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FEMA-EC950608The City With A Beautiful Future BUILDING PERMIT APPLICATION Print or TvnA in a f_laar 1 anihlp Mannar Job Address:1 O 6c) C�� Date: to) '� Q� Lot: ze Block: Subdivision:i 8$ i4Tt e J Phase or Section Number: + Owner Address: (f�(Gl0 N ' >,O, At, Vfc"� C 4�z NT.�Cor.J FJv`GS -7Shone #: i NN Description of Work to be Done Class of Work:GI/New ❑ Addition ❑ Alteration 45 f ❑ Repair ❑ Demolition I I Area of Building in Square Feet Job Address:1 O 6c) C�� Date: to) '� Q� Lot: ze Block: Subdivision:i 8$ i4Tt e J Phase or Section Number: + Owner Address: (f�(Gl0 N ' >,O, At, Vfc"� C 4�z NT.�Cor.J FJv`GS -7Shone #: Contractor: Address: Phone #:(— Z¢ Description of Work to be Done Class of Work:GI/New ❑ Addition ❑ Alteration 45 f ❑ Repair ❑ Demolition Area of Building in Square Feet q First Floor �q3 Garage sl 1 Value of Work 21 Dck (� to be Performed Second Floor f ` Other VZ �l r GRAY AREA FOR OFFICE USE ONLY NOTICE Permft fes: •pt NttMbe': L° 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. Zoning Distrio: r �rwy (', + 4 Approved 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 presumeto cnrnman give authority to violate or cancel the provisions of any other federal, state or local law regulating construction of the performance of construction. ' -221 ignature of C trac r uthorized Agent Pant Name ci-TFC -7 Pc Electrical Contractor Pl mbing Contractor Mechanical Contractor rrlvl(, - i Ia/aa) No . ELEVATION CERTIFICATE O.M.B. Expires May 31, 19 y31, 1977 93 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM BION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to ie the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMB). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOH INSURANCE COMPANY USE I BUILDING OWNER'S NAME STREET ADDRESS (Including_ Apt., Unit, Suite and/or Bldg,b4pmber) OR P.O. RQUTE AND BOX NUMBER POLICY NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) ism '. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): GVD '29 U Other (describe on back) 3. 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: I I I I 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 Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of l I 4L4*I.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 I I I I I .❑ 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 ❑ (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 feet above ❑ 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 o ❑ 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 ons ❑ 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 4L59 . LST 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: I I 4_4q •13 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FUFi UUN i iNUAI IVN s_ 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 13FE),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. 1 certify that the information in Sections B and C on this certificate represents my be rts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonm Code, Section 1001. TN CERTIF R'S NAME gNU or Affix TITLE C MANAMADDRESS CITEI ,� STATE ZIP SIGNATURE D � PHONE Copies should be maKof 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 ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION FLASE OODADJACENTREFERENCE BASE FLOOD ELEVATION REFERENCE ADJACENT GRADE - i LEVEL ELEVATION LEVEL GRADE .;: ADJACENT::. GRADE '. The diagrams 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 all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 .JUH-0 1 —95 THU 04 : 02, PH H! HT I t-4GT0 H HQHES X 1 4 f 1 3 i i 1 F. 0 r% SCALE: 1 30' pLMS ARE REVIEWED FOR APPROVAL OF SINGLE FAMILY RESIDENCE ONLY. --i-J PLAN NO. 07� :, 3286 P0D SRD.= 05Q1. 70L J_ ..�� FC 050.70 P O O N ro 1060 CREEK CROSSING TOC = 449.6 Lot Area. 1 7' 66 Sq. Ft. Type Drainage V, 77' Fence Length' 453' "ENCS LENGTH ShDV,'., IS b!AX, };LLD VER FY EXISLNG FENCES, GENERAL NOTES — OTHER DEPICTIONS OR CALL -OUTS ON PLOT PLAN HAVE NOT BEEN REVIEWEL, AND ARE NOT APPROVED,,; S t a t i n ARC rABLE �9•, ARC _ LEn RAO. CiiRP aRc. ....-250.00:'—'-- _.-- `�•. 'At 6J.76' h CITY OF COPPELL _-- --- EV WE® ApDpDrnv,almt DATE the plans and specifications shall not be construk to mggruNgnstruction in direct con- flic, '.vith the ,of ' pZll Building Codes and Zoning Ordinanc I t I Gibbs � N I al � d FC swo v, t� ; k + JFS '6' MOM BOARD 03 — /w J TMVEY REQUIRED --i-J PLAN NO. 07� :, 3286 P0D SRD.= 05Q1. 70L J_ ..�� FC 050.70 P O O N ro 1060 CREEK CROSSING TOC = 449.6 Lot Area. 1 7' 66 Sq. Ft. Type Drainage V, 77' Fence Length' 453' "ENCS LENGTH ShDV,'., IS b!AX, };LLD VER FY EXISLNG FENCES, GENERAL NOTES — — DRIVEwAYS 16' WIDE ENTRY WALKWAYS 3' WTE . PARKWAY I mk;d. CS S t a t i n S D?WALKS 4' WIDE + L— -.--,—Gibbs _-- --- ■ UNLESS OTHERWISE NOTED �— subd v. Gibbs Station Phase Two - 10"—�� ; k --_ �L 1060 Creek Crossing J city C if TX I rtummfiwn I�date li ,on 10010 DALLAS ►AKKWAY, SUITE 9300 DALLAS, fEXAD 76940 r r I -06/01 Z95 3,286.00 F _EV A I FE �4� 719.O�ii R� LOT 27R CIO 00 .A -' - I SURVEY PLAT HR LOT 28R, BLOCXK E, OF A REPLAT GIBBS STATION, PHASE TW `'l ADDITION TO THE CITY OF COPPELL,DALLAS COUNTY,TEXA 'y THIS PORTION OF THIS PROPERTY LIES WITHIN THE 100 YEAR FLOODPLAIN PER THE PLAT 8.6' FORMBOARD 9.21 SURVEY FF. ELEV. 452.37 h h v 0 O O O O 26 BUIL NID t: LINE--- CQ INE w CV — 1p= 12.44' S 33 55' 38" E ( N.T.S. ) �y � �750 „ LOT 29R I hereby certify that on the 'h day of,TAMir. f7% 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. _ Date : JUNE 8, 1995 LEGEND 0 f/2” Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line Wood Fence — Chain Link / Wirt Fence x—x—x—x—x fh,erhead Electric --- F, ----E----- E --- CF No. Scale: 1 " = 20.0' / y��1Soo �e+ev O N HARRY ✓. ROWELLJ .............. JOB # : HARR Y R 0 WELL & Associates, INC. Surveying & Engineering 1301 Elm Street Ste. 201 Carrollton_ Texas 15006