FEMA-EC981223The City With A Beautiful Future
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BUILDING PERMIT APPLICATION
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j Print or Type in a Clear, Legible Manner
98-12-02P02:10 RCVD
Job Address: ;
Date:
2
Lot: Block: D
Subdivision:
Phase or Section Number: z
Owner r' M /L1 r.
Address: <�'
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, . Phone #:
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Contractor: . ��� air r Tt
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Address: �0 D .S
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Phone #:
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Description of Work to be Done Class of Work:]
New ❑ Addition If
Alteration
❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor
Second Floor
NOTICE
Garage ,L
Other 2
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
regulatin construction of the performance of construction.
Sigq#fe of Contractor or Authorized A ent
Electrical Contractor Plumbing Contractor
Print Name
Al
Mechanical Contractor
/- J_S f' / d N
Value of Work 10
to be Performed 7-eu 0 '-9
f'
FPMC - 1 (4/94)
SMET CUT
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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�SURVEY
PLAT ER
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BEING LOT 14, BLOCK I) OF MAGNOLIA PARK AN ADDITION TO THE CITY OF COPPELL,
DALLAS COUNTY, TEXAS. RECORDED IN VOLUME 98145, PAGE 0506, P.R.D.C.T.
LOT 15
82°41'35"
8
8.(
13.4
LOT 26X
COMMON AREA & DRNG. ESMT.
�EFEREN
M
in vi
Cl? C1l
5' UT[L. ESMT'.
9 2.5 6
RAD.= 740'
610 AIL D ! SENT S T R E,�
8.0
8.0
LOT 13
I hereby certify that. on the.29111.day of _DEC__, 19_98 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 r,ilcs and regul..tions promulga;.ed 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 visble easements, encroachments, conflicts, or
protrusions apparent on the ground.
Date : DECEMBER 29, 1998 / Q� c1 R� f��� JOB # - 98-6840
@ 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
GP' No.
Scale: 1" = 25'
....................
HARRY J. ROWELL
459.7..... /
a0"0_
HARRY
1?1 0 Y 1 1J!`Jl L 1,
& Associates,lNC.
Surveying & Engineering
1:101 Flm Street Ste. 201
arrollton, Texas 75006 (972) 242 5679
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( / ) STREET CLT
CITY ®F CQPPELLED
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T=Pct �� l o'a t'�k pans and sp
;ti i':9c� f ;scan construction in direct Cal
wlti3� t,,s ;y of Ceppell Building codes and Zoning --�-
Ordtnanc®s. PLANS ARE REVIEWED FORp'�''� �? �—'-----
APPROVAL OF SINGLEFAIN11-tLY RFSl6jElN;%CT,, ON I.M.
OTilf it DEflCTi0iNS� M.A,. LETTER :m
CALL OUTS ON a � 3i Ff
HAVEh`OT BEENTZTc VT :vi- f.f.
AND ARE 'r'Ql APPROVED.
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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
POLICY NUMBER
BUILDING OWNER'S NAME
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
STATE ZIP CODE
CITY n
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
6. in AO Zones. use ASE FLOOD Edept ON
¢Bd, 2v
�a� o
; -�s- 9�
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): L_INGVD'29 uvther (describe on backs
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: L LA__L L -❑ 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
Ileof [_- _Y�L181.0 feet NGVD (or other FIRM datum -see Section B, Item 7).
j(b). FIRM Zones V1430, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
b the selected diagram, is at an elevation of L1L_1JJ .❑ 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 L_❑J_) feet above ❑ or
Na T,E: .CL &Y,g71 o -V .¢4,B✓0 wiYS 7W.(4F/V'
p below ❑ (check one) the highest grade adjacent to the building., ;r TAS 1,0A16 -sr /,,:3`25L aI'= ,�'o,PmOo9.PD5
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LUL-1 L_l feet above ❑ or below _I (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
0
� level) elevated in accordance with the community's floodplain management ordinance? [_1 Yes ❑ No [I Unknown
p 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 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 L�<No (See Instructions on Page 4)
5. The reference level elevation is based on: K 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
t
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: L❑_L_l_j . ❑ 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.
1 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 '
_c OF T_�
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal C-.--
, RnY
T COMPANY NAME
TITLE 4597 .
CITY
ADDRESS TX S�% OG •,� Sy �K�J� "�
SIGNATURE DATE PHONE
Copies should be made o this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: Qt �llC'f /II i� .- G, 00 _T/ e CQaI/ 72 0/. /%%T wU--
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