FEMA-EC931217 (3)The CftWit ABmutffdMM BUILDING PERMIT APPLICATION
Bidld&W Inrpecdons DUddn
Print or I ype in a Glear, Legible Manner
Job Address: 'Z ;Z, W I LIS W I kir. Date: ) Z t 131 Q
Lot: �� Block: A Subdivision:/ _ �G f . t .� Phase or Section Number: '
Owner tJ>4tJ�9 Address: t b � t 341OPhone #:
Contractor: Address: Phone #:
Description of Work to be Done Class of Work: l P-fiew ❑Addition ❑ Alteration ❑ Repair ❑Demolition
of Building in Square Feet
First Floor Garage Value of Work
to be Performed
Second Floor Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE
'Phis 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
plied wi ether specified herein or not. The granting of a permit does not presume to
give authority to late or cancel the prq�s of any other federal, state or local law
rel: ins construe ' or the verformance bf codstruction.
of Con actor or Authorized Agent Print Name
Electrical Plumbing Contractor Mechanical Contractor
BIR - 1 12192)
ELEVATION CERTIFICATE
' FWKRAL 111WISACKNCY MANAQeIiAQNT Aoil t y
NATIONAL FLOOD INSURANCE PROGRAM
ATT!lNflpNt Use of "Its es rtlllcaEa doer not Provide d waiver of del flood b ktatit4 til purt� h• Thio !Distil b used Defy to
Provide
e� Ine me pr intatlen necessary ensue canpliartd evict 1bppAlcable coma W* floodplain management erdlnamee. to
M°P+r f^N+►anee p►emw.n rah►. andror to Sul 11 a tequeet lot a Latter of Map Amendment or Revision (LOMA or LOMR).
Inf"UM10" for CO MplNing thin feint gats tpe I'OWW an the 1411soilnp Poo"
SECTION A PROPERTY INFORMATION fort uSsuNc! t Y use
euK,pwp ownErrs rust
fOL CY man"
STREET ADDRESS OW"" Aa.. ut,., SL"6 mete f & Nwmn1 ON Pa noun ANO WX Ntar o COMP"T ►uuC NL WER
23'2 �It.SN12E UnIVE
ontER OMRWTM ILA W" ahw N,n,sr„s, 091
crry Lot `ZoBlock A EAGLE POINT VILLAGE AT RIVERCHASE
C o p p e l .l STATE ar coca
TX
SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the, following trot" the Proper FIRM (See Instructions).
1. C06wIMMTY WMeen t MMN. quNalR 1 S FIX 4.OAft Of fMW M+Oex !. fIrYI ZO►�e L "54 FL0,00
EIlvAT10N
480170 0010 D Oct. 16, '1991 X (Shaded) I-AGZer s.u"mWol
�. lndlcate the elevation datum system used an the FIRM for Daae Flood ENvationt (8101): ® NOVO '29 ❑ Other (describe on back)
S. For Zones A or V, where no BFE It Provided on the FIRM. and the oom!"un y has established a BF1 for this building site. indicate
the community's BFE:U feet Now (or other FIRM datum -see Section B, Ilam 7),
SECTION C BUILOINO ELEVATION INFORMATION
1. Using the Elevation CertNCate Iftsduclions. Indicate the diagram number Irom the diagrams found on Pages S and 6 that best
describes the subject building'! reference level _l.-_. .
2(a). FIRM Zones AI•A30. AE. AN. and A (with 8FE). The lap of the reference level floor (rant the selected diagram is at an elevation
of 1 44_( .'I— . ;eel NGVO (or other FIRM datum -see Sectlott B, hails 7).
(b). FIRM Zones VI-Vio. VE. and V (with BFE), The bottom of the IoMreef horizontal structural member of the reference level from
the Selected diagram. is at ail elevation all LA 1 1 I I U IeM.NGVO (Or other FIRM datum, -see Section 8, item 7).
(e). FIRM Zone A (without BFE). The floor used as the reference level Irom the Selected diagram is I_U.0 last above ❑ or
below ❑ (chedk one) Me higher grade adjacimI to the building.
(d). FIRM Zone AO. The NOW used as the reference I" Irons the selected diagram is I I I , U lest above ❑ or below ❑ (check
one) the highest grade adjaeeM to the budding. If no Mood depth number is available. is the building's lowest floor (reference
level) elevated in accordalce with the community's floodplain management din? ❑ Yes ❑
3. Indicate the alevatkfn datum System used in determining oranceNo ❑ Unknown
under Comments on Page 2). (NOTE. N Nie dievalion da/w11 sated !h ,news the above eurahq rhe drevarroralevel elevations: a diNsrsrn nan-29 ❑'fha used on hw be
sqthe lionFIRAsee Cordae 8. Uam 7f, fh) convert the OWAI ons 10 NO datum systam used on the FIRM And show the conversion
w7wrarf under Conlmarns ail Page ?.) .
4. Elevation refererhrat mark used appears an FIRM: ❑ Yes ❑ NO (See IItSM ICtone on page 4)
S. The reference level elevation is based on: B actual construction ❑ construction drawings
(NOTE: Use of consnuerron &SWN qs is dray vAbd 01 Nie budder die! nW yet have In# r#/wen" levet floor iii aC1. NiwhiClf
case mis csnillcare WIN once► be vallis for the well be requred once comnXtfon is g �"� tri cause o1 CDndlrUCtwA, �t post-�Tsnu�r Elevation Cdrnneare
eanWere.)
S. The elehralion of the lowest grade ifmrtedlately adjacent to the building is: I I I 1 I
Section e. Mem 7)• ,,,�.(J (eel NCiVO (or other FIRM dslum•sse
SECTION O COMMUNITY INFORMATION
1. If the community oMlcial.►esponsiblt Mr verifying buiiding elevations dpeafiee that the reference level indicated in Section C. Item 1
is mol the -lowest 1100r- as defined M tm
the coi unmy's fioodplatn marlagentrrtt ordinance. the elevalwrl of Me building's 'Impost
NOW as defined by the ordinance Ii: Ll I I I.0 Io( NOVO (W dllttt 414M dolum-lite Section B. Item 71.
2. Data of the start of construction or substantial. improvon""
itMA Ionw E1•110 MAY 94 11EVutES ALL PRIv10US EOtttONS SEE REVERSE SLOE fort CONFOWArlpN
I3EMION E CENtIPICATION
This certification is to be signed by a land suiveyor, engineer, or architect who is duthoritl4d by state W local taw to Certify elevation
Information when the elevation information for Zones At -A30, AE, AN, A (with 9FE),V1-V30,VE, end V (with I§FE) Is tequlred.
Community officials who ate authorized by local law or ordinahce to ptovide floodplain tnanagernenl Information, they also sign the
certification. In the case of Zones AO and A (without a FEMA or toMmufhlty, Nlsued W), a budding official, a property owner, or an
owner's representative may also sign the certification.
deference level diagrams 6, 7 and 8 - Distinguishing Features -It the celiltiet is unable to certify to breakaway/non•breakawsy wall.
enclosure Mize, location of servicing equipment, area use, wall openings, or Unfinished arta Feature(!), then Net the Features) not
Included In Ilia certification under Comments below, The diaprafn nufflber, Herellea do Item i, trust stiff be srtlered.
I nerfily that the information in Sections 9 find C on this eedificate repreSontfi my best efforts to
I understand that any false statement may be punishable by ►alai of, N ioliso"Ohant ommi, to U.S.
CEn i irtens NAME
Glenn W. Miller- _
11TLE
_Y Surveyor
AoDnESS
P.O. Box 13556
LICENSE NUMBER fix AIRtt
Geodata Surveying, Inc.
COMPANY NAME _ ---
CITY
Arlingtoi
t t
.ENN W. MILA-r-n - -
1��E�tNr�c
StGNA1 UnE bATE RM261 y
Copies should be made of this Certificate tor, t) community btfletsl, 2) Ineutonee egetttiearnpahy, rind 3) bulldlthy ewttet.
commENTS: ____ Benchmarks used to determine this elevation .Are._, taken, from enitineerii A
plans used in the construction of the aubdivision,(athatt b, Maier Cans.
Engineers) and have not been verified With the FEMA reference mark _
elevations.
Off Wit"
0" OILER, -
SLAB NA61MOT
l4Etl81611401. ".
A v A
A V
ZONES ZONES toNES
tW1ES toNElt
11EiE11ENOE
-
.,,,�.,,..,�
REoERE„CEbut
LEVEL PLOW
Llvi1
MIMIC
VAttOn
b�SE At),tACE Nt t I'AE ENCt
i'1000
ROOD
llEVAlKkt NEfERENt: AWACENf - ONAOE {�' - 1 YEl
YAf10M
EEvEL oNAOE (
_.
L•t-III i'ttrr /tt ':Tt'i i•3
1�.�'. ..
WAACtoof
The diagrams above illustrate the points at which the elevations should be the89uted In A Zonal and V Ion -
em -Elevations lot all A Zones should be treasured at the top of Uta referafte level hoot,
Elevations for all V Zones should be treasured at the boltoir of the Io0lbel horitontel sttuctutel fttethbet.
IJ
NOr,F •' eeOW 6S , Bqssd AW P.4 7.-.
PLAT S1 OVING
Rein<, Lot 20 in Block A of FAGLE POINT VILLAGE A'1' RIVERCHASF, an Addition
to the Citv of living,, Texas, according; to the �1ap recorded in Volume 93055,
Pa e 0043 of the P1ap ke(orris of Dallas Count v, Texas.
Commonly known as 232 Wilshire t)r i vr, .
THIS PR(,PER Y IS LOCATE D IN ZONE (S) X(5AIV44J)NS GELiNEATED ON FOOD 'NSURANCE RATE MAP
PANEL NO.l1. __.__._ EFFECTi`✓E DATE Lfl- A6�_��9�__�. LOCALIZEu FLOODING
NOT DE T, R'A EL, _.
P 0. Box 13556 • Land Surveying
SURVEYING,
Arlington, Texas • Land PlanningEODATA INC. 76094.0556 • [,)pographic
Metro 261-2878 Mapping
SCALE /" 3o'
LEGEND
o iron row
--X- X-- - fence iine
- T - -- E-- Wility ine