FEMA-EC940321'6'5g0v
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heCityng ABeautiful
sDi BUILDING PERMIT APPLICATION
T
7Building Inspections Dvision �
�/„ ). -�, 7, -Id
Print or Tvae in a Clear, Legible Manner
Job Address: I LabIe �
Date:
Lot: ' Block: Subdivision:
Phase or Section Number:
Owner:"topAddress: 3010 t,55
ill
Phone 11:
Contractor: �� Address:
Phone !l:
Description of Work to be Done Class of Work: UKew ❑Addition
❑ Alteration ❑ Repair ❑Demolition
Area of Building in Square Feet (�,
First Floor Garage3 �`� Value of Work
---- to be Performed V�
Second Floor / Other
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
giv authority to violate or cancel the provisions of any other federal, state or local law
e form ce of construction.
re 1 Ing construction or the /7
Signature of Contractor] or A��uthhorized1Agent Print Name
L�P�
Electrical Contractor Plumbing Contractor Mechanical Contractor
Permit Fee:
Receipt Number:
Zoning Distdct:
Occupancy Classification:
Approved By:
Date:
Comments:
v
BIR - 1 12/921
ELEVATION CERTIFICATE �, ;^ ;��; °�s
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOd INSURANCE PROGRAM
ATTI M"ONt Use of this certilicaM does not provide a waitrer, of ft hoof Insutance purchase requirement This lomt Is used only to
Provide
determine w hedon Inforper In otbn necessary t0 ensure C011"pildnce with applicable Community floodplain management ordinance. to
P Irlswarnee prwrrNum rata. AFHk0r to bupporl a requeet for i LaMer of Map Amendment or Revision (LOMA or LOUR).
Instructions for completlnd this forts can toe found an the fallowing pedes.
SECTION A PROPERTY INFORMATION op w1eUrUNes eCUMMY use
aulA owe OWNER'S "Ma SECTION
mium
STREET AOORESS (Moodier Ap.- L%wk So" Will GALW Nwrlw M OR PM ROUTS ANO 9071 NUM9ER COMPANY NAIL rKIiAeEll
onten OMAIFrn% (Lal One elect Ruw afty. «r-)
Lot 18 Block Al EAGLE POINT VILLAGE AT RIVERCHASE
CITY
C o p p e l l STATE LP CODE
Tx
SECTION 8 FL000 INSURANCEI RATS MAP (FIRM) INFORMATION
Provide the Ivllrnwinq from theproper FIRM Igoe Inatnietlnnal•
1. r� �UNIrY NUMBER
2 PoleeL mums"
TL SUFFIX
4. OATe OF FIRM Woi
FIRM ZON!
i IlMe FLOOD ELEVATION
480170
0 010
D
Oct. 16,'1991
X (Shaded)
IM AO Zones. U" dam$
LXJ NGVO 129 U Other (describe on
R. For Zones A or V. where no Bmu
FE is provided won the FIRM. and the cdmMfy haj *613011shed a FE for this buildingsite, te, Indica e'
the communitys BFE: U..1 - _U_ j -U loot NGVO (or other FIRM datum -see Section O, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elsvathxt C"fleate Instructions. indicate the diagram number from the diagrams found on Pages 5 and 6 that beat
describes Ono subject buildings reference level _1_.,. .
2(al. FIRM Zones At -A30. AE. AN, and A (with BFE). The lop of the reference level floor from the selected diagram is at an elevation
of NGVO (or other FIRM daftmv-See Seeyon S. Item 71.
(b). FIRM Zones V1-VIO. VE, and V (*in OFE). The bottom of the lowest horizontal structural member of the reference level from
the selected dlalg►aun,is elevation of U_l._UJ,1.,.1 Iset.NGVO (or other FIRM datum -see Section O. Item 7).
(c). FIRM Zone A (without ". The floor used as the reference level from the selected diagram is W .0 loot above ❑ or
below ❑ (check one) the highest grade adjacent l0 the building.
(d). FIRM Zone AO. The Now used as the reference level from the selected diagram is W .0 lost above C1 or below ❑ (check
one) the highest grade adjacent to the building. It no flood depth number is available, ii the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? C1 Yet ❑ No C3Unknown
T. Indicate the elevailon datum system used in determining the above reference level elevations: ❑ NGVO 29 C! Other (describe
under Comments on Page 2). (NOTE. It ilfe elevation datur8 U"W in rnassut" ft11 410V8111008 is different rnan (hat used on
me Fltlit4 /sue Section S. iters 71, them convert the
equaoort wider Commanfs on Page 2.) elevafwrn! 10 trite datum systutrn used On Ih1 FIRM and show rhe conversion
4. Elevation reference mark used appears on FIRM: ❑ Yes ❑ No (See Instructions on page 41
5. The reference level elevation it based on: [3 actual construction ❑ construction drawings
(NOTF_: Use of comrnxhon drawings is only valid d Ilei buddang dime! Rol yer have
case Iris cetris re/perfee level /loon in place. in which
rtilicate wrM only be VOW /a the buddtltq dt,ratq IhI cdwsl Ol oonsltrkrcl►on. A
wen be required ones consrrtuctlot is cornp/els. j post-comltuchon Elevation Certificate
6. The elevation of the lowest grade immedlatelY adjacent to the building is: ( I 1 I I
Section O, item 7). I,j ,,j Iset NGVO (or other FIRM datum -see
SECTION 0 COMMUNITY INFORMATION
1. It the community ofticial.►esponsible for verifying building elevations specifies that the releroncs level indicated in Sanson C. Item t
Is not the lowest Noor- as defined in tine commurnrys Iloodpla,n managemeRf ordinance, the sle,ra110n of the buildings 'lowest
NOW as defined by the ordinance IS! L_( I ( I I.0 feet NGV() (or other p(qM dat<un-See Section f�. Item 7).
2. Date of the start of construction or substantial imnt
proveme
FtMA Form E1 -11r MAY 90 REPLACES ALL PREviOUL Eo1r1ONS SEE REVERSE SIDE FOR CONTINUAT1014
SECTION E CERTIFICATION
T his 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 8FE),V1-V30,VE, and V (with BFE) is required:
Community offielmis whn ere auUlotlaod by loont low Pr ordinance to provide floodplain mansoomenl 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
nwner's representative may also sign the certification.
nPierence 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 Peature(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 rr-rtify flint flip information in Sections B and C on this certificate represents my best efforts to interpret the data a
I understand that any false mAfement mAy he pun/EFhnbre ray final EFr impri•onr»ant ew drr in U.S. Cede, Section la
V
r'FrU IFIFIrS NAMF LICENSE NUMBER (or Atllx Seat)O
Glenn W. Miller Geodata Surveying, Inc. - -- =
COMPANY NAME
Surveyor 44_2_23 •'
ADt)nESS - CnY O t!'�•(/1•�, P
P.O. Box 13556 Arlington Te
`:lrrtAitlnr DATE P E
l>v .7qTN 8 261-28
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
rJ0MMF.NTS: Benchmarks used to determine this elevation are taken fro e138f
plans used in the construction of the subdivision (Nathan D. Maier Cons.
Engineers) and have not been verified with the FEMA reference mark
elevations.
O11 WIT11 ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
701,1E5 70NES 70NES ZONES ZONES
- REr ERENCE
LEVEL
I'll F E IR i ICF BASE
REFERENCE
lFVEI FLOOD
LEVEL
ELEVATION
119 T
'M!ADJACENT
/ If
''
BASE
eASE REi ERENCE
FLOOD A nNAnET l; LEVEL
ELEVATION
rGNADE
FLOOD
ELEVATION
.. �'i '1
nUJACI NI '�.
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.
ri
N
f
3-g
THE TOP OF SLAB MUSTE
4�'f
SET A MINIMUM OF 2-2x6'S
ABOVE THE HIGHEST GRADE
ELEVATION OF THE BUIL.QING PAD.
'I do hereby certify that this drawing
�!Weekley
Ames
or plan and of specificationsmeal oil tocoll codea req emenis 1and 13M ron ook 9W., Suit* low H"ton. T.+og ae p,J IsUosoo TJ
aro in eubsia I con mi with V.A.
MinirAum Pr e y Re irgm ts.
address; 1521 PEBBLE CREEK DRIVE
subdiv: EAGLE POINT plan: S'81 A
lot: 18 blk: A sect: 1 I Scale: l"-20'
V
late: 02-16-94
)r0ject:
DT
ob:
26
'LATWORK
1220
'ENCE
152
r
k
14521 PEP,g�E GCLEEK D2ty F
R=coo
E . - Sq -21 L = 11C°
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4`71 cols W _ �� o
PLAT SHOWING;
L0'1' 18, in BLOCK A, of I-:AG1,F MINI' AT RIVFRCHASF, ,in Addit ion
to the Cit v of Coppe l I , Coll in Coust v, Texas, <�ccordi ni,, to the
Map or Plat thereof— rec orded in Volume 03055, Pate 43, "iap
Records, CoI lin County, 'Fexar;.
Commonly known as 1521 Pebhle Creek Drive.
m
7HIS Po: (.)PER? Y !9 10--1'E_DIN 7.'NE C)El_INE4TED ON F_Uti'D !NJURANCE RATE MAP
PANE r. ` _48at�o r, ,�� C - E J'.ZE i=F—OOG!NG
P 0 Box 13556 • Land Surveying
GEODAT,.t-
Arlington TFxas • LandPlanning
SLJP'.'E'YING, A C. 76094 ()556 • 7, po,graph�c
Metro 2t>1 2678 Mdploing
*n
O h I nereb cer !f th s to be a true ar,d correct, representation of a
1 � , ..�F ^ y .. y ,,.�
111 = 20 .,� �o>. t4��. q�, survey made or the ground under my supervision and there are
o. �
v,s!b-e enc ,acnr"�erlts or prr�'rus!ons except as shown.
tEEGEND _
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4`71 cols W _ �� o
PLAT SHOWING;
L0'1' 18, in BLOCK A, of I-:AG1,F MINI' AT RIVFRCHASF, ,in Addit ion
to the Cit v of Coppe l I , Coll in Coust v, Texas, <�ccordi ni,, to the
Map or Plat thereof— rec orded in Volume 03055, Pate 43, "iap
Records, CoI lin County, 'Fexar;.
Commonly known as 1521 Pebhle Creek Drive.
m
7HIS Po: (.)PER? Y !9 10--1'E_DIN 7.'NE C)El_INE4TED ON F_Uti'D !NJURANCE RATE MAP
PANE r. ` _48at�o r, ,�� C - E J'.ZE i=F—OOG!NG
P 0 Box 13556 • Land Surveying
GEODAT,.t-
Arlington TFxas • LandPlanning
SLJP'.'E'YING, A C. 76094 ()556 • 7, po,graph�c
Metro 2t>1 2678 Mdploing
*n
O h I nereb cer !f th s to be a true ar,d correct, representation of a
1 � , ..�F ^ y .. y ,,.�
111 = 20 .,� �o>. t4��. q�, survey made or the ground under my supervision and there are
o. �
v,s!b-e enc ,acnr"�erlts or prr�'rus!ons except as shown.
tEEGEND _
r �0 4223 f� / - :^ rv' i = rE JE x ^iG 4223
w r.'