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FEMA-EC940124A110111111111111F All ry e CRY Will A S"LOW M" BUILDING PERMIT APPLICATION &i Ong InspecKions DlvJslonn 11 191 7 J . 2. Print or Type in a Clear, Legible Manner Job Address: Date: I ` 3 )-r� Lot: I Block: Subdivision: �085 Phase or Section Number: Owner: �-z-1ToN S Address: t (o Co t .4NA71cn5, Prow I,,Z.,,OPhone #: Contractor:Address: -D*L t �') TX Phone #: faC�� Description of Work to be Done Class of Work: K New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition of Building in Square Feet First Floor (-1ua201 Second Floor I ©Z NOTICE Garage Other Sb 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 or the performance of construction. Electrical Contractor Plumbing Contractor Mechanical Contractor SIR - 1 12192) Value of Work D DO to be Performed Y AREA FOR OFFICE USE ONLY ' OMB 3067-007 ELEVATION CERTIFICATE 09481 JUNE 30 19W FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM TMs lam is to Ila uwd for. t) Pwi-FiRm m"w4an aNY wwm aw taw Good nlormalwn is ava"W 1a Yr b M0Wg " 04 2) vwflRM OuUkW fwd u&Wq P"rFAM NuM& I"Irwe" for conawluq M.s Will can be loued on fM rwww Gid". _ OTHER V"GR,PT" PWWA ani1N ftW" .. No.) PTNL$AkW,8n is to be compkted AY a land sulveya►, e�w+as� or architect who is authorked by slate law to cerw elewuora mmurmaeon wrnen ale wewrronlar zones A r.4aai, A� AH. A(wsfh BFq, Yf-V3t). VE. and VAW0 SFE) is reouired In Ne use Of="A0. We bWfdtnD official. ll� A►gDNIY or the owaaer'a rsipreseratatlw should •the wlformatiorl in Sedan I and afiay alsotcSoreorliAgation. Corttmunfgr ofl/cials wtw arelhodzad by IOcal law a odlnanw b prrfwda dplain managea wN infonneliorf may a/w SECTION 1 BUILDING ELEVATION iNPOKIN ► I wnn 1. lasing the Flood Insurance Manual or the NFIP Flood Insurance Application—Pan 2 Worksheet. Indicate the proper diagram number 2. FIRM Zones Al-A3t), AE AH. and A (with SFE). The top of the reference level floor from the selected diagram is at an elevation 0(4_!I'3 9 fast NGVD. (or other datum -see 05) 3. FIRM Zones VI -V30, VE. and V (with SFE). The bottom of the lowest horizontal structural member of the reference level floor from the selected diagram Is at an elevation of feet NGVD (or othgr datum -see #5). 4. FIRM Zone AO. The floor used as the Feference level from the selected diagram is w feet above highest natural grade next to the build" (also enter in line 8). This value must be equal to or greater than the AO Zone flood depth number USW- below. If no flood depth number is available. is the building's lowest floor (or reference level) elevated in accordance with the community's floodplain management ordltances? - 5Yes ❑ No Q Unknown 5. Indicate the elevation datum system used in determining the above reference level elevationsONGVD ❑Other (describe on back) 6. Indicate the elevation datum system used on the FIRM for base flood elevations: ©NGVD ❑Other (describe on back) (aAwst converted no o the UM ddeauBona usedem d� d kvawm is different than float used ora the FIRM. Ellen the slovaMn preloaded 7. Is the reference levet based on actual construction? mYes ONO • A "No" answer is only valid if the building does not have the reference level floor in place. Fin in the elevation based on constfuc- tion drawings and do not complete question #& If "W' is checked. this 094MGcation IOW be vaAd only for bundings In the CCU= of oonstrucdon. Atter eonstri orlon of the reference level door Ie oomplotod. A. elevation oortif to will be required for continued flood insurance coverage. & Provide the following measurements using the natural grade next to the building (round to the nearest foot). a. The reference level I& b. The garage floor (if applicable) is: W fee: ❑ above ❑ below (check one) the highest grade. W feet ❑ above ❑ below (check one) the highest grade. W feet 12abm ❑ below (check one) the lowest grade. W feet ❑ above Q below (check one) the lowest grade. .SECTION 11 FLOOD INSURANCE RATE MAP INFORMATION Provide the following from the proper FIRM (see Instructions on back -Date of FIRM) and accompanying utsuMM COMMUNITY ala rnw" nu. a<+Rc. w. c ..r ��-- �.-- an ap Zola. use dap" ELEVA ZONE V MA DVey,ABLEZONE A 4�/ 70 r-,pio p ice, r79 l�//� Elevation reference mark used appears on FIRM DI yes FNo )See reverse side for details) SECTION lu CERTIFICATION Is to DO aoned by a land surwyor, engw~. or aremoct who is: SUMAormed &W law e/evatlora balamatin tar zones A 1,430. AE. AN. A(wMth SFE), V1430. VE. and WWO SFE! is required In dw case of zone AO. Hae bupolraD otlyda4 Foe prgp wty owner. or the owner's tawosenuabw can swum cwtihcation. Community officials who are auNao►ized by local law or 010moce to prowde fbodphN mansDemernt inrormeuan, may also SW me corb icabon. i candy anal use w+Aormauon on dors cortifteft mpresents AmWy'to interPml 114A, nulla001. l understand fIN1 any false stater""► may be ounishabl" by fine or innprisomnan► under is U.S. Code. Sec"" rrl e/� •tic. A/c. 46,2 78 F� iffier Affix 564 Wrr ewe// EW"'Pe a TITLE COMPANY 3o/r,NAME e e 77.s'o0 b (a,4)a42- S6 79 Kit a* GFWAA copy of the ca and the ftd Gaff MWWAd by FOR OPTIONAL COMMUNITY USE: Is the relerence level slaw rlVFR ONO It NO the elevation of the lowest floor is_.._. DATE form so a" fl"od anauw"c" Ply I 1 11 11 11 TIO 6600W ow I Mow M fo . The fourth "or the 10621 cOfaawally ON101t YMBe. Y Ni MIM MAV BE REPifODUCED. lowest floor under the community's floodplain management - feet NGVD. L S,? --4 - iii a /27_)_---, t "40' FLOODPLAIN ESMT. ^--� U g y 010 �v► � N I I I I I I I I I 4, PI Me1,5,iPew_e CITY OF COPPELL ' IREVOEWED , „ n j 10 BY W�f " SATE Approval of the pl s and specifications shall not be construed to mean construction in direct con- flict with the City of Coppell Building Codes and Zoning Ordinances. a FORM BOARD SURVEY REQUnUM I I ( ) STREET CUT I _ I caac uel.� I � I L— -- 25' OL -A' SITE PLAN 0-261-00 Zptoa - — — — — —_ LOT 19 BLOCK E unuTY ESMT. GIBBS STATION -PHASE II — — — — — — COPPELL, TEXAS 5' TU ELEC. ESMT.— E --SIDEWALK PER CITY CODE---> --------- CREEK CROSSING 10--- 'URVEY PLAY' 1 01 LOT 19, BLOCK E, OF GIBBS STATION PHASE TWO, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. N 89 07' 43" E 84.40' tv i' a 100 YEAR FLOOD PLAIN 0 w of o,� '( ----------------------•-------� LOT 19 BLK. E 11.0' CAD ko Fr V�ft Lor 18 FORMBOARDCID w SURVEYCV rr V w 8.2' 9.0' NTIC—LI—TY N— E — 8.0' L2*5' O Ob ZV a O r� 5' TU ESN'T 67.33' CREEK CROSSING LOT 20 I hereby certify that on the K! '5 ay oj%0� *' 19� this survey was made on the ground as per the field notes shown on this sunny and is true, cornet and accurate as to the dimensions of the subject property and rias, location and type of buildings and improvements UwroM itl any. Ths survey shows all casements and visible easements of which I haw knowledge or have been advised affecting the subject propnty fhae are no =ashments, conflicts, or protrusions visible on the ground other than those shown o o oo Date y.�..�n Ts�ic/. Z'dt/�� :., JOB # HARRY J. ROII'ELL ....... ............ CF No. 4597 , 19 LEGEND 1/2" Steel / Iron Rod Found 1/2" Steel / Iron Rod Set Property Line Food Fence — • — • — • — — Chain Link / Fire Pence x—x—x—x—x Overhead Electric — E — E— E — �7. Scale: I" =71>/14-- /7 , � e� HARRY R 0 WELL ! Associates. INC. Survopny t Engineerir 1301 Elm Street Ste. 201 Carrollton, Texas 75006