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FEMA-EC931018TM city With A Beautiful Future BUILDING PERMIT APPLICATION Building Inspections Division Q 3 b � Lj Print or Type in a Clear, Legible Manner Job Address: C/33,�C i�ss Date: l — ._ (0 / Lot: Block: Subdivision: • �C—N Phase or Section Number: Owner: �( �� / y Address:/6,0,c) /f/, / Phone #: �� - 2-3 o (� Contractor: *--ae_ Address: S / ZG Phone #: Description of Work to be Done Class o Work• ew❑Addition S�` ❑ Alteration [:1 Repair El Demolition OCT 1 2 93 Job Address: C/33,�C i�ss Date: l — ._ (0 / Lot: Block: Subdivision: • �C—N Phase or Section Number: Owner: �( �� / y Address:/6,0,c) /f/, / Phone #: �� - 2-3 o (� Contractor: *--ae_ Address: S / ZG Phone #: Description of Work to be Done Class o Work• ew❑Addition S�` ❑ Alteration [:1 Repair El Demolition Area of Building in Square Feet First Floor 2-/ C7 Garage Value of Work �' C)G`-� ! 6-117C) to be PerformedSecond Floor �( � Other Z 6 S 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 te or local law give authority to violate or can a rovi ' of any other eral, 7e, re gu mg nstruction a rform ce co struction. Y Permit Fee: 3 • ✓ Receipt Number: d Zoning District: Occupancy Classification: Approved By: Date: 2&" Comments: Signet of Contractor or ized Azesd Print Name Electrical Contractor Plumbing Contractor Mechani 1 Contractor BIR -1 (2/82) ALL -Y 4w - ............ c f t, _ _ 1 /3 SITE PLAN Xo. 4--) f� , G 452.3 r 4-5,c). 11 0 SURVEY PLATI"""""' lkRi .17 R LOT 8 LOT 9, BLOCK E, OF CIBBS STATION PHASE ONE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. 84.37' 932 CREEK CROSSING I hereby certify that on the�day of 1!2:� 19—'F� this survey was made an 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. 01 There are no encroachments, conflicts, or protrusions visible on the ground other than those shown 11 01 CH��ARRY �lo01 DaterN.01 JOB #WELLCF No. ,LEGEND st ace:-- = zo ' .�oJ I/2" Steel / Iron Rod Found O I/2" Steel / Iron Rod Set Property Line Food Fence — . — . — . — — i Chain Link / wire Fence x—x—x—x—x n�vui Nlectric E — E— F. — HARRY R0 WELL d• Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 Carrollton, Texas 75006 ELEVATION CERTIFICATE O.M.B. Expires May 31, 1977 31, 1993 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, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOh INSURANCE COMPANY USE I BUILDING OWMER'S NAME STREET ADDRESS (Including t., Unit, Suite and/or Bldg. Nu r)7O�R P.O. ROUTE ANG, BOX NUMBER OTHER DESCRIPTION (Lot and Block Numbers, POLICY NUMBER COMPANY NAIL NUMBER CITY � STAT -,E ZIP CODE n SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER �� / 7Q G� /O 3, SUFFIX '7C:>GST. 4. DATE OF FIRM INDEX /�,'4?W 5. FRt M ZONE \ 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1S'GVD'29 El 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: l l l l l l . W feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicatg the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 7 . 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 l 14 W .I -4 feet NGVD (or other FIRM datum—see Section B. Item 7). (b). FIRM Zones V1 -V30, 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 I I .LJ 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 W . W feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is WW .W feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the builaing's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ 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 B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: es ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: actual 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: I I feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—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. / certify that the information in Sections 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. CERTIF R'S NAME LICENSE NUMBER (or Affix Seal) TITLE COMP Y NAME ADDRESS CITY STATE ZIP SIGNATURE DATEPHONE¢ aZ Z 5 Z Copies should be ma of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. HR SURVEY PLAT HR LOT 10, BLOCK C, OF CIBBS STATION PHASE ONE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. LOT I1 vv. — - R=615.0' 933 CREED CROSSING I hereby certify that on the day of of r 192L 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 rise, 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. TE�0 Tee' Date ;. JOB # . HARRY Jr. ROIIELL GF No. 4599 f,V LEGEND tv I/2" Steel / Iron Rod Found O t/2" Steel / Iron Rod Set Property Line Wood Fence Chain Link / wire Fence x—x—x—x—x Oc&rhead Fleetric E' — F.'— F — Scale. 1 — �s ?Z777_:777TT7??7 T,'T'.77TI?77TI HARRY R0WELL & Associates, INC. Surveying & Engin 1901 Elm Street Ste, 20f Carroliton, Texas 75006