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FEMA-EC950822The City With A Beautiful Future BUILDING PERMIT APPLICATION r-rllll UI Iypt; Irl a tlledr, Legl0le IVlanner I NG2295 I { i Job Address: 6 c � 6-,* f Date: '�- _ z z _ Y,�— Lot: Block: /) �, Subdivision: � �� G Phase or Section Number: Owner Address: Phone #: --- Contractor: G��✓ Address:Y. V aS� Phone #: Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor �! Garage 402— Second o2— Second Floors Other 17? 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 nstructio f the performance of construction. Signature of Contractor or Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) Value of Work to be Performed USE ONLY ELEVATION CERTIFICATE OMB No May 31, 10077 993 FxprresMay31, 1993 FEDERAL EMFRrF-NCY MANAGFMFNT AGFNCY 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 immine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION ' ill DING OWNER'S NAME FOh INSt IRAN(,F COMPANY USE POLICY NI IMBFR +ir FT ADDRESS (Includmq Apt., Unit. Suite and,)t Rldq Nnn,hoi) ,)R Po nOIITF AND BOX N(IMRFII COMPANY NAIL NUMBER �o O 8 I I ll R DFSCRIPrION (Lot and Block Nu+nhw-,, etc) 1-07' -- --- r STAIF ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION )vide the following from the proper FIRM (Sep Instructions): I_ COMMUNITY NUMBER 2_ PANFI.. NIM110 it 3. SUFFIX 4. DATE OF FIMA INhEX 5. FIRM ZONE G BA ;E FLOOD EI_EVA]ION — ,. CERTIFY i 'lAf.i[ I Ir'F rt ;E ^111MRI H (or Afr;>_ HARRY ROWELL TITI L���a I in AO Zones. use depth( cr+L; na me eievaTion aatUm system used on the FIRM for Rase Flood Flevations (RFF) !XNGVD ?g � 1 Other (describe on back) 1= or Zones A or V, where no BFE is provided on the FIRM, and the community has est ihlishmd a RFF for this building Site, indicate �thp community's BFE: ! feet NGVD (or other FIRM datum—see Spctinn R, Itom 7) SECTION C BUILDING ELEVATION INFORMATION !)sing the Elevation Certificate Instn ictions. indicate the diagram number from the diagrams found on Pages 5 and 6 that best opscribes the subject building's reference level 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 t ----of I I 441&.191 feet NGVD (or other FIRM datum—see Section B, Item 7). IN FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference levfl from the selected diagram, is at an elevation of 1 ! ! feet NGVD (or other FIRM datum—sep Section B. Item 7). Tt44 +c). FIRM Zone A (without BFE). The floor used as the rpfprence level from the selected diagram is .� feet above or �J below I i (check one) the highest gradp adjacent to the building. (d) FIRM Zone AO. The floor used as the reference IPvel from the selected diagram is ! feet above or below 1 1 (check 'o 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? 1 1 Yes � I No I Unknown ©? Indicate the elevation datum system used in determining the above reference level elevations: 1 !, NGVD '29 1 'Other (describe under Comments on Page 2). (NOTF_: If the elevation datum used in measuring the elevations is different than that used on Othe FIRM (see Section B, Item 71, then convert the elevations to the datum system rrspd on the FIRM and show the conversion equation under Comments on Page 2.) t Elevation reference mark used appears on FIRM: I Yes 15t' No (See Instructions on Page 4) The reference level alpvation is based on: >� actual ronstn_iction 1 I construction drawings )NOTE: Use of construction drawings is only valid if the huilding does not yet have the reference level floor in place, in which c, aye this certificate will only be valid for the buildinq during the course of construction. A post -construction Elevation Certificate wd/ be required once construction is complete.) The elevation of the lowest grade immediately adjacent to the building is: 1 1 1414'61.';� feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION I If the community official responsihlp for verifying building elevations specifies that the reference level indicated in Section C, Item 1 s; riot the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as, hv the s' 1 start w 1 feet NGVD (or other FIRM datum—see Section Date of the of con, oncorisuhstanl tial improvement _ _ ,,. g , a •� — ,. CERTIFY i 'lAf.i[ I Ir'F rt ;E ^111MRI H (or Afr;>_ HARRY ROWELL TITI L���a �.� �COMPANYNAME 9��46�73. X - ----- - �ei" /`�Rr� /terve/� �o� LLC .�� �`�,p� / �.9el ADDRESS CITY / s,.�r..W ZIP tv,� .- SIGNATURF. nn' E PNI INF o2 -SG _ - - -- — ZZZZ2=z7 e, ' SURVEY PLAT IR H r R r LOT 32 BLOCK A OF THE FAIRWAYS AT RIVER CHASE AN ADDITION f" TO THE CITY OF COPPELL, TEXAS. LOT 33 t2 1 RET. HALL PROP ULT. 100 YR. FLOOD PLAIN LIMIT 0 H LOT 32 W BLK A z a 5.7 5.7 7.7 ��� 17.9 �`L � 12.6 10.0 FORMBOARDS 10.0 p' 12.6 ►� 12.4 13.2 13.1777 ?O� O O O w CYD o 7--4 LOT 31 2D� 25' B.L. -----I-- 10' UTIL. ESMT. 10'X 10' TRANS. ESMT. 90.00 (S 14'32'43" E) o0- 1B E RKS" HIRE LANE I hereby certify that on the BTlUay of AUG, 19 95 this survey was made on the ground as per the field notes shown on this survey j and Is true. correct, and accurate an to the dimensions of the subject property and site, location and type of buildings and Improvements thereon, !' if any. The survey shows all easements and visible easements ofwhich I have knowledge or have been advised affecting the subject property. There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. i �E.OF T Date . AUGUST 22, 1995 JOB # t HARRY J. ROIIELL GF No. 4597t (D LEGEND (D - --- 1/2" Steel / Iron Rod Found 0 E 11/2" Steel /Iron Rod Set • s Property Line �I voodFence--------- "hain Link / Wire Fence x—x—x—x—x !overhead Electric —F—E--E-- Scale: E E--E-- scale: V= 20'By HARRY ROWELL & Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 Carrollton, Texas 75006