Fence
Chain Link / hire Fence
Overhead Electric E
E- E
--
—
�r
1 9
ARRY Ju. ROMELL
GF No. 4597
Scale: I" =Zl sUR
Registered Pro 10ssional Land Surveyor
Registered ofessional Engineer
JOB # : _ __.
141Y----__---
ROWELL
& Associates, INC.
---- -------
Surveying & Engineerti
1301 Elm Street Ste. 201
Carrollton, Texas 75006