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FEMA-EC000920 (2)The city with A Beautiful Future t -J A ► r ' 8 BUILDING PERMIT APPLICATION °,elm '�6 4_1,_�P,?(o / ` V t ,Vs Z Print or Type in a Clear, Legible Manner I Job Address: 70q IlVGiver i , /,an Date: J-,, L, y 26, 0O Lot: !.� Block: 'il Subdivision: �Q n01 �0' r5���5 Phase or Section Number: Owner &t2EE& CUS OM A1,0 1GS Address: (00 S• SfEMM045 StE 2-95- phone #: ko -79' 75067 q12 -39_4-Z07(? Contractor: E Address: Phone #: Description of Work to be Done Class of Work: R1 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition _ Sj�IGLE FAm��I! ,�jr�IFLL//y� Area of Building in Square Feet First Floor 29f39 Second Floor /08 8 0 NOTICE Garage 8 Other ,//'79-,7 0 7Z-ra, 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 regulatinAnstruction of )he performance of construction. Value of Work to be Performed 5"2 of o &0. In BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 10 r FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. SECTION A -PROPERTY OWNER INFORMATION For Insurarjce 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.I Company LAIC Number 704 6(1411Z-k21_1V z�'v CITY STATE ZIP CODE Coppzz_ . 7-_`�XA.5 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_1 GPS (Type): or ##.;°) 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 0-oPPCZ2 4901,70 B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 00/0 IC - 4 -IS -94 4-1s- 94 X B10. Indicate the source of the ase Flood Elevation (BFE) data or base flood depth entered in B9. 1-1 FIS Profile 1,25 FIRM 1_1 Community Determined 1_1 Other (Describe): 611. Indicate the elevation datum used for the BFE in 139: 1_1 NGVD 1929 1_j'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: 1_1Construction Drawings* building Under Construction' 1-1Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number _L_ (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 Elevation reference mark used Does the elevation reference mark used appear on the FIRM? 1_1 Yes 1_1 No ❑ a) Top of bottom floor (including basement or enclosure) .¢6"s" -7—t(m) m ❑ b) Top of next higher floor 44116 _lLit.(m), V) OF T ❑ c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) o ❑ d) Attached garage (top of slab) _ ft•(m) Ecc LJe) Lowest elevation of machinery and/or equipment w 9 ItIY i. ROWF.I.L servicing the building4(oS 12_►r) +•�••••• •••• ❑ f) Lowest adjacent grade (LAG) _ ft.(m) z N ❑ g) Highest adjacent grade (HAG) _ ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade �Q4 ❑ i) Total area of all permanent openings (flood vents) in C3h 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. 1 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. CERTIFIER'S NAME t-ry / 1 © ,�%rve�/ LICENSE NUMBER ��� 17 TITLE �Cd r vee r / COMPANY NAME a rr t oWe ll Cpm 4 C ADDRESS r CITY �r1� STATE �x ZIP CODE 7_:5O0,6 SIGNATURE DATE 1� TELEPHONE (97,Z IV- 5j; ;%,? FFKAA Fnrm Al -11 Al I(; QQ CFF RF\/FR.qF CIIIF FOR r.r)NTINI IATInN RFPI Ar`.FC Al I PRF\/ini IC FnITInNC w 11 O Il ARI RK -q VOR Z E ypROVAL OF SIIIA"i--o Cl.. )NL . F LY Y iDF, N, R IIER DEVICTIONS OR Ll OUTS 13N PLOT PLAN C C LL- IIWFD MVIF VE NOT UIEENAPPROV-ED. WAM Approval of the PWS and, be construed to mean c0W Witty the MY of COMBO Rif Drdinances. BO D" U) El CV R -U) <- L17T "QUIRED. -.- HR SURVEY PLAT HR LOT 4 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. R = 845' 90.'78 0 0 8.0 11.2 Op fS� O to t\? CIO ri t 9.1 FORMBOARDS CO to w o c� a 9.2 LOT 3 LOT 5 25' B.L. 0 L6 5' U.E. 7"7.35 R = 720' 709 WAVERLY L I hereby certify that on the 19TH day of SEPT; 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 fact® 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 an 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 maybe shown or addressed on the survey. The survey shown viable easements, encroachments, conflicts, or protrusions apparent on the ground. Date : SEPTEMBER 20, OF 2000 �s?�' � k�:fy� JOB 00-4556 GF No. HARRY J."ROWE'Li ' LEGEND e Rod Found O 4597 Scale: 1" = 20';�,�o� HARRY SUR 1/2" Steel J Iron 1/2" Steel / Iron Red Set R O W E L L Property Line B Y : & Associates, INC. A� Wood Fence — — — — -- Surveying & Engineering Chain Link / Wire Fence X—X—X—X—X 1301 ElmStreet Ste. 201 Overhead Electric — E— E— E— arrollton, Texas 75006 (972) 242-5675