The URL can be used to link to this page

FEMA-EC980121 (4)® uuU(2vugvll r 7Thety With A Beautiful Future BUILDING PERMIT APPLICATION OCT 71997 �j ,}� Print or Type in a Clear, Legible Manner ECTION DE L Job Address:) 0�� Date: Lot: Block:- Subdivision: �' Phase or Section Number: JOwner < Address: Phone # 67 Contractor: 1 C � 1 � � Address: � j� n/ L%��/\U I /„ Phone #: � % �, 4j Description of Work to be Done Class of Work: ,-New L El Addition El Alteration ❑/ Repair ❑ Demolition �I 31 Area of Building in Square Feet First Floor I1 3 Garage Value of Workx/1 , 00 to be Performed 64 Second Floor t Other 60 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. n . n �. BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK �jq,natjryof-Conjractor or A horized Agent_2 Print Name = Electrical Contract , Plumbing Contractor Mechanical Contractor FPMC - 1 14/941 BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE. E�iresMay 31;T9Q6 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 LOIWR)! Instructions for completing this form can be found on the following pages. BUILDING OWNER'S SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I POLICY NUMBER STR ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 1 -e-IL t Z /,. I& n dL _ Pki I it 1 t )DI& 10& OTHER DESCRIPTION (Lot and Block Numbers, etc.) /1 %_ o T V7 �� O C k- rlaE:�PrYI L,-)ST,4'Tl� 5 y� 1 CITYSTATE ZIP CODE —T SECTION B FLOOD INSURANCE RATE MAP (FIRM) MFORMATION Provide the following from the proper FIRM (See Instructions): t. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF INDEX FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) Apaj FIRM A F_ 47" 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ;LINGVD '29 U 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 . ❑ 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 ❑ .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 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, L❑ . ❑ 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 -0 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�,Z Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on:Xactual 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: 9t LO 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 13FE),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. I 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) C)Q.YIn �{ o` �A2>D 'I -S71% Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON Wmi ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL REFERENCE REFERENCE- BASE LEVEL LEVEL I FLOOD ELEVATION t.?.'�i`::. •..::t:i:j:'.: BASE BASE •ADJACENT.':: REFERENCE FLOOD FLOOD LEVEL CiRAOE ELEVATION ELEVATION REFERENCE ADJACENT LEVEL GRADE 'W ADJACENT:} 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 VO QA Ca s E'° F; �°YI� O 1N L C _ CA x r C "Ty COPPELL h�►l�r` aft , °I x6� r e% : Vii.. 5i�' '� ' d., �j,,,- • iiJ./ WSe y aad Zoning A'^ IL U1 I U) IU) N 20' BL 555.61�F iJ15, 554.6FP I I DRIVE I ; 5.6 F (:5 4.6F = r o's w �� o O Vi 01, 555.6FF �' IO 554.6FP Q vI � I 554.6FP 555.61"F 554.6r� ; /o ORM BOARD ' �' [ M 6 aJ~.. -- -- —%----..L--� L GONG. 25' BL DRIVE I ___ GON' G.L WALK .. 'Q (A 10' U.E. I GLADE POINT DRIVE Innovative New Ideas PLOT PLAN For Traditional Horne Design 1" = 20' LOT 27, BLOCK A RI ESTATES DetW i een The Lines GOFFSLL, TEXAS FIRST TEXAS HOMES PATEL. (11/4/q-1) Residential Designers and Planners BRI-44-6 iF7310) Arlington, lexas Metro 81/-261-4121 FAX til /-1/4-4/1 / * cts of this site and plot plan prior to any construction Builder/Owner to verify and check all aspe SURVEY PLAT OF 10 AI,I, PARTIES INTF.RE,STED IN PREMISES SURVEYED: I 0Athj,) e0Lr:tl-'1120 Registered P fessifma rwi Surveyor, d here certify thatptireful survey was mad the rnund'jic I Ir under my super%ismn a II ui g Je erihed property. - f17 _ 2_�� 1 �� ivy �� B t_C � a __�o�c z� and there are encrnachments upon the adjoining property or the edjuining improvemems upon the dearilxd property knnun as {4{�.� GLADEP�o11,IT �iz1VE C so' FR .�. L l.) FIZ S 89 A-7' o o" E 8-7.99 Lir e-8 I I t 1�-V) Q-7 (._.--oT Z '7 6oc-ic- A 'i'Fl2 N W)" 47r 00" L.1 STATE OF TEXAS COUNTY OFTARRANT "Tri the Lienholders and/fir the Owners of the Premise,; surveyed and to The undersigned docs 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, merlapping of improvements, visible lines or roads in place, eirepi as shown hereon, and thou said property has access to and from a dedicated roadway except as shown hereon. - I );I t cd BASIS FOR BFARING: Ordcr No, ----- ---- ----- — NOT FOR CONSTRUCTION I b-7. 9 9 „FIV T... .. ... 6J RPI VISID At 13oVnl ayz `r I_IAIt: 1 Z,74It? FLOOD NOTE: I hereby certify that the property described herein __— within a special flood ha78rd area as identified by the Federal Insurance Administration, Department of Housing and Urban Development, the flood hazard arca being identified as _—__ of the Federal Insurance Administration Flood 1a7ard floundsry Map effective on for the By:---- -- ---- ----- ------- AP SURVEYING CO. David Pollard RPS #1518 1903 Central Drive, Suite 309 Redford, TX 76021 Metro (817) 267-1249 ■