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FEMA-EC030630T H E C 1 T Y O F COPPELL F ^x'd• 9 BUILDING PERMIT APPLICATION �1aa39a,� Print or Type in a Clear, Legible Manner of:.. -nl� Job Address:/ 6 7-9 IN / 7--/ C 77, Date: 05 o8 Z©© 3 Lot: �� Block: Subdivision:T�N jT y S(_t0p Tc SAWN Phase or Section Number: Owner: Address: 2 f 2 j K ZY05 E y �-N -VZA Z Phone # I�ORTNAVEW ek)ll VERS;rtic c�apoL(-Tot i 750o � `�72 +4 � -o� ©5 Contractor: '54A'M F— Address: Phone #: Description of Work to be Done Class of Work: YNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition N Cc3 5 F K Area of Building in Square Feet First Floor 2 133 Eb Garage Second Floor Other Value of Work <D40 to be Performed � 23©, o©o C'k _ GRAY AREA FOR OFFICE USE ONLY 2 NOTICE This permit becomes null and void if work or construction authorized is not commenced Permit Feer 1 Receipt Number: 5 � Zoning District: Occupancy Classification: within 180 days, or construction on work is suspended or abandoned for a period of 180 days at any time after work is commenced. Approved By: Date: k1046 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 specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state Comments: 4 OP X or local law regulating construction or the performance of construction. TY C- (- 13 R©5 E Sig ur of Contractor or Authorized Agent Print Name lY�-sz-�rtEcEcr cAI-L.skiMt�4FCZ oTro �4I66,T-+Acre LJ W90KLjr61a Electrical Contractor Plumhing Contractor Mechanical Contractor PL:o M C5l a4 log tl4f 14 6S wilwN BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK .5f, -,f 40r-1 e-Zi7'�4l Q P CITY OF COPPELL REVIEWED B DATE Approval of the Otis and specifications shall not tj construed to mean construction in direct conflict with the City of Copped Budding codes and Zoning ®rdinances, 7'�ANS ASE REVITEIvITM FOR, OF TZR CALL-Ou'ars ON PLOT PL.�,N AND AkE LLI APPROVED. N PIP 11f.A. r FORM BOARD r SURVEY , 8' _n MIN t*F 0 4-47, 00 N Q N :Q _ Q 2-5' BLDG. LINE r 126' 77. a0 116 TRtiprT Y C-00 IRT Loi I LK A COPPE.LL T x FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 s - NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200! ELEVATION CERTIFICATE Rtfti tole 1-7. SECTION A - PROPERTY OWNER MIFORMATION Forinsu m fos"ny Use: BUILDING OWNER'S NAME NORTHAVEN HOMES Pte, NWftW BUILDING STREET ADDRESS (Including Apt„ Unit. Sudo, a(Wor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 116 TRINITY COURT CITY STATE COPPELL ZIP CODE TX 75019 PROPERTY DESCRIPTION (Lot and Blom Nwoers, Tax Partial Number, Legal Desatstion, etC.) NUMBER BS.SUFFD( LOT 16 BLK. A TRINITY SHORES ADDITION LOTS 1-19 BK- A EFFECThSREASEDOATE BUILDING USE (e.g., Residential, N0114esideneal. Addition. Ao Mory, etc. Use a Comments area. 4 necessary.) RESIDENTIAL s x1 LATITUDFAONGITUDE (OPTIONAL7 HORrZONTAL DATUM: SOURCE'GPS (Typey ( W - IDP-1flt.##' or iMr.NAItt>rtP) ❑ NAD 1927 ❑ NAD 1963 Q USGS Quad Map ❑ Otw SECTION 8 - FLOOD INSURANCE RATE MAP "" IfORMATION 81. NFIP COM U WiY NAWE d COMMUNITY NUM/BER 82. COUNTY NAAf _ _k 449 91k(m)i B3 STATE ' 48113C 0155) DALLAS 450. 30 It (m) TX 84. MAP AND PANEL 451. K5 h.(m) BT FIRM PANEL o b) Top of nem higher floor 89. BASE FLOOD ELEVATIONS) NUMBER BS.SUFFD( B6.FRMINDEXDATE EFFECThSREASEDOATE 88 FLOODZONE(S) (zone AO, use deOofkoarg) 48113C 0155 J ern i...a,..,....� s x1 8.23401 X . „w/n,ow u ti auu.w Lror avun for q uaa Q ww VQM dq 1 ern erep in tiy, ❑ FIS Pdk ® FIRM ❑ Cwftroy Deterrnned ❑ Oter(Dewiba). B11 InOlale the elevation dAum used for the BFE in OR. ® NGVD 1929 ❑ NAVD 19168 ❑ Otter (Desaibe): _ B12 Is the building localad in a Coastal Baale Resources System (CBRS) area or Otlendse Protected Area (OPA)'l ❑ Yes No Designation Dale SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1 Building elevations we based on:[] Corhsbuctun Drawings' ® Building tinder Constructionr ❑ Finished Cortsaldon 'A new Elevation Cetilicale wo be lequaed when wristnickri of the building Is complete. C2 Building Diagram Number- (Sew the building diagram most snn10101he btlfl "fox whoa this ow0cale is being completed -see pages 6 and 7, t no diagram a=oely replesenL+ the building. provide a skean or photograph.) C3. Elevallons - Zones All -A30. AE, AH, A (with BFE). VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, AWAH, AR/AO Conhpiete Item C3 a4 beam a000rdIng a the building diagram Wedied in hem C2 Stale the datum used. 7Ile datum is trent from the datum used for the BE in SecW 8, convert the datum to tat used for tte BFE. Show field m9asueirertb and datum oonv+eision calWillion. Use the space provided or tie Convnenis area of Section 0 or Seetim G. as ap"ale, to document the datum oonversion Dftm _ C-4w3aWkinvienls CITY OF COPPELL BENCHMARK Elevation mWenoe mark used _Does the elewalbn mbenoe mark used appear m ft FW ❑ Yes ® No o a) Top of bottom floor (nciudirg basement or ernoinn) 451. K5 h.(m) E o b) Top of nem higher floor 451.25 h.(m) 8 o C) Bollomof NW horizontal sill,miral member (V renes only) _, --A(m) 450. 85 It (m) o e ��ofslab) maMinety andior equipment se/vrct V the bAding (Desote in a Corot Ms area) (m) o i Lowest *tout (fnisbted) grade (LAG) _ _k 449 91k(m)i w o 9) Highest adJaoent ( ) grade (RAG) 450. 30 It (m) U) o h) No. of pemtanertt ape w% (flood vents) witwn 1 It above ad)aoent grade o i) Total area of all pL manenl openirigs (flood vents) in C3.h _sq, in. (sq. an) SECTION D -_SURVEYOR, ENGINEER, OR ARcwrECT CERTIFICATION This c8ilficatlon is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information I certify that the Information in Sections A, 8, end C on fhis cert pare represents my best efforts to Irdetprat the data available I understand that any !else statement may be punlshsW q fine or laWsorNneM tinder 18 U S Code Section 1001 CERTIFIER'S NAME DON PARISH LICENSE NUMBER 2516' 6ON PAR16M TITLE PRESIDENT COMPANY NAME PARISH SURVEYORS, INC, ADDRESS CITY STATE ZIP CODE 7800 MILITARY PARKWAY DALLAS TX 75227 SIGNATURE nATP Im Co nuc " 61Vw 214381-1156 remm rorm o1-01, January<Vu3 See reverse side for continuation. Replaces all prev*vs editions ' IMPURTANT: In tyle" spas", copy the coma information from SKWn A Far w+surar" ( BUILDING STREET ADDRESS (Intl" Apt, tint Suit. andbr BW9. No.) 08 RO, ROUTE AND BOX NO. Poicir fkMrrhber • 116 TRINITY COURT CITY STATE ZIPCOOE cw wnyw COPPE.LL TX 75019 SECTION D - SURVEYOR, ENRNEER, OR ARC MECT CERTIFICATION (CONTNMD) Copy both sides d this Elevation Certhcale for (1) oom mrhity dfldal, (2) insurance ag iliftornpany, and (3) building owner COMMENTS _ ❑Check here d i3lbcthrthents SECTION E - iBULDMIG ELEVATION NFORMAT�N (SURVEY NOT REQt1IRED) fORZONE AO AND ZONE A (WITHOUT BFE) For Znxhe AO and Zone A (without BFE), oo mpfele items Et through E4. If the Elevation Canute is irtended for use as supponing iniprmatim for a LOMA or LOMR-F, Section C must be completed E1. Building Diagram Number _(Select Ire bu" diagram most w Mar to the building for who this ourtilicare is being arpieted -see pages 6 and 7. K no diagram aopxateiy represii h the building, p vjide a skeldh or photograph.) E2. The top of the bopom floor (including basement o enclosure) of the building a _ h (m) _in (pin) ❑ above or ❑ below (check one) the highest agaom grade (use natural grade, t available) E3. For Btak kig Diagrams iib with openings (seepage 7). Ate nerd higher Awn or elehraled floor (elevation b) d the building is _ 11.(m) _in.(cm) above the highest ad3mM grade. Canpe(e items C3 hand Cl on hone d fbmn, E4 The top d the platform of machinery &Xft equipment servicing the building is _ fl.(m) _nn (an) ❑ above or ❑ beiow (dheck one) the highest ad)aoent grade (use nawral grade, it available). E5. For Zone AO only It no Awe depth number is available, is the top of the bollom floor elevated in aoo0rdmw with the o mrnuniy's Aood0ain menagernenl ordnance) ❑ Yes ❑ NO ❑ Unknown. The local official must cerlily this Wamalon in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATW CERTIFICATION The property owe or owners aulhoread representative who aompletes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued (x oommuinity- cssued BFE) or Zone AO must sigrh here. The statements a Sedia x A. B, C, end E are eonec7 fo Ifle best oil my kv*t* PROPERTY OWNER'S OR OWNER'SAUTHORIZED REPRESENTATIVE'S NAME ADDRFSS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments SECTION 0 - COMMtNWTY INFORMATION (OPTIONAL The brai 0%0 who is aklhonized by law or ordnance to administer Ike oorrinvo lys floodplain management ordinance can oornplete, Sections A. B, C (or E), and G d this, Eievation Certificate CMPlele the applicable ilem(s) and sign below. Gt. Q The it bmtaW In Section C was WW from otter docunw a m that has been 90* and embossed by a 110ensed scrveyor, erOneer, or architect who is authonzed by slate or lora) law to eertey ekyvaaat inwnaDw (Indicate the source and date of the elevation data in the Continents area below.) G2 ❑ A aornmunrty dW corripleled Section E for a hxxuM toCated in Zona A (WOW a FEMA -sued or oorrmur*issued BFE) or Zone A0. G3. ❑ The idlow i g irdoimalon (Aeras G" a povlded fa co rf* lbodpan management MP05M. G7 This pem* has been Issued for, ❑ New Construction SubstarW knpraremeM CA Elevation of asbuik lowest Boor (irndud'itg basement) of the bucking is G9. BFE or (in Zone AO) depth of flooding at the building site Is LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS — 2(m) Datum _ _ fl.(m) Datum _ ❑ Check here ilailtecthments FEMA Form 81-31, January 2003 Replaces all previous editions FORM SURVEY Jhis is to certify that 1 have, this date, made a careful and accurate survey on the ground of Property located at No. 116 TRINrtY COURT In the City of COPPELL Texas, described as being Lot 16 Block A Of TRINITY SNORES ADDITION an addition to the City of COPPELL , Texas. according to the PLAT THEREOF recorded in Cabinet at Page of the PLAT Records of COUNTY. TMAS. TRINITY COURT NOM' I - - - 0 - t0 mo FJ.R.11. 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