FEMA-EC940419 (2)The City With A Beautiful Future BUILDING PERMIT APPLICATION N 2 2 94
Building Inspections Division
�f V Print or Type in a Clear, Legible Manner
Job Address:; , /� Date: 3,44
Lot: J Block: Subdivision:- T�� In Phase or Section Number:
Owner: - e e Address: �" S, � , Phone #:
Contractor: Address: Phone #:
Description of Work to be Done Class ofW rk: ew []Addition ❑ Alteration ❑ Repair ❑Demolition
Zf) —
of Building in Square Feet
First Floor
Second Floor /
Garage
Other
NOTICE 1 Permit
Ilia 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 ZOning
days at any time after work is commenced.
Appro,
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 Comm
complied with whether specified herein or not. The granting of a permit does not presume to
gi f
ority to violate or cancel the provisions of any other federal, state or local law
r.801
cnstruction or the o ce of construction.
of Contractlr or uthorized Agent Pr' t N e
v
tractor Plumbing Contractor Mechanical Contractor
BIR • 1 12/92)
Value of Work '
to be Performed
.r
".4
ELEVATION CERTIFICATE
( FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FL000 INBURANCH PROGRAM
ATTIOMONt Use of this mg&*$ done not provider a waiver of the flood Glellt AW purchase Nqukelnwlt. This 1oft is used anly m
provide elev4don information necessary to enswa coMpNOriN VAIN eppiicellte community MoodpWA rnamlgiment wsfnwtoeaq to
determine the P►ePer k~arwo prerriku" rete. andror M auppdif a nebulin ler• L6 000 of Asap AnterNk"emt or Revision (t OMIT or LOUR).
InelnAatlene 1,WoempleNrq into Ierltt call be 1oWld one ON f6dowwo Peeler•
SECTION A PROPERTY INFORMATION Fors 0411UP NCI Courwty use
/UILOINO OWNER'S NAW .. . ••,
STREET ACM1193 (bwarrne App. uni Soft WAW eido, Nwaw, ON PO. AOUTa ANO SOIL MAMEN CCMFMV NMC WAW0
228 w itsµ 12E DQ%\1 E
OT11EN OESCRIPTION (Lek ole aim Nlww Ok MRI
Lot 2i Block—P, EAGLE POINT VILLAGE AT RIVERCHASE
CITY
C o p p e l l STATE til* COOS
TX
SECTION 8 FLOOD INSURANCE ffATls MAp IF IRM, INpOANA•TtnM
-rov.ve me loaaw Ing cont the proper FIRM (See Instructions):
I. Cou"U ry NULWARt
rw.EL HUM"A
1 SWIRIX
1.OArd do i1tW woex
!. AFM 20we
L SME ROOO ELEVATION
480170
0010
D
OCt'L 16, 11991
X (Shaded)
On^QZmw.U"d4001
I.. ^�• �.......auo.. aarum syeanA usarJ On the FIRM cat 841811 Flood e4vedwit (SFE): [X] NOVO -a ❑ Other (describe on back)
a. For Zones A or V. where n0 8FE it Provided on the FIRM. and 1111e oornrllunlly fide setala ,hod a WE for this building sill, indicate
the community'! 8FE: I1 I I I IJ,U feel NGVO (or oOw FIRM dakrm--see Section a. Item 1)
stC110N Q lrUllDlfdf3 tb,tW►?1pN tNNtyNMMM`10N
1. Using the Elevation Certldeaw lnsauctlons. indicate the diagram number, from the diagrarets bund on Pages S and 6 that beat
describes the subject building! reference Iwo( _.I .
2(a). FIRM Zones AI -A30. AE. AH. and A (with OFE). The lop 01 the Wer"" I" Moor from the selected diagram is at an elevation
of 1 44-� • 4_. leer NGVd (or other FIRM data n-soe Sftdm 13. it" 1).
(b). FInM Zone! V1430. VE. alnd V (with 8FE). The boltan of the IoVlrei( horitorthm structure! member of the reference level from
the selected dlagMM. is at an elevation of 11 I 1 I I.0 IsN.NGVO (or other FIRM datum -s" Section O. Item 7).
(e). FIRM Zone A (without OFE). The flow used as the rifers"M level IrdMt the !elected diagram it W .0 feet above ❑ or
below ❑ (check one) the highest grade adjaceM to the buildhig.
(d). FInM Zone AO. The foe used as the reference I" from the selected d!slgrimis. I�J.0 Ise( above ❑ or below ❑ (check
ane) the highest grade aikaaCerN 10 the building If no Mood depth number it available, it the buildings lowest floor (reference
level) etevRIOd in accord*%* with the communitys doodpigin tnahsgerheltt ordinance? ❑ Ye! ❑ No ❑ Unknown
3. Indicate the elevation daturn syilem used in determining the atave reference leve eevatiotls: ❑ NGVO 79 C1 Other (describe
under Colmments on Page 21. (NOTE. N Ins elevaom dof A used in msasu" the itievallo" is diffsrem Ina" that used on
the FIRM (sae Sec&w a. Ifern 11, th#4 cwrverr the Neva110nd 101111 datWM system used on the, RRM and show fhs conversion
erluanon under comment! on Page 2)
s. Elevation relerem* mark used appear! on FIRM: ❑ Yee ❑ Na (Ser (ftftcoh! on Page 4)
5. The reference level elevation is based on: [ actual construction ❑ consfrtictioA d►awirig!
//VOTE: Use of corulrn,errat dYawirgs i! onh, valid it the &Wdhg der! rte yet have Me relera" Isysl door iii place. w which
ease ntis Cerridcore w /1 only be vaned /or the bufAct V d1Mpr9 NO cdbr" dif CoA3bkwendrl, A pout-eo minxbon Elevation Car"hcars
wyN be required once C&-Mnxlfon is COnlplefs.)
R. The elevation of eke lowest grade irlli! at" adlaeent t0 the butidirtg is: ( I I ( I I,U lief NGV0 (or other FIRM datum -see
Sector) a. Item 7).
SECTION O COMMUW" INF0IIMATION
1. If the community odlciaf.rospond"O lot verifying buildingNevaUOft 1peoties that 11114relerertce WW indicated iii Section C, Ilam 1
is "Of the -lowest door 111y�
as defined ill the corhrnurs fklddplsirt Illallagelllelf ordlnditf. the 414vAlllllt of the builrnrWs 'lowsat
Moor' as defined by the ordlnancs Is: I ( I j_ I U too NGVt) (or odler f' jfjM deturrt_W Section 8. It
7).
2. Dale of the start of eonabuction or substantim
a!• improveent
r[MA rerrw 411-319 MAY 10 111FLAC(11 all I0011v10Ut (dif1ONt SEE REVERSE $IDE FOA COWINUATION
SECTION E CERTIFICATION
I his certification is to be signed by a land surveyor, engineer, or architect Who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE, AN, A (with BFE),V1—V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance 10 provide floodplain management information, may also sign the
certificalion. 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.
nPlerence level diagrams 6, 7 arid 8 - Distinguishing Features -11 the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, locatinn 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 rortify flint the information in Sections B and C on this certificate represents my best efforts to Interpret the d
,,,N
I undrreftlnd that eny fat.-tog•interment mwy de pinvistTnMre t y trove e. In Fr rlenn.►,rm under rN u.1, Cede, So 0
(TrI I If IFI1 S NAME LICENSE NUMBER lot Affix Seal) �
Glenn W. Miller' Geodata Surveying, Inc. GLENN W. Mn.' ER
._j
IIILF COMPANY NAME 'o
%Surveyor jo 0d 42233 4�
/1DDnFSS CIT Y
------ a1fA }":: a V 21P
P.O. Box 13.556 Arlington Tea
sl�tlnrunr DATE E
�`�T 261-2878
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
r.OMNIFNTS: Benchmarks used to determine this elevation are' taken from enfaineerifig
plans used in the construction of the subdivision (Nathan D. Maier Cons.
Engineers) and helve not been verified with the FEMA reference mark
elevations.
ort WITH ON PILES,
SLAB BASEMENT PIERS. OR COLUMNS
A V A A v
70NES 70NES 70NES 20NES 20NES
REILEEHENCE
nFJE11t uCE eASE VEL REFERENCE
LEVEL FLOOD LEVEL
ELEELE VAT (ONION
ABE
eASE JREFERE1JCf FLOOD
1
OOD
AOJACf NT ELEVATION
EIF VATIGRADE {JiLEVEL
pEJERENCE ADJACENT
lEvEt OHADE i'..
'-OJACLNt
nILMIF
'rhe diagrams 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 the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
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PLAT SHOWING
43
43
LOT 21, in BLOCK A, of EAGLE POINT AT RIVERCHASE, an Addition
to the City of Coppell, Collin County, Texas, according to
the Map or Plat thereof recorded in Volume 93055, Page 43,
Map Records, Collin County, Texas.
Commonly known as 228 Wilshire Drive.
R
TH IS PROPERTY iS LOCATED IN ZONE (S) "4 -=MV- AS DELINEATED ON FLOOD INSURANCE RATE MAP
PANEL NO._l'_t-gUO W%S' E EFFECTIVE DATE -rMS4 LOCALIZED FLOODING
NOT DETERMINED.
P. O. Box 13556 • Land Surveying
Arlington, Texas • Land Planning
GEODATA SURVEYING, INC. 76094-0556 • Topographic
Metro 261-2878 Mapping
q.„'��E 1 hereby certify this to be a true arid correct representation of a
. 16 CNI
SCALE - 1'2 _ �, 4j. V survey made on the ground under my supervision and there are
•
Tet-�no visible encroachments or protrusions except as shown.
GLENN W. MILLER
LEGEND�_ e 4223
iron rod f�! GLENN W MILLER R P L S STATE OF TEXAS NO. 4223 -
o 7 '��t t f �:� ��
-- x— - x— -- fence l ne
t � UIL 1► DATE__. 4 - M -oj4---- - -
- T — — E-- -- utility line