FEMA-EC941025Th.CWVZnBecdo-D BUILDING PERMIT APPLICATION
Building Ir+spections Division 0 2 6 M
Print or Type in a Clear, Legible Manner
Job Address: Date:
Lot:\� Block: Subdivision:���,C_Phase or Section Number:
Contractor:
Description of Work to be Done
va of Building in Square Feet
First Floor
Second Floor
NOTICE
Phone
Ad �� Phone #:
Class of Work: New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
-�APE 4*" ff
Garage----,
Other
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
regulating construction or the performance of construction.
Signature of Co�inctor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR - 1 (2/92)
Value of Work G�
to be Performed \
GRAY AREA FOR OFFICE USE ONLY
A
O.M.B. NO. 3067-0077
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 OWNERS NAME POLICY NUMBER
STREET ADDRESS (Ineluding Apt.. Unit. Bulls and/or Bldg, Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY NAID NUMBER I
216 W%LSHInL 'DRt\tE
OTFIER DESCRIPTION (Lot and Block Numbers, etc.)
Lot '24, Block A EAGLE POINT VILLAGE AT RIVERCHASE
CITY STATE ZIP CODE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1, COMMUNITY NUMRER
2, PANEL NUMBER
3. SUFFIX
A. DATE OF FIRM INDEXO
. 1,nleFIRM ZONE S. YAeAB fLOpDm.tL<V/1TIQN
uN fNPlh)
480170
0010
E
Apr. 15, 1994
,
IA;,X (shadel) 445
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 'X NGVD '29 E 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, Indibate
the community's BFE: ! 1 A A 17J. U feet NGVD (or other FIRM datum—see Section B, Item 7).
SECTION C BUILDING ELF-VATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from theAlegrams fgund on Pages 5 and.6 that best
describes the subject building's reference level 1
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an elevation
of" L� 14 ITS .1 Sl 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 U 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 feet above ❑ or
below L_(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 ° ' I .IU 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 elevations is different than that used on
the FIRM (see Section B, Item 71, 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 on FIRM: f7 Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: R11 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: ' ' 1 U .feet NGVD (or other FIRM datum -see
Section S. 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 ' ! LJ . U feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
^rn/ A r•rc , I I nnr%nr v le cntnrv,lc eQt QCVCQSF SIDE FOR COWNUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by slate or local law to certify elevation
information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),VI-V30,VE; and V (with SFE) 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.
1leference 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 t, must still be entered.
I rprtify fhat flip information in Sections B and C on this certificate represents my best efforts to interpret the vault I
I understand that any falep, srnfement mwy be Punl�Ihnbte by flnr of 1mvpHaerir"Onr undrr re U.S. Cede, Seef .ti►� ,• 0 F
�- env -�' ""!�•
CFn NrIEn s NAME LICENSE NUMBER for ABNI Seat) GLENN W.
Glenn W. Miller Geodata Surveying, Inc. »
.0%rV% =.,. d—
TITLE. COMPANY NAME
Surveyor
Aot)nFSS CITY ;9 lvww--.
P,O._Box 13556 Arlington Texas
str;NntunE . �` `
` - DATE W%61-2878
Copies should be made of this Certificate for: t) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
Ben - c - -- -
hmarks used to determine this elevation are taken from engineer -- -- -----•-------------------------- - --- eerti -o—
-plans used in the construction.of the subdivision (Nathan D. Maier Cons.
Engineers) and have not been verified with the FEMA reference mark _
elevations. —
Orr— WI111
ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
7014175 70NES 20HES 20NES ZONES
AEFENENCf
of rENErir,E SASE lEvEl r1EFEAfNCE
Lf.VEI FLOOD llVEl
ELI VA11014
sib- T
FLOOD ADJACENT��'. REFERENtf FLOOD
014ADt �,
Elf vet�ON afrENENCf LEVEL ELEVArrON
ADJACENT �4�t;
LEvEr DFIADE
'•' r: ;�: 4'
wQJACL NI
- ,F1 Y WWIE
'Tile dirigranis 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 file reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
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.• YR FLOOD PLAN LIMIT
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WILSHIRE DRIVE
HOUSE; 2501
LOT; 8995
COVERAGE: 27.8%
THE TOP OF SLAB MUST BE
SET A MINIMUM OF 2--2x6'S
ABOVE THE HIGHEST GRADE
ELEVATION OF THE BUILDING PAD. REV PROM S 82 A /9-23-94 OF
'I do herby certify that drawing vj��� ���� date: 10_28.93
or plan and relate tions 1
most all local quirem is and
are in substo i c tormity th V.A. 1300 ao•t Oak Ylvd., Bute 1000 Flowton, Texas 7056 (713)903-0500 TK project: QT
Minimum Pr y equiremant address: 216 WILSHIRE DRIVE job: 15
subdiv: EAGLE POINT plan: S 82 B FLATWORK 1253
FENCE 220
lot: 24 blk: A sect: 1 scole:l" -�20' SOD 2882
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PLAT SHOWING
LOT 24, in BLOCK A, of EAGLE POINT VILLAGE AT RIVERCHASE, an Addition to
the City of Coppell, Dallas County, Texas, according to the Map or Plat
thereof recorded in Volume 93055, Page 43, Map Records, Dallas County,
Texas.
Commonly known 216 Wilshire Drive.
K(SHpOEo�
THIS PROPERTY IS LOCATED IN ZONE AS DELINEATED ON FLOOD INSURANCE RATE MAP
PANEL NO. 41POO ooko E EFFECTIVE DATE 4K- VS I'Dgh . LOCALIZED FLOODING
NOT DETERMINED.
P. 0. Box 13556 • Land Surveying
Arlington, Texas • Land Planning
GEODATA SURVEYING, INC. 76094-0556 • Topographic
Metro 261.2878 Mapping
1
SCALE `u = 20 _
LEGEND
o .... iron rod
—
X --X-- fence line
—T --E . — ...... utility line