FEMA-EC010411t Al
FF _
Print or
fl,IT APPLICATION
in a Cl r, Legible Manner
Job Address: �0. TOZ Date:
Lot: Block: Subdivision: Phase or Section Number:
a
Owner(fir, l� a �Y\, Address: 0' I S o k Phone #: 72 393
3 02-
Contractor: Address:
SHA
Phone �`w q 9_
Description of Work to be Done Class of Work: (kew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
IArea of Building in Square Feet
r? First Floor (//
O Garage
ISecond Floor SEL Other
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 canAl the provisions of any other federal, state or local law
regulating constructigh of the n rmance of construction.
of/Si nature of r-ontractor or Authorized Agent PrintIre
O
Electrical Contractor Plumb' Contractor Mec ical Contractor
FPMC - 14/94)
Value of Work O O o Cz
to be Performed
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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PLOT PLAN
LOT 5, BLOCK 'A'
STRATFORp MANOR `=�a��: ! �.2o ._o�•
GOPPELL TEXAS a�13 .20173- nar_: o311051�
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� 11
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read
on pages 1 - 7.
O.M.B. No. 3067-0077
Expires July 31, 2002
41 1
SECTION A - PROPERTY OWNER INFORMATION 1 For Insurance Company Use: 1
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
COPPELL TEXAS 75019
PROPERTY DESCRIPTI (Lot and Block Numbers, Tax Parcel Number,Ce—gal Description, etc.
(e.g., es nba , I on -res ent.a , !tion,)9asory, etc. se omments section 4 necessary.)
RZSZDZRTXAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM:(Type):
( W - AW - IMN.W or #. °) NAD 1927 " NAD 1983 1J USGS Quad Map LJ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME b COMMUNITY NUMBER 82. COUNTY NAME B3. STATE
PP - 480170 DALLAS I TRYAR
PANELB4. MAP AND . F 89. BASETLOOD EL I N(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO. use depth of flooding)
0010 E 4-15-94 1 7-23-97 MIA
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In B9.
I_I FIS Profile 1Z1 FIRM 1_1 Community Determined 1_I Other (Describe):
811. Indicate the elevation datum used for the BFE in BO: NGVD 1929 I_I NAVD 1988 1_1 Other (Describe):
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? j_I Yes 1zl No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 1_1Construction Drawings' Ix IBuilding Under Construction' 1_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, Vi 430, V (with BFE), AR, AR/A, AR/AE, AR/Al-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 datur^..is different from
the datum used for the BFE in Section B, cAnvert 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_1 Yes IX_I No
O a) Top of bottom floor (including basement or enclosure) 462 . 8 ft.(m)
O b) Top of next higher floor —N/A . — ft•(M) , or
,9•�,
O c) Bottom of lowest horizontal structural member (V zones only) N/A . _ ft.(m) o ��� NO 19
O d) Attached garage (top of slab) N/A . _. fl (m) E,eC Ui
O e) Lowest elevation of machinery and/or equipment i ' ROBEFI C. 44YERS
servicing the building N/A _ft.(m) E
O f) Lowest adjacent grade (LAG) 459 --.5-ft-(m)
Q`s'
O g) Highest adjacent grade (HAG) 461— 7 ft.(m) I� ' �uF.SSt 10KO
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NN /A $ UR
O i) Total area of all permanent openings (flood vents) in C3h NIA 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 maybe punishable by line orimpdsonment under 18 U.S. Code Section 1001.
CERTIFIEKS NAME LIGEN5h NUMBER
L
PRESIDENT ANALYTICAL SURVEYS INC.
ADDRESS CITY STATE ZIP CODE
MA Fnrm R1-31 AI IG AA AFF RFVFRl4F 141nF FOR rONTINl 1ATIONi RFPI ACR; At I PRFVIOI1S FnITIONR
FORM SURVEY
BEING LOT 5, IN BLOCK A, OF STRATFORD MANOR, AN ADDITION TO THE
CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP OR PLAT THEREOF
RECORDED IN VOLUME 2000034, PAGE 147, MAP RECORDS, DALLAS
COUNTY, TEXAS.
N 00'23'48" E 90.00'
FND 1/2" I.R. FND 1/2" I.R.
—-----7�5' U.E. (P--- ------- 1-1
... q I
rn
8.6'
0
ali
0 3' 8.8'
00
9.0'
pi 13.9' �`� 12.2'ri Ni 17.5' •3�
10.9
9.0'
30' B.L. (PER PLOT PLAN)
0
----------------
-10,
( )
FND 1/2" I.R.
R = 975.00'
L = 90.07'
STRA TFORD LANE
NOTES
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.
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.) '�� OF rA.�
I. ROBERT C. MYERS. REGISTERED PROFESSIONAL LAND SURVEYOR OF THE STATE OF 61:'� ArfR�'�iP
TEXAS, 00 CERTIFY THAT THE PLAT HEREON IS A TRUE. CORRECT AND ACCURATE
REPRESENTATION OF THE PROPERTY SHOWN HEREON AS DETERMINED BY SURVEY ON • ' ' ' ' ' ' ' ' ' ' '
THE GROUND UNDER MY SUPERVISION. THE LINES AND DIMENSIONS OF SAM PROPERTY
BEING INDICATED BY THE PLAT. RE NO VISIBLE OR APPARENT CONFLICTS
...........
63
EXCEPT AS SHOWN ON THE E PLATESS�i'
NQ SUR4t�
ROBERT C. MYERS R.P.L.S. NO. 3963
ROBERT ;._g2Anttlgtirttl8RS �urur�s, Jnr.
R.P.L.S. NO. 3963 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
1/2- I.R.
BRENTWOOD
BUILDERS
ADDRESS
619 STRATFORD LANE
5
5-5A
4
N/A
w:1
6
DATE
4-11-01
DRN. BY
SU
Z
g
GARLAND. TEXAS
a
9.2'
31.7' a
O
ih W
M
00
00
Z
a
ui
17.3'.
a
v
2.6' O �•
3
a
1.1 2.9'
o
W z
Ito
cr
°0 12.0' 9.1' to
w
DO
w
a
00
rm
^
tp
N
O/
ZFORMS
ONLY
00 T.O.F. = 462.81 17,6'
-- -�
... q I
rn
8.6'
0
ali
0 3' 8.8'
00
9.0'
pi 13.9' �`� 12.2'ri Ni 17.5' •3�
10.9
9.0'
30' B.L. (PER PLOT PLAN)
0
----------------
-10,
( )
FND 1/2" I.R.
R = 975.00'
L = 90.07'
STRA TFORD LANE
NOTES
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.
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.) '�� OF rA.�
I. ROBERT C. MYERS. REGISTERED PROFESSIONAL LAND SURVEYOR OF THE STATE OF 61:'� ArfR�'�iP
TEXAS, 00 CERTIFY THAT THE PLAT HEREON IS A TRUE. CORRECT AND ACCURATE
REPRESENTATION OF THE PROPERTY SHOWN HEREON AS DETERMINED BY SURVEY ON • ' ' ' ' ' ' ' ' ' ' '
THE GROUND UNDER MY SUPERVISION. THE LINES AND DIMENSIONS OF SAM PROPERTY
BEING INDICATED BY THE PLAT. RE NO VISIBLE OR APPARENT CONFLICTS
...........
63
EXCEPT AS SHOWN ON THE E PLATESS�i'
NQ SUR4t�
ROBERT C. MYERS R.P.L.S. NO. 3963
ROBERT ;._g2Anttlgtirttl8RS �urur�s, Jnr.
R.P.L.S. NO. 3963 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
1/2- I.R.
BRENTWOOD
BUILDERS
ADDRESS
619 STRATFORD LANE
NAME
5-5A
P.O. N0.
N/A
SCALE
1"=20'
DATE
4-11-01
DRN. BY
SU
707 EASY STREET
GARLAND. TEXAS
75042