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FEMA-EC950210® W ft4 9qE9'2i 'o r City With A Beautiful Future BUILDING PERMIT APPLICATION ' S6 I £ V 7he1 V /) d �' L I Print or Type in a Clear, Legible Manner Job Address:C\� � Date: Lot: Block: Sub cion: Phase or Section Number: Owner. Address: Phone #: ti �� Contractor: C ,cam —__� Address: Phone #: Description of Work to be Done Class of Work: L)!3,kew []Addition ❑ Alteration ❑ Repair ❑Demolition krea of Building in Square Feet First Floor �C Second Floor NOTICE Garage Other 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. 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 or the performance of construction. / Signature ?) Contractor or Authorized Agent Print Name _ \ Electrical Contractor Plumbing Contractor Mechanical Contractor Value of Work C�C`` to be Performed - ;Z) GRAY AREA FOR OFFICE USE ONLY FPAAC - 1 (4/94) _ U -1 4-- Fr - 462.0 TYPE ret DRAIN 49'-11' N 84 A 2 6' FENCE 12'!1"12' 58.92' `...r-- 4' N CIN OF COPPELL _REVIEWED F$9 BY I 1 l jj" DATE pprovai of h� s and specifications hall not tr` c=rlrlstr,re^ :.o-struction in di ct con- ± wilding C es an" - - - Wee-k-liyHames 20' B.L. b 1300 P" 0.r ew. N &5' T.U.E.v 1451,$ HOUSE: 3135 FLATWORK: 1054 LOT: 9133 COVERAGE; 45.9X Z zo �u0pSa G`zP04 0.z z� W;���= �W@ aQQ®QaQ U TC 431.33 _:) 20' TC 451.60 THE TOP OF SLAB MUST BE SET. KiMINIMU OF 2-2x6'S GIBBS C ABOVE Mr. HIGHEST GRADE ELEVATION OF THE BUILDING PAD. I doa e�riily ".PIC: ePIC r"64 e0oaitkvlkne all of God. ►epulnn+e or,d ►e In • Or1 :O.f 'n, y Ith VJ4 IinlmUrtl rhea re nte.' v REV GARAGE TO 3 CAR 2-1-95 WD David Wee-k-liyHames date: 1-12-9,% 1300 P" 0.r ew. 6.+1M 1000 MwMee. Te.w ee cnzyop-0" GG project: OJ address: 953 7188S CROSSING job: 76 subdiv: GIBBS STATION plan: N 84 A FLATWORK lot: 16 bI ect: A s 2 scole;I--20' FENCE SOD O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31, 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. BUILDING OWNER'S NAME SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER I 0153 Grless Caossi3OG OTHER DESCRIPTION (Lot and Block Numbers, etc.) \_ &A- I Co 10 V_�.10C. p� G\b?,S STMT l C)Q 10 PH AS E TV,30 CITY STATE ZIP CODE copeF_t_L TExf,S - SECTION 8 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) 4S CWT o 00%0 E Alp icz . 151cr) X , AS 44-7 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 'k NGVD '29 ❑ Other (describe on back) B. 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: 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 1 141S15 _171 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 l I ' I I I L1 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 '�.0 feet above ❑ or below i (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 ❑ No ❑ 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 71, 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 X 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: 14 51 .IJ .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: 1 1 i .I-1 feet NGVD (or other FIRM datum–see Section B, Item 7). 2. Date of the start of construction or substantial improvement ^r7ry A.-ce ASI nnMIT"I Ie [r�ITVV.IC err DFVFRSE $IDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to comity Wevatlen information when the elevation Information for zones Al—A30, AL, AH, A (with 8FE),V1—V30,VE, and V (with SFE) Is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued SFE), a building official, a property owner, or an owner's representative may also sign the certification. npferPnce level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size. location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must stilUts2tatered. I certify that the information in Sections B and C on this certificate represents my best efforts to®F � /able. I understand that any false statement may be punishable by fine or imprisonment under 18 U. G L. E rJ 1 L, L OZ- GENIN W. !`X1 R CEnTiriFn'S NAME LICENSE NUMBER (or A e ®r, C -1 -EOM Q23 Qo TITLE COMPANY NAME ku,ltlGTaN O A DnFSS CITY STATE ZIP SIr,NATtInE 261 -DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMI- NTS :.T%W MA21�tCTN 60 F20M c..o0$MLx,TtoQ V1,WJ'S F'o2 Gt1*6,_arbn W, Pi'alasSL Ty.Y�i c."Tem of 0" S0VTN 5kM OF FWLY-WhL ( t3L.y0 ro5c 1- WEST 6� GE 1.�t(�R- OF 1tJCEfLSEGT t ofJ ©F M� Atzi ttU (Z )L�p PDR �A`( f5w D EL -EV a A 5l 31 t -1 ©S= M� AR.THUR Qt�D PpttK•wpY P�Lyp• ON WMI ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A v ZONES ZONES ZONES ZONES ZONES nFrEnENCF REFERENCE IEVEI BASE LEVEL REFERENCE FLOOD LEVEL ELEVATION Z BASE I'LOOO ADJACENT :' '' nEFEnENCE FLOOD ELEVATION ADJACENT'� LEVEL ELEVATION GRADE 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 56 V FN 4-7 0. s Vi s4 0 -1 tto v wI'1 o O� r, -• LP I N a S9 N G u�0 I-- 0 � m J SQ 1 0,:D \K)��.0� PLAT SHOWING LOT 16, in BLOCK A of GIBBS STATION, PHASE TWO, an Addition to the Citv of Coppell, Dallas County, Texas, according to the Map or Plat thereof recorded in Volume 94001, Page 71, Map Records, Dallas County, Texas. Commonly known as 953 Gibbs Crossing. THIS PROPERTY IS LOCATED IN ZONE (S)X-, AE_._ AS DELINEATED ON FLOOD ;rgSURANCE RATE MAP PANEL N0 480 Lo 0030 _E __ EFFECTIVE DATE LOCALIZED FLOODING NOT DETERMINED. P. O. Box 13556 • Land Surveying Arlington, Texas • Land Planning GEODATA SURVEYING, INC. 760940556 • Topographic Metro 261-2878 Mapping .•�� •. �. I hereby certify this to be a true arid correct representation of a SCALE_�o�Ee� ; survey made on the ground under my supervision and there are .-_�_._'�P-- � 1r.. o no visible encroachments or protrusions except as shown. GLENN W. MILLER LEGEND t• �. - - ----- - \�e 4223a f•t- GLENN W MILLER R P L S STATE OF TEXAS NO 4223 o Iron rod 7�1�s1�: AO — x— — x— — fence line v, DATE___ -'2 T-- — utility line