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FEMA-EC980617 (2)Tile City W A Beautiful Future BUILDING PERMIT APPLICATION Print or Type in a Clear, Legible Manner APR 15 1999 Job Address: IF Date: �1) t Lot: Block: Subdivision: Phase or Section Number: Owner Address -.F,,QPC r_ Phone #: Contractor: Addres : /V Phone #: Description of Work to be Done Class of Work: 5b New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition S I�� r-(-U� A J 9� �B/63 Area of Building inSquareFeet First Floor, '"" Garage Value of Work d� to be Performed Second Floor � Other ill) 9)a S � n A Q� 7 GRAY AREA FOR OFFICE USE ONLY 5I ! C� Iq b NOTICE 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 at any time after work is commenced. 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 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. Sig ature of Contractor or 4uthorized g nt b /Print Name v Electrical Contractor lumbing Contractor Mechanical Contractor FPMC - 1 (4194) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERArL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTEN''ION: 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. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S AM POLICY NUMBER STR�T ADDRESS (Including Apt., Unit, S, nd/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc. CITY 7 STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the followinq from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE /I -G 6. (In AO ASE FLOOD u eELEVATION �F30 /?� r. 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE) J,dNGVD '29 LJ Uther (oescrioe on DacK) 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: . 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 l 2(a). FIRMZones �Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation I of I L�I`'}191.L feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1 430, 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 ❑—LJ—❑ .L] 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 I ❑ 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 ❑. ❑ 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 7], 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 :,.;�Kactual 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 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: 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: LI I I I I .❑ feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement — FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION 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 Al—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 ase 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, unfinished area included in the�certification location of sunder Comments below. The diagram equipment, area use, wall number,rSection C, item 1, must still beet red. Feature(s) not I certify that the information in Sections B and C on this certificate 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. LICENSE NUMBER (or Affix Seal) NAME STATE Coplee should be made of COMMENTS: Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. ON WITH SLAB BASEMENT A V A ZONES ZONES 1k ZONES BASE FLOOD FLOOD I GRADE ELEVATION REFERENCE ADJACENT LEVEL GRADE ON PILES, PIERS, OR COLUMNS 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 FIRST MHOMES 16 Of t coppaL D• uTa InnavGtive New IdeGs Far Traditional Han" D9!qiqn s etween he kine- Mr- fteiftrW ossignm and Plaimm * Bumw, to verify and check all OWds Of this 'to and 6sw IL 02 PL Am -p -LM 18-20" LOTWsLocx KNWIEK "T. c4ppILL, TX FIRST mx^5 MOMM ep=*r1ELr F$ J'53, FR23D.jAN 2/204& to any c0m—vu—cW--n---- DAKli WRVEY I yMED, Qu PLANSA !V 'D RE -IU"' R APPTIC AL C)F SINGLI FAMILY I .:SII)ENCF, ONLY. C; T11 4 11 EPICTIONS OR CALM, -GU S CiN PLOT Pf,AN HAVE NO BEEN REVIEWED AND A APPROVED. Of t coppaL D• uTa InnavGtive New IdeGs Far Traditional Han" D9!qiqn s etween he kine- Mr- fteiftrW ossignm and Plaimm * Bumw, to verify and check all OWds Of this 'to and 6sw IL 02 PL Am -p -LM 18-20" LOTWsLocx KNWIEK "T. c4ppILL, TX FIRST mx^5 MOMM ep=*r1ELr F$ J'53, FR23D.jAN 2/204& to any c0m—vu—cW--n----