Loading...
FEMA-EC000504 (4))MF 1. M O?�4�gqo 7They With A Beautiful Future BUILDING PERMIT APPLICATION IA�n *, 2C' Print or Type in a Clear, Legible Manner Job Address: �Q Date: Z;e,.- 7 . oU Lot: Block: Subdivision: Phase or Section Number: Owner j Address: P 7 Phone #: Contractor: P" Address:' '` ,,. Phone17,ry A:me#: � �' r7 Description of Work to be Done Class of Work: %New ❑ Addition ❑ Afteration ❑ Repair ❑ Demolition Area of Building in SquareFeet First Floor 2� y" ,L ` Second Floor NOTICE Garage Other 3 2 �- y7.7,4 5 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. gignatur f Contractor or Authorized Agent /�rinf Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) Value of Work A to be Performed Y AREA FOR BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE O.M.B. No. 3067-0077 Expires July 31, 2002 Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC CITY STATE ZIP CODE eOPP�LC , TX, PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 4-67- /i y of rn464104,143 o9. DAI. BUILDING USE (e.g.(Residentia� Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): ( ##° - ##'- ##.##" or ##.#####0) 1_1 NAD 1927 1_1 NAD 1983 1_1 USGS Quad Map 1-1 Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE e0RPA72I- 4Ro/70 I D09tLf}5 -- ,bZ V7041 I 7Z�XW_5 B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER ❑ c) Bottom of lowest horizontal structural member (V zones only) DATE EFFECTIVE/REVISEDfit DATE ZONE(S) ( ) (Zone AO, use depth of flooding) 4802 7O DOJO E /'^/ S- '' S _ servicing the building m) B10. Indicate the source of th Base Flood Elevation (BFE) data or base flood depth entered in B9. 1_1 FIS Profile 17FIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IX NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? �_� Yes rL..tNo Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 1_1Construction Drawings` IZBuilding Under Construction* 1_1Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _ I (Select the building diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elation reference mark used Does the elevation reference mark used appe 6d� a) Top of bottom floor (including basement or enclosure)ll(� ft (m) m ❑ b) Top of next higher floor 4�� �S C'i(m) 0 ❑ c) Bottom of lowest horizontal structural member (V zones only) ft.(m) ❑ d) Attached garage (top of slab)_ _ ft.(m) . 00 ❑ e) Lowest elevation of machinery and/or equipment w servicing the building m) ❑ f) Lowest adjacent grade (LAG) 4(06�(m) z'g O g) Highest adjacent grade (HAG) .—ft . (m) 8 ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ❑ i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) ar on the FIRM? _l Yes I of No wMai� ll>Io�w�L SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, 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, Section 1001. CERTIFI_ ISS NAME LICENSE NUMBER CO. A KtSJ CITY STATE ZIP CODE .42 ✓n ": TZeE�T-�� C'�,��OG G TO�i/ TX %S o ,- SIGNATURE _ _ _ _ _ Q DATE , _ TELEPHONE _ FFKAA Fnrm R1-11 Al Ir; Cff CFF PF\/PPCF CIr1F POP rr)NTINI IATIOKI PFPI Ar:FC Al I PRF\/Irl1 m r=nITIONC H SURVEY PLAT "R R LOT 11 BLOCK D OF MAGNOLIA PARK AN ADDITION TOI THE CITY OF COPPELL DALLAS COUNTY, TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T. COMMON AREA & DRAINAGE N 05°28'05" W 45.20 16.4 115.1 I 1 I 1 N 16'42'58,. 'W 5"1.0` a LOT 11 BLOCK D �n ua 5' UTILITY ESMT.-- 87.95 R = 700' 8.2 9.2 .L. 601 WAVERLY LANE LOT 10 I hereby certify that on the_ 4TH day of _ MAY 20 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 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. � OF J, Date MAY 09, 2000 �?� $G'RFd:fy� JOB # 00-7000 0 LEGEND O 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 — GF No. Scale: 1" = 20' By: 'oAla1�107 HARRY J. R-0, W'E'LL ... 4597 HARRY ROWELL & Associates, INC. Surveying & ! ngineering 1301 Elm Street Ste. 201 on, Texas 75006 (972) 242-581 I I I C'. Ia �I vI w � r C I COMMON AREA & DRAINAGE N 05°28'05" W 45.20 16.4 115.1 I 1 I 1 N 16'42'58,. 'W 5"1.0` a LOT 11 BLOCK D �n ua 5' UTILITY ESMT.-- 87.95 R = 700' 8.2 9.2 .L. 601 WAVERLY LANE LOT 10 I hereby certify that on the_ 4TH day of _ MAY 20 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 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. � OF J, Date MAY 09, 2000 �?� $G'RFd:fy� JOB # 00-7000 0 LEGEND O 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 — GF No. Scale: 1" = 20' By: 'oAla1�107 HARRY J. R-0, W'E'LL ... 4597 HARRY ROWELL & Associates, INC. Surveying & ! ngineering 1301 Elm Street Ste. 201 on, Texas 75006 (972) 242-581