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FEMA-EC940422City th A Future TM ildingInspectonsDi BUILDING PERMIT APPLICATION APR Building Inspections Division 3 N Print or Tvne in a Clear. Leaihla Manner 1 Job Address:�o % G7 � � C� 2 Date: 'il�J -�% i 4-11 Lot: Z 17 Block: Subdivision: S.�i..0 Phase or Section Number:— > /!0 6 � O icJ , Dr4c�-/fes Owner: /� ��r,,� 6 To , ,4�J Address: l •�� Phone #: 71- 2 f Contractor: 7 7-0,,elk ^7,,c -j- Address: 57)WW &�r Phone #: el -71- Description of Work to be Done Class of Work: New ❑Addition ❑ Alteration ❑ Repair it ❑Demolition Area of Building in Square Feet ' First Floor % 73 /0- Garage S9 Second Floor 1125 Other Value of Work -41 to be Performed l p z , ri e-) Z, , o O D GRAY AREA FOR OFFICE USE ONLY NOTICE permit Fee: Receipt Number:! 7g', 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 ZoningDistrict: 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: /— x,/ Z3 Z Comments: go and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The p p 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 orthe perfo ante of construction. 20 N t,, N"i Signature of Contracto or A'0duLrjzed Agent Print—Name Electrical Contractor Plumbing Contractor Mechanical Contractor nin - 1 (2162) ELEVATION CERTIFICATE O.M.B. No 3067-0697 ExOires May 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 FOH INSURANCE COMPANY USE BUILD WNER'S NAME POLICY NUMBER G �f STREET ADDRESS (Including Aft,, Unit, Suite and/or Bldg. "bar) OR P.O. ROUTE AND BOX 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 45— ��./� � (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): E9-Iq D '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: 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 L . 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 1 1 45-1J 1J� 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 ❑_❑J.❑ 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? B'�es No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: n 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: 1:1 No (See Instructions on Page 4) 5. The reference level elevation is based on: El 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: .feet NGVD (or other FIRM datum -see Section B, Item 7). I 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 I I I . L-1 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 FOR CONTINUATION 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. I certify that the information in Sections 8 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. CERTI TITLE ADDRESS SIGNATURE Copies should be made of this Certificate for: 1) COMMENTS: LICENSE NUMBER (or Affix Seal) PHONE STATE ZIP ingurance agent/company, and 3) building owner. ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL EFN RERECE LEVEL FLOOD LEVEL ELEVATION 2AM BASE .:::,:.:,: _ FLOOD ... ADJACENT REFERENCE BASE ELEVATION GRADE ;`% LEVEL REFERENCE ADJACENT FLOOD 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 CREEK CROSSING Ili, Zi .. SITE PLAN SC: 1' = 20'-0' LOT 29 BLOCK E GIBBS STATION PHASE II COPPELL, TEXAS I40�5 HR �S UR VE Y PLAT HR LOT 29, BLOCK E, OF CIBBS STATION PHASE TWO, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. ��'�► IplUlllll@1 � mnnmr- emmmm�moumm�I 1 1 CO LOT 28 I �� 8.01 I I I I I I I 25' BUILDING LINE I I � I y nt I r _ _ _ r I10' UTILITY ESM'T 5' TU ESM'T 90 00'10" M LOT 30 N 03 49' 35" W REFERENCE BEARING 10.91' 58.01' 1064 CREED CROSSING -77 7 this survey was made on the round as per the field notes shown on this survey I hereby certify that on the _—= duy of �_ 19_ y 9 P and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and subject prop therton I, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject properly. �. There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. Date JOB # . IIARRY ,1. R0WELL CF No. 4597 LECEND �� Scale: >" _ <:,' � ,s °� HARR Y 1,12 Steel / Iron Rod Found O 1!2" Steel / Iron Rod Set • R 0 WEL L I. /';-rperhLune & Associates, INC. 6oud Ftnce ----- - ------_-- ._ Surveying & E.'nyineering - - e :sun re Link / Vire Fence x—x--X—x— p 170f F.,n tie c:'' Ste. 201 � 100 YEAR FLOODPLAIN _ l � I --- —` r � I I 1 ii r I b I a I 2 I � I a 1 i 8.0' FORMBOARD • y I SURVEY FF.F,LEV. 451.91 I to. 5 LOT 28 I �� 8.01 I I I I I I I 25' BUILDING LINE I I � I y nt I r _ _ _ r I10' UTILITY ESM'T 5' TU ESM'T 90 00'10" M LOT 30 N 03 49' 35" W REFERENCE BEARING 10.91' 58.01' 1064 CREED CROSSING -77 7 this survey was made on the round as per the field notes shown on this survey I hereby certify that on the _—= duy of �_ 19_ y 9 P and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and subject prop therton I, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject properly. �. There are no encroachments, conflicts, or protrusions visible on the ground other than those shown. Date JOB # . IIARRY ,1. R0WELL CF No. 4597 LECEND �� Scale: >" _ <:,' � ,s °� HARR Y 1,12 Steel / Iron Rod Found O 1!2" Steel / Iron Rod Set • R 0 WEL L I. /';-rperhLune & Associates, INC. 6oud Ftnce ----- - ------_-- ._ Surveying & E.'nyineering - - e :sun re Link / Vire Fence x—x--X—x— p 170f F.,n tie c:'' Ste. 201 �