FEMA-EC0002017Thety With A Beautiful Future BUILDING PERMIT APPLICATION
1' Print or Type in a Clear, Legible Manner AA2�4�7745
Job Address: ( S"rq� Date: /Oo
Lot: Block: Subdivision: 15+r,-A-(�rA
/y\ Phase or Section Number:
Address: IP, 0' 'X t 9 a 5 Phone : qld q3--
Owner t—�.�- �V
W`Li GO '
Contractor: S Address: S O ✓1 Phone #: S �
Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor Garage �� Value of Work
to be Performed J C . C
Second Floor ' Other
8 S� 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 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
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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 constr,)ction oPi performance of construction.
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ELEVATION. CERTIFICATE Expires
M y31, 1993
fxprres May 31, 1993
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 LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
POLICY NUMBER
STREET ADDRESS (includingApt., nit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER I
OTHER D€SCRIPTION (Lot and Block Numbers, etc.)_
CITYP� STATE IOD i
ly
goQ s O
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 FIRMINDEX 5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO ones, use depth)
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O
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7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '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: l I I l I l . ❑ 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 I .
2(a). FIRM Zones At -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of l I 1461 A 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 ofl. l I I I I .❑ 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 II . ❑ 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 L_.1 -1. L _1 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: X NGVD '29 ❑ 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 77, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.) ro5
4. Elevation reference mark used appears on FIRM: ❑ Yes It No (See Instructions on Page 4)
5. The reference level elevation is based on: X 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: L__l_._�91 I'_�tJ .!9 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 I . ❑ 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
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SECTION a 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),V1-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 site, 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. �;p��
I cern that the information in Sections B and C on this certificate represents m best efforts to interpret the data avall �� "��
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ; •��`�IF9F�
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CERTIFIER -S NAME LICENSE NUMBER (or Affix Seal) k t ..•..
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REGISTERED PROFESSIONAL LAND SURVEYOR ANALYTICAL SURVEY ;qS;�
TITLE COMPANY NAME , *..•SSI
P.O. 72797 `GARLAND, TEXAS 75047 $U;P1
ADDRE CITY STATE
ACKZ! z -i - CD 272-6287
SIGNA _ _ DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
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ON W"" ON PILES,
BLAS ItASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
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BASE ..� .ADJACENT::: RECEFEREN
FLOOD
BASE
FLOOD
CADJACENTOMDE LEVEL
ELEVATION REFERENCE �
ELEVATION
LEVEL OWE
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GRAM
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
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'FORM BOA11D
SMV -EY ]REQUIRED
CONCRETE HOUSE
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FORM SURVEY
BEING LOT 7, IN BLOCK A, STRATFORD MANOR, AN ADDITION TO THE
CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP THEREOF RECORDED
IN VOLUME 99167, PAGE 28, MAP RECORDS, DALLAS COUNTY, TEXAS.
FIR
627 STRATFORD LANE
REF. BRNG. (P.P.)
N 00'23'48" E 105.00'
5-7A
FIR
N/A
SCALE
7.5' U.E. (P.P.),/
DATE
2-1-2000
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DRAWING DOES NOT REPRESENT ALL IMPROVEMENTS
EXISTING ON SUBJECT PROPERTY.
NOTES
R = 1025.00'
L = 105.80'
STRATFORD LAN
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.
(P.Z.) INDICATES PER CITY ZONING REQUIREMENTS.
1, ROBERT C. MYERS. REGISTERED PROFESSIONAL LAND SURVEYOR OF THE STATE OF
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 SAID PROPERTY
BEINGINDICATED BY THE PLAT. THERE ARE NO APPARENT CONFLICTS
EXCEPT AS SHOWN ON THE ABOV
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T.C.= 455.35
BRENTWOOD
BUILDERS
ADDRESS
627 STRATFORD LANE
NAME
5-7A
P.O. NO.
N/A
SCALE
DATE
2-1-2000
DRN. BY
C.D.
ROBERT C. MYERS Analgtiral *urvr:gs 3nr• P.O. BOX 2797
(872) 272-6287 ! GARLAND, TEXAS
R.P.LS. NO. 3953 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST" 75047