FEMA-EC9804107They With A Beautiful Future
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BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
MAR 16 1998
5-CTin ®
Job Address: 1 r Y -(2
I L Date: : 1 " CPT
Lot: Block: Subdivision:fi-' Phase or Section Number:
Owner �i6 Address: �'� 1 fr Phone #: �1�LO
Contractor: ` Address: Phone #: 1 V
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor ✓ Garage44/71 Value of Work 115,{���
to be Performed ° �.�J.
_ Second Floor Other I
y
j- `�l/L ��i�' GRAY AREA FOR OFFICE USE ONLY IZy
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 1 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 he
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
regulatin construZ
he performance of construction.
�y N e, I L
Signature of Contractor or Aut orized Agent Print Name
.� '.�- �d�%1 r
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE Expires May 31, 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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
ZZ LAr Arm
STREET ADDRESS_&cluding Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIL NUMBER
OTHER DESCRIPTION (Lot and Block Numbers etc.)
A.,07—;? 2 Z Big. �
CITY STATE ZIP CODE
Go PPh:i(-4 ?x
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
C
5: FIRM ZONE
t _
6. BASE FLOOD ELEVATION
(in A nes e� depth)
�Q /7T
O O/DC
4" / '"��
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 community has established a BFE for this building site, indicate
the community's BFE: I I I I I I . U 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). FIRMS� ,,��
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 IL_�A 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 W . U 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 U I. U 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 El Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations:,7NGVD '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.) �r
4. Elevation reference mark used appears on FIRM: JLJ Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on:
actual construction ❑ construction drawings
(NOTE: Use of construction drawings isalid 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,� I,tI�I
6. The elevation of the lowest grade immediately adjacent to the building is: I 1 1¢14131.L8 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 . Ll 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 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 ed
included in the certification sunder Comments below. The ervicing equipment, area �di grawall menumber,rSectironhC, Item 1, must rea still bee ente, then list red.
Feature(s) not
1 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.
CERTIFIER'S NAME LICENSE NUMBER (or Affix See])
opcalo Pol:6.0�-A&o / s �S
TITLE COMPANY NAME S 4 4 L_
STATE
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Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON
SLAB
A v
ZONES ZONES
REFERENCE
LEVEL
BASE
FLOOD
ELEVATION
REFERENCE
ADJACENT
.
LEVEL
GRADE
WITH
BASEMENT
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
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Innovative New Ideas
PLOT PLAN
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FIRST TEXAS HOMES
Residential Designers and Planners
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SURVEY PLAT OF
TO ALi, PAR'T'IES INTERESTED IN PREMISES SURVEYED:
L�J�y�A Perklered f rofe;6,nal l Simryor, do hereby cerlify that y-Xucful survey war made of the (round this darr under mN riper icinn of the (ollnving described pmperrc.
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,rod there are tncmachmenis urym the adprininp prnfrny or the fdjuining imrroaemerua upon the deurihed property known a
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ST'A'IF, OF TEXAS 1
(4)UNTN' OF TARRAN!'
"To the Urnholders andlor the Owners of the Premises surveyed and to FLOOD NOTE: I hereby certify that the property described herein
within a special flood hazard area as identified be the
The undersignrd docs hereby certify that this survey was this day made Federal Insurance Administration, Department of }lousing and Urhan
on the ground of the property legally described hereon and is correct, and that Development, the flood hazard area being identified as
there are no discrepancim conflicts. shortnges in area, houndary line conflicts, of the Federal Insurance Administration Flood Hazard
encroachments, overlapping of improvements, visible lines or roads in place, Pottndnry ktnp effective on
excrpt ns shown hereon, and that said proprrty has mc—•:q to and from n
for the
dedicated roadway except as shown hereon. -
Da I " 1:
ereon.Dated:
Ar SURVEYING CO.
BASIS FOR BEARING: Daviel Pollard RPS 0 15 18
Order No. _____—__ ___________ 1903 Central Drive, Suile 309
NOT rOR CONSTRUCTION Redford, TX 76021 Metro (817) 267-1249