FEMA-EC010808The City With A Beautiful Future BUILDING PERMIT APPLICATION
0
PPLICATION
0
Print or Type in a Clear, Legible Manner
Job Address:
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Date:2/31/0
Lot:
Block:
Subdivision: f0.
O Phase or Section Number:
OwnerAddress:
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Phone #: �° WA 3 aDL ►"``' ` �-
Contractor:
Address: t
Phone #:
Description of Work to be Done
P'W ♦AV'V10A Cnv,A.
Class of Work: ew ❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor 34 Garage 6(Q Value of Work
to be Performed
Second Floor ;Z\(,tt r_ b `� Other :3 6
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
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 R' NAM Oicy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number
638 STRA'TFORD LAVE
TTnK
USE (e.g., nha , on-resldentla , ition, ssory, etc. Use Comments section necessary.)
naerromnr �r _ _
( tib' - rid' - ##.W or
U NAD 1927 IJ NAD 1983 u USGS Quad Map U Other;
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
VFANUPANEL I B5. SUFFIX I M. FIKM INutA or. nnm �.r.r. - Zone AO, Use depth of flooding)
NUMBER DATE EFFECTNE/REVISED DATE ZONES)
cc
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
L_1 FIS Profile Izi FIRM 1_1 Community Determined I_1 Other (Describe):
B11. Indicate the elevation datum used for the BFE In B9: 1_&j NGVD 1929 1_1 NAVD 1988 1_1 Other (Describe):
012. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 1_1 Yes 1X-1No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 1_1Construction Drawings' I xlBuliding Under Construction' 1_1Finished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 1 (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 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 12_lNo
O a) Top of bottom floor (including basement or enclosure) 457 7 ft.(m) OF
O b) Top of next higher floor N/A — ft -(M) . 4,Q;••�ISTr_SR•F
O c) Bottom of lowest horizontal structural member (V zones only) N/A %
.(m)O d) Attached garage (to of slab) N/A .—t,,,t-,...'a ......:...
O e) Lowest elevation of machinery and/or equipment W I ROBERT C. MIYERS
servicing the building N/A • —ft -(M) E
O Q Lowest adjacent grade (LAG) 456 ft.(m) z A10O g) Highest adjacent grade (HAG) - 4S6 ft.(m) ;''-FFSSkQ• �
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A S URv
O i) Total area of all permanent openings (flood vents) in C3h /A _ 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 certitkate 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.
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PLOT PLAN 655 57RA7FORD LANE
LOT 10, BLOCK 'B' SCALE: P=20' -o°
5TRATFORD MANOR JOB# 21085
COFFELL, TEXAS DATE: "1/5/01
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vi
11
U
H
15' X 30' DRN.
ESMT. (P.P.)
II
FND 1/2" I.R.1
AT A 34 OFFSET
FND
W
t
t0
00
M
ED
CO
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"FORM SURVEY"
BEING LOT 10, IN BLOCK B, OF STRATFORD MANOR, AN ADDITION TO THE
CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP OR PLAT THEREOF
RECORDED IN VOLUME 2000034, PAGE 147, PLAT RECORDS, DALLAS COUNTY,
TEXAS.
REF. BRNG. (P.P.)
S 00'21'44" W 1 100.00'
— \-7.5' U.E. (P.P.)�
--------------
--------
I
I
-.1
I
1.2' o
I
18.9'
I 10.2'
o �
15.0 --
BOARD I 5.1' MISSING BOARD
MISSING
Tv°0 10.0'
_
\ I <o
v �!
I \ 21.8'
II
ci I \ ISIBILITY TRIANGLE 30 B (P P )
1 2" I.R. \ \
O
<i
3rs FND 1 /2" 10' U.E.
R = 475.00'
T.C.= L = 91.12'
454.85
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.)
7�
(:
ROBERT C. MYERS R.P.L S. N0. 3963
STRATFORD LANE
FND 1/2" I.R.
AT A 34' OFFSET
a>,
M
Go
3
to
110
M
w
L
T.C.=
454.48
J
1/2" I.R.
BRENTWOOD
BUILDERS
OF• TF+
M
----------
ADDRESS
638 STRATFORD LANE
ao— -
I
5-106
30' NO FILL/NO
P.O. N0.
N/q
1"=20'
��tss�O?'�.
!'NO
SCALE
BUILD ESMT. (P.P.)
DATE
8-8-01
I
SLJ
do 30B.L. (PER PLOT PLAN)
la
10
la
.
ui
21.6'
10.2'
W
U
�p
Z
IW
Oki
-----------------
Z
BOARD
a.a.
m
co MISSING
15.7'
�
o
a
�
c
tn
O1
W
I
FORMS ONLY
15.01
1.2- T.O. F. = 457.70
m
I
1.2' o
I
18.9'
I 10.2'
o �
15.0 --
BOARD I 5.1' MISSING BOARD
MISSING
Tv°0 10.0'
_
\ I <o
v �!
I \ 21.8'
II
ci I \ ISIBILITY TRIANGLE 30 B (P P )
1 2" I.R. \ \
O
<i
3rs FND 1 /2" 10' U.E.
R = 475.00'
T.C.= L = 91.12'
454.85
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.)
7�
(:
ROBERT C. MYERS R.P.L S. N0. 3963
STRATFORD LANE
FND 1/2" I.R.
AT A 34' OFFSET
a>,
M
Go
3
to
110
M
w
L
T.C.=
454.48
J
1/2" I.R.
BRENTWOOD
BUILDERS
OF• TF+
,.•
ADDRESS
638 STRATFORD LANE
'�� C;'�
NAME
5-106
. ............: .
• .0 3963 •
P.O. N0.
N/q
1"=20'
��tss�O?'�.
!'NO
SCALE
SURNr''y°
DATE
8-8-01
DRN. BY
SLJ
�irM1 urur s, .3Ytr• 707 EASY STREET
ROBERT C. MYERS GARLAND, TEXAS
(972) 272-628775042
(972) 272-8407(FAX) "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
III