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FEMA-EC981030:W 09-23-98P03:31 RCVD The City With A Beautiful Future BUILDING PERMIT APPLICATION 07 Print or Type in a Clear, Legible Manner Job Address:, f 1 � V,Date: _ ! — Lot: Block: Subdivision: i Phase or Section Number: Owner Address:Pone #: Contractor Address: Address: Phone #: Description of Work to be Done Class of Work: ArNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor I / "� C)Gara e W Value of Work i g to be Performed I �� 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 la and ordinances governing this type of work will be complied with whether specified erei or not. The granting of a permit does not presume to give authority t"iolate or cel t e provisions of any other federal, state or local law reaulatine constfu'ction of the rfop4nce of construction. FPMC - 1 ( VZ r r )Ao;r ed Age -.Ea7Qt Name ' Plumbing Contractor Mechanical Contractor BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK 11 O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires Moy31,,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 OWNER•S�E POLICY NUMBER i -I 1 = CA5 STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTIOU (Lot and Block S 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 ne (in AO Zouse depth) ? ) ✓x,21 J 1 - 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): [XGVD '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 . ❑ 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 _i_ . 2(a). FIRM Zonef�p��A�l-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of LL K%I It . U feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones Vi -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 .❑ 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 elevationsNGVD '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 onFI Yes El No (See Instructions on Page 4) 5. The reference level elevation is based on: actual construction ❑ construction drawings (NOTE: Use of construction drawings is Aly 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: I II�181. 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 .❑ feet NGVD (or other FIRM datum—see Section B, Item 7). R. 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 ilable. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code nd . Q�dr� Tir�f NAME _ LICENSE NUMBER (or Affix TITLE COMPANY NAME-7x?j.Lat ZIP 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 LEVEL REFERENCE REFERENCE BASE LEVEL LEVEL FLOOD ELEVATION r� + BASE BASE BASE ••+''. �:+ ADJACENT•: 'r+t REFERENCE FLOOD FLOOD GRADE +.LEVEL ELEVATION ELEVATION REFERENCE ADJACENT ' LEVEL GRADE ADJACENT ;::;i::. r.:.:•' -v.:•.,: .:• GRADE 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 TC) ALL PARTIES-IN'FERES-I'ET) IN PREMISES SURVEVEM , 7—f�(� �' jr/`moi A ell Proleuyt I Land Surve it n herchy certify Chit a careful �sur%eevywas made of the ground this d:uc tinder me �u NkiDD nqLrh`e fullnwing described Prolvm. Z_�Z'� `_Xn � L (ter l- `_-h ----- .mA thrre . ---- rnrmsrhnvnt< mm� rhr.d nine --ti, nr It, alioinint inmrmrmew, unlm the dr%tritied momriv known at _ 1411 CiZAPI V1WF. CV_F_f-K". DW-IVE (5o' P -0m) 5.00' Y2'tet= 'fa"t�F I �t I C9 10 0 Tole of 11—Ad =41q -co SCALE ori of r �9 18 °••io 15t ALLEY (GOKLC.) ;SUrv� ST'A7'E OF TEXAS --` COUNTti OF 7'ARRANI' "'to the Lienholders and/or the Owners of the PremiseN surveyed and to FLOOD NOTE: 1 hereby certify that the property described herein v within a special flood hazard area as identified b\. the The undersigned does hereby certify that this survey was this day made Federal Insurance Administration, Department of • Housing and Urban on the pround of the property legally described hereon and is correct, and that Development, the florid hazard arca being identified As there are no discrepancies, conflicts, shortages in arca, boundary line conflicts, ^_ J -- of the Federal Insurance Administration Flood Hazard encroachments, overlapping of improvements, visible lines or roads in plac Boundary )clap effective on except as shnwn herenn nnrl rbnt xnirl rr-r r! t.1., ace•^ss to nnr! frettn r dedicated rnadwa except as shown hereon." for the ----..----. Dated: By: -- - — — -- --- --------- -- _ OASIS 17OR BEARING: AP S1IRV17YING CO. David Pollard RPS 01518 Order No. _ 1903 Central Drive, Suite 309 NOT FOR CONSTRUCTION Bedford, TX 76021 Metro (617) 267-1249 t I• g5 L 3 0 lli IBLOCK F_� O I Ur\ t OA IBM I AD 18 °••io 15t ALLEY (GOKLC.) ;SUrv� ST'A7'E OF TEXAS --` COUNTti OF 7'ARRANI' "'to the Lienholders and/or the Owners of the PremiseN surveyed and to FLOOD NOTE: 1 hereby certify that the property described herein v within a special flood hazard area as identified b\. the The undersigned does hereby certify that this survey was this day made Federal Insurance Administration, Department of • Housing and Urban on the pround of the property legally described hereon and is correct, and that Development, the florid hazard arca being identified As there are no discrepancies, conflicts, shortages in arca, boundary line conflicts, ^_ J -- of the Federal Insurance Administration Flood Hazard encroachments, overlapping of improvements, visible lines or roads in plac Boundary )clap effective on except as shnwn herenn nnrl rbnt xnirl rr-r r! t.1., ace•^ss to nnr! frettn r dedicated rnadwa except as shown hereon." for the ----..----. Dated: By: -- - — — -- --- --------- -- _ OASIS 17OR BEARING: AP S1IRV17YING CO. David Pollard RPS 01518 Order No. _ 1903 Central Drive, Suite 309 NOT FOR CONSTRUCTION Bedford, TX 76021 Metro (617) 267-1249 ►, S ARE, VXVWWtEb F . CAU, -G" -c3 i HAVE MoiAM API -E APPROVED- x�i���:� fc��r1� 1fi'�:t�► C" COPKILL i3F a not J��S�iT�ti�l CaY i�$ �th.i'rs and S��CI;ik��iPJ"iS `E :F i, a ,.� s �: r.��,;� corstrucle©1 in uv c„"' f?sl Building cdti4v �n Zuningl too, i aiy �3 ti `1-3, 5. MFNImurq f f. D. FORM BOARD ALLEY SURVEY REP r�rr 401-011 2-tr_o., 15, HIM 0MVE m ---------- ---�4 .ice ------------� ! �f a31. p Sao I I I NI 5a13FF 55I SFF I 4HALK N LL -Foal Innovative New Ideas PLOT PLAN For Traditional Home Design I' _ 201 LOT 3 BLOCK B BetweenLines RIVERVIEW EST. The LL, TX FIRST TEXAS HOMES Residential Designers. and Planners -B GIRD BW.OPT.(F Arlington, Texas Metro 817-261-4121 FAX 817-274-4717 it OKOLI RES. 8/18/g8 Builder/Owner to verify and check all aspects of this site and plot plan prior to any construction