FEMA-EC951003E
BUILDING PERMIT APPLICATION
IVjil11*1
.-.
AUG 2295
3-915
Job Address: cl\�C-\
Date:
Lot: \ Block: Subdivision:
Phase or Section Number:
Owner - Address:
.,-., ���.�� Phone #:
Contractor: Address.
Phone #:
Description of Work to be Done Class of Work: New ❑ Addition
❑ Alteration
❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor C=� Garage
Value of Work
be
C
\�
Second Floor D
to Performed
Other
GRAY AREA FOR OFFICE
USE ONLY
NOTICE
PerT11itFee: I
'
Pt Nrurnber» `. c
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
Zor*v blauka;
� i1C�( �i�SS �:
at any time after work is commenced.
r
I hereby certify that I have read and examined this application and know the same to be true
App oved ®y,
t
Date:
and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified herein or not. The granting of a permit does not presume to
Comments:
give authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance of construction.
Signa re of Contractor or Apthorized Agent Print Name\
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (d/9d1
3-915
A O.M.B. NO. 'W-0077
ELEVATION CERTIFICATE E'PihsMay',1,1996
FEDERAL EMERGENCY MANAGEMEN$ AGENCY
NATIONAL FLOOD INSURANCE PROGRAM " M
ATTENTION: Use of this certificate do6d 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
delprmine 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 th6 following pages.
SECTION A PROPERTY INFORMATION 1 FOR INSURANCE COMPANY USE
,1011 -DING OWNFn S NAME 1 POLICY NUMBER
sTnEFT ADDRESS (Including Apt.. Unit, Suits and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTIiER DESCRIPTION (Lot and Block Numbers, etc.)
tr.Cs_-r_�'s l_ Vis�o c�y 41 Gems smT goo , PN Qsc stti o
Cr, v STATE ZiP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1 COMMUNITY NUMrtEn
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
B. BASE FLOOD ELEYATIQN
(in AO Zones, use depth)
• gt$ot-I o
oo\o
E
pPCt . �5, ���
x, QE
AA -1
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑ Other (describe on back)
8 For Zones A or V, where no BFE is provided on the. FIRM, and,the poMmunity, his established a SFE for this building oft*. indicato
the community's BFE L_j__ II_J . U feet NGVD (or other FIRM datum -she 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
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the telected diagram is at'an elevation
of L_! __t4 ` 1.17 feet NGVD (or other FIRM datum -sob Section B, Item 7).
(b). FIRM Zones VI -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 L_LI I I .0 feet NGVD (or other FIRM datum -906 Section B, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L_iJ H feet above ❑ or .
below i (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from thG selected diagram is i � I .L l feet above ❑ or below ❑ (check
one) the highest grade adjacent to the building.,, If ng,fiood depth number Is available, Is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑' Yes ❑ Nib ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: ❑ NGV^ '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 7J, then convert the elevations to the datum systdm used on the FIRM and show the comvrsion
equation. under Comments on Page 2.)
4. Elevation reference mark used appears on FiRM: i" Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation Is based on: ❑ actual construction ❑ construction drawings
Use of construetion drawings is only valid if the building does not yet have the r9fdr6nce f6vel flbdr in place; in which
rise this certificate will only be valid for the building during the course of 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: 1 1 415 15 .2 .feet NGVD (or other FIRM datum -see
Section R, Item 7). -
SECTION D COMMUNITY INFORMATION
i. if the community official responsible for verifying building elevations specifies that the reference level Indicated in Seetion•C,-item t
is not the "InweSt floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" As defined by the ordinance is: L i i_j . U feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date Gf ';he start of construction or substantial improvement
T tr r c i nnrNnn, it rr,,niwi,z ort: orwOOF S)r>F FOR COlTnNUATIcN
SECTION E CERTIFICATION
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 At -A30, AE, AH, A (with SFE),V1-V30,VE, and V (with FIFE) is required.
Cnmmunity 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.
Rpfprence 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, wail openings, or unfinished area Feature(s), then list the Feeture(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.._
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret t 4100/8
1 understand that any false statement may be punishable by fine or Imprisonment under 18 U.S. Code, S 0 66., .r
cFnTIrIFn'S NAME
LICENSE NUMBER (or Affix Seel) �
TITLE COMPANY NAME
Sv W "O2 9iyOaE.�>i1r�{O
--- —
AnDf1FSS CMY ZIP
F o. PSo Yc 13 S 5 r° ----------- ULL I or To tJ Ty - 160'J el DATE PHONE
10- o3-Ibs 8\-t 26t 28� o
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:'?NC-N.__MLy-R..l_y1p11E,gi� F(ZQM�arJS'((2,�f(�t01�1 P�ba�s. F�es2 GtP�PyR� STDe��oN Q►�p '\'�
" %% .
__T c�sT__\ GEN?EYZ OF QELIrS56 10 -LET- Ott SOOT" 5\Qe OF P4t2.t! WAS( F ulp. G-,0 y" WEST'
_6F ._ 4tr �Tla\ -- OF _ 1►J --- -SEc.T lot) O talc ta2THU R. t�t.�P QpKt> SIS`{ F3t-V D �I.EV a 4 5 31
X___Gvt' 1N_GL�=1��-tl`'}C2`.�t'\O1J,.0C MS„R.THUI�. �1�0 +t'A(WAY F3L�IU.
4S3.g,3
SON WITH ON PILES,
BASEMENT PIERS, OR COLUMNS
A V A A v
jt 70PIFS ZONES ZONES ZONES ZONES
1 REFERENCE
ncrrnrrK:r BASE LEygl, REFERENCE
LEVEL
FLOOD LEVEL
L ELEVATION
c
a fd
rnsE 1•'' ' •'tn' 0As6
ri000 ADJACENT REFERENCE FLOOD„
ECEVAtION�'
nFFFRENf:F. ADJACENT GRADE r� LEVEL ELEVATION
LEVEL GRADE . ,., ..- `
''i?. f. •. .. i.;>:.: ;_r.; ., :•�I ADJACENT?.
,... GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
„Flevations 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.
Paqe 2
PLAN!
API
FAMW
CA'U
HAVE
AND
HOU
L
COVERA
"I do hereby certify that this drawing
or plan and related specifications
meet all local code requirements and
are in substantial conformity with V.A.
Minimum Property Requirements."
David
1300 Post Ook 8W.,
WeekleyHomes
Suite 1600 Houston, Texas 77056 (7Q)963-0500GGpro
--4 --- —
project: 019
1
TC 451.8E
subdiv: GIBBS STATION II
plan: N 531 C
20
TC 451.60
Int: 15 blh: A sect:
THE TOP OF SLAB
MUST BE
CIBBS
CR0,,S-'SI!V(;
SET A MINIMUM OF
2-2x6'S
ABOVE THE HIGHEST GRADE
ELEVATION OF THE
BUILDING
PAD.
"I do hereby certify that this drawing
or plan and related specifications
meet all local code requirements and
are in substantial conformity with V.A.
Minimum Property Requirements."
David
1300 Post Ook 8W.,
WeekleyHomes
Suite 1600 Houston, Texas 77056 (7Q)963-0500GGpro
date: 5-10-95
project: 019
address: 949 GIBB S CROSSING
job: 0125
subdiv: GIBBS STATION II
plan: N 531 C
FLATWORK
FENCE
S0D
Int: 15 blh: A sect:
;nale:l" =20'