FEMA-EC980826t
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d 1heCityWit°ABea�ufWFuture \ BUIL ING PERMIT PLICATIO ,
�i 08-04-9.8 PO4 02 l
IL
l 0 Print or Type in a C ear, Legible Ma
Job Address: e� Date: 3
QS n 5
Lot: Block: Subdivision Phase or Section Number:
- S x/10
Owner Address: Phone
fiL2
Address: Phone #:
Contractor: GS �,/
Description of Work to be Done Class of Work: B ivew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor �� Garage L � Value of Work
% �� to bePerfot�trted I
Second Floor 1� Other a"h'
GRAY AREA FOR OFFICE USE ONLY
NOTICE Permit Fee: 1 �t-.—Receipt Number, 9
This permit becomes null and void if work or construction authorized is not commenced Occupancy Classification
within I So days. or construction on work is suspended or abandoned for a period of 180 days Zoning DiStrlCt:� /
at any time after work is commenced. l l
Approved Date: 6
1 hereby certifv 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 Comment
complied with whether specified herein or not. The granting of a fermi, does not presume to
Q give authority to violate or cancel the provisions of any other federal, state or local law
d regulating constructi it of the perforrnance of construction.
m
0) G/vr tG
O Signamte o Contractor or Authorized Agent Print Name
rn
plumbing Contractor Mechanical Contractor
I Electrical Contractor
N
I
FPMC - 1 {4/94}
CTION - WHITE, APPRAISAL - YELLOW, CU$�Q ��NK
�a-25;9 GMWA FF.QM 0.11r AND ASSOC
PD
ELEVATION CERTIFICATE O.M S. No, 3067.0077
FEOERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999
NATIONAL FLOOD INSURANCE PgOGIIAM
ATTINTION: Use of this certfflcate does not provide n waiver of the flood insuraAnce purchase requirement. Thls form is used only to pro
vide elevation Information necessary to ensure complimice will, applicstble community Iloodpfaln management ordinances, to determine
the proper insurance premium rata, andlor to support,, ,&quest for a Lefler of Map Amendment or Revision (LOMA or LOMR) You are not,
required to rgpond to this collection of information uninss a valid OMB controf number Is displayed In the upper right corner of this form.
Instruardons for completing this form can be found on the following payee,
SECTION A PROPERTY INFORMATION Fon INsur,a+fce eoMPiNr U11111eIfILD h&OW"RIS N11ML 0Nt)Mtstca'1... - _
– -
11 Ve- 6612
STREET ADDRaBs 11"A dtrg A01., UnU, SWUM MnObr Blip Number) OR P O. ROUT E ANO AOX NUMeBq ^� COMPANY Pr41(, NUMMMR ^�
OTNEit DISCItlPTtON ILMI WA ekfdr Numbers, eta.)
CITY -
�O PFi.�I I BYAATTEy� ZIP CODE
BCCTION B FL000 INSURANCE RATE MAP (FIRM) INKIRMATION
Provide the 10ft g from the proper FiRM (See Instructions):
1.00WAUMTY NUMeBR t. MNML NU ADVO4 3 SUFFIX 4, DATE OF FIRNt INDEX . a11✓9E 8.000 ENATION
7 Ad-0CP / 7o D� irr AO Zonae, use OWN
ow I - J
7. Indicate the ahtrallon datum system used on the FIRM for Bass Flood Elevations (BFE): L] NOVO'29 D Other (describe on back)
E. For Zones A or V, Where no 8FE is provided on the FiRM, and the community nes established a SFE for this building site. Indicate
the OOrtttRunity'B BFE: ALJ J.L..; feet NGVD (or olher FIRM datum -ase Section 8, Item 7).
SECTION C BUiLDING ELEVATION INFORMATION
t. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 5 that best
descrillm this Subject building's reference level / .
Z(a). FIRM ZQM Al •A30, AE, AH, and A (with BFE) Tile top ut the reference level floor from the selected diagram is at an elevation
of L.LJIMPi.M fest NGVD lot other FIRM datum -see section B, Item 7)•
(b). FIRM Zones Vi -V30, VE, and V (with 8FE). The bottom of the lowest horizontal structural member of the reference levet from
the ssfected dlegram, is at an elevation of ; feet NGVD (or other FiRM datum -sea Section B, hem 7).
(c). FIRM Zone A (without OFF). The floor used as me reference level from the selected diagram is i !.I. J feet above L 1 or
below (� {t flsok ons) the highest grade sdlacent to the building.
(d). FIRM Zone Ao. The %or used Its the reference level from the selected diagram is I I I .I . I feet above r J or below i I (cheek
ons) the "St grade adjacent to the building. it no tiood depth number Is evailabtla, is the building's lowest floor (raferenos
level) elevated In accordance with the community's floodplain management ordinance? 1 .1 Yes I � No i. J Unknown
3. Indk:ate Iles elevation datum system used In detemnning the above refererfce level elevations; I .i NGVD '28 1Other (descnbe
under Comments on Peke 21. (NOTE: It the efevatton datum used in mansudng the efevebons Is dNerent than ther used on
the FIRM taus Section 8, !Mm 71, then convert the elevations to Ills datum BysMm used on the FIRM and show tete conversion
egU89m tattler Commonts on Paps 2.)
4. Elevation refs. art mart used appear& on FIRM: Yes i6,�Ko (See Instructions on Page 4)
5. The reference level Nevatlon is based ons 14�fictual construction I " construction drawings
(NOTE: Ilse of consibluctfon dreWngs is only vairor it the budding does (rot yet have the reference level Noor in piece, in which
sae thGt oerNpcate w illi only be valid for the building during the course of construction. A post -construction Eiovatfon C&Hiffeate
w0 be mqutred once oonsfrucNon ro complete
S. The elevation of this lowest grads immediately adjacent to file building is: I . I.. tyl 79! .0; feet NGVD (or other FiRM dotum•see
section 8, ham 7).
SECTION 0 COMMUNITY INFORMATION
1. it the community offloial responsible for verifying building elevations specifies that the reference level indicated in Section C. item t
Is not the ioWOM floor" as defined In the Communhy'q floodplain management ordinance, the elevation of the building's "lowest
Boor" as defined by the ordinance is- I ' I I tent NGVD (or other FIRM datum -gas Section 13, item 7).
2. Date of the start of construction or substantial Improvornent
FEMA Fours a1-31, tiAAR 97
REMACES All PREVIOUS EDITIONS
SEE REVERSE SLOE FOR CONIIM)ATCN
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PROPERTY DESCRIPTION
Lot 2, Block 1, ASBURY MANOR, an Addition to the
City of Coppell, Dallas County, Texas.
N 89'50'41" W 112.45'
! 5' Utility Easement
---- { --------------------------
20.0'
f —
0-91— Lot 2 /
Block 1 /
p Min. F.F.= 480.0
c C�
.._ rye•
28.4'/ Common Open
L Space No. 3
28.4' /
UI
U
L
p� Wood Forrns
,.— F F. = 180-77
/A�
- -- — -- — -- — 25' Bldg. tine w. � 8•s'
/
26.4' Scale: 1" = 20'
S 89 50'41 " E 49.91'
x`.29 All
Genter fine control monurnentation found
,vus used for controlling monumentotion.
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* G3ddOiS 3 I333 .
oERtivtEnfiAbAt rjc 1`_`.-
,� c • - - _
i• M�_�� -" - CQMPAN� NAME J .
TrrLV-
p4 t'. _ _�.._. / "." AICA -•�~ STATE
• CITY
AONEIS''� N R . J AAK�Y •- �I�i•t-k%T�i� .— PHONE
MA -1 DATE
gItATUR
�.� .�.�da e. mode of thls Cartlficate for: �ccmfmn�unjty ffiolal, 2�WlUrs�ncsmgs�nllt"Wy'
and 3j bulldlog oWnet. '
. s�'to�p Pti,�T Sows
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• p� . _ m� y�/ou'M�,.�srtF� WAYS - '^���� ���
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na should be • The dlprame above iNttstrate the points at which 1he eleval the reference Ice tlloo �n A Zones e1 V xQnea
Elevations for sl1 A Zones should be measured at the top e
• Etwatitms for aN V Pones should tie mea�swed at the botlorn of the lowest horizontal structural member
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