FEMA-EC97100310 pp
7They With A Beautiful r.Yure WILDING
U I L D I N G PERMIT` APPLICATION
ii'
I
T 7 b• �7vP g OO 214-33 3' SES 2 2 1597
Print or Type in a Clear, Legible Manner
Job Address:
Lot: Block:6 Subdivision:
Owner Address:
Contractor: ��iJylJv Address:
Description of Work to be Done Class of Work: New ❑ Addition
►,��� DEPr
' hase or Section Number:
Phone #:
Phone #:
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor j/17 Garage (a Zo Value of Work
to be Performed " 3so- non
Second Floor Other ����.
--5 787 0 /�r.-44 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 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 athority to violate or cancel the provisions of any other federal, state or local law
regul i tg constructionof the performance of construction.
G Signature of Contr for or Authorize Agent Print Name
G 1iv
)�Iectrical Contract Plumbing Cont ctor Mechani C
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
R. SURVEY PLAT H -R
BEING LOT 23 BLOCK C OFSUMMIT AT THE SPRINGS PHASE 1, AN ADDTION TO THE
CITY OF COPPELL, DALLAS COUNTY, TEXAS, REC. IN VOL. 97023, PG. 3493, M.R.D.C.T.
'r
ALLEY
215'55
-----s----- 8.3
LOT 23
LOT C
-
E
t,
f
i -i
►--•
FORMBOARDS
I
LOT 22
8.6
25' B.L.
a�
i/
145°10'40"
r
w
f
1� 144°52'00" 90°00'00"
r"
CALLED 65.96 MEAS. 66.29
REFERENCE BRG.
N 21�2'.5B" F.
716 LEXINGTON AVENUE
I hereby certify that on the 3811. day of OCT., ? 9-9Z-. rhio snr^e, was ;;,sdc o:. ha grc:::.0 as pe: the field notes shown on this survey
and 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 of which I have knowledge or have been advised affecting the subject property.
rr There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
I/
Date : OCTOBER 3, 1997 ° 9s 97-4430
JOB # ----
HARRY J. ROWELL )
GF No. 4597 /
----------------
- -
(D LEGEND Scale: 1" - 20' `,% HARRY
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set ROWEL L
Property Line B Y& Associates, INC.
Wood Fence P�1/7
Surveying &Engineering
Chain Link / Wire Fence x—x—x—x—x
1301 Elm Street. Ste. 201
Overhead Electric E E-- E-- CarrollLon, Texas 7500E j
to
•. " 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.
SECTION A PROPERTY INFORMATION FOH INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
7/&_ �C,l._it/LoL .91/EJiL�l� -
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY STATE ZIP CODE
CIO P,�zL , TX -
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
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: LLLLJ . LJ 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 —L .
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the lected diagram is at an elevation
of' feet NGVD (or other FIRM datum -see Section B, Item 7)./V07,
6: E4-cll 5-67,150 al,96 GoFoTm19,k
e?Y 5
(b). FIRM Zones V1 -V30, 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 LLEL-LI JA 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 11_1 1 _ I feet above ❑ or
below Ll (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 1-1-1. L I feet above L..! or below ❑ (check
Q• one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
wlevel) elevated in accordance with the community's floodplain management ordinance? F1 Yes ❑ No [I Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: L1 NGVD '29 F _I Other (describe
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.)
4. Elevation reference mark used appears on FIRM: ❑ Yes Fg-No (See Instructions on Page 4)
5. The reference level elevation is based on: 0 actual 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: L1_L_L_1 _ l .1 A 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),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, Sec ' y� `
CERTIFIER'S NAME
__jy ,f t?y 'fow,6GL
LICENSE NUMBER (or Affix Seal)
TITLE COMPANY NAME
ADDRESS CITY
CITY SIGNATURE� DATE
lb -3- 917
~3!
. f*TTpt+,•'� ZIP
Q.2 !Zi -9
Copies should be madof this Certificate for: 1) community official, 2) insurance agenVcompany, and 3) building owner.
COMMENTS: AQov-6 MVV, ''Qh''-_N 97' THEE 2-06445/ __
G,E►%L_ c�F- _T� _To_.oF
7_1V,-5
kf`?
1 COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6 BASE FLOOD ELEVATION
4Bo/70
00/0
4-1s - 941
X
(in AO Zones, use depth)
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: LLLLJ . LJ 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 —L .
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the lected diagram is at an elevation
of' feet NGVD (or other FIRM datum -see Section B, Item 7)./V07,
6: E4-cll 5-67,150 al,96 GoFoTm19,k
e?Y 5
(b). FIRM Zones V1 -V30, 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 LLEL-LI JA 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 11_1 1 _ I feet above ❑ or
below Ll (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 1-1-1. L I feet above L..! or below ❑ (check
Q• one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
wlevel) elevated in accordance with the community's floodplain management ordinance? F1 Yes ❑ No [I Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: L1 NGVD '29 F _I Other (describe
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.)
4. Elevation reference mark used appears on FIRM: ❑ Yes Fg-No (See Instructions on Page 4)
5. The reference level elevation is based on: 0 actual 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: L1_L_L_1 _ l .1 A 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),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, Sec ' y� `
CERTIFIER'S NAME
__jy ,f t?y 'fow,6GL
LICENSE NUMBER (or Affix Seal)
TITLE COMPANY NAME
ADDRESS CITY
CITY SIGNATURE� DATE
lb -3- 917
~3!
. f*TTpt+,•'� ZIP
Q.2 !Zi -9
Copies should be madof this Certificate for: 1) community official, 2) insurance agenVcompany, and 3) building owner.
COMMENTS: AQov-6 MVV, ''Qh''-_N 97' THEE 2-06445/ __
G,E►%L_ c�F- _T� _To_.oF
7_1V,-5
kf`?