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FEMA-EC020211 (2)_T H E C I T Y O F. COPPEILL BUILDING PERMIT APPLICATION r ' v y X A s U 1Q .-� 7 Print or Type in a Clear, Legible Manner9,51oZ2 Job Address: (,07 Date: i -7 C3 Lot: Block: Subdivision: "\ Phase or Section Number: Owner: Address: iao ' SO "c' Phone#: (GO X) 3cA 3 - 31a C) D D. 18 -7Sd� Contractor: Address: Phone #- l(h�b`�es ,A) 97f 5_ tr 3,3 Description of Work to be Done Class of Work: a ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition 4 r�vv"" G ( L Area of Building in Square Feet 7 First Floor 3 3 -7 Garage 659 Value of Work to be Performed 60(.y O Second Floor I o Other 46-7-7 GRAY AREA FOR OFFICE USE ONLY 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 we ��� 9 � F» �p iie days at any time after work is commenced. of r _ 6i - _ know the same to be ,,J I hereby certify that I have read and examined this application and `��� �� �� „�� �F true and correct. All provisions of laws and ordinances governing this type of work will"Rea n �,-, �`� be complied with whether specified herein or not. The granting of a permit does not IIF presume to give authority to violate or cancel the provisions of any other federal, state P _ or local law re ulatin c st ction or the erformance of construction. g g P �`F� �� �nF .l � k �r �� ��^ �` �� � _ F e n . bl -lw " i, i. m Signature of Contractor or Authorized Agent Print Name \ Electrical Contractor Plug ng Contractor Mecl anical Contractor BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK r 15' LANDSCAPE BUFFER 88.22' ----------- �� --- I -----i--- 5� YVALL MAINTENANCE E6%—lQi:L---------- ---------- I F.E.M.A. LETTER _. I I I muffmFum a ; I I ' � I 20• B.L.----------J----- i I mcd FORM BOARD bi ' m SURVEY REQUIRED CONCRETE i � DRIVE i d � I I 4'—D' WIDE CONC. WALK _J------------- - I I 30 &L- 12' MADE I p I y V CONC. DRIVE iv W a a tr. LOT SIZE 12,475 S.F. --- I CDa I (� a u I I I O ' HOUSE U � s FORM BOARD bi ' m SURVEY REQUIRED CONCRETE i � DRIVE i d � I I 4'—D' WIDE CONC. WALK _J------------- - I I 30 &L- 12' MADE CONC. DRIVE iv LOT SIZE 12,475 S.F. --- -- U,n E MENT I CITY WALK AS RECD 5' ■ 607 PRESrMCK COUFT � PLOT PLAN LOT 2, BLOCK 'A' SCALE: 1'=20'-0" PRESTWICK ADDITION JOB #21143 COPPELL, TEXAS DATE: 11/20/01 NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE �.....�,.�,. DmA *w on oacMs 1.7. Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. O.M.B. No. 3067-0077 Expires July 31, 2002 607 PRESTWICK COURT CITY STATE ZIP CODE TX 75019 PROPERTY DE PTION (Lot and Block Nurrhbers. Tax Paroel Nurnbew, i.epal Deeaiptlah, eic ) LOT 2, BLOCK A, PRESTWICK ADDITION BUILDING USE (e.g., Residential, Non-residential. Addition. ACCOSSOFY, *- Use a Comments area, I necessary.) RESIDENTIAL ❑ NAD 1927 ❑ NAD 1983 SECTION B - FLOOD INSURANCE iR til.IVHF'li 4V1V M1ITI0M=a%nnwVM1',,,stn-w.. I —•---.._------ I TEXAS COPPELL - 480170 DALLAS AP AND PANEL85. SUFFIX o'. rnm "r NUMBER B6. FIRM WEX DATE EFFECTP&# EMSED DATE 0155 1 8-2301 NIA mm 88. FLOWZONE(S)I goneAO,wedet X WA B10. Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS ProMe ® FIRM ❑ Community Determined ❑ 01w (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1928 ❑ NAVD 1988 ❑ Other (Describe):. B12 Is the bulking located in a Coastal Barrier Resources System (CBR.S) area or Otilerwise Protected AreaOPA ? Cj Yes ElNo SECTION C - BUILDING ELEVATION INFORMATION (t T amu) C1. Building elevations are based on: ❑ Construction Drawings' ®B -*Ing Under Construction' ❑ FmLshed Corsirudion -A new Elevation Certificate will be nesauired when corMuction of the bulling is oonpleie• C2. Building Diagram Number 1(Select the building dagram most sirrnlar to the building for which this certificate is being oompleted - see pages 6 and 7. H no diagram accurately represents the building, provide a sketch or photograph) C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AWA, AR/AE, ARIA1-A30, A IAH, ARIAO Complete Items C3. -a4 bekwv according to the building diagram shied in Item C2 State the datum used. 9 the datum is deferent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurernents and datum conversion calculation. Use the space provided or tee Comments area of Section D or Section G, as appropriate, to document the datum conversions. Datum _ ConversionlComments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No o a) Top of bottom floor (including basement or endosure) 0. 04m) o b) Top of next hider floor WA. °' o c) Bottom of bNest horizontal structural member (V zonas -a*) �• -� +} ___ o d) Attadted garage (top of slab) NIA. fL(m) W o e) Lowest elevation of machinery andlor eWiprnent servicing the building (Describe in a Cormhents area) WA • ft.(m) E o t) Lowest a4acent (firdshed) grade (LAG) V—• P.0) Z o g) Highest adiaoW (fnislx ) grade (HAG) 469. 3.ft'(m) o h) No. of permanent openings (hood vents) within 1 fL above adJaoerht grade WA o i) Total area of au permanent open frogs (flood vents) in C3.h Msq. in. (sq. an) This certification is to be signed and sealed by a land surveyor, engineer, OMOftea authorized by law to certify elevation Wormatlon. I certify that the information in Sections A, A end C on this cerfr(►cste WfOsents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME ROBERT C. MYERS LICENSE NUMBER 3963 TITLE PRESIDENT COMPANY NAME ANALYTICAL SURVEYS, INC. ADDRESS CITY STATE ZIP CODE 707 EASY STREET GARLAND TX — - - 75042 Form 81-31, 00 2-11.02 (972) 272.6287 •f O.M.B. No, 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 I. ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: t0 t3MDING STREET ADDRESS cluding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 607 PRESTWICK COURT CITY STATE ZIP CODE TX 75019 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 2, BLOCK A, PRESTWICK ADDITION BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):__ ( ##° - ##'- ##.W' or ##.#####D) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: B1. NFIP COMMUNITY NAME & COPPELL - 480170 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION DALLAS NAME 83. STATE TEXAS B4 MAP AND PANEL B5. SUFFIX 67. FIRM PANEL 69. BASE FLOOD ELEVATION(S) NUMBER B6. FIRM INDEX DATE EFFECTIVElREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) —]0155 J 8 23-01 NIA X NIA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ® Building Under Construction' ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/A1-A30, ARIAH, AR/AO Complete Items C3. -a -i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No o a) Top of bottom floor (including basement or enclosure) 459. 4 ft.(m) 75 o b) Top of next higher floor NIA o c) Bottom of lowest horizontal structural member (V zones only) N/A.. _ft.(m) l9 00 o d) Attached garage (top of slab) NIA. _ft.(m) E o e) Lowest elevation of machinery and/or equipment w servicing the building (Describe in a Comments area) N/A . _ft.(m) o f) Lowest adjacent (finished) grade (LAG) 457.9 ft.(m) z m o g) Highest adjacent (finished) grade (HAG) 459.3 O) o h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade NIA o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, 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. CERTIFIER'S NAME ROBERT C. MYERS LICENSE NUMBER 3963 TITLE PRESIDENT COMPANY NAME ANALYTICAL SURVEYS, INC. ADDRESS CITY STATE ZIP CODE 707 EASY STREET GARLAND TX 75042 SIGNATURE-- DATE TELEPHONE -' 2-11-02 (972) 272.6287 FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS "FORM SURVEY" BEING LOT 2, IN BLOCK A, OF PRESTWICK, AN ADDITION TO THE CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP THEREOF RECORDED IN VOLUME 2001131, PAGE 9, MAP RECORDS, DALLAS COUNTY, TEXAS. %X R 10'70.009 FND 1/2" I.R. 88.22WALL 41t4-T.ESM?. �P P FND 1/2" I.R. ------ N — — o 15.8' 22.7 9.0' 0 2 v, N N Cn � 3 %9 0 r W a A=18.9' O T.O.F. = 459.40 8.2 FORMS ONLY O h � 3 1 1 .1 ' N' 00 m� CO 16.0' N ix 8.9' � N ODprj 00 Z rn ^ /SEE DETAIL 4.7 5.4' 4.7 8.2' 10.6 o o ,o 00 _ ° 11.2' 30 B.L. (P.P.) i i o FNE 10' U.E. (P.P.) FND 1/2" I.R. R ''5()BOC 89.18 456.21 L 456.01 SPECIAL NOTE: FORMS ARE NOT LOCATED IN ACCORDANCE WITH DIMENSIONS SHOWN ON PLOT PLAN. PLEASE VERIFY THAT FORMS MEET MINIMUM SETBACKS OF CITY ZONING. NOTES ALL ELEVATIONS SHOWN HEREON ARE ASSUMED 100.00' AND ARE RELATIVE TO EACH OTHER ONLY. NO SEARCH OF RECORD EASEMENTS HAS BEEN PERFORMED ON THIS PROPERTY. (P.P.) INDICATES THAT BUILDING LINES, EASEMENTS, R.O.W.'S ETC. AS SHOWN HEREON ARE PER PLAT. THIS IS A FORM SURVEY ONLY AND DOES NOT SHOW OTHER IMPROVEMENTS. PRESTWICK COURT P�60\S T • ROBERT C. •11YERS •'•, q� 3963���•• I aF \O �•,� ESS y�Q. ii ANO SUR���1� ROBERT C. MYERS Attaly4 iral 3ururgs, .✓nr• (972) 272-6287 (972) 272-8407(FAX) "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST" 1/2" I.R. HOUSE \ DETAIL M M \ 0 2.0' 0 01 1� d , N o / 0 BRENTWOOD BUILDERS ADDRESS 607 PRESTWICK COURT NAME 8-2A P.O. NO. N/A _ SCALE 1"=20' DATE 2-27-02 (REV. 3-4-02) DRN. BY SLJ 707 EASY STREET GARLAND. TEXAS 75042 2/4