Permit No. __________-_____
Page 1 of 6
FLOODPLAIN DETERMINATION / DEVELOPMENT PERMIT APPLICATION
LEON COUNTY, TEXAS
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The floodplain determination permit application fee is $20
If property is determined to be in SFHA, a development authorization permit is required, Elevation
Certificate, & fee of $150.00 for property partially in SFHA and $420.00 for property inside the SFHA
Floodway Zone.
No work may start until a Floodplain Development Authorization Permit is completed.
The Development Authorization Permit may be revoked if any false statements are made on the
application. If revoked, all work must cease until a Floodplain Development Authorization Permit is
reissued.
The permit is valid for one year from date issued and will need to be renewed if work is not completed
within that year.
Applicant hereby gives consent to the local Floodplain Administrator or his/her representative to make
reasonable inspections required to verify compliance.
Applicant hereby agrees to furnish a Preliminary Elevation Certificate taken from the construction
drawings or building under construction before we can issue Floodplain Development Authorization
Permit. A Final Foundation Elevation Certificate will also be required within 10 business days of
completion of foundation.
The floodplain development authorization permit applies to Leon County (Unincorporated Areas) Flood
Damage Prevention Court Order only. Other Federal, State or Local permits may be required. The floodplain
development authorization permit does not exempt applicant from deed restrictions, subdivision regulations or
other covenants regarding real estate. Applicant is responsible for investigation of such information.
Our community is a participant in the National Flood Insurance Program (NFIP), and flood insurance is
available to every citizen in the community, even renters.
I, the APPLICANT, certify that I have read these general provisions for Floodplain Development and that I
understand if I do not abide by them, I may be punished by fine.
Applicant’s Printed Name
Site Address
Applicant’s Signature
Date
FLOODPLAIN DESIGNATIONS: Floodplain Designations for Leon County (Unincorporated Areas) Flood Damage
Prevention Court Order are based on maps provided by the Federal Emergency Management Agency (FEMA).
Floodplain Boundaries shown on the Flood Insurance Rate maps are a 1% -annual-chance – flood event (100 year flood);
the boundaries do not necessarily guarantee that areas outside the designated floodplain will not flood. The Flood
Insurance Rate Map and other flood data used by Leon County in evaluating flood hazards are considered reasonable
and accurate for regulatory purposes. On occasion greater floods can and will occur and flood heights may be increased
by man-made or natural causes. We cannot guarantee that your property will not flood. Standards required by the Leon
County Flood Damage Prevention Order are minimum standards. Reliance on these standards does not create any
liability on the part of Leon County or any officer or employee of Leon County in the event that flooding or flood damage
does occur.
Applicant Do Not Write In This Area - For Administrator Use Only
Date Received ___________________
Received By _________
Fee Paid $_____________
FPD No. __________________________
Revised 07/17/2015
Receipt No. _________________________
Permit No. __________-_____
Page 2 of 6
Property Owner’s Name _____________________________________________________________
Mailing Address ______________________________ City _______________ State ___ Zip _______
Home Phone (
) ___________ Work Phone (
) ___________ Cell Phone (
) ___________
Property Owner’s E-Mail _________________________________________________________
Engineer’s Name ____________________________________________ Phone (
) ___________
Mailing Address ______________________________ City _______________ State ___ Zip _______
Contractor’s Name ___________________________________________ Phone (
) ___________
Mailing Address ______________________________ City _______________ State ___ Zip _______
Address of Subject Property (# and Road) ___________________________ (City) _______________
Legal Description of Subject Property ___________________________________________________
Tract/Lot _________ Acreage ___________ Volume _________ Page _________ R # __________
To avoid delay in processing your application, please provide enough information to define the subject property,
the location, and all existing and proposed development. A copy of the property deed, a location map, and any
other relevant information should be attached to this application.
Date to Begin Construction:
Date for Foundation to be completed:
Date of Completion (estimation):
Estimated Total Cost of Proposed Project$___________
DESCRIPTION OF WORK (check all applicable boxes)
STRUCTURAL DEVELOPMENT
Activity
Structure Type
Existing
Proposed
New Structure
Residential (Single-Family House)
Addition
Residential (Single-Family Manufactured Home)
Modification / Remodel
Residential (Multi-Family)
Relocation
Combined Use (Residential & Non-Residential)
Replacement
Non-Residential
None - No Proposed New Development
(Floodplain Determination Only)
None – No Existing or Proposed Structures
(Floodplain Determination Only)
OTHER DEVELOPMENT ACTIVITIES
Subdivision
Grading
Private Water Well
Replat
Excavation
Private Septic System
Placement of Fill
Drilling
Mining
Drainage Improvements
Road or Bridge Construction
Waterway Alteration (Including Dredging and Channel Modifications)
Other (Please Specify) ______________________________________________________
Revised 07/17/2015
Permit No. __________-_____
Page 3 of 6
LEON COUNTY FLOODPLAIN DETERMINATION
Floodplain Determination (To be completed by GIS)
The proposed development is located on (FIRM) Panel No.
Dated: November 20, 2013
The proposed development:
 Is NOT located in a Special Flood Hazard Area (Notify the applicant that the application review
is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED)
 Is partially located in the SFHA, but building/development is not
(Authorization to Construct Permit is required)
 Is located in a Special Flood Hazard Area
(Authorization to Construct Permit is required)
o
FIRM Zone Designation is
o
“100 Year” flood elevation at the site is :
ft. NGVD
(National Geodetic Vertical Datum) MSL (Mean Sea Level)
Unavailable
Is located in the Floodway. FBFM Panel No:
Dated:
(If different from the FIRM panel and date)
o
o
Permit Determination (To be completed by GIS & administrator)
I have determined that the proposed activity:
A.  Is
B.  Is Not
in conformance with provisions of the Leon County Flood Damage Prevention Court Order dated Nov 20,
2013. The permit is issued subject to the conditions attached to and made part of this permit.
Signed:
(GIS) Date:
Signed:
(Admin) Date:
Revised 07/17/2015
Page 4 of 6
Permit No. __________-_____
This form to be completed if subject property determined to be in SFHA/Floodway.
Additional Information Required (To be completed by GIS)
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No additional information is required to process this application.
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Any proposed new development may not begin until after an Authorization to Construct permit has been issued.
The Determination Section (page 1-3) of this application must be submitted and an Authorization to Construct permit is
needed prior to completing the documents checked below to complete the application process.
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A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions, and proposed
development.
Development plans, drawn to scale, and specifications, including where applicable: details for anchoring structures,
proposed elevation of lowest floor (including basement), types of water-resistant materials used below the first floor,
details of flood proofing of utilities located below the first floor and details of enclosures below the first floor.
Also,
Subdivision or other development plans. (If the subdivision or other development exceeds 50 lots or 5 acres,
whichever is the lesser, the applicant must provide “100 year” flood elevations if they are not otherwise available).
This means that an elevation certificate must be obtained to determine elevation.
Plans showing the extent of watercourse relocation and/or landform alterations.
Change in water elevation (in feet)
 Meets ordinance limits on elevation increases
Top of new compacted fill elevation
ft. NGVD (MSL)
Flood proofing protection level (non-residential only)
ft. NGVD (MSL). For flood proofed
structures, applicant must attach certification from registered engineer.
Certification from a registered engineer that the proposed activity in a regulatory floodway will not result in any
increase in the height of the “100 year” flood. A copy of all data and hydraulic/hydrologic calculations supporting this
finding must also be submitted.
Other:
As-Built Elevation (to be submitted by Applicant BEFORE Certificate of Compliance is issued)
The following information must be provided for structures that are part of this application. This section must be completed by a
registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 and 2 below:
1.
Actual (As-Built) Elevation of the top of the lowest floor, including basement is:
2.
Actual (As-Built) Elevation of flood proofing protection is:
ft. NGVD (MSL)
ft. NGVD (MSL)
Compliance Action (To be completed by GIS)
The GIS Office will complete this section as applicable based on inspection of the project to ensure compliance with the community’s
local law for flood damage prevention.
INSPECTIONS: DATE:
by
DEFICIENCIES?  Yes
 No
DATE:
by
DEFICIENCIES?  Yes
 No
DATE:
by
DEFICIENCIES?  Yes
 No
Certificate of Compliance
Certificate of Compliance Issued:
Signed:
(GIS)
Signed:
(Admin) Date:
Revised 07/17/2015
Date:
Permit No. __________-_____
Page 5 of 6
LEON COUNTY, TEXAS
FLOODPLAIN DEVELOPMENT AUTHORIZATION PERMIT
Property Owner’s Name _____________________________________________________________
Mailing Address ______________________________ City _______________ State ___ Zip _______
Address of Subject Property (# and Road) ___________________________ (City) _______________
Legal Description of Subject Property ___________________________________________________
Tract/Lot _________ Acreage ___________ Volume _________ Page _________ R # ____________
The subject property is located on FIRM Map No. _________________________, Dated 11/20/2013_
This serves to notify all persons that a Floodplain Determination / Development Permit Application, related technical
data, and the appropriate fee have been received by the Leon County. The application has been reviewed for technical
and administrative consideration against recognized standards and it is the determination that the subject development:
Is located in a Special Flood Hazard Area.
Is located in a Floodway.
The Approximate Base Flood Elevation at the site is ____________ feet NGVD
Zone designation is _________
Unavailable
Therefore, this proposed development on the subject property IS REQUIRED to comply with Leon County standards for
development in a Special Flood Hazard Area. Approval is hereby granted for the development proposed on the subject
property in this application to proceed (specific building standards found in the Leon County Flood Damage Prevention
Court Order approved October 14, 2013 must be followed).
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A new Elevation Certificate will be required when construction of the building is complete.
WARNING:
The Flood Insurance Rate Map and other flood data used by Leon County in evaluating flood hazards are considered
reasonable and accurate for regulatory purposes. On occasion greater floods can and will occur and flood heights may
be increased by man-made or natural causes. We cannot guarantee that your property will not flood. Standards required
by the Leon County Flood Damage Prevention Order are minimum standards. Reliance on these standards does not
create any liability on the part of Leon County or any officer or employee of Leon County in the event that flooding or flood
damage does occur.
_________________________________
Floodplain Administrator
Revised 07/17/2015
______________________________
Date
Permit No. __________-_____
Page 6 of 6
LEON COUNTY, TEXAS
FLOODPLAIN DEVELOPMENT CERTIFICATE OF COMPLIANCE
Property Owner’s Name _____________________________________________________________
Mailing Address ______________________________ City _______________ State ___ Zip _______
Address of Subject Property (# and Road) ___________________________ (City) _______________
Legal Description of Subject Property ___________________________________________________
Tract/Lot _________ Acreage ___________ Volume _________ Page _________ R # ____________
The subject property is located on FIRM Map No. _________________________, Dated 11/20/2013_
The subject property / structures / development:
Is located in a Special Flood Hazard Area.
Is located in a Floodway.
The Approximate Base Flood Elevation at the site is ____________ feet NGVD
Zone designation is _________
Unavailable
This serves to notify all persons that this development on the subject property COMPLIES WITH Leon County
standards for development in a Special Flood Hazard Area, as evidenced by the Elevation Certificate; with the
top of the bottom floor at ______________ feet NAVD (at least one foot above BFE), and flood-proofing (by
design or location). Any modifications or additional development may require a new permit.
WARNING:
The Flood Insurance Rate Map and other flood data used by Leon County in evaluating flood hazards are considered
reasonable and accurate for regulatory purposes. On occasion greater floods can and will occur and flood heights may
be increased by man-made or natural causes. We cannot guarantee that your property will not flood. Standards required
by the Leon County Flood Damage Prevention Order are minimum standards. Reliance on these standards does not
create any liability on the part of Leon County or any officer or employee of Leon County in the event that flooding or flood
damage does occur.
_________________________________
Floodplain Administrator
Revised 07/17/2015
______________________________
Date