FEMA-EC040205T H E • C I T Y O F
COPPELL
BUILDING PERMIT APPLICATION
�-' 4-1
lcPr{nt��Type in a Clear, Legible Manner < 'L
Job Address: 13.5' Tfkjj aq CT.
Date: ' t-'Ra4
Lot: 9 Block: A Subdivision: Tzl jay SAS
Phase or Section Number:
Owner:,�1 8 PMA15 �Qk;d-+6LW,. Address: (0o1 LACE, 0�.
�. ,(, Phone #: 01 -7Z, -14o- 600
Contractor: 1I t 4 Address: t'
14 Phone #: t � •
Description of Work to be Done Class of Work: )d New ❑ Addition
Ehi S"i t.r Fm1 Ll Kr
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor Z.1415' Garage SSO Value of Work ,,{{
to be Performed `•T 00, s0'O
Second Floor � r � 00 Other i �s ' p
L
+�(a� GRAY AREA FOR OFFICE USE ONLY
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 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
or local law regulati co truction or the performance of construction.
ISAA 96epa Am,r bat
Permit Feer os
Receipt Number: i
Zoning District:
Occupancy Classification:
Approved By:
Date:
Comments:
Signature o otract r o A horized Agent Print Name
Ab& JAA4i- �dr 14DD pw. Gc41. M115q.
Electrical Contractor Plumbing Contractor Mechanical Contractor
7
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK I c
Riverchase Golf Course
Prop. Line
gay.
Trinity Ot. PA@kk m
135 Trinity Oourt
OoPPetl, TOMS
'ttft0nm
Date
January 26, 2004
m
- steve"ym -
archNect+builder
607 We park dive
copper tem 75019
972.740.0008
i nnity court
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I
Cerner Point�
I
1
Site Plan y
11�ma
:26 FAX 8172823603 PEEBLES AND ASSOCIATES
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FEDERAL EMERGENCY MANAGEMENr AGENCY D,M.S, No. 3067-0077
NATIONAL.FLQOD INSURANCE PROGRAM Elms December $1, 2005
ELEVATION CERTIFICATE
Suits, and/or Slip.
QI
�..c �.T,,....,y. n�nZ� ', k w.. M1 SOURCE: LJ GPS (Type)-
a ihs.saGWaY� LJ NAD f es U. NAD 1883 U USES Quad Map L1DOW
B4.UWANPPANEL
B5. SUFFIX
86. FIRM INDE%B7.
FRIA PANEL
B& FL
69. BASE FLOOD ELEVA710N(6)
1
EFFEGTIy DATE
Z N )
{law AO, dep81 d IWodkip)
510. IadMatesmMe of t Flood Savation (SFE) data or bees flood depth entered In 89.
URS Is Ltd FIRM LJ Community Determined L j OTer (Describe):
811. Indlrate elevetlon datum used for the SFE in B9: LJ NGVD 1929 LI^AV01988 l.-.) Other (Describe): _
812.41rre bu* ft located In r Coastal Baffler Resources System (CISM) area or Otherwise Protected Area (OPA)? L. I Yes o
gWnQtd C - 811111,DR1G.ELEVATIONYIF,Of9eAT1ON'(SVRVE7:REWINCO)
C1. OWWiig el (rations are basad on: L_JConstnn;tlon Drawings° kt,Vuldlrg UnderConstudbin° , (_IFInishad Construction
'AMP4"Jon Certificate will be required when oonet icti n of** Wilding is co mplele.
C2.8urlldbg (digin m Number I (Sslac47tie building diagram mat sMYsr to the building for which this cert6cete Is being completed -see
Pabst 6 rive 9. t no dlegram accurately represents the building, prpvlds a sketch or photograph.)
C3. Eletot tans+j2onsa Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA• ARAE, AR/A14X. AR/AH, AR/AD
Cesplate f(ems C3.a-1 below according to the building diagram speclled in Item C2. State the datum used, tithe datum Is different from
tha dptwnA@W for the SFE In Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calouleton,'1Use the space provided or the Commsna; area of Section D or Section G, as appropriate, to document the datum conversion.
D", _ 0 Conversion(Comments
El4yedon ca nark used Does to elevation re ice mark used appear on the F Yes L
O 4) Top of bottom floor Qndudi g basement or enclosure) .(m) ar ._or
OIyTopelnexlhigherfloor fi,(m) rX b
O 9),�. ill of lowest horizontal structural member (V zorhea only) Aft. h@�b9 g r �'R�• •fir
O d) ABaNNd garage (top of slab)
---'� • ��•(m) Q "W ti
O sytamopkratbnofmechinetyardlorequipmenl ....+. �
serwaYg the building (Describe In a Comments area.) A �. tt.(m) i DONALD S. FEEBt.ES
O Q Lowest adjacent (finished) grade (LAG)(m) 8 „y'°"' 2¢� d
O g) Hghest adjacent (finished) Wade (HAG) - 7%A•(m) t(�y
Cl h) No. of permanent openings (flood vents) within I fl. above adjecant grade _P_
O 1) Total atm of all permanent openings (flood vents) in,-C3.h _AIA, sq. In. (sq. on)
rds dadYioeUn Is to be signed and as" by a land surveyor, engineer, or architect authorized by law tGcWll elevation infomhmbn.
I owdYy." taydomadon M Semon A, A and C on Nis carlifloslar represents my best ~s to',(nte"the data sysA".
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