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FEMA-EC001204The City With A Beautiful Future BUILDING PERMIT APPLICATION - 3f7 A % 0---T7 Print or Tvoe in a Clear. Leaible Manner Ii I rye 4�)6I1a I Job Address: [J Date: Lot: �. Block: Subdivision: Phase or Section Number: Ownere� Address: per, /-17;7 cr-`T— If"Zi '-A `u t Phone #: Contractor: S44416r- Address: Phone #: Description of Work to be Done Class of Work: LJ New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor ����0 y Garage Value of Work 44e-- �� to be Performed Second Floor "�` Other �R 3 V GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Receipt Number: /o/t This permit becomes null and void if work or construction authorized is not commenced Zoning District:�' Occupancy Classification:' within 180 days, or construction on work is suspended or abandoned for a period of 180 days f y Approved By: Date: 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 Comments: ©► 47 �' am" complied with whether specified herein or not. The granting of a permit does not presume to y give a rity to violate or cancel the provisions of any other federal, state or local law regul in const on rformance of construction. Signature of Contractor or Authorized gent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 W114) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK V& e r A L L E Y 10446' Y 1 ' PORCH " Lysinger Residence = Lot 5 / Block C J Magnolia Park, Coppell Texas j Clements -Alen Homes fl�i1V 11 1 y�y �► �' V i � ft t � Its SM Ey } , s,,•;� � ,� �-��R 30' BLDG LINE CONCRETE SIDEWALK ol 19.83' ,� �y�SV 1S � ,y;���e�' • w+ /St4.LEvEE PLACE �•`�ti uwu.J ' N PLOT PLAN SCALE N20-0' FEDERAL EMERGENCY MANAGEMENT AGENCY . O.M.B. No.•3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 f ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. ' SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BUILDINGSTREET ADDRESS (Including pt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number ,U zf— CITY t�L7P�.E�L TX STATE ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) ,COT S R.zock C_ oF' /0,4 _0/v/ BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): ( ##° - ##' - ##.W or ##•#####°) 1_1 NAD 1927 UdNAD 1983 1_1 USGS Quad Map 1_I Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE C6 oAW'l- a17 1 77X B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATES EFFECTIVE/REVISED DATE ZO`NEE S) I (Zone AO, use depth of flooding) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1_I FIS Profile I to<FIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: 1_1 NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes 1_1 No Designation Date: SECTION C - BUILDING ELEVATION INFO MATION (SURVEY REQUIRED) C1. Building elevations are based on: 1-1Construction Drawings* l-1Building Under Construction* 1_1Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _L (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 430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i 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? 1_1 Yes 1_ No ❑ a) Top of bottom floor (including basement or enclosure) Q(oLe ❑ b) Top of next higher floor lf�l,4—.4 ft.(Tl .N %__ T ❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) o /' . - - ❑ d) Attached garage (top of slab) _ ft.(m) E g ❑ e) Lowest elevation of machinery and/or equipment w 10 servicing the building _ ft.(m) E 1 MARRY J. ROWELL ❑ f) Lowest adjacent grade (LAG) _ ft.(m) Z' m ❑ g) Highest adjacent grade (HAG) _ ft.(m) 8 �►04 ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade S� - ❑ i) Total area of all permanent openings (flood vents) in C3h 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. TITLE 77 ./ SIGNATURE5LkPHNL � /� /Z !� E 0") l %%Z% 34 2 -Se 74 FEMA Fnrm R1 -'Al Al Ir, QQ SFF RF\/FRSF SIr1F FOR Rr)NTINl IATIr1N RFPI Ar`F14 Al I PRF\/Inl IA FIIITInNC 3>� SURVEY PLAT H R LOT 5 BLOCK C OF MAGNOLIA PARK AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T. ...:..R{. 593-.8Q' -.......... . �=. FND. "X'. _ — _ --- •5' UTIL. ESMT._ ___ FND. "X" TRANSFORMER 10' X 10' TRANS. PAD ESMT. cn 12.3 LOT 5 BLK. C 15.2 O w d'' w o FORMBOARDS O a O 10 LOT 6 12.9 LOT 4 11.4 30' B.L. w 0 CIO 95'2'21" "79.83 R = 453.80' 10 1Z14 LEVEE PLACE I hereby certify that on the 4TH day of DEC. 20-.!!-0— 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 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 shown viable easements, encroachments, conflicts, or protrusions apparent on the ground. OF Date : DECEMBER 4, 2000 ��G�� JOB 00-5177 #- • GF No. HARRY J. ROWELL �. LEGEND Scale: I"= 20' �'`°,�,,`.���oj/ HARRY 1/2" Steel / Iron Rod Found O �SUj2Vj 1/2" Steel / Iron Rod Set 0 ROWEL L Property Line B y : & Associates, INC. Wood Fence — . — . — . — . — 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