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FEMA-EC9909167". '7"h' FA.�'autjful j4 'WI M a 3a110a&01 BUILDING PERMIT APPLICATION rnnt ur i yNe 111d %,iedr, t-eyiuie rvidimer Job Address: 3 L.ex )A1 I0 AJ Date: �-I u �+ . 27 /9(?(? Lot: �1 5 Block: B Subdivision:(I rnmL Phase or Section Number: Owner Address: `(0&O s Srn rnD)tSLCr �J� Phone #: 9 72 - 39.?—,2078 Contractor: Address: Phone #: Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition ! /I 1 I i Area of Building in Square Feet First Floor 3150 Garage 722 Second Floor IN. Other / � 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 pr isions of laws and ordinances governing this type of work will be complied with w er specified herein/r not. The granting of a permit does not presume to give authority violate or cancel t provisions of any other federal, state or local law regulating c truction of the perforAnce of construction. Signare of Contractor olr Authoriz d Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) Value of Work 44ap to be Performed t�-6//-,2, GRAY AREA FOR OFFICE USE ONLY BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM _NTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form'is used only to ✓ide elevation Information necessary to ensure compliance with applicable community floodplain management ordinances, to atermine 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 I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME I POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and 6"Numbers, etc.) ;^.ZE sPte. Z' CITY STATE ZIP CODE 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 5. FIRM ZONE S. BASE FLOOD ELEVATION (M AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): U NGVD '29 U 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: .0 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 J__L_(�-.61 feet NGVD (or other FIRM datum–see Section B, Item 7). (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 UI1 I .0 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 W .0 feet above ❑ or below ❑ (check one) the highest grade adjacent to the building' N07'.8' et-6vyT1a/ 6-o$.9 6A4s TgKEN 9T T,ya A. ow.ftS T AZ ✓.E G .0/-- FoA:?&70eWJ"_ (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W .0 feet above ❑ or below (_.l (check one) the highest grade adjacent to the building. It 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 ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGVD '29 ❑ 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 8, Item 71, 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 XNo (See Instructions on Page 4) 5. The reference level elevation is based on: W 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: I I I I I I.0 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, wail openings, or unfinished area Feature(s), then list the Fealure(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 d to available. i understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, i OF CERTIFIER'S NAME LICENS�MBER (or AMX ................ TITLE COMPANY NAME Y ........... ADDRESS CITY ZIP _/3 o /- SIGNATURE DA- Q /9�`J-7 11 PHONE -<-/— Y9 Copies should be made o f his Certificate tor: 1) community ollicial, 2) Insurance agent/company, and 3) building owner. COMMENTS: �' -SQy,VW� Cy T .�� ✓� TD 1� O� /i1/LFT .u'L R7 SURVEY PLAT HR LOT 25 BLOCK B OF THE AMENDING PLAT OF SUMMIT AT THE SPRINGS PHASE I TO THE CITY OF COPPELL, DALLAS COUNRY, TEXAS REC. IN VOL. 98162, PG. 27, P.R.D. C. T. SUMMIT AT THE SPRINGS PH. II VOL. 97023, PG. 3469, P.R.D.C.T. E 0.2 S 15'313'23' 1_ 94.88 1 LOT 25 BLK. B ` 17.21 8.0 1 1 d x R FORMBOARD I O d w O I � 11.0 -" I LOT 24 I � o I 18.0 \ by I �pS 8O 25' B.L. I 5'UTILIT1'ES1[T. _ �/ •41 43.01 N 00.12'59" �a REFERENCE BRG. 763 LEXINGTON AVENUE I hereby certify that on the 16T7i day of S 'FF 19 99 this survey was made on the ground and this survey plat has been prepared as per the field on the ground. This survey plat has been prepared in accordance with, and in notes thereby produced, and it properly represents the facts an found 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. Date : SEPTEMBER 28, 1999 5��GRa�'� JOH# 99-5023 it - GF No. HARRY J. R0WELL 4597 ' G LEGEND OHARRY Scale: 1" = 25' 9`ya�11d�oJ 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set 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— Carrollton, Texas 75006 (972) 242-5879 m PLANS ARE RE APPROVAL OF I FAMULYRfl'Sl %- 0 OTIHER I)EM' CALL-00TS 0 flAVE _NOT BEE AND ARE NOT A P ap it FORM BOARD FOR SURVEY REQUIRED X uyn. ril Con!, codn 0--t t-61 I-lp-m t4- ::E3k 700 JH- 1