FEMA-EC9906227They With A Beautiful Future BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
Job Address: 7/5-
'e X -rDate:
Lot: 2— Block: A Subdivision: samm;f /4t 6Ae s 4NGS Phase or Section Number:
Owner,�j- m ^�eS Address: PO 13Ox 1364% Phone #:Ct?72—,-39-5_2078
Contractor: S*n E ` IV Address: Phone #:
Description of Work to be Done Class of Work: J�J New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Sln1Gr_F_ Fi4iy►ic.0 ���cNEv
Area of Building in Square Feet
First Floor 339 8 Garage Value of Work `QO
m
to be Perfored 0�_ ��f�
Second Floor 1293 Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE Permit Fee: x- ^� Receipt (umber: ),Z r —j
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 4oni lg District: Occupancy Classification:
at any time after work is commenced.
Approved By: Date:
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 Comments`
give au rity to violate or cancel the provisions of any other federal, state or local law
regulatconstruction oft performance of construction.
71
Signature of Cont actor o Authorize Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
-91
ELEVATION CERTIFICATE
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 LOMR).
Instructions for completing this form can be found on the following pages.
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION I FON INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER I
%/S. 46-A 1V6744"' /9l/.L ✓VC/.E
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
.Go T .Z e44CktV i9i/I,E�I/�1/it/G �°.C.4T o.� S*'1M 17- VTTh�E-0CW1,N65 /H..Z"
CITY STATE ZIP CODE
ee RAE. I_L. 7y,
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
S. FIRM ZONE
6. BASE FLOOD ELEVATION
(In AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): L1fIGVD '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: �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 /_ .
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
7(b). of lt_5Lp1�J.WJ feet NGVD (or other FIRM datum -see Section B, Item 7).
FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
tZt the selected diagram, is at an elevation of I I II 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 M. ❑ feet above ❑ or
a1 below ❑ (check one) the highest grade adjacent to the building. A107k ZLAy9T1oil/ 6"06-.4 GvgS T9A,eoov S T T//--
,co4_,,Fs7- L,Ev,EL op ,�oemX30.9PD5
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I❑.❑ 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
p level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ Other (describe
41 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 71, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
D 4. Elevation reference mark used appears on FIRM: ❑ Yes F�fNo (See Instructions on Page 4)
5. The reference level elevation is based on: factual 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
f will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: j l l l ❑.❑ 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 BFE),V11-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 wail,
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 19 U.S. Codon 1001. -
CERTIFIER'S NAME
ocvELL
TITLE
LICENSE
// NUMBER (or 1) ,
COMPANY NAME
_ �S L/ �Pv Os2 � �P,P �QmCv CL �p . ... .. X597 ..:..• . .
ADDRESS CITY
/3 4 / STi2E �q�P�oc �'�✓
ZIP
7-/. 7- 0 SU
SIGNATURE DATE
Copies should be made ofthis Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: B, m• S410 00-15-7 CU T ",6 " 04/ 70 P of ._Z VZ o,t/ 1/o k7111 S'iI�E
D,P1y,6- Zoe oi- L. EEX4,V6 7—eAl >9yENU
EGA j/: SDS • �O
r
ISURVEY PLAT HR
7
BEING LOT 2, BLOCK A, AMENDING PLAT OF SUMMIT OF THE SPRINGS PHASE 1
AN ADDITION TITO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. RECORED
IN VOLUME 98162, PAGE 0027, P.R.D.C.T. ,
N
COMMON AREA
BETHEL ROAD
N 88°42'24" R 148.43
14.0
to
0
\ICA
S�
Na
S
-----! - 45.20
RAD .= 175'
•5—.,-i z
.5---q LOT 1
715 LEXINGT®N AVENUE
i hereby certify that on the 22ND day of JUN 19-119— 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 Hoard 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 . JULY 07, 1999
JOB # . 99-1584
GF No. HARRY J. R04iLL
ffi LE UEN D 4597 ;
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
lfoodFence---------
Chain Link/ Wire Fence x—x—x—x—x
overhead Electric — E— E— E—
Scale: 1" = 30'
By: WZ4747
HARRY
ROWELL
k Associates, INC.
Surveying k Engineering
1301 Elm Street Ste. 201
arrollton, Texas 75006 (972) 242-561