FEMA-EC940407 (6)The City With A Beautiful Future BUILDING PERMIT APPLICATION
Building Inspections Division
i -7A Q 7q Print or Tvoe in a Clear, Leqible Manner
Job Address: L( �:,
Date:
Lot: ` Block: Subdivision:TC)kPhase
or Section Number: U
Owner: J �U A C`. �eZ) .Cyt Address: 8qqoal
1'( Phone ;t{: c�CO l � <
Contractor: 15 -41'Y\E Address:
� �
Phone #:: S-q-vyle
MAR
0
o4
Job Address: L( �:,
Date:
Lot: ` Block: Subdivision:TC)kPhase
or Section Number: U
Owner: J �U A C`. �eZ) .Cyt Address: 8qqoal
1'( Phone ;t{: c�CO l � <
Contractor: 15 -41'Y\E Address:
� �
Phone #:: S-q-vyle
Description of Work to be Done Class of Work: eco ❑Addition
❑ Alteration ❑ Repair ❑Demolition
Area of Building in Square Feet
First Floor Garage
LLA —7
Value of Work C "�
to be Performed
Second Floor 2J" Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee:
if 00 receipt Number:
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.
Zoning District:
Occupancy Classlflcation:
Approved By,
Date:'
I hereby certify that I have read and examined this application and know the same to be true
Comme�ltS: #' �}
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 or the performance of construction.
Signature of Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contrac r
BIR - 1 121821
• 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 NAME
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY NAIC NUMBER I
455 L,aM G2RNit �JF
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
l,eT 11 610 Ck [? V; I I ate.Es Xlr (24 Jib Q.aoo 1> C� SeEt'ia J t V
CITY STATE ZIP CODE
C floo�ll is
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
15)C-tea"Ok
X
(in AO Zones, use depth)
Q - U O t -70
0010
i (v 1991
v 5
4-m cl
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 >Cother (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 . ❑ 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 _.f__ .
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 1 1 417 5. LS feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1 N30, 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 1 I 1 .❑ 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: 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 X No (See Instructions on Page 4)
5. The reference level elevation is based on: YN 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:1 1 4713 .5 .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: . U feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement 3 2 l — C14—
FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS ENTIO IS 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.
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret thedata 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 Seal)
[K .T t>k ,4 s*-- 7Ae
TITLE COMPANY KAME
R P 1_ 5 a—_PA—
CITY STATE ZIP
ADD(�ESS y�� JA -5. x 752 I I
r. Q �OZ�O SSD 1>DATE _ PHONE_
Copies shoul& made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: . f tel-, rt A.a IC u ❑ 1 O I~J TC D 0+ 0.'6 J o ...-i -1., s Dry
1 t' q. �� .o�T'o ►J�,.Jn o4 C2E-� �_ 6 ct, o r.� �1 1� a.5
--•e 4303 12 r1F- -tt,
Flo f{6c-02t>5 e& Da.l lis Co.�-j /-
IS +72.9
WITH ON PILES,
ON
BASEMENT PIERS, OR COLUMNS
SLAB
A V A A V
ZONES ZONES ZONES
ZONES ZONES
REFERENCE I
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL FLED
ELEVATION
. ,':i r! i3 ;a:S;.. •.> :U ,, .:f •: ;t,;
•_,i:;i:.`;:.
;. .:..•::•`;..• • .• •-y,4r,.
BASE • ADJACENT ':: ,,:��REFERENCE
':::':::'
LEVEL
BASE
FLOOD
ELEVATION
FLOOD GRADE SiFk
ELEVATION REFERFNCEI ADJACENT <�
LEVEL GRADE
..:. •. ....; .r:;; ... ,.:;.:..,
:..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
L- zZ —9y Ta S, t ►
MINN
M f. f
3`Qll�
x:47,
_5' UTIL��`��
doe� E5M'T
00 /
20' S.L.
I'
1 I`IE�
8
,jAiE .rtlonsshah'
A str tion �i�
� g..
bec��� ,r;1 PP�11
I Cl. '4
8' SIDE Rs(fol I
Y
�IM►� , � 52'—Oo
ICA 1 �2 4' WALK
O
1
1 �- DRIVE GARAGE
1
2'
O"
-lO.ci I I
) STRUT CLrr
4
a' SIDE
YARD
�1
_j
O
M
lz
10' UTIL
E5M'T O
N
z
ct�
A
V
K
N
O
J
0�
v
a
A
Q
455 &RARAM DRIVE
v
BU`rER: MR. MAIER
JOB # 4100-1
17ATE: 2-18-Q4 oRnr-R # 5101
ow ow CONS—M'rION Cr
ANY W~, ft"U"m OoN-
TRAGTOR. OR rORbON IN
A4"I, RITY Cr -MIS .JOS Is
TO CHECK / VQIeIPY ALL
plgonwTY LINOS, OGTOAGKS,
SIOQYAROS. 1 4`►Sl1W11TS IN
ORO!!I! TO C01—MY WITH
' ALL rmoxm 1., STAT/, JI
LOCAL Cools, oRDINAwles,
s przomorc"s.
SOVEREIGN
HOMES
CORPORATION
AN AFFILIATE OF RCS INVESTMENTS
PLOT FLAN SCALM I" =
LOT II of BLOCK V
\/L6. ® COTTONW0017 CREEK
COP F LL , TEXAS
DON R. MOORE
and A5506., I NG.
1000 AMAMS C MRE
4990 u5 1. PRW.
DM.LAS. TX '111449
414-IO4 4W