FEMA-EC960425r
7They With A Beautiful Future
BUILDING PERMIT APPLICATION Am 1 1 ss
)4 if
1,R'71� , 29 Print or Type in a Clear, Legible Manner
Job Address:
/003 6: 6 COs Cr ys s;n� Date: Y/ 10 G
Lot: 41 Block: / Block: Subdivision: G b� S S ` , Phase or Section Number: T
i JL—
Owner -7Address: �"`'t'� 1 Phone #: 3 �� _ C 6 x F 3)-3
�lr All. Pkw v #Z c:� S 23y
Contractor: S Address: t t Phone #:
-mac
Description of Work to be Done Class of Work: ®'gew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
a1 tL 3 IA
Area of Building in 1,7 ,SquareFeet �(
First Floor ? T Garage ` 7 U
Second Floor (-7 Yo Other -70
NOTICE
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 of the performance of construction.
Signature of Contractor orD Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mech ical Contractor
FPMC - 1 (4/94)
Value of Work -i
to be Performed 2 3 Sl j OQy
GRAY AREA
f-:iF'F:-04-•'fit. TH11 04 . = VJ I -M HI_ t -1T I NGT13 I -A HGt-I E:
— rLANS ARE REVIEWED FOR .
N
APPROVAL Off' Sl?145G TIE,
E,Y,➢, i-���'� n_�:., ��u�...'�Va�.t:b:61
CALL -CUTS ONI LOT LAN
I•IAVE NOT 11EEN R IEWED
AND ARE1�4"'si' APPROVE D.
SCALE: 1 = 20'
FG 448.50
214 713 7713 P.02
ARC TABLE
ARC LEN, RAD, CHRD. BRG.
'Al' 47.88' 570,00'
'AT 55.10' 330.00'
F.E.IN .A: LETT R FEE U -D.
iVffi�l11AUM f.f. '
N87'54'58" E 107.99'
FG 449.&0
STREET CUT
1003 GIBBS CROSSING
CITY OF COPPELL
REVIEWED
0�11g
Y DATE
Approval of the lWns and specifications shall not
be Construed to mean construction in direct conflict
with the City of Coppell Building codes and Zoning
Ordinances. TCC = 449.5
Lot Area: 9511 Sq,Ft. Type 'C' Drainage
GENERAL NOTES;
DRIVEWAYS 12' WIDE •
ENTRY WALKWAYS 3' WIDE +
PARKWAY SIDEWALKS 4' WIDE +
(+ UNLESS OTHERWISE NOTED)
15010 GALLAS PARKWXY, SUITE 2300
DALLAS, MAS 75245
(214) 713-5494
Fence Length: 223'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXIST;NG FENCES,
mktc. as
Gibbs Station
subdly. Gibbs Station Phase Two
tot
44
address
1003 Gibbs Crossin
city
Coppell, TX
date -� pian
04 /96 ;__ 3524.00 ELEV A LEFT
04�Lill
LOT 43
9
1SURVEY PLAT
LOT 44, BLOCK E, OF CIBBS STATION, PHASE TWO, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
COMMON .AREA
CALL 107.99' MEAS. 107.88'/
LOT
CV CV BLK.
B. o' FORMBOARD
SURVEY
i
�z
o
i
25' BUILDING LINE
I
1
� 1
--------- ---------------------1---
10' UTILITY ESM'T
ll
---------------------------tO2 _4,V3D, ,z
9 53'00" 5' TU ESM'T 1 / I
N 87 54' 58" E
REFERENCE BEARING
CALL 83.84' MEA,5.84.14'
r
44 v
r
E
r
q
r
r
h
S^
C
ao
r
zs_0, r r
25' BUILDING LINE
I
1
� 1
--------- ---------------------1---
10' UTILITY ESM'T
ll
---------------------------tO2 _4,V3D, ,z
9 53'00" 5' TU ESM'T 1 / I
N 87 54' 58" E
REFERENCE BEARING
CALL 83.84' MEA,5.84.14'
1003 GIBB S CROSSING
I herebycertify that on the {I _-- --193V-_--- - --- -— -- - —
fy L¢.._ day of �� 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 properly and size, 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 adtised affecting the subject property.
There are no encroachments, conflicts, or pratrusions visibte on the ground other than those shown.
Date : APRIL 25, 1996
LEGEND
1/2" Steel / Iron Rod Found O
1/Z" Steel / Iron Rod Set
Property Line
Wood Fence -- - - — -- —
Chain Link / Aire Fence x—x—x—x—x
Overhead Electric --- F. ---- E --- E ---
GF No
/.•��¢, .�yit.c rip e�-
�n JOB #
BARRY J. R' 04' 'ELL
....................
4597
Scale: I-= 20.0'
V
� o
o
0
�+
( tz,R--/�
(-r
1003 GIBB S CROSSING
I herebycertify that on the {I _-- --193V-_--- - --- -— -- - —
fy L¢.._ day of �� 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 properly and size, 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 adtised affecting the subject property.
There are no encroachments, conflicts, or pratrusions visibte on the ground other than those shown.
Date : APRIL 25, 1996
LEGEND
1/2" Steel / Iron Rod Found O
1/Z" Steel / Iron Rod Set
Property Line
Wood Fence -- - - — -- —
Chain Link / Aire Fence x—x—x—x—x
Overhead Electric --- F. ---- E --- E ---
GF No
/.•��¢, .�yit.c rip e�-
�n JOB #
BARRY J. R' 04' 'ELL
....................
4597
Scale: I-= 20.0'
�suRV ,
( tz,R--/�
(-r
HR
HA RR Y
R 0 WELL
Associates, INC.
Surveying R EngineerYng
7
+0 1 P Cert ,Street ,Ste. 201 -- --
I'arrolitot+., Texas 7!-)O/16
ELEVATION CERTIFICATE ExpiesMay3 ,1993
fxpuesMay31, 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 LOMB).
Instructions for completing this form can be found on the following pages.
OWNER'S NAME
SECTION A PROPERTY INFORMATION I FOH INSURANCE COMPANY USE I
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or _QIdg. Number) OR P.O. ROUTE AND BOX NUMBER I 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
/4n
/s/woe
1
X
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): L'TIVIaVD'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 I . LJ feet NGVD (or other FIRM datum—see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagrarn 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 1114SE/I .n 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 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 I__I__1. Ll 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 I I 1. U 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: HGVD '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: Yes ❑ 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: . LO 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 1 1 1 .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 81-311 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 B 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 1 Code, Section 1001.
OF
CERTIF R'S NAME LICENSE �• R (or Sea
TITLE CO P NY NAME i'
y �y
7e1/Z7yo Z ° _
ADDRESS CITY 'S�'•_pr^'Ez;•'� STATE ZIP
SIGNATURE
Copies should be madl)df this Certificate for: 1) community official, 2) insurance agenticompany, and 3) building owner.
COMMENTS:
LEVEL
FLOOD
ELEVATION
ON
WITH
ON PILES,
SLAB
BASEMENT
PIERS, OR COLUMNS
A V
A
A V
ZONES ZONES
ZONES
ZONES ZONES
REFERENCE
,�I(
I�'��
BASE
FLOOD
LEVEL
�}�.
IIIA
ADJACENT nerentry
ADJACENT GRADE LEVEL
GRADE
REFERENCE
FLOOD
ELEVATION
:.......! 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