FEMA-EC010517® qq
The City With A Beautiful Future BUILDING PERMIT APPLICATION ^
l -711► � Print or Type in a Clear, Legible Manner M -IL �
Job Address: S+(-t�K(3 LV'\ Date: L4)
Lot: Block: Subdivision: 15+4 o Or- Phase or Secti n Number:
Owner_I Address: �d+Sotn,TX Phone #: -eAAj t)nj
U Ul < p C. r o. o ( (01
-3R6,-;L
Contractor: Address: 1 t Phone #:
Description of Work to be Done Class of Work: XNew ❑ Addition ❑ Alteration \❑ Repair 1 ❑ Demolition
A - % 11 1 • \
r
Area of Building in Square Fet
First Floor 3,31-7
Second Floor `
NOTICE
Garage _ 6" 1
Other
5��R2 C-7ve
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 rein or not. The granting of a permit does not presume to
give authority to violate or c c the provisions of any other federal, state or local law
regulating co_ structpn of t pe ormance of construction.
Y Wl
t ignatu e o Contractor or Authorized Agent _Print te
✓�
Electrical Contractor Plum Contractor Mec ical Contractor
FPMC - 1 (4/94)
Value of Work O to O
to be Performed
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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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 STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
COPPBLL TE1AS 75012
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.
TF
(s.g., es nba , or►-nsdentia , ition, asory, etc. Use Comments section If necessary.)
tATMOE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM:(Type):
( NrY' - f✓ - eR.tlAr or 00.>Mlbp ') L) NAD 1927 LI NAD 1983 IJ USGS Oued Map I_J Other
SECTION 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
v rv\v r/'M\CL w. vvrrv� w. � mm n.vv�
NUMBER DATE EFFECTNFJREVISED GATE ZONES) (Zone AO, use depth or flooding)
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
Lj FIS Profile J=j FIRM 1_1 Community Determined 1_1 Other (Describe):
811. Indicate the elevation datum used for the BFE in B9: IaJ NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe):
812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 1_1Yes izl No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: (_Construction Drawings* 1g1Buliding Under Construction' j_IFlnished Construction
'A new Elevation _gertiflcate 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, V1430, V (with BFE), AR, AR/A, ARAE, 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 8, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provid6d or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum N(;VD 1929 Conversion/Comments
Elevation reference mark used 9 Does the elevation reference mark used appear on the FIRM? 1_I Yes IXI No
O a) Top of bottom floor (including basement or enclosure) 458 $_ n•(m)
O b) Top of next higher floor N/A -- fl (m1 a ,gyp; �0, •.F
O c) Bottom of lowest horizontal structural member (V zones only) N/A _ ft.(m) 044 �•'Q� AFO'•
Q aj Mached garage (top of slab) 458 A- �'(m) w; x """1 ",•""^'"^""••••!•••
O e) Lowest elevation of machinery and/or equipment i AOSERT G. MYERS
servicing the building N/A _ ft•(rn)
....•�....................
O i) lowest adjacent grade (LAG) 452 tt•(m)
O g) Highest adjacent grade (HAG) 457 S ft. (m) ,fUFt; SSI -
O h) No. of permanent openings (flood vents) within 1 ft, above adjacent grade N/A
O i) Total area of all permanent openings (flood vents) in C3h N/A sq. In. (sq. cm)
SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION
This certiticatlon 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, 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—rWIFIEK-5 NAME LICENSE NUM13EKTITLE COMPANY NAME 3963.
IDENT ANALYTICAL SURVEYS INC.
AULIKE55 CATY STATE ZIP
Fnrm R1-;1 Al )l; 4aA RFF RFVFRSF RInF FOR r.ONTINI IATION' RFPI Ar.FS AI I PRFVIOI IS FnITIONS
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_______50' NO FILLMO BUILD ESMT. _ _____
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REVIEWED
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BY DATE
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Approval of the ns and specifications shall not
m; l+ construed to mean construction in direct contNct
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I v.'th rl;etty of Coppeii Building codes and Zoe
`4. Ordinances.
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HOU5E ;
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----1- ------------------ ------- - ---
SO' B.L. s415.08' I
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10' UTIL. ESMT. ----------4----z-3--;�
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urr MALK AS AZOV.
GH=15
AV) eue�
L=151.
y STRATFORD LANE
PLOT PLAN 11
LOT Q, BLOCK B 50ALE: 1'=20'-O"
5TRATFORD MANOR JOB #20158
COFFELL, TEXAS DATE: I/q/01
FORM SURVEY
BEING LOT 9, IN BLOCK B, 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.
7
REF. BRNG. (P.P.)
S 00021'44" W 95.00'
7.5' U.E. (P.P.)� — — —
Pei
-F-
FND 1/2" I.R. AT �n 1:30' NO FILL/NO
A 33.9 OFFSET BUILD ESMT. (P.P.)
10
10.2'
ItMISSING
0! Z BOARD
M
00l 10
5
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W a rn
W NV
Tp v h�
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MCD to S�•
En ;n 24.0 -
co
N
T.O. F. = 458.81
FORMS ONLY
10.3' 15.3'
w-
MISSING
BOARD
I
o 11.9'
0
�►'i I 13.8' 8.9 ;* io
30' B.L. (PER PLOT PLAN)
17.7'
25.2'
FND 1/2" I.R. AT
A 54.2' OFFSET
iA
et
00
9.6'
I,L
9.6'
0
T M
— — — — — — — — — — 10' U.E. (P.P.)J ---- —
F:
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DO
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01
co
FND 1/2" I.R r
R= 475.00' FND 1/2- I.R. N 00021'44" E 81.16'
L = 13.84'
BOC 454.54 BOC 454.82
STRATFORD LANE
NOTES
634 STRATFORD LANE
NO SEARCH OF RECORD EASEMENTS HAS BEEN
5-9B
PERFORMED ON THIS PROPERTY
N/A
(P.P.) INDICATES THAT BUILDING LINES, EASEMENTS,
1 "=20'
R.O.W.'S ETC. AS SHOWN HEREON ARE PER PLAT.
5-17-01
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
SLJ
(SETBACKS NOT VERIFIED BY SURVEYOR.)
'tE OF.
I. ROBERT C. MYERS. REGISTERED PROFESSIONAL LAND SURVEYOR OF THE STATE OF
y' Pv
TEXAS. DO 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 PROPERTYROBERT
• ..
BEING INDICATED BY THE PLAT. THERE ARE NO VISIBLE OR APPARENT CONFLICTS
t A 3963 �•
EXCEPT AS SHOWN ON THE ABOV
(•,�FESSvO,r'Q
SUR'J
RT C. ERS R.P.LSAO. 3963
ROBERT C. MYERS Analgtiral
3uruPlf $,
(972) 272-6287
.Jnr.
R.P.LS. NO. 3963 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
1/2" I.R.
BRENTWOOD
BUILDERS
ADDRESS
634 STRATFORD LANE
NAME
5-9B
P.O. N0.
N/A
SCALE
1 "=20'
DATE
5-17-01
DRN. BY
SLJ
707 EASY STREET
GARLAND. TEXAS
75042