FEMA-EC010103The City With A Beautiful FNjure
C�
�13UILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
Job Address:Date:
// A o
Lot: �/,
Block:
Subdivision:
Phase or Section Number:
Owner
Address:
,,,,�,
Phone #• .
Contractor: a Address: Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet,,
First Floor Garage All
Second Floor � Other /4>
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.
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 of the performance of construction.
Value of Work
to be Performed
i
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - P]
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10
APR 09 2001 17!52 FR WINFIELD HOLDINGS INC972 377 4394 TO 9727459073
WYNDSOR � ASSOrIATEs
STRATFOIZ.b MANak
614- 67f: A i rIORI, LANE
E Childress Engineering Services
S
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CITY
STATE ZIP CODE
Copps TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta)
Lot 4, Block B
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use Comments section Knecessary.)
LATITUDEILONGRUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( ##D-##' -##.##' or ##.##N ) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2, COUNTY NAME I B3. STATF
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX DATE
B7. FIRM PANEL
B8. FLOOD ZONE(S)
89, BASE FLOOD ELEVATION(S)
NUMBER
_. _ft.(m)
EFFECTIVEIREMSED DATE
— _ft.(m)
(Zone A0, use depth of flooding)
0 e) Lowest elevation of machinery and/or equipment
w `°
servicing the building
454.5
u w. a iu "arc u ti JW I uG UI u IC owu rluW ClCvduul l tort) udtd ur uase iiwa cepul encerea In bi 3.
El 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* [I Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number _ (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, AR/AH, AR/AO
Compete Items C3a4 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
D a) Top of bottom floor (including basement or enclosure)
466.44 k(m)co
0 b) Top of next higher floor
_fL(m)
D
0 c) Bottom of lowest horizontal structural member (V zones only)
_. _ft.(m)
D d) Attached garage (top of slab)
— _ft.(m)
00
E a
0 e) Lowest elevation of machinery and/or equipment
w `°
servicing the building
0 f) Lowest adjacent grade (LAG)
_. _ft.(m)
z
0 g) Highest adjacent grade (HAG)
_ _ft.(m)
0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
8
0 i) Total area of all permanent openings (flood vents) in C311 _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.
I certify that the information in Sections A, 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 18 U. S. Code, Section 1001,
CERTIFIER'S NAME Joel Wilhite LICENSE NUMBER 5190
TITLERegiste a Professional Land Surveyor COMPANY NAME Roome Surveft Inc.
ADDRESS CITY STATE ZIP CODE
IMPORTkXT: In these spaces, copy the corresponding information from Section A FS anoa Canoanv Use: 1
, ` 1JUILUINU 51 K1:1:I AUUh
614 Stratford Lane
Apt, Unft Suite, ardor Bldg. No.) OR RQ
CITY STATE ZIP CODE ComparryNAlCNunber
Coppers TX
SECTION D -SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner,
COMMENTS
This form is for finished floor elevations only and is not ink for food insurance
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information fora LOMA orLOMR-F,
Section C must be completed,
E1. Building Diagram Number _(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.)
E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade.
E4. For Zone AO only, If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community s floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA4ssued or community -issued BFE) or Zone AO must
sign here.
OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by
state or local law to certify elevation information, (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or communityassued BFE) or Zone A0.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6, DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
_ft.(m) Datum:
— _ ft.(m) Datum:
❑ Check here if attachments
FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS
4 PROPERTY DESCRIPTION
Addr6s: 614 Stratford Lane Lot 4 Block B of Stratford Manor, an addition to the City of Coppell, Dallas County, Texas, according to the plat
thereof recorded in Volume 2000034, Page 147 of the Map Records of Dallas County, Texas.
J LOT 5
1/rIR i S89'38�167E eniroaehment �. wood fence
c 1 53.71 ' 1 7'IRF
wall,
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JIRF Vo1.958,Pg.897 & as shown on plat
our feOK nce
cu) m, N8T3$'16,W LOT 3 159.60' 1/xr.f
' at 1ea.9w
I
NOTE: 30' B.L. is not shown on
plat, but is annotated on plat
NOTES: (1) Source bearing is based on recorded plat unless otherwise noted. (2) Drainage arrows, if shown, were determined by elevations shown
hereon. (3) (CM) = Controlling monument. (4) Surveyor's seal will appear with red ink on certified copies. (5) Subject property is affected by any and
all notes, details, and easements, and other matters, that are shown on or as part of the recorded plat and/or as part of a title commitment/survey
request.
CERTIFICATION
On the basis of my knowledge, information and belief, I certify to Wyndsor Homes that as a result of a survey made on the ground to the normal
standard of care of Registered Professional Land Surveyors practicing in the State of Texas, I find the plat hereon is true, correct, and accurate as to
the boundaries of the subject property, and if shown, location and type buildings
of and visible improvements hereon.
Scale: V=30 Date: 1/03/2000Revised: Job No. 003025
Title commitment/Survey Request File No. dated
OF
T
ROOMS SURVEYING, INC.
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2000 AVENUE G
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51
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SUITE 804
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PLANE, TX 75074
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Phone Number (972) 423-4372 Fax Number: (972) 423-7523