FEMA-EC050407T M E C I T Y O F
COPPELL
q fi
t CC, : 3— 10— 05
BUILDING PERMIT APPLICATION
�mg3f3
ZZ L g G 7 Print or Type in a Clear, Legible Manner S F— d S 0 A (o (o
Job Address: 1 Z 7 0I 047 CDJ(U_
Date: O S'
Lot: I
�
A Subdivision: �r'1�
jl6rJ Phase or Section Number:
�/Block:
!�
A n �ll Z Phone # C�72, ?q� ' No C
Owner: smie PN(jr CUVat trI mts Address --pt S•
Contractor: + Address:
I 9 Phone # +
Description of Work to be Done Class of Work: New ❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Y(fit- +L'r9 �
Area of Building in Square Feet
First Floor Z i7rf Garage 7 S
Value of Work EV'?
J 1 -of
' / Of z1i
to be Performed
Second Floor Other
45S5 f-
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Receipt Ntun
This permit becomes null and void if work or construction authorized is not completed
• . •�
within 180 days.
,..
': {'
1 hereby certify that I have read and examined this application and know the same to be
�y
,. r ,.
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
g
presume to give authority to violate or cancel the provisions of any other federal, state
or local law regulatitw construction or the performance of construction.
` t
t
QQ
f r`
Signature of .ontmc r r nhorized Agent Print Name
-
{�l ff-t00Ql"rb•i ADdtM HA 6vAP.
Electrical Contractor Plumbing Contractor Mechanical Contractor
t'
Rb;-„d�k„t L11jbt
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
i
I
SURVEY SHOWING
THE PROPERTY LOCATED AT 127 TRINITY COURT, COPPELL, TEXAS. LOT 7, BLOCK
A. OF TRINITY SHORES ADDITION, AN ADDITION TO THE CITY OF COPPELL, DALLAS
COUNTY, TEXAS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME
2002083, PAGE 28, OF THE MAP RECORDS OF DALLAS COUNTY, TEXAS.
ul
J
LOT 8 1J 1
CP
J
CP_
LORj��
0�.
St��91CTCT 3�S
F 7 3R6
20. 685,
SMT
LOT 7
BLOCK A
�J .�
'-` FORM
FINISHED FLOOR = 451.83
3.3,E
SCALE: 1" = 30'
R
II
25 B II -DING qNt
N
1D 91
GAS 1/2 -IRON ND ROD
!O' TXE SLMENT BG -
1/2 -IRON B D ROO C 0-0
'
R> 3 s COURT
127 TRIN5a RIGHT OFY0Y
I, DONALD STEWART PEEBLES, DO HEREBY DECLARE THAT THE DRAWING SHOWN
HEREON ACCURATELY REPRESENTS AN ON THE GROUND SURVEY MADE UNDER MY
DIRECTION AND SUPERVISION, AND THAT ALL CORNERS HAVE BEEN SET OR
'LOCATED AS SHOWN HEREON. ALSO THERE ARE NO ENCROACHMENTS OR
PROTRUSIONS EXCEPT AS SHOWN.
FURTHERMORE, THE PROPERTY DOES NOT LIE WITHIN THE 100 -YEAR FLOODPLAIN
AS SHOWAON PLAT. n i
R. L.
SCALE : 1' = 30'
DATE : MARCH 15, 2005
G. F. NO.:
PARTY CHIEF: A.C.T.
DRAWN BY: D.W.
CHECKED BY:
SURVEY NO.:
INVOICE NO.:
LEGEND
P.P.
POWER POLE
w
'—
Z
W LOT 6
a
O
o
r-
M.B.
M
I.R.F.
IRON ROD FOUND
O.H.E. OVERHEAD ELECTRIC
--)F
10.6Cn
II
25 B II -DING qNt
N
1D 91
GAS 1/2 -IRON ND ROD
!O' TXE SLMENT BG -
1/2 -IRON B D ROO C 0-0
'
R> 3 s COURT
127 TRIN5a RIGHT OFY0Y
I, DONALD STEWART PEEBLES, DO HEREBY DECLARE THAT THE DRAWING SHOWN
HEREON ACCURATELY REPRESENTS AN ON THE GROUND SURVEY MADE UNDER MY
DIRECTION AND SUPERVISION, AND THAT ALL CORNERS HAVE BEEN SET OR
'LOCATED AS SHOWN HEREON. ALSO THERE ARE NO ENCROACHMENTS OR
PROTRUSIONS EXCEPT AS SHOWN.
FURTHERMORE, THE PROPERTY DOES NOT LIE WITHIN THE 100 -YEAR FLOODPLAIN
AS SHOWAON PLAT. n i
R. L.
SCALE : 1' = 30'
DATE : MARCH 15, 2005
G. F. NO.:
PARTY CHIEF: A.C.T.
DRAWN BY: D.W.
CHECKED BY:
SURVEY NO.:
INVOICE NO.:
PEEBLES & ASSOCIATES
CIVIL ENGINEERS AND PLANNERS
1321 BROWN TRAIL, SUITE C
BEDFORD, TEXAS 76022
(817) 662 - 0118
COPYRIGHT PEEBLES & ASSOCIATES 2005
LEGEND
P.P.
POWER POLE
W.M.
WATER METER
G.M.
GAS METER
E.M.
ELECTRIC METER
B.C.
BACK OF CURB
M.B.
MAIL BOX
I.R.F.
IRON ROD FOUND
O.H.E. OVERHEAD ELECTRIC
--)F
FENCE
PEEBLES & ASSOCIATES
CIVIL ENGINEERS AND PLANNERS
1321 BROWN TRAIL, SUITE C
BEDFORD, TEXAS 76022
(817) 662 - 0118
COPYRIGHT PEEBLES & ASSOCIATES 2005
1 \�
\
\
\
e'el
\um
\
S'tC'Vep"M
customhomes \
679 S. Det M Tap Road
Coppe4 Taae 6975919
97270.00 \
Lawauffro
�
Oourt
Rsgdw
m
1 \
Ooppea, TGXM
Lot 7, look A
Data
SitFe_Plan y \
J \
21' RGPJ I
mpowd ReWdme
(Req'd F.F.E.-446.W)
Greer
;z
1; �21•RCP
M�Ay�F,y
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 306T_'T
' T7�
NATIONAL FLOOD INSURANCE PROGNM Expires Decerrrber 81,2008
ELEVATION CERTIFICATE
ImnnOmt- ifud fhs butereUnna ee nems 4 .7 -
NO. T_
NO.
LA r r ruLwLvmw r" r ryr•nu�•ru/ numrcvmrn� unrum SOURCE: OPS
-,.x•-'-a-1#JWorRM.AtlAk;s°) LJ (•,J,NADf883 LJ (Type):
LI UfIG3 Owd Map LJ Other .
SECTIONSFL000l ; RANCERATEMAP(FIRM)INFORMATION
B1. WIP COMMUN'f� E3;lpMMUNITY.NUMKER
82..000N�4 �3 -
,,(BST.
83. STATE
B4. MAP D PAN/EL
135. SUFFIX
B8: FIRMINDEX
FIRM PANEL
08. FLOOD
Be. FLOOD ELEVATION(S).
UMBER
Y�D/?a• a
TE
/o /
E BFD DATE
/aIQ
ZONE(SS
(Zane AO. u of fkodl*
BID. Indicate the source of the Pas, Flood. FJevation (BFE) date a tieen Rood depth entered In 89.
JJ FIS Profile RM L Community Determined U 9per (Describe):
B11. IndiostsOw elevation datum used far the SFE In B9: LJ NGVD 1929 ( VO 1988 LJ OBfer(Deeaibe):
B12. is the builds g located Ina Coestal l3en for Resources System (CSRS) ares or Otherwise Protected Area (OPA)T IJ Yes L o
C1. Building elevations ere based on: LConstruclion DratMngs' Ing Under Construction* LJFlnWW Constmctlon
'A new Elevation Certificate will be required when construcft of #0 laMing Is completes
C2. Building Diagram Number I (Select the building diagram most similar to the building for,whloh this certificate Is being completed -see
pages a end 1r. If no diagram accurately represents the building,: provides.eketch or Photograph.)
C3. Elevetlons--ZDnesA1,A30, AE, AH, A (with SFE); VE; V1430; V (with SFE), AR, AWA, AWAE, AR/A1,A30, ARIAH, AWAO
Complete Items C3.s4 below according to the building diagram specified in Rem C2. State the datum used. If the datum is different from
the datum used for the SFE in Section B. convert the datum to that used for the SFE. Show Real measurements and datum opnVerelon
calculation. Use the space provided or the Comments arae of Section D or Section G, as appropriate, to document the datum conversion.
DurumCon; ersWComments
f_!avadon reference mark used Does the elevation refarenoe mark used appear on the F LJ No
O a) Top of bottom floor (Including basement or enclosure) IK/ . &B—IL(m)
O b) Top of now higher floor ►. R.(m) OTC
b •� q t ••, F+
0 r) Bottom of lowest horizontal structural member (V sones any) L4 It (m) ti O �4 •' y
G d) Attached garage (top of slab). -• f� 3n•(m) $. f * ..A�. f� �-
O e) Lowed elevation of machinery andlorequ"rent DONALD iS�PEE6LES
sem' olrgthe building (Describe ina Comments area.) l Acium)
O 0lowest adjacent (finished) grade (LAG) - ---!� Q�•(m) `'e 2437 ej
U g) Highest adjacent (finished) grade (HAG) _ • •(m) 1�0 'Z ••
0 h) No. of permanent openings (flood vents) within I ft. eboveadjacont grade Q
9�.ti:, E r••d0
O 1) Total area of all permanent openings (Rood vents) in C3.h AIA•. aq. in. (sq. an)
This calif etlon is OD be signed and sealed bye land surveyor, engin
I certtly that fire Mlamatlon M Sections A, A and C on this cerd/Jeate
�w
of* eleva8cn infc
Me data avefthle.
81.31, January 2003 See reverse 909 for cdnfinuatlon. Replaces all
secrty'
of this Elevation
and (3) bulk" oiwtw.
I I Cho* here w alladeaenle
For Zone AOBM ZOne A'(WMI=DFLbewnpew-Iwuwc"...wyy ,..
Information for a WMA or LOMR-F, Siotiai t: must be comPIdW- .
Ef. Building Diagram Number_ ($sled the building diagram most sknllar to tits building for which this owdoato is tieing completed
see pages 6 and T. If no diegam wcurataiy raprsaanta tl1e building. provide saketch or Photograph.)
E2. The top of the bottom floor (including basement or enclosure) of ft building Is I I I ft. (m) I l i in. (cm) �._I above or L -j below
(ohecic one) the highest 114"nt grace. (rise natursu. grade, Ifave"O.)
E3. For Building Diagrams"with openings (see page 7), the need higher tiaor or elevated 11001'(eievatbrt b) Of ft building W
I I I fL (m) I I lin. (am) above the hIghsst-adjacent grade. Ctimpists Verne C3h and C3.1 on horst of form.
E4. The top tithe platform of machinery oiW6r equlPment servicing the building Is 1 I I fL (m):l t I In, (am)Lj above lirt. -t;ibw
(check one) the highesteeJecent grade. (Use natural grade If eveAable.)
G3. For Zone AO only: N no lood depth number IS available, b the top of the bottom loon elevated In accordance wkb the canmuni ty's
Thnpropertyarnerorowneraeuululvw:lyrvew.we.--..._�
(wl:houta FEMA -Issued or community -issued SFE) or Zone AO must sO hers. ,The ateb mats b1' Sooft le A, B; C, and E are contact to
do bad of knowvled
PROPERTY' OWNER'S OROWNER'S AUTHORR'ED.Ft RESENTATIWS NAME .
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
I've INii' VIIINN 1'..w a e.-, -, .-•• -' -"-
Sections _I% B, C (orE), and G otthis Elevation CerW409. "Can &&tlte eppYcsb18 bm(a) and sign below.
G1. U The h1banedon in SeodotI was takendrom olhaodeCumer0110n that has been signed and embossed by a licensed surveyor,
engineer, or acMtect who is authorized by State or best law to CW* ekvatbn W1167T tion. (Ind oetIethe souma and data of the
elevation data In the Commohts are taapw )..I_ -.`.
G2. "A community official completed Section E for a building ionated In Zone A (without a FEMA4asued crcommunity-lewed'BFE) or
Zone AD.
G3. !J Tiro following Infomrotlarr(Iteme G4 -G9) is provided for domfnunity floodplain management purposes.
G4: PERMIT NUMBER loo. LYAILral N Ucv
. .. ISSUED
G7. This permit has been Issued for:L_I rWW L;onWUI LJ auuY{mw n.qo. 1 ...w..
GB: EW aflah of as -built lowest floor (Including bawment) of the building U. -._ft. (m) Datum: -
G9. SFE or (in Zone AO}depth of flooding at thebuilding eke it: ft. (m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE -
COMMENTS