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FEMA-EC981030 (2)Thee IthABeautifulle UILDING PERMIT APPLICATION Ther �t33 Print or Type in a Clear, Legible Manner Job Address: � � � �'` ( � � ,r� (;� �� Date: Lot:3 )N Block: Subdivision: �� Phase or Section Number: t aC. U, Owner C` i S a�, Address: ikh TX 7 P one #:, i7_ V(0_ 3 r ,-, ]r Contractor: Address: Phone #: Description of Work to be Done Class of Work: ZNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition Area of Building in Square Feet First Floor Second Floor 1 ��V NOTICE Garage '117 Other i 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 t ame to be true and correct. All provisions of laws and ordinances governing this ty e of work will be complied with whether specified herein or not. The granting of a permit does not presume to giveauthority to violate or c 1 the provisions of any other federal, state or local law reeulaf�n construction -of the,, fo tante of construction. Signature of Cone lbkh& Ci' •L Electrical Contractor FPMC - 1 (4/94) /Aut orized Agent Plumbing Contractor / y j rint Name Mechanical Contractor Value of Work1 Y �� iou to be Performed A FOR OFFICE USE ONLY BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE ExpiresMay .11,1996 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 fur a Letler of Map Amendment or Revision (LOMA or LOMB). Instructions for completing this form canoe found on the following pages. SECTION A PROPERTY INFORMATION FOR INsunANCE COMPANY USE BUILDING OWNER'S ME POLICY NUMBER - F, I& ST 9FIX44-:11 _ STREET ADDRESS (including Apt., Und, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAiC NUMBER OTHER DESCRIPTION (Lot and Block Nu bars Lor 3loci- ��T_ j___._.-- CITY�I STATE ZIP CODE c_o P AE -J. -i— JX 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 a. DATE OF FIRM INDEX 5, FIRM ZONE C. BASE FLOOD ELEVATION (in AO Zones, use depth) 480/7o C610 Ar—/��ie� Jj . 49 7. Indicate the elevation datum system used.on the FIRM for Base Flood Elevations (BFE NGVD '29 t._ I Other (describe on back) B. 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: —1 ]_ J. . _J 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 __1___ . 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', -4Li,1d; .1L 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 LA -11 -'-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 11 1__! .. feet above �_ J or below i_1 (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._) .L__; feet above ill or below L] (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? I� Yes) No �_ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 1__i Other (describe under Comments on Page 2). (NOTE: I/ 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 FIRM:�1 Yes No (See Instructions on Page 4) 5. The reference level elevation is based o% a, construction L _I construction drawings (NOTE: Use of construction drawings is only valid it 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-1 _L`tl!Q . i7 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. It the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 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: 1. -1-11—Li- , i. . 1,- _I feet NGVD (or other FIRM datum --see Section B, Item 7). 2. Date of the start of construction or substantial improvement ' SECTION E CERTIFICATION i' _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 in available. understand that any false statement may be punishable by fine or imprisonment under 18 U. f io CERTIFIER'S NAME LICENSE NUMBER (o fix Se*j� ,r r AV, CL 0 ! ��a IL-1' TITLE COMPANY NAMEwi ��►, r Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITI1 ON PILES, SLAB BASEMEN r PIERS, on COLUM14S A v A A v ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASF LEVEL REFERENCE LEVEL LEVEL FLO � ELf_VA11IION "i.;;i• ....::.. i BASE .f .'i!: $F•h`?'i'. �::-:; i::%i4i_;:5':"- �., REBASEADJACENT FLOOD GRADE '•')`r 7,j LEVEL FLOOD ELEVATION ELEVATION REFERENCE ADJACFNT LEVEL GRADE .: I' .:� rji.; .;.,..:...,: •, ;:,,.!.i ::(i.:.,.::'::,- i:.'• 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-0 ALL PARTIES INTERESTED IN PREMISPS SURVEVEW I./ Il jL� %�{Q A Re ial d (rQ(e cd 1 an,l C neyor, do henry certify char a carcfid urvry ua� rn;elf nl the vmand this dAc nmL r me sup rieinn n the frrllnuing de+r rihrd pmlrm, b T _3,K --1111J bsS7% Trs':� C; - - �_�-G�._. and three ■re - _. - rnrrearhmenit ulvm the adjnininjr prop: rt} w the adiommp in,pr-rmrm. 1,r— the dr. W-1 pn,perty known 1s I5' �Ll_-E'jy �CvNC_) I 7.5' U.E. 1_oT 3 Icq f--)LOCL l` y2`iVr a"W r ScA,L-E I" - 2d (50, ;?•O 'N') 14-L8 GW—APE'VI"F— CR-EF—V- nrzI SIA"iE OF'IFXAS ('011ti"i' OF -ARRANT " lo the Lienholders and/or the Owners of the Ptemisrs surveyed and to The undersigned dnes hereby certify that this survey was this clay made on the pround of the property legally described hereon and is correct, and that there ate no discrepancies, conflicts, shorutges in area. hounflary line conflicts. rnrroachnrrnts, merlapping of improvements, visible lines or mads in pl:tcr, ry rpl at chntvn hrrenn mel thor caul rr��!.�rr ti ,,r ., !;r 1�;! f!;•t!; a drrli(etrd rrraduny cKrrpt as shown hrreon." 1);I led (IASIS l OR DPARIN(i: Order NoNOT FOR CONSTRUCTION K`1 FLOOD NO I F: 1 hereby certify that the property described herein within a special flood hazard area as identified by the Fedrral Insurance Administration, Drpartment of Housing and Urban Develnpment, the flood hazard arca being identified as of the Federal Insurance Adminisirnlinn H -)d Hazard Boundary Map rrffrctive on --- for the --- ------ -- - - Ar S(IRVFYING CO David Pollard RFIS #1518 11103 Central Drive, Suite 309 Bedford, TX 76021 Metro (817) 267-1249 m Builder/Owner to verify and check all aspects of this site and plot plan prior to any construction REVILWEII IL LLi :'�a ►y F..4.'t4AR k Y t - 1Y i -�, FSR a �.t -.i �' �.�r V/A L� 1.20 f'l N R V"' OIr; rl�:E', �;Z1 �f'ii •�t`iC�lip^S .;tali t�Ci -*th �r 2 (Ut;SfrLS%flon In direr; t z y' °Jng codes an# 7oriir, MINIMNi� %f ALLEY 18' WIDE DRIVE 20' BL 551.3FF � 550.3Ff 551.3Fr' 550.3f -f' 551.3FF 551.3FF n :2*7'-C" t I I I I I I 1------- - -- --�-- - 4' WIDE WALK 1428 GRAPEVINE GREEK I - h Innovative New Ideas PLOT PLAN For, Traditional Home Design I" = 20' oBlee LOT 3 BLOCK A RIYERYIEW EST. tW e e n The LI n e s GOPPELL, TX FIRST TEXAS HOMES ASPEN -B CIRC(F8328) Residential Designers and Planners Arlington, Texas Metro 817-261-4121 FAX 817-274-4 717 MURALI 8718/d18