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FEMA-EC980422 (3)rThe City With A Beautiful Future Job Address: ✓`� Lot: Block: Owner Contractor: o� Description of Work to be Done h Area of Building in Square Feet First Floor �� L Second Floor NOTICE vrl BUILDING PERMIT APPLICATION %_! Print or Type in a Clear, Legible Manner Subdivision: - 1� �ly j� Addressrp, L 1' t� t' Address: Class of Work: New ❑ Addition a Garage / Other � 7J41671:� 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 authorik�-l4 violate or cancel dhe provisions of any er deral, state or local law regulating constdr the per rmance o1 ? st ction ✓ l Signature of Contractor or Authorized Agent Print Name DD U ar-' UO jA-rLR J9 UAB Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) ��I.WORM i KiR 2 6 1998 - Phase or Section Number: one #:! (�� (� ,l Phone #: ❑ Alteration ❑ Repair ❑ Demolition Value of Work 6'-'ij �( to be Performed- USE erformed USE BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK L1Ngi3 _ 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!;.. ,(VIE POLICY NUMBER STREET _-� J ADDRESS (Including Apt., Unit, Suite /and/or Bldg. Number) OR P.O. RQUTE AND BOX NUMBER COMPANY NAIC NUMBER UAE— OTHER UAE—OTHER DESCRIPTION (Lot and Block Numbers, e ) _ _ �_ a- A? �1 oc.IC_ CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 7. 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) I a AF_ = ¢4 7!t- 170 CXD/0 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 established a BFE for this building site, indicate the community's BFE: I I I 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 2(a). FIRM Zones Al I 0, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of 1__1� _ _�?147 .1 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 ❑ J__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 f`:ocdplain management ordinance? ❑ `les ❑ No LJ 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 elevatiof5s 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 FIRM:/ Yes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on:actual construction 11construction 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.) `I % ISI 6. The elevation of the lowest grade immediately adjacent to the building is: I I . k3 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). 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. CER, kIIER'S NAME --� LICENSE NUMBER (or Affix Seal) TITLE^s ^ � , � � r ^ COMPANY NAME — N l/'J�� ��✓ STATE ZAP ADDRESS Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON PILES, PIERS, OR COLUMNS A V 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 WITH ON BASEMENT SLAB A A V ZONES ZONES ZONES REFERENCE BASE FLOOD LEVEL ELEVATION BASE FLOOD ••�%"•'•'• •ADJACENT•.: GRADE ' •' �i�:; REFERENCE LEVEL ELEVATION REFERENCE ADJACENT LEVEL GRADE ON PILES, PIERS, OR COLUMNS A V 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 i tL is 18' WIDE O GONG. 20' eL 551.3rr 551 3FF 1 , ter, I im z we ans, C4 ��cz C4 :..1 Bleu€itL31i ..t ilk v� 1 dl '=,51.3FF 1 1 ' 5x2.3 rP I 1 �.1.3FF I 552.3 FP I - -- --------- — — — 48" GONG. r W AL -K O m n LL � u m � m ec.cc' '79rrA.r�i� >{ k 8 q'` :• It °��` • -, DOW 14276RAPEVINE GREEK DR x RE EL, hllilrl(C r ff.J IAN Innovative New Ideas PLOT PLAN Far i rcrditional I1017ie I rPsian I" = 20' LOT -1, BLOCK B T ESTATES Betwe,en_ L inesRIVERVIEW GOPPELL, TEXAS 1 1._he FIR5T TEXA5 HOMEF- Resider)t.i.al Designers arid Plann.ers .. __ BROOK NOVALE5 5/G/G8 Arlinyton, Texas Metro u17 215-1 4121 FAX X17 274 4717 ©uilder/Owner to verify and check 0 aspects of thi:, site and plot plan prior to any construction - - - `----' -� ------ - SURVEY PLAT OF . TO ALL PARTIES INTERESTED IN PREMISES SURVEVTD: ,1 Registered P ofd ess�nal land Surveyor, do hereby « ni(y That a careful survey was merle of the Prnund this date under ms superi inn of the fullowin Jectrihed prrpcm. —. and there are _ enctnachmentf upon the adjoining progeny or the adjoining impmvernente upon the dexriW prngcny known as 14,Z7 GV-A?F-V)9-E CV-f-Eynz1Y-r-- S a s a4 8 0 0 0 z 111211 1 V - l W,ie>q`4 Ir00u (V 80.0of r of 5f�`i°4-i`00"� 40.00` �N 15 �LL-L-� tGUNC.� STATE OF TEXAS COUNTV OF TARRANT "To the Lienholders and/or the Owners of the Premises surveyed and to The undersigned does 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, encronchmenls, overlapping of improvements, visible lines or roads in place, except m shnwn hrreon, and that sold property has access to and from a dedicnied roadway except as shown hereon." Dated: BASIS I' )R BEARING: Order No. ___----- NOT FOR CONSTRUCTION 'W' IF—>` 44z -A6 FLOOD NOTE: I hereby certify that the property described herein within a special flood hazard area as identified by the Federal Insurance Administration, Department of Housing and Urbnn Development, the flood hazard area being identified as of the Federal Insurance Administration Flood hazard boundary Mop effective on — for the —' By: ----- — — ---- — — -- AP SUPVEYING CO. Davld Pollard RPS #1518 1903 Control Drive, Suite 309 nedtord, TX 76021 Metro (817) 267.1249