FLOODPLAIN MANAGEMENT PROGRAM DEVELOPMENT PERMIT APPLICATION

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EMERGENCYMANAGEMENf 300 N. Rachal Ave. PERMlT# Sinton, TX 78387 (361) 364-9652

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FLOODPLAIN MANAGEMENT PROGRAM DEVELOPMENT PERMIT APPLICATION

Applicant: Telephone #: ____ _____ / _________

Mailing Address: City: State: Zip Code: 911 Physical Address: City ____________, TX Zip Code: Contractor: Telephone #: __________ /________ Contract: Mailing Address: City: State: __ Zip Code: Property Description: Subdivision: Acreage: Lot(s): Block(s): Tract(s): _____ Sec: ______ Abstract:

TYPE OF DEVELOPMENT: (check as appropriate) ( ) Residential ( ) Non-residential ( ) Septic ( ) Fill ( ) Drilling ( ) Other (specify) _________ DESCRIPTION OF DEVELOPMENT: (check as appropriate) ( ) House ( ) Move-in ( ) Addition ( ) Garage ( ) Car Port ( ) Substantial Improvement ( ) Septic Only ( ) Manufactured Home ( ) Single Wide ( ) Double Wide Serial # Year: ____ ( ) Commercial ( ) Industrial ( ) Other (specify) Square Feet: # of Bedrooms: # of Bathrooms: Foundation: _________ Water source: Sewage: ( ) Municipal ( ) New Septic ( ) Existing Septic ( ) Septic Permit Needed

FLOODPLAIN MANAGEMENT INFORMATION FLOODZONE: FIRM Community #485506 FIRM Panel # Zone(s) Floodway ( ) Yes ( ) No REQUIREMENTS for DEVELOPMENT: ( ) Top of ground floor set 18" above the highest adjacent ground ( ) Anchored properly to resist flotation ( ) Road-ready, current license tags, no permanent attachments ( ) Top of ground floor and machinery/equipment set at 18" above the Base Flood Elevation ( ) Anchored properly to resist flotation with machinery/equipment set at 18" above the Base Flood Elevation ( ) Elevation Certificate to be completed by a Registered Professional Engineer, Surveyor Architect ( ) Floodproofing Certificate to be completed by a Registered Professional Engineer or Architect ( ) Hydrologic & Hydraulic Analyses and a NO-RISE Certification performed by a Registered Professional Engineer ( ) OTHER/COMMENTS: ___________ _________________

PERMIT IS VALID FOR ONE YEAR AND MUST BE RENEWED IF DEVELOPMENT IS NOT COMPLETE WARNING: Tbe flood insurance rate maps and otber flood data used by tbe County in evaluating flood bazards to proposed developments are considered reasonable and accurate for regulatory purpose. Floodplain determinations are based solely on tbe property owner's indication oftbe proposed borne-site. On occasion greater floods can and will occur and flood beigbts may be increased by man-made and natural causes. Tbe County cannot guarantee tbe property will not flood. Ultimate responsibility of locating tbe borne/structure outside of tbe floodplain rests witb tbe property owner. Tbe County recommends tbe property owner contract a surveyor prior to construction for precise determination.

I acknowledge tbe above warning. I may be required to provide more information/documentation. I certify I am tbe property owner and/or designated agent and tbe above statements are true and correct. I will meet all requirements stated on tbis application in order to be in compliance oftbe Flood Damage Prevention Order of San Patricio County. I understand I am not to begin development until tbe Development Permit bas been issued or I will be in violation of tbe Flood Damage Prevention Order of San Patricio County and may be subject to a civil! criminal penalty.

Signature of Applicant: ____________ Relation to Property Owner: ______ Date: ____

PERMIT STATUS

HOLD DENIED Due to:

By: ____________________ _______ Date: ___________

APPOVED and ISSUED by: Date:

CostlVaLue of Construction: $ Fee Paid: $ ( ) Cash ( ) Check # _____

( ) Money Order #: Receipt #: __________

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EMERGENCYMANAGEMENf 300 N. Rachal Ave. Sinton, TX 78387 (361) 364-9652

PERMIT#

FLOODPLAIN MANAGEMENT PROGRAM DEVELOPMENT PERMIT APPLICATION

Applicant: Telephone # : ___ ___ _ __ / _________ Mailing Address: City: State: Zip Code: 911 Physical Address: City ___ _ _ _ _ _____, TX Zip Code: Contractor: Telephone #: ____ _ ___ _ / _ _ _ ____ Contract: Mailing Address: City: State: __ Zip Code: Property Description: Subdivision: Acreage: Lot(s): Block(s): Tract(s): _ ___ _ Sec: Abstract: TYPE OF DEVELOPMENT: (check as appropriate) ( ) Residential ( ) Non-residential ( ) Septic ( ) Fill ( ) Drilling ( ) Other (specifY) ___ ___ _ _ _ DESCRIPTION OF DEVELOPMENT: (check as appropriate) ( ) House ( ) Move-in ( ) Addition ( ) Garage ( ) Car Port ( ) Substantial Improvement ( ) Septic Only ( ) Manufactured Home ( ) Single Wide ( ) Double Wide Serial # Year: ____ ( ) Commercial ( ) Industrial ( ) Other (specifY) Square Feet: # of Bedrooms: # of Bathrooms: Foundation: Water source: Sewage: ( ) Municipal ( ) New Septic ( ) Existing Septic ( ) Septic Pennit Needed

FLOODPLAIN MANAGEMENT INFORMATION FLOODZONE: FIRM Community #485506 FIRM Panel # Zone(s) Floodway ( ) Yes ( ) No REQUIREMENTS for DEVELOPMENT: ( ) Top of ground floor set 18" above the highest adjacent ground ( ) Anchored properly to ,resist flotation ( ) Road-ready, current license tags, no permanent attachments ( ) Top of ground floor and machinery/equipment set at 18" above the Base Flood Elevation ( ) Anchored properly to resist flotation with machinery/equipment set at 18" above the Base Flood Elevation ( ) Elevation Certificate to be completed by a Registered Professional Engineer, Surveyor Architect ( ) Floodproofing Certificate to be completed by a Registered Professional Engineer or Architect ( ) Hydrologic & Hydraulic Analyses and a NO-RISE Certification performed by a Registered Professional Engineer ( ) OTHER/COMMENTS: ____________________________

PERMIT IS VALID FOR ONE YEAR AND MUST BE RENEWED IF DEVELOPMENT IS NOT COMPLETE WARNING: The nood insurance rate maps and other nood data used by the County in evaluating nood hazards to proposed developments are considered reasonable and accurate for regulatory purpose. Floodplain determinations are based solely on the property owner's indication orthe proposed home-site. On occasion greater noods can and will occur and nood heights may be increased by man-made and natural causes. The County cannot guarantee the property will not nood. Ultimate responsibility oflocating the home/structure outside orthe noodplain rests with the property owner. The County recommends the property owner contract a surveyor prior to construction for precise determination.

I acknowledge the above warning. I may be required to provide more information/documentation. I certify I am the property owner and/or designated agent and the above statements are true and correct. I will meet all requirements stated on this application in order to be in compliance orthe Flood Damage Prevention Order ofSan Patricio County. I understand I am not to begin development until the Development Permit has been issued or I will be in violation of the Flood Damage Prevention Order of San Patricio County and may be subject to a civil/ criminal penalty.

Signature of Applicant: ________ ____ Relation to Property Owner: ______ Date: ____

PERMIT STATUS

HOLD DENIED Due to: By: _______________________________ Date:

APPOVED and ISSUED by: Date: ------

CostlValue of Construction: $ - ---­ - Fee Paid: $______ ( ) Cash ( ) Check # _____

( ) Money Order #: Receipt #: __________

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EMERGENCVMANAGEMENf 300 N. RacbalAve. PERMJT# _ ___ Sinton, TX 78387 (361) 364-9652

FLOODPLAIN MANAGEMENT PROGRAM DEVELOPMENT PERMIT APPLICATION

Applicant: Telephone #: _________ / ________ Mailing Addre City: State: Zip Code: 911 Physical Address: City ___________-', TX Zip Code: Contractor: Telephone # : __________ 1_ _______ Contract: Mailing Addre City: State: __ Zip Code: Property Description: Subdivision: Acreage: Lot(s): Block(s): Tract(s) : _ _ ___ Sec: Abstract:- -- ­ - ­TYPE OF DEVELOPMENT: (check as appropriate) ( ) Residential ( ) Non-re idential ( ) Septic ( ) Fill ( ) Drilling ( ) Other (specify) _______ _ DESCRIPTION OF DEVELOPMENT: ( h ck as appropriate) ( ) House ( ) Move-in ( ) Addition ( ) Garage ( ) Car Port ( ) Substantial Improvement ( ) Septic Only ( ) Manufactured Home ( ) Single Wide ( ) Double Wide Serial # Year: ____ ( ) Commercial ( ) Industrial ( ) Other (specify) Square Feet: # of Bedrooms: # of Bathrooms: Foundation: _ _ ______ _ Water source: Sewage: ( ) Mun icipal ( ) New Septic ( ) Exi ting Septic ( ) Septic Pennit Needed

FLOODPLAIN MANAGEMENT INFORMATION FLOODZONE: FIRM Community #485506 FIRM Panel # Zone(s) Floodway ( ) Yes ( ) No REQUIREMENTS for DEVELOPMENT: ( ) Top of ground floor set 18" above the highest adjacent ground ( ) Anchored properly to resist flotation ( ) Road-ready, current license tags, no permanent attachments ( ) Top of ground floor and machinery/equipment set at 18" above the Base Flood Elevation ( ) Anchored properly to resist flotation with machinery/equipment set at 18" above the Base Flood Elevation ( ) Elevation Certificate to be completed by a Registered Professional Engineer, Surveyor Architect ( ) Floodproofing Certificate to be completed by a Registered Professional Engineer or Architect ( ) Hydrologic & Hydraulic Analyses and a NO-RISE Certification performed by a Registered Professional Engineer ( )OTHEWCOMMENTS: _ _ _____ _______________ _____ _

PERMIT IS VALID FOR ONE YEAR AND MUST BE RENEWED IF DEVELOPMENT IS NOT COMPLETE WARNING: Tbe nood insurance rate maps and other nood data used by the County in evaluating nood bazards to proposed developments are considered reasonable and accurate for regulatory purpose. Floodplain determinations are based solely on tbe property owner's indication oftbe proposed bome-site. On occasion greater noods can and will occur and nood heights may be increased by man-made and natural causes. The County cannot guarantee tbe property will not nood. Ultimate responsibility oflocating tbe bome/structure outside ofthe noodplain rests with tbe property owner. Tbe County recommends the property owner contract a surveyor prior to construction for precise determination.

I acknowledge tbe above warning. I may be required to provide more information/documentation. I certify I am tbe property owner and/or designated agent and the above statements are true and correct. I will meet all requirements stated on this application in order to be in compliance of the Flood Damage Prevention Order ofSan Patricio County. I understand I am not to begin development until tbe Development Permit bas been issued or I will be in violation of the Flood Damage Prevention Order of San Patricio County and may be subject to a civil! criminal penalty.

Signature of Applicant: ____________ Relation to Property Owner: ___ ___ Date: ____

P ERMIT STATUS

DENIED Dueto: ________________ __________ _ _HOLD By: ___ _________________________ Date: _ ___ ______ _

APPOVED and ISSUED by: Date:

CostIValue of Construction: $ _____ _ F'ee Paid: $ _ _____ ( ) Cash ( ) Check #

( ) Money Order #: Receipt #: ___ _ ____ _

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EMERGENCYMANAGEMENf 300 N. Rachal Ave. Sinton, TX 78387 (361) 364-9652

PERMIT# _ _ _ _

FLOODPLAIN MANAGEMENT PROGRAM DEVELOPMENT P ERMIT APPliCAT ION

Applicant: Telephone #: _________ 1________ Mai ling Address: City: State: Zip Code: 91 t Physical Address: City TX Zip Code: Contractor: Telephone # : _________ 1_______ Contract: Mai ling Addre ity: State: _ _ Zip Code: Property Description: Subdivi ion: Acreage: Lot(s): Block( ) : Tract(s): ____ _ Sec: - - - --­ Abstract: TYPE O F DEVELOPMENT: (check a appropriate) ( ) Re idential ( ) Non-re idential ( ) Septic ( ) ill ( ) Drilling ( ) Other (specify) ________ DESCRIPTION OF DE VELOPME NT: (check a appropriate) ( ) Rou e ( ) Move-in ( ) Addition ( ) Garage ( ) Car Port ( ) Substantial Improvement ( ) Septic Only ( ) Manufactured Home ( ) Single Wide ( ) Double Wide Serial # Year: ____ ( ) Commercial ( ) Industrial ( ) Other (specify) Square Feet # of Bedrooms: # of Bathrooms: Foundation: _ ________ Water source: Sewage: ( ) Municipal ( ) New Septic ( ) Exi ting Septic ( ) Septic Perm it Needed

FLOODPLAIN MANAGEMENT iNFORMATION FLOODZONE: F lRM Commu nity #485506 FIRM Panel # Zone(s) Floodway ( ) Yes ( ) No R EQUIREMENTS for DEVELOPMENT: ( ) Top of grollnd floor set 18" above the highest adjacent ground ( ) Anchored properly to resist flotation ( ) Road-ready, cur rent license tags, no permanent attachments ( ) Top of ground floor and machinery/equipment set at 18" abo\'e the Base Flood Elevation ( ) Anchored properly to resist flotation with machinery/eqllipment set at 18" above the Base Flood Elevation ( ) Elevation Certificate to be completed by a Registered Professional Engineer, Survey or Architect ( ) Floodproofing Certifica te to be completed by a Registered Professional Engineer or Architect ( ) Hydrologic & H ydraulic Analyses and a NO-RISE Certification performed by a Registered P rofessional Engineer ( ) OTHER/COMMENTS: _______________________________________________________

PERMIT IS VALID FOR ON E YEAR AND MUST BE R ENEWED IF DEVELOPMENT IS NOT COMPLETE WARNING: The flood insurance rate maps and other flood data used by the County in evaluating flood hazard to proposed developments are considered reasonable and accllrate for regulatory purpose. Floodplain determinations are based solely on tbe property owner's indication orthe proposed home-site. On occasion greater floods can and will occur and flood heights may be increased by man-made and natural causes. The County cannot guarantee the property will not flood. lJIumate responsibility orJocating the home/structure outside orthe floodplain rests with the property owner. Tbe County recommends the property owner contract a surveyor pr ior to construction for precise determination.

I acknowledge the above warn ing. I may be required to provide more information/documentation. I certify I am the property owner and/or designated agent and the above statements are true and correct. I will meet aU requirements stated on th is application in order to be in compliance orthe Flood Damage Prevention Order ofSan Patricio County. I understand I am not to begi.n development until the Development Permit has been jssued or Twill be in violation of the Flood Damage Prevention Order of San Patricio County and may be subject to a civil! criminal penalty.

Signature of Applicant: _ _ __________ Relation to Property Owner: _ _ _ ___ Date: ___ _

PERMIT STAT US

HOLD DENIED Due to:

By: ____________________________________________________ __ Date:

APPOVED and ISSUED by: Date: ____ _ _

CostlValue of Construction: $ Fee Paid: $______ ( ) Casb ( ) Cbeck # ___ _ _

( ) Money Order #: Receipt #: _______ _ _