FEMA-EC000803Area of Building in Square Feet
First Floor '
Second Floor
Value of Work
to be Performed VV
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 0
)_00
The eMyWMftABeautMulFuWre
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
/'�
Job Address: h
CJ o
Date:
b O
Lot: Block:
base or
Subdivision:MIT
Section Number:
Owner tre vJL j o `
T c , Address: D. ,D Phone #:
LI 2,
—S?0
Contractor:
Address: Phone #:
L
Description of Work to be Done
Class of Work: �Vew ❑ Addition ❑ Alteration
El Repair
El Demolition
v
Area of Building in Square Feet
First Floor '
Second Floor
Value of Work
to be Performed VV
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 0
)_00
07/'18i23aU 11:14 57'-1-248-1557 IKEMIRE AFC-i1TECT=• fir► PACE ?: '01
"ITY OF COPPELL
100,00,
y
4- TREE Af
--- .--T--__��Y•f.�----------------------------
7'-6'• U11L ES.M'T. 1
I7• TREEI ; _s 1REEpk1 i ands- shall AM
t i s' � -;. 5' �.,-, 5 TREE ��_...
9- -REF - �nt�PI! gig inn Codes and Z,009
T
5" TREE
+ --- - L---------------
IS
.5 TRE
4-€� ; ,C TREE
+ e" TREE a' TRdE , i ir TPEE
80'-0" Y TREE 10'-0" I,
I
I
I1
1 '
1 �
f `
�.I
n
J
# m�
! oI�
cI PATIO
I
I
1
CON C.
DRIVE
nl
1 +
I I
12'-0"
%IDE
CONC.
j DRIVE
IL1
Flat Flan
TERRACE
polm BARD
�,I,�.�, -- �. , -:•nom
1-r
. WIDE
-p= -s = -CONC, WAL
" UTiL. ES►�T� -
CITY WALK
AS REQ'D--
710 STRATFOR) LANs
LOT 17--A STRATFORD MANOR
COPPi=L:, Trus
F.
s AIF REVIEWED FOR
?R(+V . _, OF SINGLE
LY F.NCE OVLY.
IERiLi ONS OR
-OU FS PLOT MAN
NO BEEN REVIEWED
'itimNOT APPROVED.
1
11 1
I
N
1"? 1
top
18 (I
I I
1 1
f
i
I I
I I
'ORCH
I
CURB
5Tr2ATFpR-P LANE
SCALE:
DATE: 6-14-
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31. 2002
ELEVATION CERTIFICATE
I -
important: Read the Instructions on pages 1 - T.
SECTION A - PROPERTY OWNER INFORMATION For
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO.
COPPELL TFS
PROPERTY DESCRIPTION (Lot and Mock Numbers, ax arca tun r, Legal tion, etc.)
(s.g., nbal,on-res nba , ilion, ssory, etc. Use Comments section R necessary.)
RESIDEUXAL
LATITUDEJLONGITUDE (OPTIONAL) HORIZONTAL DATUM:(Type):
( W -1W - alt.W or 00. °) LJ NAD 1927 L NAD 1983 IJ USGS Quad Map LJ Other:
SECTION B . FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
nn cTATC
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
1-1 FIS Profile 1iI FIRM 1_1 Community Determined 1_I Other (Describe):
B11. Indicate the elevation datum used for the BFE In B9: I &I NGVD 1929 (_) NAVD 1988 1_1 Other (Describe):
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes 1X_1No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building alavakis are based on: 1_1Construction Drawings' 1 x (Building Under Construction' 1_i
Finished 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, V1 430. 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 differek frorh °
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 Yes 1_1 1 No
Elevation reference mark used 9 Does the elevation reference mark used appear on the FIRM? 1_1
yes
a) Top of bottom floor (including basement or enclosure) 457- - � k(m) 3 OF
O b) Top of next higher floor a IS 0."
O c) Bottom of lowest horizontal structural member (V zones only) N/A • — ft.(m) o �••Q`� FO';
N/A .—ft.(m) E, . ...........
U)
O d) Attached garage (top of slab) W
O e) Lowest elevation of machinery and/or equipment I ROSEPT C. MYERS
N/A ft.(m) V..
servicing the building — , ; u enc• �,.•�
O f) Lowest adjacent grade (LAG) 453 • $� ft•(m) Z!y ^;r, 9V -
O g) Highest adjacent grade (HAG) 456 3 ESSiQ.-
O h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
O 1) Total area of all permanent openings (flood vents) In C3h N/A sq. in. (sq. cm)
SECTION O - 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 certificate represents my best efforts to interpret the data available.
I understand that env false statement maybe unishable 6 sine or 1m rlsonment under 18 U.S. Code, Section 1001.
V{.n.0 .V.♦ V .-
PRESIDENT ANALYTICAL SURVEYS INC.
ZIP coo
CITY 41mic
ADDRESS,.,......., TY 75047
PI ACIDS At 1 PRFVI01IS
FORM SURVEY
BEING LOT 17, 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.
16
NOTES
2
REF. BEARING (P.P.)
S 00.21'44" W 100.00'
7.5' U.E.
--------------------
t;
v
—
'To
NO FILL/NO
BUILD ESMT. (P.P.)
17
---'A=14.1'
2.5' 2.5' 10.0'
iA
6
N
01 o.o'
19.1'
to �
37.4
v
M BOARD FORMS ONLY
MISSING T.O.F. = 457.54
a0 10.0' _ 2.5'
Z -
2.3
001
BOARD BOARD 2.3"w
r~ MISSING BOARD
BOARD MISSING
MISSING
MISSING 00 DO
21.6' �r------- N11.0'N
z
5
CL
I-
0
CL
W
O_
v
J
m
O
10.0'
R
W
s
M
bi
00
%8
w
0
0 10' X 10' ELEC.
PAD ESMT. (P.P.)
/ \ FIR
FIR
U.E. (P.P') R = 400.00' T.C.=
L = 36.22' 454.15
(PLAT = 36.27'
R = 475.00'
T.C.= L = 64.77'
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.
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.)
I. ROBERT C. MYERS. REGISTERED PROFESSIONAL LAND SURVEYOR OF THE STATE OF
TEXAS. DO CERTIFY THAT THE PLAT HEREON IS A TRUE, CORRECT AND ACCURATE
REPRESENTATION OF THE PROPERTY SHOWN HEREON AS DETERMINED RY SURVEY ON
THE GROUND UNDER MY SUPERVISION. THE LINES AND DIMENSIONS OF SAID PROPERTY
BEING INDICATED BY THE PLAT. THERE ARE NO VISIBLE OR APPARENT CONFLICTS
EXCEPT AS SHOWN ON THE ABOVE PLA
STRATFORD LANE
O
ROYEM Q �MYERS
1 .............
,0 3963: .
rcss
SUR``�y0�
����oftq
BRENTWOOD
BUILDERS
ADDRESS 710 STRATFORD LANE
NAME 5-17A
P.O. NO. N/A
SCALE 1 "=200
DATE 8-3-00
DRN. BY SLJ
ROBERT C.MYERS , tttlUti% GARLAND, 3uruP�s '**r• GAR BOX 2797
(972) 2722 -8287 LAND, TEXAS
R.P.L.S. NO. 3963 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST" 75047 /Z41
6.6
3
W^
a -g
o
R
J a
In
M
[D 1-
•-
o
00
J
O a.
37.4
v
M BOARD FORMS ONLY
MISSING T.O.F. = 457.54
a0 10.0' _ 2.5'
Z -
2.3
001
BOARD BOARD 2.3"w
r~ MISSING BOARD
BOARD MISSING
MISSING
MISSING 00 DO
21.6' �r------- N11.0'N
z
5
CL
I-
0
CL
W
O_
v
J
m
O
10.0'
R
W
s
M
bi
00
%8
w
0
0 10' X 10' ELEC.
PAD ESMT. (P.P.)
/ \ FIR
FIR
U.E. (P.P') R = 400.00' T.C.=
L = 36.22' 454.15
(PLAT = 36.27'
R = 475.00'
T.C.= L = 64.77'
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.
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.)
I. ROBERT C. MYERS. REGISTERED PROFESSIONAL LAND SURVEYOR OF THE STATE OF
TEXAS. DO CERTIFY THAT THE PLAT HEREON IS A TRUE, CORRECT AND ACCURATE
REPRESENTATION OF THE PROPERTY SHOWN HEREON AS DETERMINED RY SURVEY ON
THE GROUND UNDER MY SUPERVISION. THE LINES AND DIMENSIONS OF SAID PROPERTY
BEING INDICATED BY THE PLAT. THERE ARE NO VISIBLE OR APPARENT CONFLICTS
EXCEPT AS SHOWN ON THE ABOVE PLA
STRATFORD LANE
O
ROYEM Q �MYERS
1 .............
,0 3963: .
rcss
SUR``�y0�
����oftq
BRENTWOOD
BUILDERS
ADDRESS 710 STRATFORD LANE
NAME 5-17A
P.O. NO. N/A
SCALE 1 "=200
DATE 8-3-00
DRN. BY SLJ
ROBERT C.MYERS , tttlUti% GARLAND, 3uruP�s '**r• GAR BOX 2797
(972) 2722 -8287 LAND, TEXAS
R.P.L.S. NO. 3963 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST" 75047 /Z41