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FEMA-EC980410 (2)The City Witt ABeautiful Future BUILDING PERMIT APPLICATION JAN 1 21998 / A V �VPrint or Type in a Clear, Legible Manner Job Address: (,�lZ Q Date: Lot: ' Block: Subdivision: P,, t 1 - Phase or Section Number: Owner Address: A� Ci,_�p'li10041"hone#: ?_ 6VO— � 66 -- Contractor: Address: Phone #: = Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition v7c�m� lu Area of Building in Square Feet Garage Value Work First Floor of E"C) to be Performed ISM Second Floor Other GRAY AREA FOR OFFICE USE ONLY �, 1,X41: p NOTICE'' t"i �i" ryal ill a„ �i This permit becomes null and void if work or construction authorized is not commenced o„ hlNi 1 W''R,a ..... d I, e I" within 180 days, or construction on work is suspended or abOil r a period of 180 days andoned fo71 k! n�� a at an time after work is commenced. Y -Til�� 9dp Itwftm H r^iw tN ! " °t P N Iil!t! thWi ! ap ° N ! I hereby certify that I have read and examined this application and know the same to be truepJ', A and correct. All provisions of laws and ordinances governing this type of work will be I complied with whether specified herein or not. The granting of a permit does not presume to Ji"' it give authority to violate or cancel the provisions of any other federal, state or local law , regula' gconstructio the performance of construction. �*Signature I ; i�8 oLContraltor or Mthrized Ag ent Print lame �L y�a�kv"rp �- c� c I Z 4 A4 Electrical Contractor Plumbing Contractor Mechanical Contractor_ FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK • O.M.B. NO. 3C67:0077 _ 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 FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER —? 5 U0 P_1SI_ Z�P_IJor,_ OTHER DESCRIPTION (Lot and Block Numbers, etc.) If 4 11,.t F.eul F.,w ESM A.rt1' CITY STATE ZIP CODE a�,11 T4 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 A"--- 1 (in AO Zones, use depth) e 4An1?n co 1 1z AXE Z X.5-, C44-7 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '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 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 1 . 2(a). FIRMZoopep AI -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation S of L L 11417 T. LJ 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 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 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 elevatio s 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 onFIR Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: �J 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: LL .31 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 11_1 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 Ai—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. CE IFIER'S NAME LICENSE NUMBER (or Affix Seal) V/ X01 IA -p- 0 • 15" ( ,P,, TIT EPANY NAME ZIP Ao�s0 -7&oCITY ©L� I/ [ X TE �O Z.1 SIGNATI!R. e2 Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company,)and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A ZONES ZONES IV ZONES BASE FLOOD BASt ADJACENT FLOOD t• GRADE ELEVATION IREFERENCEI ADJACENT LEVEL 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 ' SURVEY PLAT OF TO% ALL PAWFIES INTERESTED IN PREMISES SURVEYED: Re fioered Professional Land Surveyor, do hereby certify that a careful %w a wav madr nt the frmmd thic dad uruirr my snpeokion of the ollnwln de.nihed prrpenv j=et! U 02YI LI _ ��=s>L_ - - �a�f1�11 - - and there are _ encroachments upm the rdioininp pmpeny or the alprininj improvements upon the dewribed prnpeny knn%n n 117 Suu i? -i. ->E Da.ivc L So' j2.n.W- 17. io 8 0 N Lor 2 0 7.5 � 79 e -15.0D LV N p j= c> 2 S M n' -i 5,0-5 " t'-1 STATE OF TEXAS COUNTY OF TARRANT "In the Lienholders and/or the Owners of the Premises surveyed and to The undersigned does hereby certify that this survey was this day mnde on the ground of the property legally described hereon and is correct, and that there are no discrepancies, conflicts, shortages in area, boundary line conflicts, encroachments, overlapping of improvements, visible lines or roads in place, exrept ns shmvn heron, and that said pmperty has access to and front a dedicnied roadway except as shown hereon.- Datrd: BASIN FOR HARING: Order No. ----- ---_-- NOT FOR CONSTRUCTION 139 . s8r Isiv:W OL �0 98 FLOOD NOTE: I hereby certify that the property described herein Within a special florid hazard area as identified by the Federal Insurance Administration, Department of Housing and Urban Development, the flood hazard arca being identified as _ of the Federal Insurance Administration Fhxsd Hazard Boundary Map effective on for the --- ------ — --- -- ._. By' ------------------ —-- --- — AP SUFIVEYING CO. David Pollard RPS N 1518 1903 Central Drive, Sulle 309 Bedford, TX 76021 Metro (817) 267-1249 _ ---- 24'-O" V \r---------- L 20' BL .�IN m f23.4FF• .. � . 4 Y 122.4FP � WIDE � ` I` BONG. -�..;: ;;• .. ; i . ... \ DRIVE 123 4FF r 122 4FP Ql (A (D— j m - 1�2 1234rr. 12 ..err 122.4FP -� 12 .4FP i /� --- .r•- -.---------- . —F 4' WIDE 'A GONG. - ..OF C s PP WALK /) mu, CUT IE .30' 50:61. VdED FO ' pP� CA s PLANS 2� �F l-i qC; ;E- ;3 vJ�'• of the plans and sir :; �atiJs;s shall not �` ued to mean cohvtr� cl;c!] !n direct coftfkl ���. NRI E FAMILY Clty of Coppell Buiidi codes attd Zoht4 Ideas• 20,. Innovai'ive New . Design LOT I, BLOCK- For LOCK G For Traditional Nome 9 RIVERVIEW ESTp�TES ln GOPPELL, TEXAS P FIRST TE'cAS HOMES tw e P�/ n T +a „ .. rs I-44-G (F-74:20. 8R Residential Desigrie�s and PI FAX F317-?_74-4717 Arlington, Texas Metro ,817-26.-4121 — .. .... ' . . • Ian prior to .any construction ..r verify and check .all aspects of this site and plot p - 1 �•++ u;1+ rr lyr 0