FEMA-EC980312 (2)7They With A Beautiful Future
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BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
o� ca
fdAR 6 21998
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Job Address:3,C�z 9�rl ��NSTON�
Date: 44i�DEPT
Lot:9' Block: / Subdivision: p�A eoPPez.L �sT�3TFs Phase or Section Number:
Owner J � M street �C Address: �� • jpX %36 �oPPr t. Phone #: 3 q6-.26) 7e
Contractor: •$A m 6 Address:
Phone #:
Description of Work to be Done Class of Work: Q) New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
2 9y25�
Area of Building in Square Feet
First Floor 3245' Garage % g Value of Work
�`�.
' 00/
to be Performed to on
Second Floor /00er Other
/g L GRAY AREA FOR OFFICE USE ONLY
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 fora 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
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give autho to violate or ancel the provisions of any other federal, state or local law
regulatin nstruction of th performance of construction.
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M Signature of Cont act r >: a horized Agent Pfrinntt(y/Njan�my/le /
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glectrical Contractor ' Plumbing Contractor Mechanical Contractor
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FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
HR SURVEY PLAT H
BEING LOT 9, BLOCK 1 OF OLD COPPELL ESTATES AN ADDITION TO THE CITY
OF COPPELL, DALLAS COUNTY, TEXAS. RECORDED IN VOLUME 96020, PAGE
2443, P.R.D.C.T..
CITY OF COPPELL
VOL. 89127, PG. 4336, P.R.D.C.T.
PARKLAND
3/8" I.R.F. CALLED 80.04 MEAS. 80.14
1/2" I.R.F.
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LOT 8 1
25' B.L. I LOT 10
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90°00'00"
10' UTIL. ESMT.
1/2" I.R.F. FND. "X"
80.00
REFERENCE BRG.
N 88'47'57" E
342 HEARTHSTONE LANE
I hereby certify that on thet ZTH• day of MAR. 19 98, this survey was made on the ground as per the field notes shown on this survey
end is true, correct, and accurate as to the dimensions of the subject property and size, 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.
Date : _MARCH 12 _1998 9N JOB # . 98-1930
HARRY J. ROWELL
GF No. :...4697....,..
----LE G E N D
Scale• i" -
1/2" Steel / Iron Rod Found 0
1/2" Steel / Iron Rod Set
Property Line
Wood Fence
Chain Link / Wire Fence x—x—x—x—x
Overhead Electric — E — E— E —
A
- 25
By:
HARRY
ROWELL
& Associates,INC
.
Surveying k Engineering
1301 Elm Street 9t,—.-20-1—
Carrollton,
te.201Carrollton, Texas 75006
= ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
r 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
'?4Zh�.EWW711 STd/V.E' .C� N.E
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
,LO 7- 040 eodR- cL &s7.5.
CITY STATE ZIP CODE
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)
460/ ,�7o
06/0
s
S— 9 4-
�,— /S--
1
1
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '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 I I I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
q1. 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
of j 1 1510151.[a feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1430, 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 I .L_ I feet NGVD (or other FIRM datum see Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W . U feet above ❑ or
below ❑ (check one) the highest grade adjacent to the building.
o(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W .0 feet above ❑ or below ❑ (check
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
p3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD'29 ❑ Other (describe
ly under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
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.) ,-�
R 4. Elevation reference mark used appears on FIRM: El Yes Lvl No (See Instructions on Page 4)
j°� 5. The reference level elevation is based on: Nractual 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: i l l l l l . U feet NGVD (or other FIRM datum -see
Section B, Item 7).
This 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, AH, A (with 8FE),V1—V30,VE, and 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.
Reference 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 interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER (or Aix Seal)
TITLE COMPANY NAME
Sc1,Pv,� oti' ��it'� �btvtLL C�� '' •r. a.... .ta.....,
ADDRESS CITY Z :.........ZI
/3 0/.� L s-v'I srwe-E'7 0", C Tom/ T,Y. '7S o o b 4597 %e _
SIGNATURE DATE PHON '�Y,:A*tr s s to , C'
Copies s oul be made is Cate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: 464'10114JA& 54U4.t?E 064 T '(Z7 So�CTHwEST on.P/Vzy o,,? Bgi3OG,t
3 4 2
. 80.04'
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20' Rear Bldg. Line I I
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Single Family
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C� FE.M.A. LETTER RE t .
MMIMUM f f.
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Walk 10 POMBOARD
SRVEY RBQUUM
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-- - - -CITY OF COPPELL
25 I i
• 1IEWED
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1- I I DATE
— — �
------------ -- r r — — pproval of t go p! s and specifications shall r: 1 I °3 construct ti m onstruction in direct cont:. I 1 ' lth the City of Coppeh Building codes and Zoni .,, I I 11'rinances.
%#W&
HEARTHSTONE LANE
PLOT PLAN
SCALE 1/16"=1'-0"
LOT 9 BLOCK 1
OLD COPPELL ESTATES
COPPELL, TEXAS
565.5'
PAGE 1 OF 9
18 February 1998
JSOC91R