FEMA-EC940204The City With A Beautiful future
Building Inspections Division
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
FEB 22N
--7
����Job Address: 1 ,G
Date:
Lot: I Block: A Subdivision:
1 �� Phase or Section Number:
Owner: v t W� Address: 36 O '
1 r i 42r� Phone #:
t
Contractor: Address:
Phone #:
Description of Work to be Done Class of Work:` ` ;2 -Kew ❑Addition ❑ Alteration ❑ Repair ❑Demolition
Area of Building in Square Feet
First Floor Garage
Second Floor Other
Value of Work
to be Performed
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
ive authority to violate or cancel visions of any other federal, state or local law
regulating truction or the per ance IF cons ction.
Permit Fee:
Receipt Number: z yf
Zoning District:
Occupancy Classification:
,
Approved By:
Date: Z11/ ?FZll
Comments:
e f Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR . 1 (2/921
- ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGkNCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTRNTION1 Use of this tordfleme deed rlbt previde a waiver d stud "Well Ihsu►ane4 purchase
provide elevation Information necessery to ensure lance with �• TTda form Is used only to
determine the y �ppllrAW Community floodplain niana0•menl •r inen•ee. to
Prop+► Insw•nee pt•nNunt rete. ar+dro. to supper( ■ t"u"t ter a t.rtt•r of Map A mendntent Of Revision (LOMA or LOUR).
IneUuetlond for complNing We forMl can he JOWtd on the following paged.
SECTION A PROPERTY INFORMATION Fort INsuRANca COMPANY ust
eulLowa Ownaws HAM4
POLICY NU&*M
STREET AooneSS (Nrr� AVL. uM, S..y� s,.goa, MW Hume" on P.0. itOtlTa AND f07t NWItER
tgt-r t7trza, r. --- . w . . COMPANY MAIC NUM OFA
OntEn 0EWAIrrm (W see elm Mimesis. am)
CITY
( A T VIL G A RIVERCHASE
C o p p e 1 l STATE LP coca
TX
SECTION 9 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following Oros" the proper FIRM (See Insouctions):
i' COULMiNery mumean t PANEL Hums"1 Sur -Fix ♦. t]Ara OF FInM o40EX i PIN" 20N! L BASE FL000 ELEVATION
480170 0010 D Oct. 16, '1991 X (Shaded)
dttn^o
7. Ir.Calte the elevation datum system E —M for B
used on the FIRM Flood EI4vtUiontl (SFE): ®NGVO '29 ❑ Other (describe on back)
9. For Zones A or V. where no 9FE It provided on the FIRM. and the Community has 041Mtished a aril for this buikonq site. Indteate
the commurtity"s BFE: l I,. ( 1 -U feet NGVO (or other FIRM datu "6e, Section B, Item 7),
SECTION C Bulfol;t ELEVATION INFORMATION
1. Using the Elevation Certificate Instnictions. indicate the diagram number from the diagrams to on Pages 5 and 6 that bast
describes the sub(ect building'$ reference level _L-.-„ .
2(a). FIRM Zones At -A30. AE. AH. and A (with eFE). The top of the reference level Now from the selected diagram is at an elevation
of f `� ' � —'4411 NGVO (or other FIRM datu n -s" Section 13, Items 7).
(b). FIRM Zones V t -V30. VE. and V (with 8FE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram. Is at art elevation of" I I I U (sN.NGV0 (or other FIRM datum -see Section 8. Iteral 71.
(e). Finn Zone A (without SFE). The hoer used as the reference level Irom the selected diagram is UJ .0 lest above ❑ or
below ❑ (check onel the highest grade adjacent to the buildblg.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I_U , U lest above ❑ or below ❑ (check
one) the highest grade adjactnl to the building. It no hood depth number is available, is the buildings lowest floor (reference
level) elevated in accordance with the community's floodplain management ortfinance? ❑ Yes ❑ No
❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevation$: ❑ NGVO '29 ❑ Other (describe
under Comments on Page 2). (NOTE. N the elevation dahatl used in measuFtrlg the 014v41110n! is different inan that used on
the FIRM (see Sectlol S. !fern 71. thud convert the elevations 10 me datum system used on the FIRM and show fns conversion
equanot urwer Comments On Page 2.)
4. Elevation reference mark uiied appears on FIRM: ❑ Yet ❑ No (Ste Instrucdons on Page 4)
5. The reference level elevation it based on: 0 actual construct all ❑ construction drawings
(NO TIF_ Use of ca t ienxtion drmwags il astir valid d the bine41 dda* not yN have the roll/1lrer1N1 level floor in place, in which
ease this cooef"Aeare I"M Only be valid for the buildlnq during fh1 Corrie oI raonsduCJlorL A
*111 be required once crostnxdon is complete.) post -cont inx1fon Elevation Cgrtrlicare
S. The elevation of the lowest grade immediately ad(acent to the building is: L-U-L.I U fest NGVO (or other FIRM datum -see
Section 8. Item 7).
SECTION 0 COMMUW Y INFORMATION
1. If the community ofncial.►esponsibfe lo► verifying building ef4vadwe speuynes that the reference level indicated in Section C. Item I
Is not the 'lowest floor' as donned in tits community's floodplain management ordinaned. the elevation of the builds
door' as defined by the ordinance I!: rag's "lowest
sl Islet NGVO (a other �IqM daltan..ses Section 9. (tent 7).
2. Data of the start of contiruciion or substantial improvement
FEMA Fonio e1-119 MAY 94 REPLACE% ALL PREVIOUS EoirtONS SEE nEvEnse SIOe FOR CONriNUAMN
-� SECTION E CEATIFICATION
I flit certification is to be signed by a land surveyor, engineer, or architect who is authorized by state of local law to certlly elevation
iriformation when the elevation information for Zones Al -A30, AE, AH, A (with 8FE),V1-V30,VE, and V (with BFE) is required.
('omrnunily 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 SFE), a building official, a property owner, or an
owner's representative may also sign the certification.
neference 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. Tice diagram number, Section C, Item 1, must still be entered.
I rnrlify flint tiros information in Sections B and C on this certificate represents my best efforts to Interpret the det
I unrlersfnnd trial any Islae statement may be puniEli+able by lin& or IaTpnoor MTant undrr, rs E1,d. cede, flection ,,.:•i•, .
(:Fn I IfIF[IS NAME LICENSE NUMBER (or Affix Sual) ELENN W.
Glenn W. Miller Geodata Surveying, Inc.
m1rLF. COMPANY NAME n _RW
Surveyor '�4,2
ADDRESS ell Y s
P.O. Box 13556 Arlington Texas 56
F.ICNnmmnr•
DATE 2-04-t)A WIT-!261-2878
E2ei-2878
(;opies should be made of this Certificate for: 1) community officlal, 2) Insurance agent/company, and 3) building owner.
COMMENTS-- -- -Benchmar- --
ks used to determine this elevation are taken from engineer --- -- ----— ---------- -- - — RA
plans used in the construction of the subdivision (Nathan D. Maier Cons.
Eng.Aneers) and have not been verified with the FEMA reference mark
elevations,
ort WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A v
7014ES 70NES TONES 20NES ZONES
REFERENCE
RF rEREnCE SASE LEVEL
LEVEL f1DOLEVEL
REFERENCE
ELLEEVAATIOONN
. .. : fJ
,
BASE
BASE �:.. .'•tic+ REFERENCE
ADJACENT :i. a
FLATK OHADE ... 1". IEVEI
►Loco
ELEVATION
EIF VATxNT r1- ERENCE ADJACENT ail:
LEVEL ONADE „IS:
,: �'i�i , '., . ,._cat..•;
i r,
ADJACLNI `.
V� W#AT*
'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.
2
N
THE TOP OF 5tA8 MUST BE
SET A MINIMUM OF 2-2x6'S
ABOVE THE HIGHEST GRADE
ELEVATION OF THE BUILDING PAD.
"I do hereby certify that this drawing
or plan and rola dap• ' tions
meet all local ere ma is and
are in subst of prmity ith V.A.
Minimum Pr erty eouirernen
ILL
GRADING NOT PROVIDED+
PROP. 100 YR. FLOOD PLAIN LIMIT ON R 1NE
�,7ecitication -shall not
66.00'
20'
O
I
HOUSE: 2631
LOT: 7590
COVERAGE: 34.77.
Daviel
66.00'
Hames
dote: 01 —03-94
1300 Post oak ewe..
SUR I a 1000 Mauston, r�Yas (713)963-0500 TJ
project:
DT
address:
1517 PEBBLE CREEK DRIVE
job:
22
subdiy:
EAGLE POINT plan: N 86
g
cQv
12'x12'
12' x 12'
lot: 17 blk:
A sect: 1 scale: l" =20'
PATIO
20'
B.L.
—t"
49'-1 1'�
_oN
N 86 B
:N
MIN FF 446.30
1
U
co
;acD
17'
TJ
25' L.
b
I
_
_
N
10' U.E.
66.00'
20'
O
I
HOUSE: 2631
LOT: 7590
COVERAGE: 34.77.
Daviel
Weekleyss
Hames
dote: 01 —03-94
1300 Post oak ewe..
SUR I a 1000 Mauston, r�Yas (713)963-0500 TJ
project:
DT
address:
1517 PEBBLE CREEK DRIVE
job:
22
subdiy:
EAGLE POINT plan: N 86
g
FLATWORK
1256
lot: 17 blk:
A sect: 1 scale: l" =20'
FENC175
SOD E
2705
I 11 �'Ebi�A.E GQE--k. 1)CL\,,I e
—
Ni lo' OTILITY
E �5 EnnE
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l.t1JE
v 2t�
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�'0 12� 8
% 10`?
1 1
LOT
LT �8
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00, VK
-14 4n
20' `5LOv—
"
7�Loc.K. A
N•8l'd.�'oo" Vv.-.���
PUT `,HM1 ' [ NC
I,ot 17, in P,Imk- A, o FA(;f,l-' POINT V1I.1,M;F A1' RI1'I'.RCH�151�',, run �Iddit ion
t o t he i t v of Copps, I I ('�� I l i 11 ( ount v, `I'(�x'I ,IC C OI d i 11 t () I he M11) OI
I'l"It th('I�`of II(I d in 1'��l11110 �);(ii, P,1 4'3, 'la 1) N���-oIdr�, Co Irl
Count v. To
1 v known ,i�, 1 ; 1 7 1'I`hl, I ('I (,(,1, III i v , , .
T _ _ E N
� �VL ; �) S ELINE U 0� FL00O 'NSURAN E RATE MAP
PAN ! N;) . _ - _ --_-__ E� L7y r ✓E ).i E: _ ___ -- - __--_-- LOCALIZED FLOODING
P O Box 13556 • Land Surveying
Arlington, Texas • Land Planning
GEODATA SURVEYING, INC. 76094-0556 • Topographic
Metro 261.2878 Mapping
LEGEND
L 0 �C,I rrC
-- x - - x
-T- -E- - "T611y nne