FEMA-EC010503Area of Building in Square Feet
` First Floor
Second Floor JJ AILS
1.1171 I Cil y
Garage R!b
Other -2-9 S%
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.
Signa of ontractor or Authorized Agent Print Name
� LL- ;A/ -0 aF G A W ,fie/ A'4wr;
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4M4)
of.I
(JS �-i'o
Value of Work 0
to be Performed _
93
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK +
l Fure
rM City WM A Swutlrutu
- BUILDING PERMIT APPLICATION
- -
;,
Print or Type in a Clear, Legible Mannerwio-40&q
o?,
Job Address:
t 19N Date:
V— O
L . r Phase or Section Number:
Lot: Block: Subdivision: MAoo
Owner
�
Address: Phone #:
v �o si ,at, T
972-1/62-/723
Contractor:N
,. Address:h. O �� ? Phone #:
(�
r 17-23
Description of Work to be Done
Class of Work: New C1 Addition Addition lteration
,y p
❑/Repair
❑ Demolition
Area of Building in Square Feet
` First Floor
Second Floor JJ AILS
1.1171 I Cil y
Garage R!b
Other -2-9 S%
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.
Signa of ontractor or Authorized Agent Print Name
� LL- ;A/ -0 aF G A W ,fie/ A'4wr;
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4M4)
of.I
(JS �-i'o
Value of Work 0
to be Performed _
93
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK +
10
SALT PQLLV FMI/N
Q 6ITY OF COPPELL
R
REVIEWED g
BY 12D
DATE
Approval of the pians and specNications ishan
E$ construed to mean construction In
with the city of Coppell Bundfig ood and Zont
Ordinances.
CONCRETE
DRWE
FORM BOARD
SURVEY REQUIRED
WALK
4' CONC
4I. s:z
613 WAYERLY LANE sTRzrr CUT
F.E.MJL LET'T'ER REQUIRED -
MINIMUM is
101-0T PLAN A _b : 1" a 20'-0"
LOT S BLOCK D
MAGNOLIA PARK
CITY OF COPPELL
DALLAS COUNTY, TEXAS
A Rewdence for: Sylvia Pollard
Jenny t John Stilwell lacer "fal P** r $hest
Carmen Custom domes - Builder (1-0304-6280 Plan 03561-2 1 of 6
HA
7
I�
1 • .: • • • DD • • • •"COUNTY,
1 10
1 REC. IN VOL.98145, PG. 506,
8.0
O
O
N
4 -
LOT 9
8.1
90°00'00"
COMMON AREA & DRAIN. ESMT.
U
O
T
I nT R M
Ci
N
N
5' UTIL. ESMT.
85.00
REFERENCE BEARING
N 21026'02* W
10.4
613 WAVERLY LANE
LOT 7
1 hereby certify that on the 25`ii�dsy of APR. 20 01 this survsywee made on the ground and this survey plat has been prepared as per the field
notes thereby produced, arrdd�properly represents the fisc somas found on the ground. This survey plat has been prepared In accoMonce with, and in
substantial compliance with , all rules and regulations promukmded by On Texas Board of Professional Land Surveying. Unless otherwise noted, the
surveyor has relied solely on the record daft provided in the Oft 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. ancroachments, confikxs, or
protrusions apparent on the ground.
Date : MAY 2, 2001 ,�?� b'cisi r�
y ' ak ..
'SE' �1' ZZ �
�? eO �iA JOB#:
GF No. HARRY J. ROWELL
4597
LEGEND 0 Scale: ,� = 20' HARRY
���,0��4
1/2" Steel /Iron Rod Found o ROWEL L
1/2' Steel / Iron Rod Set
Property Line By: ply
8 Asaodss
ai. INC.
Wood Fends - — — — — j� -__ ` Surveying & Engineering
Chain Link / Wire Fence x—x—x—x—x a 1301 Elm Street Ste. 201
Overhead Electric E E— E —Carrollton. Texas 75006 (972) 242-5679
o
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1 - 7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION I For Insurance Company Use:
BUILDING_ STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
area,
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: _ GPS (Type):
( ##° - ## - ##.## or ##.#####0) �_� NAD 1927 1_1 NAD 1983 �_� 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
SI ZX
B4. MAP AND PANEL
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)NUMBER
7B;5SUFFIX
DATE
EFFECTIVE/REVISED DATE
ZONES)
(Zone AO, use depth of flooding)
di o opo-
4-iS-9
/1
K
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69.
FIS Profile �_� FIRM �_� Community Dmined �_1 Other (Describe):
,pWrB11. Indicate the elevation datum used for the BFE in 139: 1_J 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)? 1_1 Yes 1_1 No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I_IConstruction Drawings* 14Building Under Construction* I_IFinished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number --/— (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, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.a-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
Elevation reference mark used Does the elevation reference mark used appear on the FIR o Yes �_ No
Ll a) Top of bottom floor (including basement or enclosure) 4G6 . �$.(m)- ti pF T
❑ b) Top of next higher floor _ ft.(m) c' oiSTE -. ►
❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) o o
❑ d) Attached garage (top of slab) _ ft.(m) E 0 .... I.........x....... _....
LI e) Lowest elevation of machinery and/or equipment ' W HARRY J. ROW
ELL ....z...... ........L
.
4597 i....
servicing the building (Describe in a Comments area.) _ ft.(m) E
A
❑ f) Lowest adjacent (finished) grade (LAG) _ ft.(m)Z:' Callin ,�•*- ESSIO..!': O�
❑ g) Highest adjacent (finished) grade (HAG) _ ft.(m) d S��`l
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
❑ i) Total area of all permanent openings (flood vents) in C3.h sq. in. (sq. cm)
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.
l understand that ary false statem3ni may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER S NAME.� LICENSE NUMBER
TITLE /CCOMPANY NAME
HUUI'itJ;/ - - lzI-V s em - Chi �GTo'✓ TX" ^ISDO.G
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