FEMA-EC950814Zu L�'Y.$- ?57- 6 0 l 3
The City With A Beautiful Future 7
9-43 �
BUILDING PERMIT APPLICATION AUG 0 g 95
Ali
�Jj3,7:4rint or Type in a Clear, Legible Manner
Job Address:1 �2� („ � 7 Date: b . 9
Lot: 2�� Block: k:G Subdivision: (-j "��� 1�-),fK\C)fj Phase or Section Number:
Owner �U►.��C���b..� �t�> Address: �(d�(o `� �lit� Phone #:
Contractor:Address: ht� zit�0 Phone #:
�cNe. Td� 1�ort�5 ildc�u� QKW ��, �� 1���} ISO ta(.o
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
C)�--R ' `�SA
I hereby certify that I have read and examined this application and know the same to he true
and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified here n or not. a granting of a permit does not presume to
give authority to violate or cancel t e prov' tons of any other federal, state or local law
regulating constructionthe pe o ce construction.
<4ro
S nature Contractor or Authorized Agent Print Name
Elec rical Co actor Plumbing Contractor Mechanical Contra actor
FPMC- 1 (4/94) 5-r954 _J (! J477— 1
ELEVATION CERTIFICATE Expires May 370°"
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 I FOh INSURANCE COMPANY USE I
NAME
STREET ADDRESS (Including Agt, Unit, Suite and/or B10% Number) OR P.O. ROUTE AND BOX NUMBER
POLICY NUMBER
COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY STATE ZIP CODE
�01�/��Gt! /X
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. ATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
I — _ /�O
„-� ^/�
�
�•/� �
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): E'+NGV'E'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_ -LAA _! __j . L_.] 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 I_ _❑ASSZ . &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 L_LIL-U . L 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 L_❑ . ❑ feet above ❑ or
below L) (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 I__ _ �) feet above ❑ or below 1 (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? 8 -Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: 1�iI VD '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:
�� ❑ 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: LL 416).1.4 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: L LI 1111-1 feet NGVD (or other FIRM datum -see Section B, Item 7).
Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPI i:CFS AI_I PREVIOt1S E!_n'., ,. SEE REVERSE SIDF FOR CONTINIIATION
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 'l , must still be entered.
1 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 yggo&W 1Ilb.Code; •Se&ion 1001.
, ,IF. UF �.
CE�� 'S N AME LIC MBE ffix Se 7k
TITLE�..-�j C MPANYNAME ..._.«....,p „
ADDR.E�SS�j CITY A Q13 TV- Z►�I� STATE ZIIP�
SIGNATOR D PHONE
Copies should be lode of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES
RFFERFN(_.F
LEVEL. RASE
IC")
ELEVATION
4*
BASE
FLOOD ADJACENT:'..: REFERENCE
ELEVATION REFERENCE ADJACENT GRADE LEVEL
LEVEL 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.
P'r;e 2
�.
SCALE: 1 = 20'
FG 449.00
N87'54'58" E 70.00'
40
4'— 0"
PLAN N0.
3530 A
TOS = 451.20
PAD GRD. = 450.40
20.0' B.L.
FG 450.
FG 448.50
J I
1p
0
c+a O
a
L6
o -
I
� F
I car cv N
Garage IK8FG 450.40 0"
FG 450.60
LANSAnnVIEWEDFOJ027 GIBBS CROSSING
APPROVAL OF SINGLE
AMILY RESIDENCE ONLY.
OTHER DEPICTIONS OR
ALL -OUTS ON PLOT PLAN
WE NOT BEEN REVIEWED
ND ARE NOT APPROVED.
TOC = 450.3
Lot Area: 8050 Sq.Ft, Type 'C' Drainage
0
in
FG 450.50IMN ,� r
)rte
BOA=
$pIt ff REQU M
)mw= CW
Fence Length: 196'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
GENERAL NOTES:
DRIVEWAYS 7
mktd as
Gibbs St a t i o n
rRKWAAY
DATE
subdiv. Gibbs Station
Phase Two
pf tha plans and specific-
�@ ='4�r,01`0ad to mean constrf
naU not
_
lot blk
1f% }k, 'he city of copper
ct con-
,des and
38 I
--
E
z )rdinances.
address
1027 Gibbs Crossing
city
Coppell, TX
--
_
ue�DAu.ASrTEXA4,wne,ego
DALL2% T6XA! 782I9
)l141 710•�4D{
date
pg/04/95
plan
3530.00 ELEV A RIGHT
RItIJJ J7Ij1'1"
SURVEY PLAT
LOT 38, BLOCK E, OF GIBBS STATION, PHASE TWO, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
LOT 37
70.00'
0
0
LOT 38 N
BLK. E 8.1'
8.0'
0
FORMBOARD
S UR VE Y
8.0'
8. 1
25' BUILDING LINE
a
W
N
10' UTILITY ESM'T
�6-i8DB'L-------------------
\ 5' TU ELEC. ESM'T
RNFNRNNCE M RING
CALL 70.00' MEAS.70.14'
LOT 39
/027 GIBBS CROSSING
I hereby certify that on the=day of eliga— 19:91 this survey was made on the ground as per the fwu notes shown on this ewvey
and is true, correet, and accurate as to the dimensions of the subject property and rise, 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 properly.
The» are no encronohments, conflicts, or protrusions visible on the ground other than those shown.
4��oo `41 v
Daae : AUGUST 22, 1995 �,.
N JOB #
AARRY J. ROIIELL
GF No. 4ss�
LEGEND 0 scale: 1" = 20.0'
��
I /_" Steel / Iron Rod Found O VUR
p Steel /Iran Rod Set
ProSCLC /
raperty Line
!food Fence
Chain Link / wire Fence x—x—x—x—x }
P rrhead Iflcc.trio ---- E .___._— Li ____ _ E -- I U
.TT7�777.7717' %77.ITZZTIZ777z 7777 77-7
HARR Y
R O WELL
d Associates, INC.
Surveying & Bngineering
1301 Elm Street Ste. 201
Carrolif,ou, 7cr.a.a 7 006