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FEMA-EC030315T H E C, T F_- BUILDING PERMIT APPLICATION COPPELL � ���.7 � 315 la 3 ) - **A- _ ,r ►gym 14� Job Address Lot: (0 Owner: R, -(e vt C ustbm HmPS Address: 1&&0 S..,S'teMrhM4r29'.S, hj.W/Svtjj�G Phone A 4?%2..393 ,,07,j Contractor: Address: Phone A Description of Work to be Done Class of Work: A New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor .3294 Garage SSS— Value of Work .o to be Performed Cl00�"— Second Floor -21,4 Othe �� 1 n, IGS GRAY AREA FOR OFFICE USE ONLY C/f il{ 4,,? 4 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 authorit to violate or cancel the provisions of any other federal, state or local A regulating Instruction or the performance of construction. Signature of Contractor r Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 'I %; r 20' Rear Building Line A� W ..r4 00 I ,o„ 76'611 , 10 CQ � oo � 00 'd Two—Story o Single Family POIRM r BOAS • .��, bOMVEY REQUP_-I' r'S . co ri LK 30 Fro t uilding Line Conc. : Conc. Drive O Walk ------- - - - - - - - - - - - - - - - ------------- 10T.U. Electric Esmnt. 92.52' G19 DEFOREST COURT RD . PLOT PLAN SCALE 1/16"=1'—O" 0-AM01— LOT 6 DEFOREST COURT COPPELL, TEXAS 10 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on pages 1- 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION I For Insurance Corp" use: BUILDING OWNERS NAME Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 619 DEFOREST COURT ROAD CITY STATE ZIP CODE COPPELL TX 75019 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 6 OF DEFOREST COURT ADDITION BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - #9 - ##.##" or ##.#M#°) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map El Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE COPPELL480170 DALLAS TEXAS B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 48113CO155 1 08-23-01 AE 452 Bm u. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 E NAVD 1988 ❑ Other (Describe): 1312. Is the building located in a Coastal Bamer Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑Constriction Drawings* E Building Under Construction* ❑ Finished Constriction *A new Elevation Certificate will be required when constriction of the building is complete. C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3. -ami below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments _ Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes N No ❑ a) Top of bottom floor (including basement or enclosure) 456.. 01 fL(m) 5� •��►sTE;s ❑ b) Top of next higher floor R m ❑ c) Bottom of lowest horizontal structural member (V zones only) _ —ft(m)•y... J ROW ELL ��• ❑ d) Attached garage (top of slab) _. _ft(m) W &A RY J. 97 ... •. •i — C] e) Lowest elevation of machinery and/or equipmentM. servicing the building (Describe in a Comments area) ❑ f) Lowest adjacent (finished) grade (LAG) _. _t(m) S LJ -P' '� ❑ g) Highest adjacent (finished) grade (HAG) ❑ h) No. of permanent openings (flood vents) within 1 It. above adjacent grade _ J ❑ i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME HARRY ROWELL LICENSE NUMBER 4597 FITLESURVEYOR COMPANY NAME HARRY ROWELL COMPANY ADDRESS CITY STATE ZIP CODE 1301 ELM STREET STE.201 CARROLLTON TX 75006 SIGNATURE,, /7` GL -/a aQ DATE TELEPH(972) 2420-5679 0NE 315-03 CCC OC\/COCC C—= CIIA n/'1AITIAII 1-11 Al 01701 A!` C AI I 10=%/1I 11C C:nl TIP KIC H R7 SURVEY PLAT H R FOR USE ONLY IN THE ORIGINAL TRANSACTION IDENTIFIED BY THE G.F. NO. SHOWN HEREON AND TO THE LIENHOLDERS AND/OR THE OWNERS AND THE PURCHASERS OF THE PREMISES SURVEYED AND TO REPUBLIC TITLE COMPANY: This is to certify that I have made a careful and accurate survey of the property located at 619 DEFOREST COURT ROAD in the City of COPPELL,DALLAS County, Texas. described as follows: Being Lot 6, of DEFOREST COURT, an Addition to the City of COPPELL, DALLAS County, Texas, according to the Map thereof recorded in Volume 2001241, Page 66, of the Map Records of DALLAS County, Texas. BRUCE BIRDSONG VOL. 94206, PG. 3252, D.R.D.C.T. a— v NORTH 92.52 NOTE: THIS PROPERTY DOES NOT LIE IN A 100 YEAR FLOOD HAZARD AREA ACCORDING TO THE F.E.M.A. FLOOD INSUR. RATE MAP COMM. PANEL NO. 480170 0155 J THIS PROPERTY LIES IN ZONE "AE" 1/2" IRF 1/2" IRS 92.52 SOUTH 1/2" IRF cy) Q CV W T— LOT 7 1/2" IRS 619 DEFOREST COURT ROAD Ihereby certify that on the 30TH day of DEC. 20 02 , this survey being a copyright protected product 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 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, conflicts, encroachments or protrusions apparent on the ground. Date : DECEMBER 31, 2002 0 LEGEND 0 1/2" Steel / Iron Rod Found O 1/2' Steel / Iron Rod Set w/ Red Cap '4597* Property Line Wood Fence . — • — • — . — Chain Link / Wire Fence X—X—X—x—X Overhead Electric E— E— E— FORMBOARD SURVEY 5�'it. � "o tp 01-14-03 GF No. 02R25505 HARRY J. ROWELL 4597 Scale: 1" = 20'o� By: A::7 JOB #: 02-3767 HARRY ROWELL & Associates, INC. 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