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FEMA-EC9508107 The City With A Beautiful Future BUILDING PERMIT APPLICATION 2 0 95 ! 1 j1 int or Type in a Clear, Legible Manner Job Address: G1 -QP- G-a� Date: j Lot: 4 Block: C tt ����,, ,,, Subdivision:�r �_\D\ n N©� Phase or Section Number: Owner 61N v2ddress: O� - Phone #: Q CZi Sc� N\ �S 6Za (9 -7 074 Contractor: l Address: � Phone #: ` Description of Work to be Done Class of Work: ZNew ❑ Addition ❑ Alteration ❑ Repair p El Demolition Area of Building in Square Feet First Floor Z (. Z 2 - Second Floor -7� C NOTICE Garage :5 ( a 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 reguVl�ng construction of the performance of construction. ture of Contractor or Authorized Agent Print Name EF=- (�- Contractor PIW ng Contractor Mechanical Contractor Value of Work 27S, D(�O to be Performed FOR FPMC - 1 (4/94) 544- " e i f j 0 ELEVATION CERTIFICATE Expires Ma2067-0077 31 ° 93 r 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 LOMB). Instructions for completing this form can be found on the following pages. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOh INSURANCE COMPANY USE I POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY NAIC NUMBER I % C /Z SS TG E r_ E� ",C OTHER DESCRIPTION (Lot and Block Numbers, etc.) -'07-4 ;&Z& C a r .ES 79 rF:5 OF CA.HBRi1� b.E MANGLP CITY STATE ZIP CODE 04 e /X• r SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 480/?Q pO/d ,l-iS- /g 452 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): WNGVD '29 ❑ 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, indicate the community's BFE: ❑ I ❑.-.J I.J. ❑ feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate 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 top of the reference level floor from the selected diagram is at an elevation ' ��l•► of feet NGVD (or other FIRM datum—see Section B, Item 7). 4 (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 I I ,L.J feet NGVD (or other FIRM datum—see Section B, Item 7). q (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is Ll—] . ❑ feet above ❑ or below ❑ (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-❑ . ❑ feet above ❑ or below ❑ (check 1Z 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 03. 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 0 the FIRM (see Section B, item 7], 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: ❑ Yes ONo (See Instructions on Page 4) 5. The reference level elevation is based on: 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: ❑_-d_S4, . U feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevat' floor" as defined by the ordinance is: LL I I I . ❑ feet NGVD (or other FIRM datum—see S 2. Date of the start of construction or substantial improvement . Si*d Section C, Item 1 lowest F CERTIFIE NAME LL LICENSE NUMBER -_ Ry ROWEL L. A 1?1 t «�� TITLE COMP NAME O� t`Q �O 4, / --------- - - ON! rI 441 E� G�'W CITY --STATE ZIP wftsbw ADDRESS L SIGNATURE /� _ w 0ATF! PHONE rZ _ �F O O O 100.00, LOT 4 B Lr,. C SCALE: 1" =20' m FZM.k Lw"M �n TM112-7.7i"D. OF kLL WIE E6, FORM 1304iw Jr. - A p DATE Plans M./ b( a V&WCUT -Pecjticajj� nstrljction shall PLANS ARE REVSWF 'n FOR APPROVAL OF SINGLF FAMILY RESIDENCE ONLY OTHER DEPICTIONS OR CALL -OUTS ON PLOT PLAN ADAARE XQ_T BEEN REVIEWED NQl APPROVED. iR SURVEY PLAT HR LOT 4, BLOCK C IN THE ESTATES OF CAMBRIDGE MANOR oo AN ADDITION TO THE CITY OF COPPELL, TEXAS.lo lo oo oo oo lo oo lo lo100.00 I LOT 4 Q BLK C 1ol 25.7 coo o N I Cq 10.5 16.8 E- m � I 16.7 P lo1 5.7 loI11 ol20.3 1 f FORMBOARDS ol j O lo Iy O C, 7.7 wp (t~" 10.51 13.7 12.3tzi 0 I' LOT 5 to I x LOT 3 cai I y 8.0 L14.0 I 30' BLDG. LINE I I CA I 10' X 10' TRANS. spa w I PAD ESMT. 3, r — UTIL. —E —SM—T------ -----r 1PMT 100.00 (N 00°23'45" E) f_ 712 CASTLE CREEK DRIVE 1 hereby certify that on the 27TH- day of Jul- - 19 95this survey was made on the ground as per the field notes shown on this survey lo and is true, correct, and accurate as to the dimensions of the subject property and rise, location and type of buIIdinss and inprovtments Hereon,oo if any. The survey shows all easements and visible easements of which I have knowle a or have been advised affecting the subject property. There are no encroachments, conflicts, or protrusions visible on the ground other than hose shown. 00 01 OF Date : July 31, 1995 1°�, ' ' 95-340800 JOB # .10 11 HARRY J. ROWid 00 GF No. 4597 _ (D LEGEND 0 Scale: 1" - 20' HARRY 1/2"Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set 0 ROWEL L Property Line B 3T : do Associates. INC. food Fence — - — - — - — Surveying de 6nglneering Chain Link / Wire Fence x—x—x—x—x 1301 Elm Street Ste. 201 Vverhead Electric — E— E— E— Carrollton, Texas 75006