FEMA-EC990913W) ✓rt :�- 2 151 12 '1517
BUILDING PERMIT APPLICATION
' . 2_ � Print or Type in a Clear, Legible Manner
Job Address: /IZ Date:
Lot: .7 Block: Subdivision: f,4a,N 19A k— Phase or Section Number:
OwnerCzew6wm _ /► Address: IQ , 8 ��,� Phone #:
IF 19
Contractor: Gts Address: Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor -I Garage
Second Floor /� Other
NOTICE F
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 Z
at any time after work is commenced.
A
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 he
complied with whether specified herein or not. The granting of a permit does not presume to
give a ority to violate or cancel the provisions of any other federal, state or local law
regul i co ct' e performance of construction.
Signature of Contractor or Authorized Agent Print Narpe
/r! 0101, S60201VA3 c -Ls
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
Value of Work elab
to be Performed ,?A pad.
AREA FOR OFFICE USE ONLY
Receipt N
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
CITY OF COPPELL
REVIEWED
V'c "'W'
DATE -7
So
of the ns and specifications sk!l
; ,,&I to mean construction in direct cor-,
04 Of COPPell Building codes and Zonl-,-
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W A V E R L Y L A N E
PLOT PLAN .
&--ALE N20-0' N
----------
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P A T 1 0
6V-011
LOT 7 / BLOCK D
MAGNOLIA PARK
COPPELL, TEXAS
CLEMENTS-ALLEN HOI�M
004CRETE
DRIVEWAY
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W A V E R L Y L A N E
PLOT PLAN .
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7-7 7-771z1711111111117
H SURVEY PLAT
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LOT 7 BLOCK D OF MAGNOLIA PARK AN ADDITION TO THE CITY OF COPPELL DALLAS
COUNTY, TEXAS REC. IN VOL. 98145, PG. 506, P.R.D.C.T.
COMMON AREA & DRAINAGE ESMT.
85.00
LOT 7
BLK. D
8.0
0
z
z
8.0
e
8.0 FORMBOARDS
tV a
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O H
LO I
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8.0
LOT 8
25' H.L.
0
CV
90"00'00"
5' UTIL. ESMT.
13
0
85.00
S 21'28'02" E
REFERENCE BRG.
617 WAVE RLY LANE
I hereby certify that on the 13TH day of SEPT, 19 99 this survey was made on the ground and this survey plat hag 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.
Date : SEPTEMBER 14, 1999�� GQ r�d�
99-.4541
JOB #
HARRY J. ROWELL
GF No. ... . . .
4597
LEGEND (�D Scale: 1" = 20'
SUR
HARRY
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set 0
ROWEL L
Property Line B y :
& Associates. INC.
Wood Fence — — —
Surveying & Engineering
Chain Link / Wire Fence X—X—X—X—X
Overhead Electric -- E E— E—
1301 Elm Street Ste. 201
Carrollton, Texas 75006 (972) 242-5679
ELEVATION CERTIFICATE
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 to
provide elevation Information necessary to ensure compliance with applicable community floodplain management ordinances, lo
determine the proper insurance for completing this form ort a can be found on the uest ra Letter of following pages Amendment or Revision (COMA or LOMR).
SECTION A PROPERTY INFORMATION
BUILDING OWNER'S NAME
FOR INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I
- - 6 -/'el- �v •1_v.—Ee,_ /C/vk'
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
o T 7 BCX D
STATE ZIP CODE
CITY
6 o PP.EZ-L i?<
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1, COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
D. FIRM ZONE
6. BASE(InAO Zones, u eEVATdept ON
4961 7e
6)0/0
.4=
4 -15-- 94 .
-Oq---'
Xb
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): MGVD '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__Ll__l._l_I JJ feet NGVD (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 Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I �_.0 feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1430, 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 .❑ feet NGVD (or other FIRM datum—see Section B, Item 7):
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram Is I_JJ.❑ feet above ❑ or
,VoT.t: _-441,/ 44,S.QO uwyS 7 -09W, --t/ 97— T111.E
below ❑ (check one) the highest grade adjacent to the building. zow.csT' 44tee4 oF' �o�e•r�9�s'C'd5
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LL 1. LI feel above ❑ or below 1-1 (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 FJ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: 0 NGVD '29 ❑ 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 t3, 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 relerence mark used appears on FIRM: ❑ Yes [gNo (See Instructions on Page 4)
5. The reference level elevation Is based on: Xactual construction ❑ construction drawings
(NOTE: Use of construction 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 construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: LL1J 1. .0 feel NGVD (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),V11—V30,VE, and V (with BFE) is required.
Community officials who are authorized 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.
esents
I understand
est efforfs to
he
that any false statement may be punishable by fine or mprisonmenbImthat the information In Sections B and C or? this certificate prisonment 18 U..S.•Cointerpret
retat SecfioI00 ailabfe.
__<. HF,".
LICENS NUMBER (or Affix Seal
CE/RTJIFIER'S NAME L ,
e4/ Z4_1COMPANYNAMnE `J ' F f..f?�2Y J. IR
TITLE:...4597 ....
. .
clTv y
ST �, ZIP
ADDRESS 7;r / , • O
SIGNATURE 9
DATE /� P' 4 Z —6-4 %
Copies should be made o this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: B ��/ G'lT� �% LJOP/�.�L� G'EDI�.0 T�� ro/(/T�Pd�
497.44— --- -- - -