FEMA-EC991116aff
The City With A Beautiful Future BUILDING- PERMIT APPLICATION
Print or Type in a Clear, Legible Manner q') 9,307o"I
Job Address: 7 O ������ r \ 1 Qv, � Date: 1 ` / p � hak
Lot: 1 O Block: Subdivision: (' m ar O Phase or Section Number: s-
` `` r•q o �
Owner 3�Ctr.�LUOoO� i �\�1G�5 Address: o' goX -7° a `i L S Phone #: ok-1 0
p-kkloaS , Tc.x45 ?S 3 7 fl ( 3 3— 3 8Z
Contractor: --�OOC� ` `� 5 Address: P o, �jox ,p�+� (08 bA\�lTx Phone #: rGl'��� 3ct3 3 1;c) D
v . e_c
Description of Work to be Done Class of Work: 9New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Res ;ae 4A'.g,�
Area of Building in Square Feet
First Floor ,;2 C)q 1 -7
Second Floor
Garage -5-7
`
Other
73
NOTICE I " permn i' a. "
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
Zoning District
at any time after work is commenced.
Approved By:
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
Comments:
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 construction of the performance of construction.
Signature of Contractor or Authorized Agent Print Name
e6:61 aGge r RC or', r
Electrical Contractor PlunlWng Contractor Mechanical Contractor
FPMC - 1 14/941
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE Epi Expires y331,19 3
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.
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
LOT 18 BLOCK A STRATFORD MANOR
CITY STATE ZIP CODE
COPMT TF.YAA __ 75019
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 FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones. use depth)
1
480170
0010
E
3-2 —9
AE
4„3.00
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): L1 NGVD '29 LJ 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: I I I I I I . LJ 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 Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of 1114517 L6J 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 of I I I 111.LJ 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 I 1 1. LJ 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 I .l , I 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: ® 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 71, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes ® No (See Instructions on Page 4)
5. The reference level elevation is based on: ® 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 o/ 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: I I .14.15.161.121 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: 1 1 I I I I .LJ feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31t MAY" REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
. SECTION E CEIMFIC4TiON'r
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 Ai 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 size, 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 stili be entered. _..so
I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data avi
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001
CERTIMER'S NAME LICENSE NUMBER (or Affix Seal)
REGISTERED PROFESSIONAL LAND SURVEYOR ANALYTICAL SURVEY
TITLE COMPANY NAME
P.O._&9"72797 'GARLAND, TEXAS 75047
CITY
vIL-IF
�07�
.
PHONE
ISER'.—Tm.YERS
STATE
272-6287
Copies should be made of this Certificate for: 1) community offlclal, 2) Insurance agent/company, and 3) building owner.
ON WIrN ON PILES,
SLAS BAS M W PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
NFLAAM
INV go" EVEL SASE L
LEVEL ROOD
MIRSI M
LEVEL
RMATION
EASE t_M!M_ ,EASE
��IIEfEN-W
FLOOD
ELEVATION II11FINN ! ADJACM LEVEL
LEVEL
ELEVATOR
* rt
�!yi
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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I ; 7.5' UTILITY ESM'T. I
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AS REQ _D. XXXX;
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WRVEV RF` "4j�k-
CONCRETE
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------------------------ -- —10'-0" ESM ,TT-------
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�-
STRATFORD LANE CURB -7N
PLOT PLAN
LOT 18, BLOCK A SCALE: 1'=20'-0"
STRATFORD MANOR JOB #98118
COPPELL, TEXAS DATE: 11-2-99
FORM SURVEY
BEING LOT 18, 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.
1
REF. BRNG. (P.P.) 15' X 30' DRAIN.
S 00'21'44" W 105.00ESMT. (P.P.)
Lo
FIR IR n r-
7.5'
7.5' U.E. (P.P.) __ \ / ►U- v
18 X
r
17 / \
_ 30' NO FILL NO BUILD ESMP.�
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3m i /D
11.3' Q
tD Li v I 00 W
N
00 N ED W
M FORMS ONLY I 00 V
0o
N T.O.F. = 457.62 Z
Z I 30.0'
clI
10.8' 1 I
2. V BOARD
1 0.8, 7.�•- MiSSING�
_ i I6 14.3' 13.0'
' 9.9' I I
.5' I
I 1.5 � 21.7'
30' B.L. (P.P.) I
VISIBILITY
°p TRIANGLIi
M (P.P.) I Il.tn
-17 U.E. (P.P.) ; ,n
T.C.=
454.13
NOTES
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(NOT VERIFIED BY SURVEYOR.)
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.
l
OBERT C. MYERS R.P.L.S. 63
,Ntitlgtiral 3untrus, .Jnr.
"A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST"
ROBERT C. MYERS
(972) 272-6287
R.P.L.S. NO. 3963
R = 400.00'
L = 95.33'
(PLAT= 95.34)
STRATFORD LANE
E OF l�•' .1
R06ERT C. YYERS
.�... ...
3963 :.
•,"Ftss�O,�'QJi
N
BRENTWOOD
BUILDERS
ADDRESS 706 STRATFORD LANE
NAME
5-18A
P.O. N0.N/A20'
SCALE
DATE
11-16-99
DRN. BY SLJ
P.O. BOX 2797
GARLAND, TEXAS
75047