FEMA-EC010723— * �5
The CItyWRhABeautifulFuture BUILDING PERMIT APPLICATION
/-7//.5-7 Print or Type in a Clear, Legible Manner
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Job Address:t Date: ; ��
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Lot: Block: Subdivision: / Phase or Section Number:
44
Owner '' II '� Address: �' 1C�� Phone #• r
ri �� kt :mss IIV\L . ► . �\ . r T,c � �t r , '�17.�1 `,�W 9 C
Contractor: k k
Description of Work to be Done Class of Work:
Area of Building in Square Feet
First Floor ;&L-
Second Floor
/Lc, l
Address: t
E�Ke'w ❑ Addition
Garage �Yr
Other
Phone #: ( 1
❑ Alteration ❑ Repair ❑ Demolition
Value of Work
to be Performed
NOTICE I rartrrtt rcxs. /+t �,,"" nczvc?{� t.t�i�rr�
Signature of Contractor or Authorized Agent _Print Name
Electrical Contractor Plumbing ontractor Mechimical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
105.3'
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603
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5TRA►Tf--ORD LANE
A5 V;MGV.
PLOT PLAN
LOT I, BLOCK A< 50ALE. 1'=20'-011
STRA►Ti=ORD MANOR JOB 0200-M
GOPPELL, TEXAS DATE: 6-6-00
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: .
BUILDING STREDDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BO
ET AX NO.
mr2mi
,
PROPERTY"MgMPTION(Lot a um ersax arcel umber, ega scnptlon, etc.)
,or 1, BLOCK A, STRATFORD MANOR ADDITION
BUILDING USE (e.g., es enba , on-rea entla , Addition, Accessory, etc. Use Comments section necessery.)
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: (Type):
( W - W - Ilgt Or or ##.17####°) " NAD 1927 IJ NAD 1983 iJ USGS Quad Map L I Other:
SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFVKMA I IVN
--I34-.MAP AND PANEL 05. SUFFIX bb. draw INU' DI. rnnm Irv.« Zone AO, use depth of flooding)
NUMBER DATE EFFECTIVE/REVISED DATE ZONES)
0010 1 E 4 -IS -94 7-23-97 X __ALA
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
LI FIS Profile 1zi FIRM 1_1 Community Determined 1_1 Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9:1_.1 NGVD 1929 1_I NAVD 1988 1_1 Other (Describe): Yes is`I No
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? I_I
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: I_lConstruction Drawings' JIL1Building Under Construction1_1Finished Construction
'A new Elevation Certificate will be required when construction of the building Is complete.
C2. Building Diagram Number i_ (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, AR/A, ARIAE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-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 NGVD 1929 Conversion/Comments
Elevation reference mark used 9 Does the elevation reference mark used appear on the FIRM? 1_I Yes 11 No
O a) Top of bottom floor (including basement or enclosure) — 47-4 -8- ft. (m)
O b) Top of next higher floor -- — f(,(m) . f"OFA'•
fl.(m) x ISTERF
O c) Bottom of lowest horizontal structural member (V zones only) -- o 'P O
O d) Attached garage (top of slab) --—ft-(M) E.-�5 ,�...- ..�....s...
W.
O e) Lowest elevation of machinery and/or equipment i R09ERT C. AVERS
servicing the building -- —n.(m) E' •--4-45'"'----�--'-•'-'•-
O f) Lowest adjacent grade (LAG) 432- . 9_ ft.(m) i 0A>1
O g) Highest adjacent grade (HAG) 473 . 7 ft•(m) �'�-F1 SS% v�\
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade -- A; SU
O i) Total area of all permanent openings (flood vents) In C3h -- sq. In. (sq. cm)
SECTION O - 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.
I certify that the Information In Sections A, 8, 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 18 U. S. Code Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
PttLSIDENT ANALYTICAL SURVEYS INC. ZIP CODE
CITY -ADDRESS ---'7CnA7
n rr��T�r�uc
A Fnrm fit-:�1 Atlr; AA RFF RFVFRgF Slr)F FOR r.ONTINI IATION' RFPI ArFti Al I PRFVIO tIq FFI I
FORM SURVEY
BEING LOT 1, IN BLOCK A, STRATFORD MANOR, AN ADDITION TO THE
CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP THEREOF RECORDED
IN VOLUME 2000034, PAGE 147, MAP RECORDS, DALLAS COUNTY, TEXAS.
FND 1/2" I.R.
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REF. BRNG. (P.P.)
N 00'23'48" E 105.23'
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FORMS ONLY
T.O.F. = 474.75
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R = 65.00'
Tts� \ VISIBILITY = 91.95'FND 1/2- I.R.
ESMT. _
(P. P.) 40.4
V1.09FND 1/2" I.R. FND ' /2" I.R. STRA TFORD LANE
N 00'21'44" E
T.C.= 11.33 T.C.=
473.33 472.48
Z -
NOTES
FORMS ARE NOT LOCATED IN ACCORDANCE WITH DIMENSIONS
SHOWN ON PLOT PLAN. PLEASE VERIFY THAT FORMS MEET
MINIMUM SETBACKS OF CITY ZONING.
NO SEARCH OF RECORD EASEMENTS HAS BEEN
PERFORMED ON THIS PROPERTY
(P.P.)
ETC.S THAT S SHOWN TLDING HEREON LINES. AREPER EASEMENTS,
i,o' �J,
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS ...........
(SETBACKS NOT VERIFIED BY SURVEYOR.) •Room C. MYERS
R�yOQ.
ROBERT YERS . N0. 3963
BRENTWOOD
BUILDERS
ADDRESS 603 STRATFORD LANE
NAME 5-1A
P.O. N0. N/A
SCALE 1"=20'
DATE 7-23-01
DRN. BY SLJ 10