FEMA-EC950327 (2)7They With A Beautiful Future BUILDING PERMIT APPLICATION 3 95
X13 Print or Type in a Clear, Legible Manner
Job Address: 163( ��) (� �l Date:
Lot: 57 Block: Subdivision: 6'6Bs ti Phase or Section Number: Ty 0
Owner:r
LLLrL— 6 " S Address: ��(/�j Phone #: 7� _�
Contractor: Address: Phone #• 9l
Description of Work to be Done Class of Work: NNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
2 L--oiL
�1
Area of Building in Square Feet
Fust Floor ! F9.5—
Garage
Second Floor / Ip Other U
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.
E
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 perf of construction.
zLvl�
ignature of Contractor or 4uthorized Agent Print Name
Electrical Con actorlumbi Contractor Mechanical Contractor
7 o2 7- 11 172 Z1
FPMC -1 (4/94)
Value of Work
to be Performed
GRAY AREA FOR OFFICE USE ONLY
C zi- /0 � 0 ,
ELEVATION CERTIFICATE ExpiresMay3 , 1993
Expires May 3 r, t 993
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 LOUR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION For, INSURANCE COMPANY USE
BUILDING NER'S NAME POLICY NUMBER
ion f/17E1
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER
/ fr IV
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
T7 ,Z3 L,C / , s Z� S T,*7; r' 1-7.
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
(in AO Zones, use depth) _
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1319GVD-'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 . U 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 Li �"Z . 19_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 1 1 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 W . U 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 W . 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: NGVD '29 [1 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 ❑ 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: . 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: I I I I I .L 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),V17-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.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
£ Oar^
CERTIFIER'S NAME LIn&&0AMMRF9Wn, ATcTQ�n
TITLE
ADDRESS
SIGNATURE
NAM JAMB
1
y STATE ZIP
- /c �'L, awe — - c. r div
Copies should be &de 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 ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
BASEBASE
OOD•. AD JACENT :: �~�� REFERENCE
FLOOD ���'.%
FLOOD
GRADE LEVEL
ELEVATION REFERENCE ADJACENT ':�.
"1''
ELEVATION
LEVEL GRADE
;t .
. ••i•; ;.:.::;: •.
:r. ADJACENT:::
' m r•:: i..7:i`•:.•,'r...
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
i
HR
C� LOT 37, BLOCK E, OF CIBBS STATION, PHASE TWO, AN ADDITION
TO THF,' CITY OF COPPF. LL, DALLAS COUTNY, TEXAS.
70.00'
25' LJUILDING LINE
0
vi
-------------------------- —
f 0' UTILITY ESM'T
90 03'50" 5' TU.ELEC. ESM'T
N 87 54' 58" E
REFERENCE BEARING
70.00'
Low 38
1031 GIBB S CROSSING
I hereby certify that on the. day of A1t1Ls, /9 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 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 visibte on the ground other than those shown.
rP�" soI r`,
j''i.,--f-
i
Date MARCH 27, 1993-
1 �
HARRY J. ROWELL
GF No. 4597
4t-� LE0 V1Arn 43 Scale: 1" = zo o'
Steel Iron Rod Found O
Steel / Iron Rod Set
I',operty Line
r:;od Fence --- — -
'nain link / hire Fence x--x—x—x--x
77-7777
HA RR Y
R0 WELL
& Associates, INC.
Surveying & Engineering
f301 Elnt Street Ste. 201
Carru'etozc, 7exaxs 7!i006
LOT 37
0
BLK. E
o
�
8.0'
�
A
O
O
O
O
FORMDOARD
►n
S UR VE Y
FF.ELF,V.452.50
8.0'-
25' LJUILDING LINE
0
vi
-------------------------- —
f 0' UTILITY ESM'T
90 03'50" 5' TU.ELEC. ESM'T
N 87 54' 58" E
REFERENCE BEARING
70.00'
Low 38
1031 GIBB S CROSSING
I hereby certify that on the. day of A1t1Ls, /9 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 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 visibte on the ground other than those shown.
rP�" soI r`,
j''i.,--f-
i
Date MARCH 27, 1993-
1 �
HARRY J. ROWELL
GF No. 4597
4t-� LE0 V1Arn 43 Scale: 1" = zo o'
Steel Iron Rod Found O
Steel / Iron Rod Set
I',operty Line
r:;od Fence --- — -
'nain link / hire Fence x--x—x—x--x
77-7777
HA RR Y
R0 WELL
& Associates, INC.
Surveying & Engineering
f301 Elnt Street Ste. 201
Carru'etozc, 7exaxs 7!i006
SCALE: 1 = 20'
FC 449.00
N87'54'58"E 70.00'
F(MM BOA=
1 SuRva RBWDM
I
I I
I l
20.0' B.
I
o Mlµv1F.
Llyl-0j
FC 450.60 tI
LANS ARE REVIEW+'
APPROVAL OF SINGLE
I --,— ---- 54'-0" -,
AMILY RESIDENCE .''•NI
OTHER 1)EPichuNs � I PLAN NO. 3521 A 1 Cor
C
'ALL -OUTS ON PLOT PLA_ orage
AVE NOT BEEN REVIEW JFG 450.60
Cd kND ARE N APPROVE PAros s 4st.4o 01
Z O CRD. - 450.60 pa
1 06 C9
FC 449.00
a
I N
8._0 FC 450, 60
`v
V I
_ - 25.0' B.L
rn
10.0' U.E.
- I— 5.0' TU.E,
FC 450.40 FC 450.60
CITY OF c®Po1 GIBBS CROSSING
REVIEWED FMMA. LETM0.
f
Y DATE 21 113 r, D
approval of th ans and specifications shall not
be construed to mean construction in direct cw
flict with the City of Coppell Building Codes and TOC = 450.3
7L8tn�kQr4ingM. Sq.Ft. Type 'C' flroinage Fence Length: 192'
FENCE LENGTH SHOWN IS MAX.
' FIELD VERIFY EXISTING FENCES,
GENERAL NOTES:
DRIVEWAYS 16' WIDE
ENTRY WALKWAYS J' WIDE •
PARKWAY SIDEWALKS 4' WIDE +
• UNLESS OTHERWISE NOTED
mktd. as
Gibbs Station
subdrv. Gibbs Station Phase Two
P.02
_ 1031 Gibbs Crossing
city -
Coppell, TX
I date
1410 DALLAS FAIII(WAY. AIT9 1800
03/01/95
OALLA�, T!!A! 1ilf�
plan
3521.00 ELEV A RIGHT