FEMA-EC980706-e p 221& us
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner�,°! Y 2 8
Job Address: 732 keA I P7&7 -0 ,V Date: / lex�I
Lot: /C, Block: Subdivision:Samm;' (if ! e— � R/NGS Phase or Section •Number
Owner StR661t C&StOm 11Qrn6S Address:/6&0 s stt mDAS �e&IVS✓t�(r,Phone #: 393-.2078
Contractor: 5Arn £
Description of Work to be Done
Area of Building in Square Feet
First Floor 34q` L
Second Floor %4514
Address:
Class of Work: 54 New
.Sir
❑ Addition
Phone #:
❑ Alteration ❑ Repair ❑ Demolition
Garage 943 Value of Work OD
to be Performed
Other
GRAY AREA
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 author- to violate or cancel he provisions of any other federal, state or local law
regulating g struction of the perf ance of construction.
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SURVEY
P. -
BEING LOT 18, BLOCK C OF SUMMIT AT THE SPRINGS PHASE I, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. RECORDED IN VOLUME
97023, PAGE 3493, P.R.D.C.T.
LOT 20
HEADWALL
1/2" I.R.F.
CAL_ I n 97
E4iso.
97 MEAS. 74.80
2.5'UTIL. ESM
//HEADWALL
25' B.L.
=X 1- T.P.& L. BOX
1 FND. -X"
95°35' 14 -
8.0 4-
A.0
ai
a L LOT 18
A ��•8597°54'11"
5' UTIL. ESMT.30
MEAS. 106.41 CALLED 26.
CALLED 101.14--
ME�5_26 5 -
RAD .= 175'
732 LEXINGTON DRIVE
I hereby certify that on the 1 ST. day of JUL_ 1998, 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 prenareR in ec^sr•!ancc with, ant; ii,
substantial compliance with , all rules and rep,.lations pr=,:.K;,tcd by Lhe Texas Board ut Yrofessional 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 visble easements, encroachments, conflicts, or
protrusions apparent on the ground.
Date JULY -2, 1998 �C?`�GSER�o9 98-4123
-- - JOB �#
GF No. —
HARRY J. R0WELL
.................
- 4597 ---_-----
LEGEND
HARRY
�7 p �T
Scale: 1" = 30' \��s�t°`�,�0J A1AA1
i/2" Steel /Iron Rod Found O �SURVj
1/2" Steel / Iron Rod Set �� O T/�T �j T J T
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--�TCarrollton, Texas 75006
7.-TTTT7?I7TTZI ---- — .. - - ---- - --- -
- 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
BUILDING OWNER'S NAME
STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
7 3 z /-5_)6/4/ 67-04/ D�PivF
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
407-
CITY
oTCITY STATE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
FOH INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
ZIP CODE
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)
'. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ] NGVD '29 [- I Other (describe on back)
3. 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 1.1 _) 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
of I I LS��ISI.I 7I feet NGVD or other FIRM datum -see Section B, Item 7 . o97' 7•: 4044., 57- 4—C 61- --A0A7Wez•V
( ) .qT Ty,E .�oU.eST ��EvE�- of Fo,en�'Ba,yROS
(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 __L -1_.I I.I- l feet NGVD (or other FIRM datum -see Section B, Item 7).
V1 (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is feet above or
q
below I I (check one) the highest grade adjacent to the building.
QQ (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I_ -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
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes [] No I _) Unknown
t� 3. Indicate the elevation datum system used in determining the above reference level elevations: I___) NGVD '29 Other (describe
`l 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
wequation under Comments on Page 2.)
[lk 4. Elevation reference mark used appears on FIRM: F] Yes No (See Instructions on Page 4)
5. The reference level elevation is based on: X actual construction I71 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 I-Ll__j__),I___) 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, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Se �C RII
TITLE COMPANY NAME we
ADDRESS CITY A ;� •. ZIP
/_? 0/'- �! ST.eL-�T'
z-�� —�1'------- - �•.o -
SIGNATURE DATE
_ 9% 4 79
Copies should be made Othis Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: •C�•Eif//%'1��'i— S[/��_��G_T__ G� �' S'oct T.U�T-CD�/►�F� -_� rC —_ ------
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