The URL can be used to link to this page

FEMA-EC990302 (3)41 rn i�F- ;2- 6 The City With A Beautiful Future BUILDING PERMIT APPLICATION Print or Type in a Clear, Legible Manner Job Address:C \ rt Date: Lot: l Block: Subdivision: Phase or Section Number: Owner � {�'� Address �) T.L.,� 'C��'C%' 't � ,��oi ` C• 7� �� 1 � - Contractor:r Address: Phone #: Description of Work to be Done Class of Work: -J�New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition C l'( am V Area of Building in Square Feet First Floor Garage / Value of Work f`'� G to be Performed / !r) . P) en Second Floor il Other 391 � 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 ca he provisions of any other federal, state or local law regulating o strnc[ion of the rfo ante of construction. 1 iVLl(i�� Sig n tu/re of Contractor or Ajutthho ized Agent Print 'Name cc' Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK ,,T-- �q j, • 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. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER 1=7rzs-r ) 0.x §!--- I - STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER 4fW_6,IFA:!_ aka vim— -- -- - - --- - - -- 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 (in AO Zones, use depth) .4,F)Di?o oo/o ?= 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '29 U Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has esta lished a BFE for this building site, indicate the community's BFE: Li I I l .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 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 U_L�JL�J. feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1430, 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 .L.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 U J .I_.I feet above U 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 LJ_1U feet above U or below U (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? ❑ `Yee{s F 1 No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:,�-1 NGVD '29 LJ 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 [se:., 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*V1Yes U No (See Instructions on Page 4) 5. The reference level elevation is based on:actual construction U 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: L t_64411. L9 feet,NGVD (or other FIRM datum -see Section B, Item 7). SECTION D CONIMUNITY 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 rnanag ment ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: U _LUU . LJ feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvemont FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDIIIONS SEE REVERSE SIDE FOR CONTINUATION SE:•CTI`Oi I C 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, !',IL, Ali, A (with 13FE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinancfo 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 love] diagrams 6, 7 and 8 - Distinguishing Feature ;--If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall �,taenings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagiunI number, Section C, Item 1, must still be entered. I certify that the information in Sections 8 and C on this certificate represents my gest 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. CER NAME NAME T:: LICENSE NUMBER (or Affix Seal) // ---— TIT C � iJ:(', rJ f NAME ��, --- - _ ---- ADDRESS �'I � 0 Vale _STATE ZIP X Ze20 7/ Copies should be made of this Certificate for: 1) commvillity official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON SLAB A V ZONES ZONES REFERENCE IJVEL eb 1 DACE- ADJACENT rL(ICD GRADE ELF": AIiON REFERENCE ADJACENT LEVEL GRADE WITH r;ASEMENT A Ili' ZONES J 13ASE rL000 E LTA110N t LEVEL ON PILES, PIERS, OR COLUMNS The diagrams above illustrate the points at which the 4evations 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 fur all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 7O AIT PARTIES IN'lLRESITI) IN I'll LNIISPS S11RVJ[AL:)): P- �G Re i c I, d I'ndccr n,d I an l r.e r. duhy (P dr,ij ,(r, 4d .unevpti male of the Volun(t Thi. tl' ' imdcr nn ul ni i in of the follnNindC lr itd pn Ism 7 7r and Ihcre ere __ erlcraachmentl ul.m It, a Ijninieg p111,. rti nr the adjoinmF inq.m.emema vr—, the .1""'I'd P-rc'tp Ler"" 05 — V?," I P-_ 142,3 C_ Z -EE: 1r D P-1 Y -E H Sol °4-T' 00" w -3cALS' I" =201 S7 -ATF, OF TEXAS COUNTY OF TARRANI' "To the Lienholders and/or the Owners of the Premise" srr:;ycd and to I he undersigned docs hereby certify that this sury •y 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, houndary line conflicts. encroachments, overlapping of improvements, visible lines or roads in place, ex( rpt ac shown hereon nnrt tf pt eai,l per. h � ,., acc'c•:': to mto =Z! fn dvdicatrd vimd%ay except a% shown hereon.' IM RA`;IS FOR REARING: (liter No. NOT FOR CONSTRTIC11ON \QV 511 GI 1 FLOOD NOTF,. I herehy certify that the property described herein within a special flood hazard Area a3 Identified h�. the Feeeral Insurance Administration, Department ot; "outing and Urhan Development, the flood ha7ar(t arca being identified As of the Federal Insutance Administration Float Na7aid Floundary I\1ap effective on for the - - _ --- -- i Ar g0RVFYING CO. David Pollard RrS N1518 11)03 Centraf Drive, Suite 309 Redford. TX 76021 Metro (817) 267.1249 - t Q, 1,,A IlT 0 +Fi ;n 0 iiP r ' 3 I _ 2.5' U. r;. gSq°A_TO01'E-40.dto �0.0 " LP 15' A\LLEtf (CC)uG.)=`' /� 518; S7 -ATF, OF TEXAS COUNTY OF TARRANI' "To the Lienholders and/or the Owners of the Premise" srr:;ycd and to I he undersigned docs hereby certify that this sury •y 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, houndary line conflicts. encroachments, overlapping of improvements, visible lines or roads in place, ex( rpt ac shown hereon nnrt tf pt eai,l per. h � ,., acc'c•:': to mto =Z! fn dvdicatrd vimd%ay except a% shown hereon.' IM RA`;IS FOR REARING: (liter No. NOT FOR CONSTRTIC11ON \QV 511 GI 1 FLOOD NOTF,. I herehy certify that the property described herein within a special flood hazard Area a3 Identified h�. the Feeeral Insurance Administration, Department ot; "outing and Urhan Development, the flood ha7ar(t arca being identified As of the Federal Insutance Administration Float Na7aid Floundary I\1ap effective on for the - - _ --- -- i Ar g0RVFYING CO. David Pollard RrS N1518 11)03 Centraf Drive, Suite 309 Redford. TX 76021 Metro (817) 267.1249 rm 4 3. - , �, 0 Ordir�::a an. -j � �� .arid Lant��9 u_ -0" w in r N FORM BOARD PLANS 4,11r, R F V TJ) FOR MWY ALLEY 3 d! S 1 gg 40.00' akND AAE �� AP)t 7.5' UE n- 18' WIDE � 'i -- --20 BL2—DRI E 555.3t -F 554.3f'P 555.3rF 554.3FP O 555.3rr to O p 554.3FP 555.3E -F 554.3rP � 25' BL !n, 'i 555.3FF Ir 554.3FP IN1 •• 1423 GRAPEVINE GREEK DRIVE Innovative New Ideas PLOT PLAN For Traditional Home Design 1" = 20' jkB!e1tween LOT 6, BLOCK B RI'✓ER'✓IEW ESTATES The Lines COPPELL, TEXAS rIRST TEXAS HOMES Residential Designers and Planners BRCOKFIELDfj Arlington, Texas Metro 817-261-4121 FAX 817-214--4711 « Builder/Owner to verify and check all aspects of this site and plot plan prior to any construction fn la I