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FEMA-EC9508157-- 7ty With A Beautiful ® Future BUILDING PERMIT APPLICATION "� ' V5 Print nr Tvnu in n ripgr I Pnihip Manner Job Address: Date: y Lot: Block: Su division: A/ Phase or Section Number: Owner Address: Phone #: 3_ 35y--Zz Contractor: Address: l j Phone #: Description of Work to be Done Class of Work: ❑ New ❑ Addition U/ Alteration .- ❑ Repair %C ❑ Demolition � Area of Building in Square Feet First Floor '" s G a g Value of Work to be Performed Second Floor Other GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: .- Receipt Number» 01VX (PISA Zoning QiSt#ICt; UCCU Classificei lorl: �Y 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 Approved BY: ©atm 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 of a rformance of construction. Signature n r r Authorized Agent Friyt Name Adilgi _' ` Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) J O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires Mcy31,1996 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 FOR INSURANCE COMPANY USE POLICY NUMBER BUILDING OWNER'S NAME STREET ADDRESS (Including Apt.. Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER ejAS G19_)9.>S CROSS ki S OTHER DESCRIPTION (Lot and Block Numbers. etc.) Loy kA., t NocAn )L-, G 1P�S u ON PHASE Tv�o STATE ZIP CODE CITYTE X45 COPP- SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1 COMMUNITY NUMBER 2. PANEL NUMBER AZO110 0010 3. SUFFIX 4. DATE OF FIRM INDEX 5 FIRM ZONE 6. BASE use ELEVATION n AO FLOOD 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): — NGVD '29 L_ Other (oescrlbe 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:' J 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 1 14'6'51 IZ 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 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 I_-- . J feet above L 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 F—' (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 �. No [7 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: L_NGVD '29 L_ 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 L_ 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: A 5A:.'?' .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 .J' feet NGVD (or other FIRM datum–see Section B, Item 7). 2. Date of the start of construction.or substantial improvement �crr .ice . � � nnCARf/ f Ic Cr�ITMIf crr ocvFpCF 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. neference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall. Pnclosure size, location of servicing equipment, area use, wall openings,. or unfinished area Feature(s), then list the Features) not included in the certification under Comments below. The diagram number, Section C. Item 1, must still be entered. I certify flint the information in Sections Band C on this certificate represents my best efforts to interpret the d it k. f I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Secti tE�%-��,2 CFnTIFIFR S NAME LICENSE NUMBER (or Affix Seal) 4 Wi TITLE COMPANY NAME AT HESS CITY Gr p n rSTI n Q ZIP - SIGNArUnE DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: P%Nc M&R.t-s CTay.Evi FczoM c.ottST2uc,T1oIJ P1,Q�JS s;p2 G1g�s S-mr�oN PNDS� Ty�i ,,pt1? c,et.)_TM of QEc-ES5�4 10 ZT" OV -t SoLTH 15%M of PIAS ^L�IL`f 51— 0 GSo yJEST, 6F.C.5 QTM O 11�t"2-SEc•T t vfJ o t�l� p2�t+U 2 t► too par: e�( taw o • �l-EV . -A S l • 31 X" c.%3TIt�c�2sE-�-S%ao O� AR.-cHoR Qt�p Ppti.�wnY F3uV p• ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZOITES ZONES ZONES ZONES ZONES nEFEnEt10E LEVEL nFFEnEwe ncr EnENCr BASE LEVEL LEVEL FLOOD ELEVATION t PASE }.�nEresENcE FLOOD QIACENr �k LEVATION LEVAYION NrGRADE LEVEL E i' ADJACENr ,. 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 4 ver 43 pati D A�eP iii o� ,gCA/r1S I N SDs,— 7`�.0 5 io�1 sLA% �����; r.Pj Detai1 For Cowy�,h Aoot,;� BAG cop sC AAAr4C frame Fou h�a okt UQV l � WE� e -E y/ AJ0InC— 5 DATE: sa J-27 -95 �aY T E�Li ATG :ZNC. 94(,5- 616,6-5 ck,!v S S 1N9 SHT. NOY OF G,'bbs STa�}T/owl - 2964 LBJ Frwy., H312 (214) 620-8204 7- JOB NO.: Dallas, Texas 75224 FAX (214) 243-5417 ao ��� / �x A'S 42sQ � a Ir 11116. Tod �r N C r C / o rigis 3 C5 'rte on 0 Sg � o / a, a PLAT SHOWING LOT 14, in BLOCK A of GIBBS STATION, PHASE TWO, an Addition to the City of Coppell, Dallas County, Texas, according; to the Map or Plat thereof recorded in Volume 94001, Page 71, Xap Records, Dallas County, Texas. Commonly known as 945 Gibbs Crossing. THIS PR(�PERr r S - CSC �'' i� .fir 'v"vF ;1 X+S ''El IN� ATE U UN F'._.O()D PANEL NO-rcg:C' JE t. , 0C�I- ,'ECi Ft_00DIN NOT DE1ERM! E�. P U Box 13556 _and Surveylnq Arlington Texas Land Planning GEODATA SURVEYING, INC. 76094-0556 ' Topographic Metro 2612878 Mapping SCALE_ _ ' - _r—Ld LEGEND o iron roc — x — — x — — fence Ione — T— --f— — utility ime Ivf PLAT SHOWING LOT 14, in BLOCK A of GIBBS STATION, PHASE TWO, an Addition to the City of Coppell, Dallas County, Texas, according; to the Map or Plat thereof recorded in Volume 94001, Page 71, Xap Records, Dallas County, Texas. Commonly known as 945 Gibbs Crossing. THIS PR(�PERr r S - CSC �'' i� .fir 'v"vF ;1 X+S ''El IN� ATE U UN F'._.O()D PANEL NO-rcg:C' JE t. , 0C�I- ,'ECi Ft_00DIN NOT DE1ERM! E�. P U Box 13556 _and Surveylnq Arlington Texas Land Planning GEODATA SURVEYING, INC. 76094-0556 ' Topographic Metro 2612878 Mapping SCALE_ _ ' - _r—Ld LEGEND o iron roc — x — — x — — fence Ione — T— --f— — utility ime