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FEMA-EC980121 (7)7The�0CT16 1997y With A Beautiful Future ^� BUILDING PERMIT APPLICATION Print or Type in a Clear, Legible Manner INSPECTION DEPT Job Address: 1,C ` i W/M **021()9DD0 Date: �7 Lot: i Block: Subdivision: 2�,1�� �` • Phase or Section Number: U V� Owner (� , i _ S Address: f Phone #: _ lDg0 _ 3)& ^ t T t Contractor: I Address: Phone #:) r j0qD Description of Work to be Done Class of Work: jk'mew ❑ Addition ❑ Alteration ❑ Repair El Demolition Area of Building in Square Feet First Floor 11,5151-P Second Floor 'vim C>y NOTICE Garage L111 )L Value of Work O, 00 Other 3 to be Performed ( , GRAY AREA FOR OFFICE USE ONLY 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. Signature of Contrac or or Authorized Agent Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor 744A. -C, �'ILu�'-h FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK STREET CUT O.M.B. NO. 1067-0077 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 FOR INSURANCE COMPANY USE BUILDING OWNER'S NAS POLICY NUMBER s �S STREET ADDRESS (Including Apt., LW14.Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER rl OJT OTHER DESCRIPTION (Lot and Block Numbers, etc.) I-oT ICd. 6 DC k- A, CITY _ STATE ZIP CODE 9 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) '^�� 0 Co 1 tsn A 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 .❑ 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 ofL1 1 14611 L& X21 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 ,❑ 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 1. ❑ 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.ZNGVD'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:/ actual 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: LP 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 IJ.❑ 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 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTI IER'S NAME LICENSE NUMBER (or Affix Seal) --Myl b o IA W )--S-/A. TITL PCOMPANYY NAMELIS /a, [b P. Zw, ADDRESS CITY STATE ZIP Che %t D 21 SIGNATUPE a/7`3 Zb7-/z it COMMENTS: Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCEBASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION + .:. •x:i BASE BASE : "`r'•'' ADJACENT .:' -:J<; REFERENCE FLOOD FLOOD . GRADE ' .�,.•` LEVEL ELEVATION ELEVATION REFERENCE ADJACENT - � LEVEL GRADE LEW +�:Si::.:.- m n:::..'r:; �.:::i :: •;::: i:: 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 TO ALL PA TIES INTERESTED IN PREMISES SURVEYED: A RegislrrcAProfeWpq Land Surveyor, 00 hereby certify t at cicful �rvc�y; s of the around this_datq under my super%kkiA of ____"-_-_, and there are _- encroachments upm the adjoining property or the adjoining improvements uprn the de<eritxd properly known as STATE OF TE! COUNTY OF TARRANT // L11g e "To the Lienholders and/or the Owners of the Premises surveyed and to pmpcm . t 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 shown hereon, and flint said property has access to and from a dedicated roadway except as shown hereon." Datcd: BASIS FOR BLARING: Order No. --..-------- - — NO f FOR CONSTRUCTION O 19 GLAi�E r' 0 � F RD -- 1113) 9e FLOOD : F hereby cep .gAl tete property described herein within it special flood hazard area as identified by the Federal Insurance Administration, Department of Housing and Urban Development, the flood hazard area being identified as of the Federal Insurance Administration Flood Hazard Boundary �fnp effective on — -- for the—I-------- -- - -- - By' ------------ ---- AP SURVEYING CO. David Pollard RPS 01518 1903 Central Drive, Suite 309 Bedford, TX 76021 Metro (817) 267.1249 AP r 1-6T 16 ml of W � w N � Q t 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 shown hereon, and flint said property has access to and from a dedicated roadway except as shown hereon." Datcd: BASIS FOR BLARING: Order No. --..-------- - — NO f FOR CONSTRUCTION O 19 GLAi�E r' 0 � F RD -- 1113) 9e FLOOD : F hereby cep .gAl tete property described herein within it special flood hazard area as identified by the Federal Insurance Administration, Department of Housing and Urban Development, the flood hazard area being identified as of the Federal Insurance Administration Flood Hazard Boundary �fnp effective on — -- for the—I-------- -- - -- - By' ------------ ---- AP SURVEYING CO. David Pollard RPS 01518 1903 Central Drive, Suite 309 Bedford, TX 76021 Metro (817) 267.1249 AP -PLATVS ARE P.p,.vjpvj,r.J) FOR A '"O VA L "O"VAL 0 1ii WEDk,AN L VIE AND AR -17, AP 1 'ZOVE D. mi A :.;,1 . I I 14l) 1 *Z4 DI I FFMEETE-17 CUT Tr?..� MY A Pnd nIt jo b"Uppe.'e, sui;z: I'dMances. 319 COPS `;;j Zur;iftv Sno-4m N 55I.4 F. Innovative New Ideas PLOT PLAN For Traditional Horne Dssign � 1• V 200 The L1nesP,RST- LOT BLOCK A MVIMVIM MTATM e16, -01�, MXAS ' TEXAS fk?MM Residential Designers and Planners tARKS RES. SCLSW 4/26 !0- r Arlington, Texas Metro 817-261-4121 FAX 817-274-4717 1AAMI -UNOTON woto i J*I 9:� 14 a IQ • Builder/Owner to verify and check all aspects of this site and plot plan prior to any construction