FEMA-EC991007niLL€' L AI_ �
Area of Building in Square Feet
First Floor GNU Garage -7,93 Value of Work
to be Performed °
Second Floor Other 2 /
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 authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance of construction.
i ure of Contractor orAuth�oriized Agewnt /1�^ PrinrName ♦
f . Ptekavi-c,
Plumbing Contractor Mechanical Contractor
Electrical Contractor g
FPMC - 1 (4/94)
The City With A Beautiful Future
BUILDING PERMIT
APPLICATION
1�
Print or Type in a Clear, Legible Manner
Job Address: / Q A l
Date:
Cl- ��t l� 9
Lot: / Block:
Subdivision:
) ° j. Phase or Section Number:
Owner
Ic: Address: j
,+ >'Phone #:
Contractor:
� �, �- Address: �� p V{„�„�
�.
�42ow 14 - �'��-- Phone #:
i r
Description of Work to be Done
Class of Work: XNew ElAddit on ❑Alteration
❑Repair
❑Demolition
niLL€' L AI_ �
Area of Building in Square Feet
First Floor GNU Garage -7,93 Value of Work
to be Performed °
Second Floor Other 2 /
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 authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance of construction.
i ure of Contractor orAuth�oriized Agewnt /1�^ PrinrName ♦
f . Ptekavi-c,
Plumbing Contractor Mechanical Contractor
Electrical Contractor g
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
' 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 Insurapremium
Instructions for completing support
is form can befor
found on the i (lowing pages.Amendment or Revision (COMA or LOMR).
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
FOh INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
I COMPANY NAIC NUMBER I
OTLH..EERIP�ION(Lot and ck Numbers,) r AAV6,g p,,yk��33 L �y✓��
STATE ZIP CODE
CITY
C6PP.�zL .
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
�8d� 7d
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
S' (In AO ASE FLOODELEVATION
use ON
00 a
llvE
X63
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: I •U 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 .
lop of the reference level floor from the selected diagram is at an elevation
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The
of I.J-4L4 -V feet NGVD (or other FIRM datum -see Section B, Item 7).
(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 I I I I IJ.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
NO74.' Z4eV.. 4&.6. Q cu n5 74&1eW T
below ❑ (check one) the highest grade adjacent to the building. T.h,,e ,G,ow.0 5T v�L Cf f o'�� B1D�'QQS
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is UJ.Ll feel above ❑ or below F] (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest Iloor (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: 0 NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: 11 the elevation datum used in measuring the elevations is different than that used on
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.)
4. Elevation reference mark used appears on FIRM: ❑Yes (No (See Instructions on Page 4)
5. The reference level elevation is based on: 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. Apo st-construction Elevation Certificate
will be required once construction is complete.)
( 6. The elevation of the lowest grade Immediately adjacent to the building is: J •U 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
) q
Information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),Vi—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 -11 the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of set 6,lclng oquipment, area use, wall r unfinished area
, then list th
included In the certification under Comments below. The diagramnumber, t Section C, Item must still be enterede Feature(s) not
certify
sthat the information in Sections B and C on this certificate tand that any false statement may be punishable by fine o represents interpret the data available,_._.
Imprisonment under 18 U.S.U.S.Code
I understand
A�
LICENSE NUMBER (or ABIX Se •
CERTIFIER'SNAME 1'5797 ••»••••••• ••••••••
J
COMPANY NAME • .......... • 4597 • • � • •
TITLE � L C �Q
SAljoo, volQ ZIP
ADDRESS
SIGNATURE
%•
/D -PHON
e7-99 L99z)E 212-561
Copies should be made o this Certificate for: 1) community official, 2) Insurance agent/company, end 3) building owner.
COMMENTS:
151r1& Me, a 142'442 .44
r
HR SURVEY PLAT HR
LOT 13 BLOCK D OF MAGNOLIA PARK ADDITION TO THE CITY OF COPPELL DALLAS COUNTY,
TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T.
LOT 14
10.5
10.6
COMMON AREA & DRAINAGE ESMT.
39.46
42.13
75°33'55"
v%
M
— — — — — — — — — —
5' UTIL. ESMT.
a
5.10 75.59
R = 740' N 35°18'08" W
REFERENCE BRG.
8.1
8.2
606 MADISON STREET
90`00'001,
LOT 12
I hereby certify that on the 7TH day of OCT. 19 99 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.
�E. OF• •T�
Date : OCTOBER 11, 1999 �� �gGi87gR�JOB# 99-5399
.
HARRY J. ROWELL
GF No. 4597
(D LEGEND
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—
Scale: I"= 20'
HARRY
ROWELL
& Associates, INC.
Surveying & Engineering
1301 Elm Street Ste. 201
rrollton, Texas 75006 (972) 242-567
a
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