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FEMA-EC940407T��= hee City With A Beautiful Future BUILDING PERMIT APPLICATION Building Inspections Division /,fir / Q% A 2q Print or Tvoe in a Clear. Legible Manner YAR24R .. Job Address: Date: Lot: 2 Block: Subdivision: 1$BS S7 r or i Phase or Section Number: Owner: ANr , N(�� ��S Address: /4- 6/6 �� ukS Q��Y 0 Phone #: ZI Contractor: Address: fl rr244 Phone #: )4�7 / Description of Work to be Done Class of Work: 29 New ❑Addition ❑ Alteration ❑ Repair ❑Demolition (� Q Area of Building in Square Feet First Floor ?n557 Garage Jam! q Second Floor 1 I Other -3 Value of Work Zl� 000 to be Perforated S GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Receipt Number: ` 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 Zoning District: Occupancy Classification - days at any time after work is commenced. Approved By: Date: 22 I hereby certify that I have read and examined this application and know the same to be true Comments: p: 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. Si ature of Con ctor o orized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor BIR - 1 (2/92) i lk 73.67' FLOODPLAIN EASEMENT 1-3 N15 %19 tit co 0 C� VIN 1p- c cxwc 14.68' SIDE AIX, FM, --CITY• CWE OtEk CROSSING BL ::4, t HR � SURVEY PLAT HR LOT 21, BLOCK E, OF CIBBS STATION PHASE TWO, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. 73.67' 1 o 100 YEAR FLOODPLAIN i HIGH BANK LOT 21 BLK. E t� t, r� t FORMBOARD S UR VE Y J LOT 20 F.F. ELEV. 453.80 � LOT zz �J 9.3' 8.0' I' 'r t, 8.0• r' �. �W 25' BUILDING LINE � w � N Ww -- _ o 1 10' UTILITY ESM'T w 91 5' TU ESM'T 14.68' 1032 CREEK CROSSING I hereby certify that on the=day of L'� 19L -i-;1, this survey was made on the ground as per the field notes shown on this survsy and is true, correct, and accurate as to the dimensions of the subject property and rise, location and type of buildings and improvements therewn, 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. �P�'ttaIs Date��lz�� JOB # j HARRY ✓. RONELL t — CF NO. .....45 7............. ��-�sslo�.' ¢ HARRY LEGEND $j Scale: i = zG �SURvi�/ 1/2" Steel � Iron Rod Found 0R 0 WELL 1/z" Steel / Iron Rod Set Property Line & Associates, INC. 1 Wood Fence — . — . — . — — Surveying & Bnginesring 1 Chain Link / hire Fence x—x—x—x--x 1301 F, lrn Street Ste 201 I ,c-crh.ead I,teotnc B --- t% -- "• ' ,-.-, __ � I-n,•r ��tity. Tia -•;is 7500F ' - ELEVATION CERTIFICATE Expires May 6, 1993 Expires May 3 i, 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 FOF INSURANCE COMPANY USE 1 BUILDING OW)ER'S NAME POLICY NUMBER STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O_AOUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): ZIP CODE 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. RATE OF FIRM INDEX 5. FIRM 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): LJ NGVD'29 [-]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 1- _� �_ �. L_I 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 L_1.41_6*�31.�B feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 430, 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 LLI_ 1_1J .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 �_�� .�_..) feet above ❑ or below [_J (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The iioui used as the reference love! from the selcctsd diagram is I__L L __I feet above n or below ❑ (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 [_J No [.A Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: [A-�1GGVD '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: Yes El No (See Instructions on Page 4) 5. The reference level elevation is based on: F�ual construction LI 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: feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement _ . r;,r 11, Dein Y '-- f: T... ;�F- Fi�,.!t-Pcr r, sr-�c Ff., r. ri" I�i!_IC,T!ON ��CTIahI � lrCFti'I(�tt7:1TIC7t1 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. l 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.$,,,Section 1001. e P E OF Tom. CERTIFIER'S NAME LICENSE NUM3ER ...> TITLE OMPANYNAME 1'_ROWEL L ADDRESS / _ CITY / �A' F t c 3cT ZIP SIGNATURE. f' / .- DATE MA Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A v TONES ZONES ZONES ZONES ZONES REFEREN RFfFRF..K•f �'�—� — IFVFICE REFERENCE FLOUR LFVFL EI FVATNN BASF A JA1ENT REf r.NEl;!„E FLOOD EIfVAT1ON Af.j`fNT f ' ADJACENT •. CRADF The 6actrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for ,u V ?ones should be rneacured at the bottom of the lowest horizontal structural member.