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FEMA-EC980420 (2)Tie City With ABeautiful Future BUILDING PERMIT APPLICATION _ Print or Type in a Clear, Legible Manner Job Address: �I I `n \ �- Date:- Y Lot:0� Block: Subdivision: J Qi� p, i Phase or Section Number: Owner , �, p tCn.< Address: r , hone L�� �17_ 61 D—'31 Contractor: Address: Phone #: Description of Work to be Done Class of Work: New ElAddition ❑ Alteration ElRepair El Demolition -0 Area of Building in Square Feet First Floor ! 3 Garage q/57 /S Second Floor Other 17 ` 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 th�er3Qrmance of construction. n 1 TA T Jature o{ Contractor or uthorized Agent Print Name �o�,, �� �¢c,�e fie- �G�1►� � �' Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) Value of Work to be Performed BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK O.M.B. NO. 3067-0077 • ELEVATION CERTIFICATE Expires May31, 1996 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. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S � POLICY NUMBER FII P s I EXAS +� a w. *.S STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIL NUMBER OTHER DESCRIPTION (Lot and Block Numbers, ) CITY w _,.STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): t. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO on s, use depth) '-18©I ?O 6n) O �-a 06 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):,ZNGVD '29 ❑ 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: ❑ 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 2(a). FIR1M'' Zo�nlI��]sA1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of Lam.$ 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 I I I I I I .❑ 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 ❑.❑ 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 i❑ 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:�ctual 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.) �I 6. The elevation of the lowest grade immediately adjacent to the building is: LI_L2�1� . A 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: I I 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 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 still be entered. / certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. t understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) TITLE COMPANY NAME .—.0. clTV STATE ZIP Copies should be made of this Certificate for: 1) community official, 2) insurance agenVcompany, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL REFERENCE REFERENCE BASE LEVEL LEVEL FLOOD ELEVATION ., BASE ... BASE •ADJACENT:' R FLOODEFERENCE ELEVATION FLOOD LEVEL DE O RA > ELEVATION REFERENCE ADJACENT LEVEL GRADE :34•:1 ADJACENT n,. •.,.,.5•r:. r.. GRADE QRADE 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 r SURVEY PLAT OF M ALL PARTIES INTERESTED IN PREMISES SURVFYF,D: 1 0�%/P A r, do hehy lt that careful xuvees m of the r dwcr�iLu A there are encmuhnienrr npm the stlJoinint Property nr be sdj<sinims impre.emems upon the described rrmpeny known a SPl�°41'00" Yv �j8.4Z� t-1 6 5 LOC V- vl� FO Iz NA 15 4 -f; -q8 ,3f Pad - 445.16' ASI 5 81 e 4.1 10 0 11 OOtt W � s.42r �6o IZ.o,W� 1410 QLADE t OWT Dv-ly-E SPATE OF TEXAS COUNTY OF TARRANT -10 the Lienholders and/or the Owners of the Premises surveyed and to The undersigned does hereby certify that this survey was this day made on the ground of the property legally described hereon and is correct, and that there are no discrepancies, conflicts. shortages in area, boundary line conflicts, encroachments, overlapping of improvements, visible lines or roads in place, rxcrpt ns shn-n hereon, Hurl 'tint said property has acc^ss to and from a dedicated roadway except as shown hereon.- i Da'rd: 13ASIS POR BEARING: Order No,._.—_ -- NOT FOR CONSTRUCTION described Pmpcny. I r SCALE In - zol -r/zo/Y& FLOOD NOTE: 1 hereby certify that the property described herein within a special flood hazard Irl$ it identified by the Federal Insurance Administration, Department of Housing And Utbnn Development, the flood hazard area being identified is of the Federal Insurance Administratibn Flood hazard Boundary Map effective on — for the _ ----- -- , 6Y----- -- --- ----- AP SURVEYING CO. David Pollard RPS 01518 r 1903 ('entral Drive, Suite 309 Bedford, TX 76021 Metro (817) 267.1249 r - � AIRE REVI ..: W ... PLANS. ESD FOR - .... ..: Y... . APPROVAL OF SINGLE FAMIL`"Y RESID I+TrI--, OTHER DEPTICT:k'�,J,`S . FALL -OUTS ON PLOTPLAN JIAVE SND ARE � APPROVED- �' �. RI VIEWED igZ - �, u feel _)roval of the pit copippe.1i a 1161 9111 1d i li,�s ad FORU BOARD VF.Y RBQUTRED ALLEY 20'—q 11 5' UE C� rr 18' WIDE tV GONG. !!: ai ui DRIVE 20' BL n In---------- ------- -------- -------- ' 555.3rr I 554.�r1� I O �, 11 n �sl 1 554.3rP r} O 1 Ul I't's tV "PLOT PLAN I"=20' LOT :25, BLOCK B RIVERVIEW E5TATE5 GOPPELL, TEXAS FIRST TEXAS HOMES JOHNSON BRADBURY ( F $11 °I ) 1 Duilder/Ownar to verify and check all aspects of this site and plot pian prior to any construction N 555jFr- I554 II 555 ---- -- 554.3rP ----1 - i! ---- ----------------y---- 4' WID 'C25- t3L ., � GDNG. in IL nl WALK 10' U.E. v 1 iii 7e,.42' 1410 GLADE POINT "PLOT PLAN I"=20' LOT :25, BLOCK B RIVERVIEW E5TATE5 GOPPELL, TEXAS FIRST TEXAS HOMES JOHNSON BRADBURY ( F $11 °I ) 1 Duilder/Ownar to verify and check all aspects of this site and plot pian prior to any construction N