Loading...
FEMA-EC980121 (8)7�The7CRyWith�ABeautiful Future BUILDING PERMIT APPLICATION"� 1997 Print or Type in a Clear, Legible Manner ,�.. Job Address:H/ rn 2�43� Date: ©� Lot:ei; Block: Subdivision: `� .`7 Phase or Section Number: Owner Address t i �` Phone #: f 0 7 o/ Ck Contractor: Address: Phone #: Description of Work to be Done Class of Work: ew El Addition ❑ Alteration ❑ Repair ❑ Demolition -Sr4n1P vcl'm� lv Area of Building in Sgqua��ree Feet First Floor- Garage 390 Value of Work 1 to be Performed � � Second Floor Other 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 cancel the provisions of any other federal, state or local law regulating Sonstruction of,Ntavperformance of construction. gnature of Contractor or Auth_ prized Agent Print Name i 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 Expire3May 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 LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNERS NAME POLICY NUMBER f25 0 STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY 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 ` %� 1 (in AO nes, use depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):,ZNGVD '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 .0 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 __L_ . 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 t_14491.31 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 I .0 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. I .0 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 W . 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 ❑ 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 elevatidbs 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 FIR : I!J Yes El No (See Instructions on Page 4) 5. The reference level elevation is based on7actual 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: LL7J �J . ) I 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 .0 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 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. CERTIFIER'S NAMELICENSE NUMBER .(or Affix Sea]) (� yj 0 Io l '(A erg l 51 TIT COMPANY NAME V ADDRESSCITY STATE ZIP 01 -A U-na2 SIGNATURE 1_51/9A t�I%E) 267- IZ Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION v •.:.i::' ::::: : t":;. •;:'; BASE BASE REFERENCE ADJACENT FLOOD FLOOD .`,Ski GRADE LEVEL ELEVATION ELEVATION REFERENCE ADJACENT �'��! LEVEL GRADE ADJACENT.'.". 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-AAIIJ, PARTIES INTERESTRD IN PREMISES SURVr,VEM A Registered Profession amid Surveyor, fri hereby' certify tbaw- careful survey was made of flit ground thio date under __- and there are _ _ encroachments up,n the adjoining property or the adjoining improcemcmc upin the described property known az 5CA1- l" - zc L-0-(-- a Fit-ocK c WIT Kt &q 04--71 C)of W 1408 a dnrrihcd propern. 0 v 0 x o � I WIT Kt &q 04--71 C)of W 1408 a dnrrihcd propern. 2S -j5.a01 t-oT 9 STATE OF TEXAS � Vytht't"h, •w�COUNTY OF TAIiRANT�V/ I"To the Lienholders and/or the Owners of the Premises surveyed and to FLOOD NOTF.r I hereby property described he in 7 within a special flood hazard area as identified by th the unde"irned docs hereby certify that this survey was this day made F-deral Insurance Administration, Department of Housing and Urhai on life ground of the property legally described hereon and is correct. and that f'-velopment, the flood hazard area being identified as (here are no discrepancies, conflicts, shortages in area, boundary line conflicts, of the Federal Insurance Administration Flood Hazan encroachments, overl;opping of improvements, visible tines or roads in place, P,,undary Map effective on rNurpl of doown hrr� on, and thor Said property has accc•s to and from a dedicated roadway except as shown hereon." for the Dated: fly--- ----- — --- --- -- -- BASIS FOR BIWING: AP SURVEYING CO. David Pollard RPS 01518 Order No. 1903 Central Drive, Suite 309 NOT FOR CONSTRUCTION Nedford, TX 76021 Metro (817) 267-1249 A- 0 0 2S -j5.a01 t-oT 9 STATE OF TEXAS � Vytht't"h, •w�COUNTY OF TAIiRANT�V/ I"To the Lienholders and/or the Owners of the Premises surveyed and to FLOOD NOTF.r I hereby property described he in 7 within a special flood hazard area as identified by th the unde"irned docs hereby certify that this survey was this day made F-deral Insurance Administration, Department of Housing and Urhai on life ground of the property legally described hereon and is correct. and that f'-velopment, the flood hazard area being identified as (here are no discrepancies, conflicts, shortages in area, boundary line conflicts, of the Federal Insurance Administration Flood Hazan encroachments, overl;opping of improvements, visible tines or roads in place, P,,undary Map effective on rNurpl of doown hrr� on, and thor Said property has accc•s to and from a dedicated roadway except as shown hereon." for the Dated: fly--- ----- — --- --- -- -- BASIS FOR BIWING: AP SURVEYING CO. David Pollard RPS 01518 Order No. 1903 Central Drive, Suite 309 NOT FOR CONSTRUCTION Nedford, TX 76021 Metro (817) 267-1249 A- O O O Cirr4y Or COR-Iti-IR 4""V "A PLAINS ARE kw.�Vjgw elk FOR" 4k 4— 75.00, 140D 6RAPEVINE CREEK OR Innovative New Ideas For Traditional Home D(--,icjri e Ween Theline's- Residentiol Designers and Pirinnors Arlington, Texas Metro 0 17-Z G I --41/"l FAX f317- 3 1 7 / - / 7.1- 4 /17 to verify and check, all aspects of this site at,(, plan prier to PLOTPLAN I " = 20' LOT a, BLOCK r- RIVERVIEN ESTATES GOFFELL, TEX,4E, I"IRSt TEXAS HOME:5 MONTGOMERY 517-VILLE-P, (T -7.2E38) on