FEMA-EC010501The City WithABeautiful Future BUILDING PERMIT APPLICATION
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1 ��� Print or Type in a Clear, Legible Manner Iwl#-
Job Address: Date: 3/,26td
Lot: r 1 Block: Subdivision: XA Phase or Section Number:
Owner Address: Sib one #:,Auly-A -F. a, LRtA I e"An "�
Contractor: i A Address: %k Phone #: ,� C a\�� �o t�:' 3 3L DL
Description of Work to be Done Class of Work: Iew ❑ Addition ❑ Alteration ❑ Repair ` ❑ Demolition
� R /�
Value of Work
to be Performed ®D 0 ® Q
Receipt Number:00jL-2j
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK P
I'm
,.;... FEDERAL EMERGENCY`; MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instruction on pages 1 - 7.
SECTION A - PROPERTY OWNE ON, FORMATION For Insurance Company Use:
BUI - `, . �'' 111r
Policy umber
l TI N
t4avlock
esidentiel, � n-raf entla!,
NAME 8 C
COPPELL - 480170
�:fldg. No.) OR tt0`,ROUTE AND BOX NO.
STATE
ft -ti -cel Number, Legal Description, etc.
nta
hAccess-opr'v.. etc. Wse omments section ! ne7 cessary.
NAIC Number
HORIZONTAL DATUM: 5L)uttct: I—I Urs (I ypel:
jJ NAD 1927 U NAD 1983 iJ USGS Quad Map LJ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
AND PANEL
B5 UFFtX
B6. F1 M I
B7. FIRM PANEL
B8. FLOOD
B9. E FL D ELEVATION(S)
NUMBER
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
OO1Q
f?
4-15-94
7-23-97
R
N A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
I_I FIS Profile IX I FIRM j_I Community Determined I_I Other (Describe):
Bi 1. Indicate the elevation datum used for the BFE in B9: I lq NGVD 1929 I_I NAVD 1988 j_I Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1Yes Igj No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
wilding elevations are'based on: (_}Construction Drawings' _ hlBuilding Under Construction' j_IFinished Construction
MWF'A new Elevation Certificate will be required when construction of the building Is complete.
C2. Building Diagram NU nber 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, V1 -V30, V (with BFE), AR, AR/A, AR/AE, 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 _wG.vj 19 2 9 Conversion/Comments
Elevation reference mark usedg Does the elevation reference mark used appear on the FIRM? j_I Yes jJ No
❑ a) Top of bottom floor (including basement or enclosure) 457 ft.(m) o',
❑ b) Top of next higher floor N/A • _ ft•(m) �' ;
❑ c) Bottom of lowest horizontal structural member (V zones only) N/A • — ft.(m),o �'_..�iC�° `T.;� '�y�
❑ d) Attached garage (top of slab) N/A _ ft.(ml $'
❑ e) Lowest elevation of machinery and/or equipment
servicing the building Nh — ft. (M) -'
U f) Lowest adjacent grade (LAS) a S 3 _� ft. (M)
z' Q
❑ g) Highest adjacent grade (HAG) A5fi— ; ft. (m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N A I
❑ i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm)
SECT!ON D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false stWernent may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
�-11- t� NUMBER
�p$ggLC- MVFaS -496-1
T�IT�LtE Y NAME
r jr
FORM SURVEY ,,
d
BEING LOT 11, 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.
FND 1/2" I.R'
i
r
FND 1/2"
T.C. =
454.76
TES
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.)
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 PRWERTY
(P.P.) INDICATES THAT Bt1p.DING LINES, EASEMENTS,
R.O.W.'S ETC. AS SH*I+'HEREON ARE PER PLAT.
1. ROBERT C. MwimRE I'MESSOM LAUD SURVEYOR OF THE STATE OF
TEXAS, DO CERTWY TINT THE T HEREON N A TRITE. CORRECT AND ACCURATE
REPRESENTATION OP THE SHOWN HEREON AS OETERMOIEO BY SURVEY ON
THE ONXNQ UNDER MY SUPERVISOL THE LJNES AND DIMENSIONS OF SAID PROPERTY
SEW BJDICATED BY THE PLAT. MERE ARE ND VISNLE 01 APPARENT COIMLJCTS
EXCEPT AS SN01MN ON THE ABOVE PtAl.
`_1iOBERT C.`MYERS R.PJGS. NO. 3963
REF. BRNO. (P.P.)
N nfr9VAAM C
110.00'
R = 350.00'
L = 110.65' 454.08
STRA TFORD LANE
ROBERT C. MYERs
(972) 272-6267 Analgtiral f uruPg$ .Jltr•
R.P.L.S. NO. 3963 "A PROFESSIONAL. COMPANY OPERATING IN YOUR BEST INTEREST"
1/2" I.R.
12
1/7- I.R.
wllsffiV�
sR
BRENTWOOD
BUILDERS
ADDRESS 705 STRATFORD LANE
NAME 5-11A
P.O. N0. N/A
SCALE 1"=20'
DATE 5-2-01
DRN. BY SLJ
707 EASY STREET
GARLAND. TEXAS
75042 /Z4