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FEMA-EC001010® tum :i�F ".�21 5i-'6oS- $ he City With A Beautiful Future BUILDING PERMIT APPLICATION T L� % /) 4 A / Print or Tvne in a Clear. Leaible Manner —W, Job Address: Q � '— Date: 913100 Lot: Block: Subdivision:/ �'%j��'L //$ P Phase or Section Number: Owner Address: P 6, 824- 12- T7 S Phone #: fl Contractor: -< Address: <] Phone #: _5;7At4�T_ Description of Work to be Done Class of Work: U -New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor o2 8.11 Garage �� �r' Value of Work !� to be Performed Second Floor -7-5-Other 32S SP GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: """ Receipt Number: 4 -I'D b - F -I 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 �++�` Z©nlll(� �IStCICt: i (JF40- Occupancy C1a5SIfICatIC+l1:, Approved By: Date: � at any time after work is commenced. IThereby certify that I have read and examined this application and know the same to be true _oja&�;2 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 grvte authority to violate or cancel the provisions of any other federal, state or local law Cotflmetl regulating constructio a performance of construction. �( ?/AWS /l7. �GlSlr�c-�yTS Signature of Contractor or Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 14/94) L i BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK arrE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on oases 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BUILDING ST�ZEET ADDRESS (Including 9M Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO STATE (Lot and Block Numbers, Tax Parcel Num¢er, Legal Description, USE (e.g., Residential, Non-residential, Addition, Accessory, Company NAIC Number ZIP CODE LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): ( ##' - ##' - ##.##" or ##.##ffiW) 1-1 NAD 1927 1_1 NAD 1983 1_1 USGS Quad Map 1_1 Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER T DATE EFFECTIVE/REVISED DATE Z0NC,(S) (Zone AO, use depth of flooding) ❑ e) Lowest elevation of machinery and/or equipment `J servicing the building _ ft.(m) B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. 1_I FIS Profile 1_1 FIRM 1_1 Community Determined 1-1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: 1-1 NGVD 1929 1X1 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 INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings* XBuilding Under Construction* 1_1Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (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, 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_1 No ❑ a) Top of bottom floor (including basement or enclosure) .70ft.(m) ❑ b) Top of next higher floor z0ft.(m)0, OF T ❑ c) Bottom of lowest horizontal structural member (V zones only) ft.(m) T ❑ d) Attached garage (top of slab) _ _ ft.(m) E ❑ e) Lowest elevation of machinery and/or equipment `J servicing the building _ ft.(m) E ❑ f) Lowest adjacent grade (LAG) _ ft.(m) Z / ❑ g) Highest adjacent grade (HAG) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade SURV ❑ i) Total area of all permanent openings (flood vents) in C3h-- sq. in. (sq. cm) /Q 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 line or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME i 'i"-_ LICENSE NUMBER TITLE C MPANY NA ADDRESS _ _ r _ CITY /l STATE ZIP CODE SIGNATURE DATE TELEPHONE FFKAA Fnrm R1-11 AI IC; . CFF PF\/PPCF CIr1F POP ('.ONTINl IATIr)N PFPI Ar:FC Al I PRF\/Irll m FIIITI(1NC PLA.NSttE REVIEWED FOR �N C� A '. aOVAL OF SINGLE, coa fE FAMILY RESIDENCE ONLY. R OTI ER DEPICTIONS OR CALL -OUTS ON PLOT PLAN gy %` z7 HAVE NOT BEEN REVIEWED f� /'� I AND ARE NQT_ APPROVED. k*rovaj of ,the s I 3E COMBS oil ao r, ; Yttfi� t ,., fir t ¢a°�3�ixlir� _� I • . ces. of ":Opn If Building ct . s I \ ORZIM AY I \ I \ I \ I . FDr,F-A\LINE I \ I • \ I • \ I I0 ROSSI RESIDENCE - I 1 LOT 61 BLOCK C \ OLIAPARK COPPELL, TEXAS I r \\ CLE)AENTS-ALLEN HO 1 I F"T B.L. VORA BOARD sIDE SURVEY REQU F.E.ALA. LETTE j� L E V E E P L A C E • Plot Plan 6.22-00 Z -77111111111 HR SURVEY PLAT HR LOT 6 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. LOT 7 LAg'TNG RSFS81144oQ 148 LEVEE PLACE Ngga�r TELE. BOX FND. "X" LOT 5 I hereby certify that on the 5TH day of SEPT., 20 00 . 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 shows viable easements, encroachments, conflicts, or protrusions apparent on the ground. !l Date : SEPTEMBER 6. 2000 (D LEGEND 0 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line Wood Fence — —.—.— — — Chain Link / Wire Fence x—x—x—x—x Overhead Electric — E E— E— '��' GOT GF No. HARRY J. ROWELL 4597 Scale: 1' = 25' �0►90� UR By: MON-22 00-4758 HARRY ROWELL & Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 arrollton, Texas 75006 (972) 242-56. IHR SURVEY PLAT ��RI LOT 6 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. LOT 7 $EAg1NG oysso,n4QQ �g83�Y z a 0O TELE. BOX FND. "X" 81.85 R = 453.60' 148 LEVEE PLACE 13.3 0. LOT 5 I hereby certify that on the 5TH day of SEPT., 20 0.0 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 shows viable easements, encroachments, conflicts, or protrusions apparent on the ground. Date : SEPTEMBER 6, 2000 G LEGEND 0 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line Food Fence — — . — . — — — Chain Link / Fire Fence x—x—x—x—x Overhead Electric E E E — OF GF No. HARRY J. ROWELL 4597 Scale: 1" 145, �-R' ni JOB # 00-4758 HARRY ROWELL & Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 arrollton, Texas 75006 (972) 242-5679