FEMA-EC9512279 5a486 3
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9 95
7They With A Beautiful Future BUILDING PERMIT APPLICATION
, NOV 2
Print or Type in a Clear, Legible Manner
I —�
Job Address: to Z) -C--� i Date:
Lot: Block: Subdivision: Phase or Section Number:�[�
Owner 1e 0L4'(0'4) Address: J"j() V�.VALLA'S-jt�.._j naCL#.,5.hone #:
�?�� ' 7,-7(oGo 7c t..(D 1
Contractor: b)d"Ac Address: Phone #:
Description of Work to be Done Class of Work: [9/New ❑ Addition ❑ Alteration
❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor Z� Garage S Value of Work
-Z
to be Performed
1 � Z �"'
Second Floor Other
(O J GRAY AREA FOR OFFICE USE ONLY
NOTICE
t member: 3
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
�11 0
_-'
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
4
regulating construction of the perform ce of construction.
T
gnature Contractor or Authorized Agent Print Name
Electrical Co actor Plumbing Contractor Mechanical Contractor
�F/l'liG�
FPMC - 1 (4/94)
REVIEWED
DATE
z Cres and speciiicattons shank fw,1
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SCALE: 1 = 20' ¢ �f i�p 4' "ding Codes ar-4
ARC
'A1'
ARC TABLE
t EN. RAD.
9.74' 175.00'
FG 448.50
N87'54'58"E 70.00'
I
`o 20.0' B.
FG 450.20
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8'-0" I I� Li
FC 450.?0 q
52'-0" o
a PLAN NO. o
u� 3579 A
TOS = 451.00
PAD GRD. = 450.20
m k 7
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Lot Area: 8049 Sq,Ft.
GENERAL NOTES!
DRIVEWAYS 16' WIDE
ENTRY WALKWAYS 3' WIDE
PARKWAY SIDEWALKS 4' WIDE
• UNLESS OTHERWISE NOTED
14010 OALLAS PARKWAY. $ME 7300
DALLAS. TEXAS 76244
10.0 U.E. -- -
5.0' TU,E. — -- -- - -- — - -
FG 448.30
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(V
10'-0"
CHRD. BRG.
1\ F011,21W BOARD
SURVEY REQU M
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(V
vR449.;2;0
., .moi". ��7 v"i� �.-Sa r> .,.
INIA4UM f f• AI-gD
5 GIBBS CROSSING
TOC = 449.2
Type 'C' Drainage
Fence Length: 213'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
rnktd. as
Gibbs Station
subdly. Gibbs Station Phase Two
lot 41
- -- E
address
1015 Gibbs Crossing
city
Coppell, TX
F��
date1 1 / 14/95
3579.00 ELEV A RIGH
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00
v
8' —0"
45 20
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u
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FG 450.20
25.0' B. L.
10X' 10'
TUE
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_
FG 449.60
m k 7
I �! �F
Lot Area: 8049 Sq,Ft.
GENERAL NOTES!
DRIVEWAYS 16' WIDE
ENTRY WALKWAYS 3' WIDE
PARKWAY SIDEWALKS 4' WIDE
• UNLESS OTHERWISE NOTED
14010 OALLAS PARKWAY. $ME 7300
DALLAS. TEXAS 76244
10.0 U.E. -- -
5.0' TU,E. — -- -- - -- — - -
FG 448.30
I o
I
0
(V
10'-0"
CHRD. BRG.
1\ F011,21W BOARD
SURVEY REQU M
M
r` -
�t
,W
a1
I
Ln
(V
vR449.;2;0
., .moi". ��7 v"i� �.-Sa r> .,.
INIA4UM f f• AI-gD
5 GIBBS CROSSING
TOC = 449.2
Type 'C' Drainage
Fence Length: 213'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
rnktd. as
Gibbs Station
subdly. Gibbs Station Phase Two
lot 41
- -- E
address
1015 Gibbs Crossing
city
Coppell, TX
F��
date1 1 / 14/95
3579.00 ELEV A RIGH
SURVEY PLAT
LOT 41, BLOCK E, OF GIBBS STATION, PHASE TWO, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
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CALL 70.00' MEAS.70.13'
S 87 54' 58" W
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LOT 41
BLK. E 110.2'
8.0'
FORMBOARD
SURVEY
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25' BUILDING LINE
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10'x to,
TU ES 'T N
-----------------
10' UTILITY ESM'T T
--------- -------I---
90 8'40" 5' TU ESM'T
CO
d' LOT 42
N
2
CALL 60.27' MEAS.60.22' MEAS. 9.84'
( R=175.00' )
1015 GIBBS CROSSING
I hereby certify that on the 4+ day of 19s:!Z this survey was made on the ground as per the Juld notes shown on this surrey
and is true, correct, and accurate as to the dimensions of the subject property 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 advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
nJ'.*
Date DECEMBER 5, 1995JOB #
GF No.
G LEGEND 0
1/2" Steel / Iron Rod Found O
1121, Steel / Iron Rod Set
Property Line
i' '—,d Fence ---------
Thain Link / hire Fence X—X—x—X—X
r. erhead Electric -- E E, ------- E ---
Scale: I" = 20.0'
TT_ �? I
M
HARRY
R0 WELL
& Associates, INC.
Surveying & Engineerii
1301 Elm Street Ste. 201
Carrollton, Tesr,rs "SpOR
306
ELEVATION CERTIFICATE O.M.B. Expires May
y31, 1077
ay 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 j FOF, INSURANCE COMPANY USE I
BUILDING OWNER'S NAME / / I POLICY NUMBER
STREET ADDRESS (Including Apt., t, Suite and/or Bldg. Nu r) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.) le*?
CI - STATE ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORM
—ATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
�/�G
[,4;DATE
`
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �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 _/_ .
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 I I 4L411 .14 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 1 1 1 .0 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 1 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 . J 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? es ❑ No Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: L'�NGVD '29 J 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 �FIIRMM: ? Yes El No (See Instructions on Page 4)
L'J
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: L_ 4�� . 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 I -❑ 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.
1 certify that the information in Sections 8 and C on this certificate represents my bes to interpret„the data available.
I understand that any false statement may be punishable by fine or imprisonme,�iZl�e de, Section 1001.
CERTIFIE 'S NAME LI eNUMBER (or Affix Seal)
r:W J L
COMPANE
ADDRESS
STATE
Copies should be r#de of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON
SLAB
A V
ZONES ZONES
BASE 3+TDJ
FLOOD ADJACENT
GRADE
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
WITH ON PILES,
BASEMENT PIERS, OR COLUMNS
A A V
Ir ZONES ZONES ZONES
BASE
FLOOD
FLOOD
ELEVATION
A
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