FEMA-EC980203 (2)The City With A Beautiful Future
------�:� BUILDING PERMIT APPLICATION crJ 1 0 1997
Print or Type in a Clear, Legible Manner
Job Address: (! ` W'IVt2�q"3`� Date: i
Lot: Block: Subdivision: \�e�� � Phase or Section Number:
Owner Address; (� Al,l one #:
t iU` l 7
Contractor: Address: Phone #:
Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
on Ip amI
Area of Building in Square Feet
First Floor u�3 Garage V90 Value of Work �--j 001to be Performed
5-0l
Second Floor Other 4/
GRAY AREA FOR OFFICE USE ONLY
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 nceI the provisions of any other federal, state or local law
regulatin construction of th ormance of construction.
L�
1
nature � ont for or A th rued Agent Print N me
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.
BUILDING OWNER'S
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
POLICY NUMBER
STREET ADDRESS (Including Apt., it, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER I
JSOZ l�a�, Ka-
OTHER
rOTHER DESCRIPTION (Lot and Block Numb s, etc.
L ,-rr 17. 0--%1 ot-le t v LIZ v t AZAR
CITY I _„ STATE ZIP CODE
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 5. FIRM ZONE
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
.40170
o D/0
S � &_1107
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE);.Z 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 . ❑ 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 —t— .
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 I I ALM 1. & feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1 -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 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 ❑ 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:�IGVD '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 oVFI M:�Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based orlactual 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.) J �O
6. The elevation of the lowest grade immediately adjacent to the building is: 40J.18 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
, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required.
information when the elevation information for Zones Al—A30, AE
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, areuse, 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.
a
1 certify that the information in Sections 8 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 NAMELICENSE NUMBER (or Affix Seal)
f)9Yrp Po/�ajit v .....
S
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COM1,4ENTS:
WITH ON PILES,
ON
SLAB BASEMENT PIERS, OR COLUMNS
A v A
ZONES ZONES Ar ZONES
REFERENCE
BASE
FLOOD
BASEADJACENT
FLOOD GRADE :;�Fi LEVEL
ELEVATION IFIEFERENCEI ADJACENT
LEVEL GRADE
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
SURVEY PLAT OF
I'0 ALL
L PAR�TIE,rSI�N�TERES'�'ED IN PREMISES SURVEYED:
I.L)Ok)W _ ,\ Registered Pr4(j�tional L Suoey!!,khenjy certify that a rarefu�ai made nl 1h�rnund this da(c tinder
-._. and there are encroachments opm the adjoining property or the adjoining impro%emems upon the (Irwribed property lm -n as
I 5' A L L.- `� (C 0"C �
I
"8T4-700 W
pp lr�l Q
F3Loc e +� o
I
oPr-�r,l -
for' hA5
w
TION ofov��1 s �Ie�
�l 3�
01
N
1�1
z
0
o-
J
the fuftnx ing dex rihed 'rrpem .
r
I
56n04-7'0011 F- T\ 18.4'
(5o' e.o,vv)
150a c LADE P01MT t Z1%44= -P\
STATE OF TEXAS
COUNTY OF TARRANT
"To the Licnholder% and/or the Owners of the Premises 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, overlapping of improvements, visible lines or roads in place,
except m shnsvn herron, and that said property has access to and from a
dedicated roadway except as shown hereon."
Dated:
BASIS FOR BEARING:
Order No. _--_—____.-----_----
NOT FOR CONSTRkW1ION
P
SSI"•' "
x/3/98
FLOOD NOTE: I hereby certify that the Property described herein
' within a special flood hazard 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 Hazard
Boundary Map effective on
for the — --_--.
By: '- ----------- ----
AP SUf1VEYING CO.
David Pollard RPS N1518
1903 Central Drive, Suite 309
Bedford, TX 76021 Metro (817) 267-1249
,
�2V-1wwmD
E
r�L,il=
bFt
•t A
y of (;4e'eN Bitiming Gid )''a+ild £br"irrlg
PLANS ARE REVIEWED FOR
APPROVAL OF SINGLE
FAMILY RES , Ill NCE ONLY.
E;M.A "� C T Iy IZ D `d ''t(I 5 OR
AND A" 121 1fii PRO Y ED.
ALLEY
8 _011 11�f, o , �6 ,
,
--- - - - FOS
7a,? 81gVEY IEzJX*,
U) _
iii GONG. .._ . ►n ..,., _. ...
DRIVt � Ul d:
2013 v
----------- ----- ------ ---------
I
554.3rf i -—
' 553 3rP ..
,
- r
I
Q 554:3FIF.,
553.3rP
O.
U >- xx p'
O
554.3Fr
r
r
r
• � 554.3rr .:. � .. :, � .,
553.3rP
r
. J53.3rP �
----y-------------- - !
25B
GONG.
t� wALK in
n► U- cv
(V (V
I!1 If1
I!1 l!1
78.4?'
1502 GLADEPOINT DR.
Innovolive New Idr.as
PLOT PLAN
for--Troditional Home onsic1rr
I" =.2o'
�t�e The L
LOT 1-1, BLOCK B
�. �� RI�(1rRVlEw•1�5TATC.S ,
e e 11 S
GOPPELL, TEXAS
rIR5T TEXAS HOMES
Residential Designers and Planners
tD
L I U (11/25/q-1)
BRI -.44-6 (F7408)
Arlington, -lcxas • •Metro 817- 261 1121.-- 1 AX 811•-211 411.7
+7Hwldci/0wlwl to verify and cheek all aspects of this site and plot plan prior to any construction