FEMA-EC950418n,.CHyWith ABqutifWfutun BUILDING PERMIT APPLICATION 1 8 95
Building Inspections Division C�
1 Z � I Print or Type in a Clear, Legible Manner f
Job Address: a 7Date:
0
Lot: Aft / 9 R Block: ✓1 Subdivision:�Phase or Section Number:
Owner: �n 0 „ J p Address: %4 o{�Phone #: �j
Contractor: ems,/ Address: V Z4,0� , �7~ Phone #:
Description of Work to be Done /- Class of Work: New []Addition ❑ Alteration ❑ Repair ❑ Demolition
of Building in Square Feet
First Floor 3 6 3
Second Floor / g ! 00
Garage I ,� * 7
Other 14 0 G
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 or the performance of construction.
Fl?' mak f rhq6('1-G
Signature of �Coontractor or�Auth�oriiz�edd Agent ���� Print �Nam
eel
RjAt k-
Electrical Contractor Plumbing Contractor Mechanical Contractor
Value of Work
to be Performed
GRAY AREA FOR OFFICE USE ONLY
BIR - 1 12N21 */�
V V
ELEVATION CERTIFICATE"
FEDERALMANAGEMENT -AGENCYNATIONAL FLOOD INSURANCEPROGRAM
ATTENTION: LISG� Cd Oft certificate does not provide a waiver at 9* nood
MquUmnem
provide eleva*m W This
omk*WM necessary to ehsur6,.complW=8 with p6mr 0
applicaw"
determine Me Coal,
VIUM to.'
I" Insurance Premium rate. andtr to support a recuest for sk Letter MapAmendmant or Revision (LoliAlnsi- or LdW:D,-.
1- , :1 - .. . 0
pow"
Actions for coaqft�q this can be found on #0 $0*NdAq
SECTION A PROPERTY INFORMATION
FOk *4WJL4=
BUILDING OWNER'S WANE C4UPAW
POLCVNLWM
STREET ADDRESS
4f(m"4,&AL. U4 u" and/or W
"O*7ROUTE AND BOX
COMPANY NATO NuMWW
OTHER DESCRIPTION (LA and Waa Numbewh *&Q
7-5 /B
CITY
S.T= 21P CON
SECTION 8 FLOOD INSURANCE RAM MM (FU" INFORMATION
let—
Provide the following from the Proper FIRM (See hwuqW=):
7. Indicate the elevation datum System used an .04 FOW 10.4 (descriesan bac*
. w FJoW - Elevations (WE): M-NGVD -4 [3 Odw
8. For Zama A or V. where no WE is provided on IN
FE for Oft bWWV
wwwally has established L
the OxMinilYs BFE: U feet NGV0 (or other FI
RAA datum -bee SOWN B. hem 7).
SECIM-c'!,IBULDING ELEVATION INFORMATION
::Using the Elevation Cwtiticale tructi=%�i
Jndic4W_ 04 dlQr4M
go aagrams WW an Peres 5 and 6 that best
describes the subject buildkVs referencelevii
2(a). FIRM Zones Al -A30. AE. AN. and A (With E!Fq)a - The'top . 0 1 1 oval floor from the selected diagram Is at an elevation
M IM NGV[) (or other FIRM d;14p-
7).
(b). FIRM Zones V-11 430. VE. and V (with FE).*:'Th�bottpm -
at'.WIM" structural member of Ow reference I" fromthe selected diagram. is at an a tar ocher FIRM datwo-see Section A. Item 7).
o(c). FIRM Zone A (without SFE). The 11W used . a . � the .. mferepop 10Val from the selected daW= Is LLJ.LJ feet above ❑ or
below C3 (check am) the highest Wade adj.WTp
4, (d). FIRM Zone AO. The floor used as Me rafpseirA;
3 JOY411%m.ta:iiiioi�ad diagram, is LLJ.LJ feat above 0 or below 0
0110) the highest grade adjacent to the bullft-'� 0 hp.'6066 Oipt-h num 'L
Y building.:., - I . . . . .. , W s available. is the wddwwg lowest a= (raiwar"
level) elevated jdacmdance with #* communlV; f"
plaw manager ordnance? ❑ Yes 0 No 0 Unknown
3. Indicate the elevation datum syslam used in o.gt r�.0
NGVD 29 Q Odw (describe
under Comments an PW 2). JAIOM It rhe`"' V0604 "WM4Wn_
ft FkRU Is" Swtfon A ;� .. -
VW convoa a)# ".doWn sysaw WW on Me FAW aW &4aw &w cWWrjW
I A
equatbn W)di Pr Cmma-& an page p_)'
I '11 j
4. Elevation referenceRAA. - reference mark Used appears on FI IK.�ft 0 N 1.
-
an Pap 4)
S. The rGfSfW= level elevation is based on: actWuaWl C4r1A4U1cW,n drams
(A10TE. Use ot mnuuoon &aw*W is 'jW " t. . .., ,
0* valid -Ab� d
not yet have go ALWave /ova) A" in PAW4 in adibb
ca VWC6100310 Wordybe vaWfor UWbU#4,W,), limiCP f".9A
Ebw0w Ca omm
wilt be required once consgruaan is c0MPbj&)'
6. The elevation of thelowest Wade immediately ;h. a by . Win g .. �s I LJ 9w Naw (or otherFmm datum -see
Section 13. Rom 7).
CERTWIERSMAME
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/-/,7rr4
TITLE Ir
"'y
.-Joz
SIGNATURE
STATS AP
PHONE
014) 242 —5g. .749
r
�t1RvrYLPLAT
LOTS 18 & 19 OF GRAND COVE ESTATES AN ADDITION
i
I. TO THE CITY OF COPPELL, TEXAS.
10
w .0�
9r
` '07
APPROX. BOUNDARY OFITHE 100 YEAR FLOO1 PLAIN I Cr
PER PLAT.
` LOT 15
HIT ''I? 1,OT i O LOT 18
RLK A —
1v
,79. 4 9.4
z3.A LOT 17
N
G' 35.11
I c FORMBOARDS
17.9
5N 90
N 12.0
15.40 14. t,",4
30' BLDG. LINE tfJ
o�
L1TIL. ESMT.
101.79. i5 CN/ .�� ;��"i•1� 4.9.64
13_
i
I hereby certrfp that on they iay of �� l�/ 19 `f._;t, this survey was made on the ground as per the field notes shown on this survey
and is true. �,�n rel, and accurate 4m 1.. the dimensions of the subject property and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
OF
e Ila1� Jos # 95 2 8
HARRY J. ROlfF.LL}
...... .
GF No. — :. 4597 / ---- - -- - ---
- e�~'4 HARRY
Efil L �, G E N D _ �, ��a�,,.�o f
scale: 1" - .yl.,�,--,SUR�j-.
l!"' Steel iron Rod Found n - %�
iY" Steel Iron Rod Set i R O 11W
E L
Property Liles H 7
-___.- � & Associates. INC.
Sur eying k Engineering
vriu I.iuk Wire Fenee 1 - x— ti—x-- v I -. _.--.-----._-..
1.101 F:Im Street Ste. 201
7 -Carrollton,Texas 75006
7- , - -7--» -rT , Carrot