FEMA-EC991224 (2)BUILDING PERMIT APPLICATION
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Job Address: 105#
Date:
Lot: .7 Block: Q O Subdivision:
A&M164��j
10,4 Phase or Section Number:
Owner Address:
Phone #:
Contractor: (, fZCX Address: ��. A)e 12 7% Phone #: 77 Z
Description of Work to be Done Class of Work: U2 New
❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor 3 sy Garage 19 75
yy�ry
Value of Work
erformed
to be Performed—
Second Floor / 31S Other
Second
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GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee: /
�'^ Receipt Number:
Zoning District:
Occupancy Classificatio I!
�L•+''
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.
Approved By:
44701 Date: /
/
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
giveority to violate or cancel the provisions of any other federal, state or local law
reg. ti construction p mrmance of construction.
'..
Comments:
` A �
91
T 149,
Signature of Contractor or Authorized Agent Print Name
Ay�6 si yus AIV ea6fitzs •�
Electrical Contractor Plumbing Contractor Mechanical Contractor
/A4
FPMC - 1 (4/94l "V,/ 4dz A— (-41LA)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE
' FEDERAL EMERgENCY MANAG' PMEN7 AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this cerillicale does hot provide a waiver of the floodingUnintid purchase requirement. This form Is used only to
provide elevation Information necessary to ensure compliance with applicable obmmunity goodplain management ordinances, to
determine the proper Insurance premium rale, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
InslrUctidrtst lot completing this form can be IoUnd do the following pages.
NAME
SECTION A PROPERTY INFORMATION I For, INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite andbr Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot end Bba Numbers, etc.)
Z10 T 7 t4.LOG,e A 9FF IVW1/ .4/041 A_6_7e,(� 109,14✓.
CITY STATE ZIP CODE
06)0104E1- Z- 7 X
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1.. COMMUNITY NUMBER
2 P/A�NE/L NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM 2/0NE
8. BIASE LOOD, use da plfiTION
/rTY
4,5a170
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: I I_ I . U feet NOVD (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 AI -A30, AE, AH, and A (with BFE). The lop of the reference level floor from the selected diagram Is at an elevation
of feel NOVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones VI 430, 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 I,U feet NGVD (or other FIRM datum -see Section B, Item 7).
(c). FIRM Zone A (without BFE). The flout used as the reference level from the selected diagram is UJ.0 feel above ❑ or
below U (check one) the 9 I g adjacent highest acent to the building. /V'o7.C,* e"jej7'iaV ¢&4.19 w95 T,JA:EA( AT
g 7** ,e ,t,a w.ES 7- A.Z V.E L o f foROd44AO45
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram Is UJ.0 last above ❑ Or below F1(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 ❑ Unknown
3. Indicate the elevation datum system used In determining the above reference level elevations: U NGVD'29 U 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 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 oto (See Instructions on Page 4)
S. The reference level elevation Is based on: [*actual construction ❑ construction drawings
(NOTE: Use of construclfod 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 oonshuction. A post -construction Elevation Certificate
*10 be raqulrad 0" constnlctlon is complete.)
6. The elevation of the lowest grade Immediately adjacent to lhd building Is: U 1_UJ.0 feet NOVO (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 slate or local law to certify elevation
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 dUthorized 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 M Sections 9 and C on this certificate represents my best efforts to Interpret the data available.
I understand that any faire statement may be punishable by fine or Imprisonment under 18 U.Sr�19de, Section
CERTIFIERS NAME
/ w lee
TITLE
ADDRESS
1030/ -E
SIGNATURE
Copies should bo made
COMMENTS: 1E4. /%:•
.,_.... . . . . I . . . .
Certificate lot: 1) community olfictsl, 2) Insurance agenUcompany, and 3) building owner.
ZIP
SURVEY PLAT
LOT 7 BLOCK B OF MAGNOLIA PARK ADDITION AN ADDITION TO THE CITY OF
COPPELL DALLAS COUNTY, TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T.
LOT 7X
/1011��eR�1y6, 59
16
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FOR�DOARD
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5' UTIL. BSVT.
rw r0•. S 62°22'50" W 73.02 11.37
R = 50•
115 NATCHES TRACE
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LOT 7 \
BLK. B \
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59�20�ti,�
100 1
LOT 6
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I hereby certify that on the 24TH day of JAN. 19 00 , 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 Tessa Board of Professional Land Surveying. Unless otherwise noted, the
a urveyor 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.
Date : JANUARY 07, 2000
0 LEGEND E)
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
Mood Fence — — - — - — —
Chain Link / Mire Fence x—x—x—x—x
Overhead Electric E E— E—
GF No.
Scale: 1" = 30'
By: 1147
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� fVp.:,p JOB # 00—
RARRY J. ROMELL
�4597
HARRY
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ROWELL
& Aesociatee, INC.
Surveying & Engineerii
1301 Elm Street Ste. 201
__ -Carrollton. Teres 76006 (972) 242–".
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PLOT PLAN
SCALE 1"-20'-0"
CITY OF COPPELL
AV 4 r
Howerton Reli Aece
Lot 7 / Block B
Magnolia Park
Coppell, Texas
Clements -Allen Homes
ApprovA -tf and SVI not
be jr, r5!-"",;
40,1 in direct conflict
wlth t"' "tCY Of Cop P811 Bubditig code; and Zoning
Ordinances.
PLAN' ATZ r M -V717 x;7171"Fa FOR
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ANDXitK-YU APPROVEM
CONCRETE
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