FEMA-EC950404-,
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BUILDING PERMIT APPLICATION MAR 2 4 95
�ll 01 ` Print or Type in a Clear, Legible Manner
Job Address: �� ,S Date:
Lot: Block: ' Subdivision: G kOANd Le VC Phase or Section Number:
Owner: /- � � d Address: Phone #:
Contractor: f% /f Address: e JS Phone #:
Description of Work to be Done v� Class of Work: New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
cv� GC 1��6
I
of Building in Square Feet
First FI a Clip < Garage 7e 3 Value of Work c �y
��11 // q
Second Floor 01 9 tT' b Other 3 to be Performed
4 j 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 or the performance of construction.
Signature of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC -1 (4/94)
ELEVATION CERTIFICATE 0•tlMtu03067-Don
�• ...1•..� w...1.... 1 't': �
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 so
provide elevation information necessary tO ensure'comphance with applicable
community floodplain determine the proper insurance premium rate, and/or to support a request fora Amendment gRevision ( MA or LOMR), .± r:
Instructions for completing this form can be found on the foUowin9 Pasi�
SECTION A PROPERTY INFORMATION
BUILWNG OWNER'S NAME
STREET AOORESS (WwA d,,V A A.. Urrt. Surto ana '814.
814, Number) OR P.O. ROUTE AND BOX NUMBER
�_)VgL,ES Cou,p-r
FOh 94URANCE Co11PANY USE
POLICY NUMBER '
COMPANY NW. NUMBER
OTHER DESCRIPTION (Lot and a" NUOVAM ate.)
CITY �1
Co'rfl,�L� STATE ZIPCODE
TX
SECTION B FLOOD INSURANCE RATE MAP (FlRM) INFOMMMON
Provide the following from the proper FIRM (See instructions):
I. COMMUNITY NUMBER
2. PANEL NUMBER
&SUFFIX
.4. DATE OF FIRM INDEX
S FIRM ZONE
6. BASE FLOOD ELEVATION
pa
(in AD wedM
. rl-N-O a um elevation Gillum system used on the FIRM fqr base Flood Elevations (BFE): . JGVD I ❑Other (describe Ofl bads .
8. For Zones A or V, where no WE is provided on the F1Rfu1, and,the community has established a BFE for this building site. indicate
the community's BFE: 11 I I ( (. U feet NGVD (or other FIRM datum -see Section 8, Item 7).
SECTION C'� BUILDING ELEVATION INFORMATION
t: Using the Elevaiior:artificate instructions. indicat the "ramnumber from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level ;
n 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
�t �12 .n feet NGVD (or other FIRM datum -see 3eciion 6, item 7).
(b). FIRM Zones Vi-V3o, 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 L:J.L.1LLI;L:J feetNGVD (or other FIRM datum -see Section 8, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is J .! J.LJ feet above ❑ or
below ❑ (dwk one) the highest grade adjaco j;;o.,the t;uildi q. .
1
(d). FIRM Zone AO. The floor used as the reference,from ttie-selected diagram is l_1_1.0 feet above C3 or below ❑ (d=' k
one) the highest grade adjacent to the building. h np flood depth number is available. is the build!Vs lowest floor (reference
level) elevated in accordance with the community's tloodptain management ordinance? ❑ Yes ❑ No ❑ Unknown
-3. Indicate the elevation datum system used in determj0i69'the above reference level elevations: ❑ NGVD -4 Q Other (describe
under Comments on Page 2). (NOTE: if the 6/e148144 cf WM uWAII MQMWM the e/evati= a different titan that toed out
the FIRM (see Section B, Item 71, then convert the`6)evafans to (ire datuRt system used on the FIRM and show lfte convambn
equation under Comments on Page 2.)
.t. Elevation reference mark used appears on FIRM. ❑ :Yes No (dee Instructions on Page 4)
`a. The reference level elevation is based on: ❑ actual construction `:❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building dons not yet have the reference level Moor in place, in wltiGt
"uO this certificate will only be valid for the building aiurirl `tlI$ coulee. of construction, A past-constru F/e t:errtixate
will be required once construction is complete.) •, ,� fG OF T F
8. The elevation of the lowest grade immediately adjacent to the building is:rI I I I i.L-J feet ther
Section B. Item 7).
CIR/oTIFrIErW,S/ NAME U
ENSENUAB:R iAdx♦ H
/�H/Qn.�..�.
StIE i;.C.OWr? IYNAME
tF � �
E _ R_. _ 2 .
-
/� •4) 747 - �'/. �rq
ZIP
. a ra AR
T
ja u SURVEY PLAT HR
1
LOT 13, BLOCK A OF GRAND COVE ESTATES AN ADDITION
TO THE CITY OF COPPELL, TEXAS.
VON
15'I A�
%
40 7' 13
x2.0
i1 1 25.6
14.7 /
f�
20.6 w Q�sv
t2.1
ti
ri j151 1110� FORMBOARDS
3.0
, ,mss 3.2 3.2 0
/ LOT 12
LOT 14
i m 24.2 /
o
{ ol,, a
122.01.01' MEAS. 56.22
CALLED 56.38
i
R = 50'
E
525 WALES COURT
I hereby certify that on the—UR—day of Ate, 1995 this survey was made on the ground as per the field notes shown on this survey
and is true, correct, and accurate as to 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.
clsrs r�
Date April 3, 199.E
JOB # 95-1824
HARRY J. ROWELL
GF No. 4597 _
,
®
LEGEND SHARRY
Scale: 1" = 40' SUR`
! 1/2" Steel / Iron Rod Found O \ R 0 W E L L
I/2" Steel /Iron Rod Set 0
Property Line Byk Associates. INC.
Wood Fence — -- — — j Surveying k Engineering
I Chain link / hire Fence x—x—x--x—x 1301 F.Im Street Ste. 201
! Overhead Electric F -- F.--- F -- _, _ Carrollton, Texas 75006