FEMA-EC980123TThey With A Beautiful Future 13 U I L D I NG PERMIT APPLICATION' D E C 1 7 1997
Print or Type in a Clear, Legible Manner
Job Address: I L4 04 Govt(L- t' w/hl;i 2A 35 C)4,Date:
Lot: 5`7 Block: A Subdivision:-T,4.E FPcte\j&,tS of rZ1Veec,/h,�hase or Section Number: '
�c_►tNL0 .7-)cOwner T % M �/u.SoLj CuIGS"b+-'t n r�t Address: Phone #:
�.=tvc-, I�.to. (301 �-r'Lfco8c —Is o9L{(3-7Z'Z'-S`8"5300
Contractor: kV -4E Address: Phone #:
Description of Work to be Done Class of Work: 10 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
S t 0 C-1 L;E7 FP, d-41 L-A{ 7'ul elL_ l � �, � M JM S RL -61 12 6N C[-�
-Area of Building in Square Feet
First Floor ZZ SS
Second Floor ZSR
Garage
Other Z 5 1?o tZ Gr-I8'S �AcTI o S
3 s GRAY
535
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.
� —rl M rxsa�/
Value of Work IZt MoD _ 40ato be Performed
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE Expires JAW 3Q'I996
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 tho following pages.
ECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
POLICY NUMBER
BUILDING OWNER'S NAME
STREET ADDRESS (Indudinq Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
17 91i' s 1 G v •�T
C,07_DESCRIPTION (Lot Blodc�rs, etc� /'/���
ITY STATE - "'' ZIP CODES04
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
t. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. (MBA E AD ZanN tELEVd K;N
FLOOD
7 8 of o
oo/ o,�,�
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): LJ NGVD'28 L _LLA r talesunue on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a SFE for this blrkWV site, indicate
the community's BFE: .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
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 LfJe6.2 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 UJ 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 W . U 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 W . U 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 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: 2 Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: X actual construction ❑ 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-constructionFlft'ation Certificate
Will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is:Ll e1661. � 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 io,, +ted in Section C, ItP- 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._L1J—LJ .LI feet NGVD (or other FIRM datum—see Section B 7).
2. Date of the start of construction or substantial improvement --
FEMA Fonn 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 mdfy elevation
information when the elevation information for Zones Ai—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) In ►squired.
Community officials who are authorized by local law or ordinance to provide floodplain management infonnatidh. may Nso sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a prop" QWnK, or an
owner's representative may also sign the certification.
Reference level diagrams 6r7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/rwn-brae ay wall,
enclosure size, location of servicing'equipment, area use, wall openings, or unfinished area Feature(s), then list
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be en
I certify that the information in Sections B and C on this certificate represents my best efforts to Interpret a>�9 F�••
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S Code,
..........:..
BARRY S. RHODES
CERTIFIER'S NAME ' /�O� s LICENSE NUMBER (w Affix 8p1� �CJ 1 •�`
COMPANY NAME
ADDRESS ZIP
SIGNATURE DATE/ �a?� `9� PHON �72 �%S- � •
Copies s 1 ma o h Cei tificate for: 1) community official, 2) Insurance agent/company, and 3) binding owner.
COMM S:
711 WITH ON PILES,
6LAB BASEMENT PIER$, OR COLUMNS
P. v A A v
ZONES ZONES ZONES ZONES ZOlIES
REFEMOM
R EASE 1EV
IEVEL FLOOD
ELEVATION
��
SASE : :.• 17REFERENCE FLOOD
��.�����RAS��Eri,L�,,�
FLOOD ADJACENT', • LEVEL
ELEVATION IREFERENCEI ADJACLNT
LEVEL GRADE.,
a�
'L
-.A r:'C;•
`•:i•...
::i:::i•:. i..i:::t i.:;,: �i:i. � �i: ADJACENT
The dia-ams 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
96 18'
RENA LFTITR
MINIMUM f1f
CI
20' REAR BLDG. LINE_
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(Overa�l)
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L= 8.44'
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SITE PLAN N
NOT:
S
J�BUM=DER TOvERIyyLOCATZNO
F HOUSE-
BUILDING LINES. EASriEl flSDEY�RD
iL ACKS PRIOR TO CONSTRUCTION.
2. ALL PROPERTY Li'NES ARE PARALLEL AND
�P?:RPENDMCU�IAI;R-
C
A ,MM�ETE.
g, DgIVElfAY de Ij)EwALK TO BE 4" CONCRETE
AT
E-
E�OCT18, 1997
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BLJR:ACCOLADF J4OMES
or
REVIEWED
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Will -
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SITE PLAN.
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LOT 0-7 Bj,0CK A
T J-� V Ay S (4 RIVER-CELASE-1,
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�OPPEI,L, TEXAS
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SURVEY PLAN"
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
This is to certify that I have, this date, made a careful and accurate survey on the ground of property located
at No. Cga, RT , in the city of 00 pPEGG Texas
Lot No. S 7_ ,� , Block No. City Block No.
of/,/E ir.4/12 !c%gys .4T XiYE,?CNAsE , an addition to the City ofL7y�LgJ-
Texas, according to the PLa? recorded in Volume _ at page _
of the Map Records ofCOUNTY, TEXAS.
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C00 A' 7`
The plat hereon is true, correct, and accurate representation of the property as determined by
survey, the lines and dimensions of said property being as indicated by the plat: the size, location,
and type of buildings and improvements art as shown, all improvements being within the boun-
daries of the property, set back from property lines the distance indicated,
THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS.
Scale: 00' THIS SURVEY WAS PERFORMED EXCLUSIVELY r
Dole:
USE OF THIS SURVEY FOR ANY OTHER PURPO`
G. F. No.: OR OTHER PARTIES SHALL BE --AT THEIR RIS
Job No.: S9G US AND UNDERSIGNED IS NOT RESPONSIBLE TO
Checked by: — FOR ANY LOSS RESULTING THEREFROM.
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