FEMA-EC991119The City With A Beautiful Future
Job Address: (0 2 r7 NY,
Lot: 7
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner Wry)
emOLcnt Lane
Block:
Owner S t ✓e e t (�u s �om Nom es
Date: -99
Subdivision: /�A�G�oLI� P/9POC Phase or Section Number:
Address: /6(00 5. Ste'm rYlpn 5 4 "15 01"/'none #.9Yz-3 93 -a078
Contractor: J jq m e- Address: Phone #:
Description of Work to be Done Class of Work: Z New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
5evIr.lj:� F/4MiLv T2E77110445>
Area of Building in Square Feet
First Floor 3005
Second Floor ) 3a0
NOTICE
Garage 0751
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.
1 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 h whether specified herein or not. The granting of a permit does not presume to
give aut r y to violate or cj�ncel the provisions of any other federal, state or local law
reg ulati construction of thelerformance of construction.
*nature of Contracbr or Authorized Agent Print Name
Gr Cl ic. &tz r Shu as s N !9
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Work 00
to be Performed 5g' grin
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
Receipt NumberC1
"HR SURVEY PLAT
HR
LOT 7 BLOCK E OF MAGNOLIA PARK AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY
TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T.
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I hereby certify that on thel 9TH day of NOV. , 19 99 , this survey was made on the ground and this survey plat has been prepared as per the field
notes thereby produced, and it properly represents the facts as found on the ground. This survey plat has been prepared in accordance with, and in
i substantial compliance with , all rules and regulations promulgated by the Texas Board of Professional Land Surveying. Unless otherwise noted, the
surveyor has relied solely on the record data provided in the title commitment for the determination of the boundaries of the land parcel surveyed and for
any easements of record which may be shown or addressed on the survey. The survey shows viable easements, encroachments,
protrusions apparent on the ground.
conflicts, or
8. OF..T
Date : DECEMBER 07, 1999 5P��8`1RPof9a
JOB # : 99— 6155
GF No. HARRY J. ROWELL�
4597 /
LEGEND 0 Scale: 1" = 25' ���0�`'y{o�
1/2" Steel Iron Rod Found
HARRY
/ O
Steel /Iron Rod Set •
R 0 W E L L
p TT /�//��S[JItVj
Property Line By:
& Associates, INC.
Wood Fence — - — - — - — , —
I `�
Surveying & Engineering
Chain Link / Wire Fence x—x—x—x—x
1301 Elm Street Ste. 201
Overhead Electric E E E—
arrollton, Texas 75006 (972) 242-5679
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the Hood 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 I Folk INSURANCE COMPANY USE
POLICY NUMBER
OWNER'S NAME
STREET ADDRESS (Including Apt.. Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, all
G o T 7 84.0 c.� r of �7.5/b �vo,ciq />7oDit/ ---
STATE ZIP CODE
CITY
C'O/°P 1C.
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
n._.a.4- ,t.., t nnu it n Irnm Ihn nrnnar FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFI%F;4DATE
OF FIRM INDE%
5. FIRM ZONE
6. Bn AO Zones,useEdeP ON
-/s
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations i l -e►: L-!5I4L3vu za uUo,e, ll — ^,
B. For Zones A or V. where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: j_1__U_LTH feel NGVD (or other FIRM datum–see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
I. Using the Elevation Certilicate Instructions, Indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level I_ .
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The lop of the reference level floor from the selected diagram is at an elevation
oil-], 14jal l •L$ feet NGVD (or other FIRM datum–see Section B, Item 7).
rc(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 ofLSIJU feet NGVD (or other FIRM datum–see Section B, Item 7).
FIRM Zone A (without BFE). The floor used as the reference leveo�� aGele� diagram iSL qt (YgKenr �¢above
] or
T T,y.@
below U (check one) the highest grade adjacent to the building. "ty e8 T Ax vAl of Foo.gB04RAs
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is U_1 . L -I feet above U or below I (check
one) the highest grade adjacent to the building. It no Ilood depth number is available, is the building's lowest Iloor (reference
level) elevated In accordance with the community's Iloodplain management ordinance? ❑ Yes [] No ❑Unknown
Q3. Indicate the elevation datum system used In determining the above reference level elevations: n NGVD'29 U Other (describe
c under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than (flat 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: U Yes L&INo (See instructions on Page 4)
O
5. The reference level elevation is based on: Wactual 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
pcase 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: I I I I I I.0 feet NGVD (or other FIRM datum -see
Section B, Item 7).
This certification Is to be s authorized
te or local law to
elevation
Information when the elevation Information fned by a land or Zones Ai–A30, AEineer, or , AH, A (with chitect who lBFE) VI–V30,VEeand V (with BFE) 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.
Relerence 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 1, must still be entered. _
I certify that the information in Sections B and C on this certificate represents my best efforts to
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.
CERTIFIER'S NAME LICENSE NUMBER (or Afll(�'
/�,q,P�t?!� �Otv,EL L — X1 _ 9 . inn
.....� . '. .
TITLE COMPANY NAME
�s� �PO�v �0 • 'ir —
CITY ZIP
ADDRESS
X30/ .Eo r�2Ec sT,E aol ej;�6k194C7cK/.7A'.
SIGNATURE DATE PHONE
_, - � z 4 2-S
Copies should be made o this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: ,8,6�/cH mi?,2�C C17 -;e O cr Ca PP.eLG 6442 04 7/ e --
41W/? ate/-----
-19
ANE3jo UNT
PDR-5vf �LZXTM,
SURVEY REQUIRED
s-,,,:� 5' -'BT CUT
CITY OF COPPELL
lz
not
ot
6
�le'n �3i: i!� onenct confim
Of GOPPel' Building curies and Zoning
Ordinances.
L A N E pl-, A NC A';
PLOT PLAN
SCALE 1/1611=11-011
LOT 7 BLOCK E
MAGNOLIA PARK
COPPELL, TEXAS
ink
C
AND iY), APPROVE D.