FEMA-EC9801200 --�]
7Theutiful Future
BUILDING PERMIT APPLICATION
COT 2 01997
�'3 3 ';L'j Print or Type in a Clear, Legible Manner
Job Address:`a 1 v\ � m Z�� Date: C�
Lot:Block: Subdivision: Q; �- \ f �p�1f j,� Phase or Section Number:
Owner Address: one #: "6)-7—
p— /
Contractor: Address: Phone #:
Description of Work to be Done Class of Work: )P-I�w ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
f5-'% C)''oo
Area of Building in Square Feet
First Floor Garage Value of Work
to be Performed
Second Floor OtherT�
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 construction of the performance of construction.
/ t
Signature of Contractor or Authorized Agent Print Name
71-lul-,i 1p jb� V—,(ris"k U;
Electrical Contracto Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE Expire: 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
BUILDING OWNER'S NAME
ESS (Including Apt., Unit, Suite and/or Bldg. umber) OR P.O. ROUTE AND BOX NUMBER
DESCRIPTION (Lotand Block
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
ZIP CODE
Provide the following from the proper FIRM (See Instructions): 44-700
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)
ESDI ?d
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HiQ-�L1S,19�f
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1
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 esta ished a BFE for this building site, indicate
the community's BFE: LL-❑. -LJ . ❑ 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 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 LL I45b .71 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 L_IL-1-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: ❑ 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 FIR ;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 my 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.) 'bI
6. The elevation of the lowest grade immediately adjacent to the building is: L�l�l I /oI I . Lct 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 ❑ . ❑ 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 8 and C on this certificate represents my best efforts to interpret the data available.
t 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)
Copies should be made of this Certificate for: 1) community official, 2) insurance agent1company, and 3) building owner.
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
.y ..
BASE
..
BASE ''•'r,:' REFERENCE
FLOOD
ADJACENT'
FLOOD' `;' LEVEL
GRADE ' :�:fZ.
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
?;l) ALT, PAR'T'IES INTERESTED IN PREMISES SURVEYED:
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A Registered Prof"sknial l.nrwl 5arveyor, do It 1, «rlif Ihnl a carrPol sury y was made nt tlFround Ihic date under my �1' rn'sinn nr the fulln%init described riv rm.
Al
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and there are
encroachments upon the adjoining Property or the adjoining iroprm-emrnls upon the dr,criheJ prorit) knnnn as
ISIq GRAPEVINE- GRT -F -K DRIVF.
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STATE OF TEXAS
COIJNTV OF TARRANT
"1'o the Lienholders and/or the Owners of the Premise 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,
encronchnlents, overlapping of improvements, visible lines or roads in place,
rycept :is elhmon berron, lend that said pr-pctty has av-ns to and from a
dedicated roadway except as shown hereon."
hatrd:
BASIS FOR BLARING:
Or No. -
NOT FOR CONSTRIIC1ION
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FLOOD NOTE: 1 hereby certify that the proper escrih1398ed h
--_ —_ within a special flood hazard area as identified by the
Federal Insurance Administration, Department of Ilousing and Urban
Development, the flood hazard area being identified as
_--_ of the Federal Insurance Administration Flood Hazard
Boundary Map effective on -----
for the _l -- -----
BY: - 1 —'-- --- -
AP sonvF-YING CO.
David Pollard I7PS N1518
1903 Central Drive, Suite 309
Nedlord, TX 76021 Metro (817) 267-1249
10
SURVEY PLAT OF
'10 At.t, VARTIFS INTERESTED IN PREMISES SURVEYED:
\ Rrgi iered f'rofes iu 1 1.aMl Sure 1a, do hereby cenify thnl a catcful urvev as made of 1 e grnunJ thio date vnJer m. au rsiainn of the f++flowing described prrnn\.
.:rod thrte ore encroachments up+n the adjoining properly or the adioining imprmements up+n the drecrihed property known es_ -
1119 GRAPEVINE GREEK DRIYE
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STAT F, OF TEXAS AO
COUNI'V OF I -ARRANT g ��r � 1 �,�,��r SO
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"T'n the Lienholdrrs and/or the Owners of the Pr mis d M FLOOD NOTE: 1 hereby certify that the property a fein
_ within a special flood h;17ard area as identified by the
The undersigned docs hereby certify that this snry was this day made federal Insurance Administration, Department of Housing and Urban
on the fronnd of the property legally described hereon and is correct. and that Development, the flood hazard wren being identified as
there arc no discrepancies. conflicts, shor :arcs in arca, boundary line conflicts, of the Federal Insurance Adminisltntien Flood Hazard
rncronchntcnts, overlapping of improvements, visible lines or roads in place, Ronridary Map effective on
,,—pr ac ahou n hereon, rind that said pmprrt) has accc a to Ind from I
(If-dicatrd rna110.-By rxccpl a< shown hereon." for the
D.te,I
fly: _ - - -------------- -- -------- - --- --
IIANIS FOP IWARING: AP SURVEYING CO.
Orrlrr Nn. David Pollard RPS #1518
1103 Central Drive, Suile 309
NOF FOR CONSTRUCTION Bedford, TX 76021 Metro (817) 267.1249
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Innovative New Ideas
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•"^,-x; "1 '>� �� h t ity of Coppeli Buiiaing curies and Zo.rAW
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GRAPEVINE GK.p�IY_E
PLOT PLAN
I"=20'
LOT 5, BLOCK B
RIVERVIEW ESTATES
COPPELL, TEXAS
FIRST 'f XAS HOME5
BRI -44-<5- (F7531)
'gilder%owner"' to verify, and check" all -aspects of this site and plot plan prior. to any, construction
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Innovative New Ideas
for Traditional Home
Design.
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The
Lines
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"Residential Designers and
Planners
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Arlington, Texas Metro 817-261-4121
AX 817-274-4717
PLOT PLAN
I"=20'
LOT 5, BLOCK B
RIVERVIEW ESTATES
COPPELL, TEXAS
FIRST 'f XAS HOME5
BRI -44-<5- (F7531)
'gilder%owner"' to verify, and check" all -aspects of this site and plot plan prior. to any, construction