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FEMA-EC940407 (4)PP�G.a� Z Z TM Crty ildwithABecdo sDi BUILDING PERMIT APPLICATION Future Building lnspecdons Diltision 19 �g j I Print or Type in a Clear, Legible Manner Job Address: /' ev p 3 �r /,-1p,"Date: Lot: ,/ Block: Subdivision: aj aa_S- ': 7 —7 p,if Phase or Section Number: Owner: Y' Address: Z11111,l v Z4-44j�'y i7 l �b i.( M'�' !�✓+-i-..� . / X 7 j Z $ hone #: 7l — 8 Z o Contractor: f -t v ,-z 71W 1401-14E-< Address: 5,4 i✓I45- Phone #: Description of Work to be Done Class of Work: ew ❑Addition ❑ Alteration ❑ Repair El Demolition S;--7 A2. --w-54,57 Area of Building in Square Feet First Floor 49 Garage .1 Z- Value of Work d C to be Performed � � 40� ©O d Second Floor � � % � Other I '� d 7 7 S GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee:receipt Number: 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 Zoning District: Occupancy Classification: days at any time after work is commenced. Approved By: Date: 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 COmm8fltS: give authority to violate or cancel the provisions of any other federal, state or local law regulating construction or the performance of construction. /2: e arcs✓ l� �' Signature of Contractor o uth ized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor BIR - 1 (2/92) 'r- 0 -6 r- - ----- 10.0 1 605155 CROSSINO iu�l ELL JJ I. 48.5 JOLA 4-1.2 SITE PLAN 15CALM L- 4D T 40 C41515 '5TATIOH C,Of-P E L L. , TF- >C^.s .: , ELEVATION CERTIFICATE r Expires 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 BUILDING OWttEVS NAME STREET ADDRESS (Including Ap Unit, Suite and'or OTHER DE !�CRIPTION (Lot and Block Numbers, etc.) CITY OR P.O. ROUTE AND BOX NUMBER STATE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): FOH INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER ZIP CODE 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. PATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION ` ' (in AO Zones, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): F14NWD'29 POther (describe on back) a. 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: l- .l.111.1 ... I feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicat5 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 . l.__14 1/1.44 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 L11._L1_J .LJ 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 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 L_LJ . L 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? L�'Yes [] No 1,J Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: L�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- Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based 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: 4SIQl . L71 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION U COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 I,,:, not the "lowest floor" as delined In the community's floodpiain 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). ?. Date of the start of construction or substantial irnprovernent $RrtY1`It3N � (��R'flt<IbATICI�I 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 All—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local taw 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 1I kU S Code, Section 101)1. S.c NAME ht5 NAME HARRY ow CITY /i °� ,Fn . c A..r_ 4r��'`�STATE LP Copies should be rdade of this Certificate for: 1) community official, 2) insurance agenVcompany, and 3) building owner. COMMENTS: ON VATH ON PILIM SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE IFVFL R@fERiNCE LEVEL IEVFI FLOOD ELEVATION t i 'k"vt'{<t::v!2d::lSiin 4(V.>yti.;..i�'�:n`+(�iki`: .. ••�: i}=; est •: 1: MS BASE ..:. p REFERENCE ADJACENT :i„ ,Xi\�. FLOW ELEVATION FLOOD GRADE LFVFL I ELEVATION REFERENCE ADJACENT LFVFL GRADE •v1 .. •i:::: i.:;,U•,r,.ii{':i `: !AD,IAClNrv'. 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 1P � } HR• SURVEY PLATI H R LOT 40, BLOCK E, OF GIBBS STATION PHASE TWO, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. LOT 39 70.00' LOT 40 0 BLK. E cq 8.0' FORMBOARD S UR VE Y 8.0' 25' BUILDING LINE 9.0' 0 8.0' -"" LOT 41 C �i N ---------------------------- 10' -------------- --------- — 10' UTILITY ESM'T ------------------------- 5' --------- ----- — 5' TU ESM'T 90 00'30 N 87 54' 58" E PrMAII. 7 0 . 0 0 ' REFERENCE BEARING C` • ao>< 10 19 GIBBS CROSSING I hereby certify/ that on the-Z-fLday of �, 19`M this survey was made an the ground as per the field nota shown on this survey and is true, correct, and accurate as to the dimensions of the subject property and rise, location and type of buildings and improvements then on, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property. Then are no encroachments, conflicts, or protrusions visible on the ground other than those shown. Date _P �/L 4 / 5•'"N JOB # . HARRY J. ROIIELL GF No. 4597 ffi LEGEND est=ate: I" HARRY 1/2" Steel / Iron Rod Found 1/2" Steel / Iron Rod Set R 0 WELL Property Line & Associates, INC. �Wood Fence —•—•---•— "47 ! � Chain Link / Wire Fence x—x—x—x—x Surveying k Engineering 1301 Elm Street Ste. 201 '7177.77' t.'arrollto7A Texas 75006 = ZG� � ``�•�'�'q�����'1y0�`' SUR�j /