FEMA-EC931217rIWOM rWecdo `D BUILDING PERMIT APPLICATION �
Building Inspections Division
J74. Print or Type in a Clear, Legible Manner
Job Address: / o"I 1 C./I D rl ve— Date: „
Lot: 1W Block: A Subdivision: �� 7D i q + 1/i /Ideg Phase or Section Number:
�LJad id L1� req 14D#ne- > ° ,LBS, S 3 ?> r 3 J
owner: Address: Phone #:
Contractor: '50 4.- Address: Phone #:
Description of Work to be Done Class of Work: New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
�5F12 - �QlaA ,r1 53/ b
rea of Building in Square Feet
First Floor V ��
Second Floor
Garage 7
Other
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
within 180 days, or construction on work is suspended oe 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 or the performance of construction.
Signature of Contractbr or Authorized Agent Print Name
�arw-ha-r* ka s i 4ex kca,-�, A Ir
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR - 1 121921
Value of Work
to be Performed
GRAY AREA FOR
Y /A-1
ELEVATION CERTIFICATE;m ;306;'00s
FEDI MAL EMERGENCY MANA411MENT AGENCY
NATIONAL FL000 INSURANCE PROGRAM
ATTWNTIONt Use of this certificate doss tot provide a **low of the flood InloIMet/renfe
provide elevation Purchase requitwnent. TINe tett" Is used eery to
elevationrmetianeases
t ary to ensure Co. with eppticabte Community Rove mana0ement eronaneea. to
determine me proper Ineurmice petrous" rate. andror to 41"W's a toques/ tot a tetter of Map Amendment or Revision (LOMA or LOMB).
InetnlcMer"e IM Cot"pMng this left can be 1040W an des IOIIeI *q Peder.
SECTION A PROPERTY INFORMATION 1Ron1 OMMANo@ COMPO v user
eUXA 4 OWNERS "Ma
POlnC11 ttttum
STREET AItOnEESs tr.dlldr» ARL. UniSum WWW @lee nMWA f OR PQ ROUTS MIO WX NtAJM COMFMT HAIC WJ MW
1424 P EPS AJ; C_(Ll= F V 7ln .. I r_
01Men "MMMPTWIN KA a" ONO NOIMert eel ---
_
Loth. Block X -,.-EAGLE POINT VILLAGE AT RIVERCHASE
Cl"_
C o p p e l l $TATs ZH coot
Tx
SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the Proper FIRM (See Insbucl ons):
I. COW&AL"ry Num"" L ►M� Nut~ L SUFFIX 4. DATe OF FWM WOM L FO M/ ZONe L "51 FL000 ELEVATION
480170 0010 D Oct. 16, 1991 X (Shaded) I- AOZ•ne..,...d@001
7. Indicate the elevation dalwm system used an the FIRM lar Slaw fhasd ilevaflene (flflltl! rxINOVO '+ter ❑Other (describe on back)
6. For Zones A at V. where no BRE Is Provided on Site FIRM. and the COMI 11ft heti setablishod A 8FE for this building site. Indicate
the community's 8FE: I I -U Ise" NOVO for otter FIRM datura -silo Section 9, Item 7),
SECTION C 13UILDING ELEVATION INFORMATION
t. Using this Elevetirin Certificate Insatxtions. indicato the diagram number trot" the diagrams found on Pages 5 and 6 that best
describes the Subject building't reference level _1_ .
2(al. Finer Zones AI -A30. AE. AH. and A (vrith 8FE). The top of the reference level floor from the selected diagram is at an elevation
of 1 44'1. Co . test NGVO for other FIRM dahum-see Soctim g. Item 7).
(b). FIRM Zones VI -V30. VE. and V (wish 8FE). The bottom 01 the lowest horizontal shucturml member of the reference level from
the selected dlagram. is at an sleve"M of l..L,I I I .0 100-NGVO (a other FIRM datum -see Section 9. Item 7).
(c). FIRM Zone A (without 8FE). The floor used as the reference Ievel from "ltd selected diagram is W .0 feet above ❑ or
Wow ❑ (check one) Ifte highest Wade adjacent to the building.
(d). FInm Zone AO. The now used as the reference level from the selected diagram is I U feet above ❑ or below ❑ (check
one) the highest grade adjacent to the blinding. If no Mood depth number is available. Ii the building•$ lowest floor (reference
level) elevated in accordance with Rte community's Iloodplein t"anagemont ordinance, ❑ Yes ❑ No ❑ Unknown
3. Indicate the "1"411061 datum system used in determining the above referents level slovations: ❑ NGVO 19 G Other (describe
under Comments on Page 21. (NOTE: N the elevitiorl datwd UW in mossura"g the d1ovittorns it different tnan that used on
erluation under Comments on pays 2.�
the FIRM 1300 Section 9. Asn" 71. thed convert Ino elevatiOM to rnd datum system" used ort the FIRM te and show the conversion
s. Elevation referentw mark used appears on FIRM: ❑ Ye! ❑ NO (See Instructions on page 4)
S. The reference love$ elevation is baled on, 0 actual constructloM ❑ ednettucilon drawings
(NOTE: User OI coranuetion dm"ny! it any valid d the &Wc#ny dde! not yes have the re/erertes /eves floor in plata, in which
case "* csmfkste wW any be v8W for this buiA*V ox" I" cdWsa of cons0ucfiorl. A
WIN fie required once construction is corrtplet#.) f't'�� Elevation Crrtilicaa
6. The elevation of Rte lowest grade IMmediately adjacent to the hMM9 is: L I I I loot NGVO (or other FIRM datum -see
Sefton 8. Rem 7).
SECTION O COMMUWTY INFORMATION
I. II IM cotmnnrMfy olRcial.responsible for verifying building okw&ddns Spscifiej that the reference level Indicated M Sec ton C. Item 1
Is not the -lowest floor as defined in the contmurofy's floodplain managenwtM ordinance, the elrvamm of t% building's lowest
Roo" as defined by the "name it- LLL I ,I 11.0 heei NOVO (a odW PIAM dalunio-4" Section 8. Item 7).
2. Date of the start of cornstrucdon of substantial- improvement
FEMA Foram It-IIt MAY 1e REPLACES ALL PACVIOUS EotrlONt SEE REVERSE SIOE FOR CONrINu0ION
SECTION E CERTIFICATION
This certification is to be signed by a land Surveyor, engineer, or architect whO It duth6titi'td by Wold $T local low to cattily elevation
information when the elevation Information for Zonet Al—A30, AE, AH, A (with 8 E),V1-V30,VE, and V (with SFE) is t"Wed.
Community officials who are authorized by local law or ordinance to ptovide floodplain tnllrtag6tnent iniolthatien, they Also eidh the
certificalilin. In the case of Zones AO and A (without a FEMA of eomthunity Issued SFS), 11 bultdino oMidill, 8 ptoperiy owner, of an
owner's representative may alto sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Featutes-If the cetilliet is Unable to certify to breakaway/non-breakiway wall,
enclosure sim locaPon of ietvioing equipment, area use, wall openings, Of Uhliniihed *too Feaiute(a)-, than list the PlMature(s) not
included in the cerlilicaiion under Comments below, the diagram hUmbet. Section 0, Item 1, must still be entetad.
I r•»rfily that the inrormation in Sectiont B and C on this 66dipcatO re"Be„it my bestt e/1649 to,
I understand that any 18190 Statement tftey be punishable by Nne or tAtpNttartAteMl omdtrr 1d U.S.
tip
r;En►IrIEn'S NAME LICENSE NUMBER I& Aft 864" G� N�M ~LEER
Glenn W. Miller Geodata Surveyingr Inc.
TITLE COMPANY NAME
Survepor q �eEft1<<�••�� __
ADbnESS ---- — -- - __ _�— ----- -. --� __ CITY
--..r._....��. t a• 21P
P.O. Box 13556 Arlinaton Tex
SIC4NA1UnE
- )B We 9"!!261-2878
Copies should be made of this Certillesis lot: 1) community 61061911r Z) Irteurantse agenVoWnpeny, and 3) bulldlno owner,
COMMENTS: _ Benchmarks used to determine,. this elevation are.;,taken from enaineeriHR
plans used in the construction of the subdivision (Kathan D. Maier Cone.
EngAneers) and have not bedn verified With the FEMA reference mark
elevations,
0�1 Wit" _ ON bKEB,
SLAB bAIIIKW t - MhiEtte. ON Wool .
A v A A V
ZONES TONES tONtE$ tows WWI `
REFERENCE
CAVIL-
REIERENCt
LIM tLOOD
tlA3EAOJACENt t REFERENCE -.
Ftaf
FLOOD - r
ONAOL .l1Wl.
�At
ELEVAIMNEFERENC AOJACENf -
LEVEL CNAOE
kr
; rSf ! i{f T•tK 'ti+
4i� s li':
tout
The diagrams above illustrate the points At which the elevations should be Ifiessutid Ili A Zones and V tones.
Elevations tot all A Zones should be theasuted at tilt, top of the Weaned 16ve1 Oeor.
Elevations for all V Zones should be measured at the bottom df the lowest hoti1611181 strutrtut6l 1hefhbet.
h
N
FORM BOARD
SURVEY REQUIRE
100 YR FLOOD PLAIN LIMIT
HOUSE: 2520
LOT: 9269
COVERAGE: 27.2X
THE TOP OF SL.AS MUST BE
SET A MINIMUM OF 2-2x6'S GRADING NOT PROVIDED
ABOVE THE HIGHEST GRADE
.ELEVATION OF THE BUILDING PAD.
'I do hereby
OnCertify thott drowi^9 David
or pion d related spec'
tions
meat oil looal o re re me and IsoO vert ook 81vd
are in avbEt I to
rmity ith V.A.
Minimum P rty uiremen address:
subdiv:
8 17
CCD
Ca0-0
Ho mes
(7tJ)163-0300 TJ
date: N
Roza
project:
DT
0�
job:
21
CL o
m to
co
plan: NFLATWORK
N511.
n
1175
FENCE
RI
A sect:
10
� �w
<
T
v
CaL
01
9
N
Weekley
Nou+ton. Two Cosa
Ho mes
(7tJ)163-0300 TJ
date: N
531 B
project:
DT
1429 PEBBLE CREEK DRIVE
job:
21
EAGLE POINT
plan: NFLATWORK
N511.
1175
FENCE
188
A sect:
1 scale:V=20'
SOD
2807
zp
&ZIFIUGs aA PaAr.
- - • �-- -rte vv w. -�
PLAT SHOWING
Being Lor 8 in Block A of EAC:I,F. POINT VILLAGE AT RIVERCHASF, an Addition to
the City of Trvint;, Texas, according to the Map recorded in Volume 93055,
Page 0043 of the Map Records of Dallas County, Texas.
Commonly known as 1429 Pebble Cteek Drive.
THIS PROPERTY iS `OC4TE[3 AS DELINEATED ON FLOOD INSURANCE RATE MAP
PANEL NO .__-51W ZP __ Wio_ _d_ EFFECT '✓E DATE _--007 /G,_/99/ LOCaLi�EC FLOODING
NOT DE= TE RWNED
P O. Box 13556 • Land Surveying
Arlington, Texas • Land Planning
GEODATA S INC. 76094-0556 • Topographlc
Metro 261-2878 Mapptn_g
S_�4 _
i;At-L z
LEGEND
o iron roc.
X - x lem e line
-T E- - utility gine
I hereby certify this to be a true ar,d correct representation of a
survey made on the ground under my supervision and there are
no visible en roachments or protrusions except as shown.
GLENN W MILLER R.P.L S STATE OF TEXAS N0 4223
r