FEMA-EC940331W0905�(061 �jg'zq
The City With A Beautiful Future
Building Inspections Division BUILDING PERMIT APPLICATION
f ���_ 2 9 Print or Type in a Clear, Leciible Manner
94
job
Job Address: l 0 � 4
Date:
Lot: Block: Su division: /_ � S S �-t, Q I
Phase or Section Number:
Owner: N i --vf �v�2 Address: ���0 l c� ltc S
w lL z Po t> #: Z 14 — 3c: — ,23 re 3,
Contractor: Address: r
Jx� J .rf �laFu10 N 1ic�� ^.�..►
Phone #:
"'n,
Description of Work to be Done Class of Work: New ❑Addition
❑ Alteration ❑ Repair ❑Demolition
• 1,�
Area of Building in Square Feet
First Floor2 3 -� -� Garage
Value of Work _
to be Performed � �� � U
�s
Second Floor 5� Other � 3 J
I1
(! GRAY
AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee:5
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
14
Zoning District:
1
Occupancy Classification:
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
Approved By:
Date:
I 11-Y
ntS:
�tFj
=
and correct. All provisions of laws and ordinances governing this type of work will beOmme
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
regular construction or performance of c nstruction.
Signature of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR - 1 121921
0
1
in
N
SE -, "
CREEK CROSSING
SITE PLAN
SC: /10 -20'-W
LOT 22 BLOCK E
GIBBS STATION
PHASE II
COPPELL, TEXAS
HR
LOT 21
SURVEY PLAT
LOT 22, BLOCK F, OF CIBBS STATION P11ASE TWO, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TF,XAS.
"-'JRI9yCS BZAJUVC
70.00'
M
O
LOT .23
10e
I hereby certify that on the i Ic i
s _
3 , __day of 19� thls surrry scs matt: on the aund of
c:;d is true, COlfpat, and occuroie as io fh• dimensions of the subject property and size, location rand type ofrbutildingsdand simptrovements thereon.
if any. The survey shows all easements and visible eosemenfs of which I have knowledge or how been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
'L OF
Dat@n?,i /`I7 �P,ptttftE�fb�9�
JOB #
HARRY J. ROWELL
(D LEGEND q)
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Properly Line
Wood [once
Chain Link / Via Fence x—x—x--x—x
GF No. a59i
�- Scale:—
,_ HARRY
Q SURVE'� .�
ROWELL
do Assoclafes, INC.
Surveying & L_ngina_ering
b
i °�9 ?A rl ` ^ ! t s 1 r-. `A -- O. M. B. No 3067-0077
Ff~I)EI� >L (ti1E'It(.�hNC:Y t^AtJAGF roll,- r Af IFNCY .
IJ18110NAL FLOOD PROGRAM
PROGRAM
!, t i f t!?tnN: O^,e Of this rrr llflc lin r1nn.; not provlcln n v .,iver of the flood insurance purchase requirement. This farm is used only to
('lovatlon Intormatwn n(_ cessaly to ensure compi+;ince with apphcai)I(.� connnunity Iloodplaut rnanayement ordinances, to
u++nc 111e proper rnsuran e premium rat(, anu;or to support a request for a !.enter of Map Amendment or Revision (LOMA or LOMR).
instructions for conrplebrut this form can be found on the following pages.
;t.G t l(�fJ 1. PRCit'[:.Ii t Y Itdf l400A ION
li,tE Ct14 J ;i t.i,l.a
I AI �,nL Ilnt"+uJ n� A it , Unil :iwle enSor U;Jy rJumbe(1 Uk I'U hUUI t ANU B(jA NUMis4_f(
"L{IlF I i(�iJ ;; ,i�U Ei,•.��n NuniGors, etc.j
SWE
FOh INSURANCE COMPANY USE
r0l.ICY NUMBLIi
GUMPANY NAI; NUMBER
ZIP CODE
:SEC-ItJIS B FLOC)U INSURANCE RAIL MAP (f IRM) INFORMATION
'rovade the following front the proper FIRM (See Instructions):
sn,t(iNl f Y Nt1Mi3ES1 2 PANEL NUMULII 3. SUr 1A 1. UAi:. Oi FlhM INui_A S. FIRM ZONE
6. BASE FLOOD ELEVATION
(!n AO Zones, use depth)
Indicate tho elevation datum system used on the FIRM for Base Flood Elevations (BFE): D'29 Other (describe on back)
" I or Zones A or V, where no RFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
010 community's RFF, f _! ! ) ! ! ! feet NGVD (or other FIRM dztum—see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
t t ,inri the Elnvatinn Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
x;cnluas the subject building's reference level
1 0. 1 It iM !ones A t -A30, AL, All, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
(II +LSI3Jfent NGVD (or other FIRM datum—serf Section B, Item 7).
!h) 1113M Zones V1 -V30. VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
?Ile �elnctvd diagram, is at an elevation of L._l_1..11l.l.-.� feet NGVD (or other FIRM datum—see Section B, Item 7).
(c) FIIil'A Zone A (without,RFF). the floor used as the reference level from the selected diagram is L1J.L"1 feet above ❑ or
he!ow I (check one) the twillo J grade .Wjacont to the building.
!-avO fro;n tho ;;olectod diagram is (_I- ! ' - J feet above or below [] (Check
L- _
0I IO 1110 highest gratin adjacent to the bu+khng- If no flood depth number Is available, is the building's lowest floor (reference
Iovol; «elevated In accordance will' the community's floodplain management ordinance? (--?^Yes (_I No LJ Unknown
uh ate the elevation daturn system used in detorminlrirl the above roferenco Invol elevations: L- NGVD'29 FJ Other (describe
�;nd;.�r t,ornmerus on i'I�_,e 2j. (fJ(llt,: 11 the elovahon d.�tutn uwd At nleasunn�7 the elevations is drtlerent Than that used on
Pt,en convolt the elev: tions to the datum systom used on the Fif?&f and show the conversion
unOor Common,,:, on i'<r()(i ;1'.)
! iov;it+on retnrence mark ir�nd :)pl )am on Firlm �Yo; ' No (;:nr) Instructions on Pago 4)
reference level ol! ,vation I,; hasod on: !__4_ ttvil construction -_"; constru tion drawings
; r' , 1 i i Use of con;:lrucuan di"Imm"s is only valrci it t1W butldu>v does not ,yet ilave tho telerence level floor in plane, in which
<� 1t,, ; crrrtltuxtlo w,rt or(!t, bin v,N,d for il,o t.wilimiq duneg the course of co✓)siruc(rorn. A post -construction Elevation Certificate
`+� e!r Cation of the Inwnst nr�cfr inlrr,;'di,�tnly ani;anent t(� th0 bui!dinq is: (_S�`.�% feet NGVD o
( �ryWs%�FJRM datum -see
L(+ort l3, Item il. '+► I E OF �.
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