1511 TALISKER DR U.S.DEPARTM£NT OF HOMELAND SECURITY ELEVATION CERTtFICATE OMB No. 1660-OOQ8
Federai Emergency Managemerrt Agency ExDires FebluaN 28.2009
Nationa(Fload insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Campany Use:
1. Build'mg Owners Narne BEAZER HOMES Policy Number
. 8uilding Street Address(induding Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box hlo. Company NAIC Number
1511 TALISKER DR
City CLEARWATER State FL ZIP Code33755
A3. Property Descrip6on(Lot and Biodc Numbers,Tax Parcel Number,Legal Des on,
LOT 4,BLOCK 3,HIGHLAND GLEN � ��� �,��� �'� N y�
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTfAL
A5. Latitude/Longifude:Lat. Long. Horizontal Datum:❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
R7. Buifdmg Diagram Numberl
A8. For a buildirng with a crawl space or enciosure(s),provide A9. For a buikiing with an attached garage,provide:
a) Square footage of crawl space or encfosure(s) NA sq ft a) Square footage of attach�garage NA sq ft
b) No.of permanent fload openings in the crawl spaoe or bj No.of permanent flood openings in the attached garage
endosure(s)wa11s within 1.0 foot above adjaoe�rt grade NA walls within 1.0 foot abave adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in
SECTION B-FLOCi�1l�1SURANCE RATE MAP(FlRN{�INFORMATIDN
61_NFIP Communitp Name�Community Number 62.County Name B3.State
CLEARWATER 125096 PINELLAS FLORIDA
B4.Ma�Par�f Ntunber B5.Suffix 66_FIRM tndex B7_FIRNI Panel B8.Fk�od B9.Base Fload Eievation(s)(Zane
Date Effective/Revised Date Zone(s) AO,use base flaod d�)
12103C01 D7 H 9/3/D3 9/3J03 AE,X '19'
BtO. indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Rem B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe)
� Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
Is the buitding located in a Coastal Barrier Resources System(CBRS)area or Othervvise Proteded Area(OPA)? ❑Yes �No
Designation DateN/A ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATtON(SURVEY REQUIRED)
C7. Building elevations are based on: ❑Construdion Drawings* �Building Under Constrncfion" ❑Finished Constructian
'A new Elevat+on CerkiFicate will be required when construction af the{wild'rng is c�mple�e.
C2. Elevations—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AWA1-A30,AWAH,AR/R0. Complete tt�ns C2.a-g
below according to ttre buikii�diagram specified in Item A7.
Benchmark Utilized HIGHLAND E Vertical Datum 1988
ConversioNComments NONE
Chedc the measurement used.
a) Top of bottom floor(inGuding basement,craw!space,or enGosure floor)_ 26.97 �feet ❑meters(Puerto Rico only)
b) Top of the neut higher floor NA. �feet ❑meters(Puerto Rico onty)
c) Bottom of the lowest horizontal structural member(V Zones only) NA. �feet ❑meters(Puerto Rico only}
d) Attached garage(top of slab) NA. �feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building NA. �feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
� Lowest adjacent(finished)grade(LAG) 26.67 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) NA. �feet ❑meters(Puerto Rico only)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFlCATiON
This cerlification is to be signed and sealed by a land surveyor,engineer,or archited authorized by law to certiy elevation „r,�r, �;.,�._
iriinrmation. l cer6Ty fhat the i�rfoimation on this Cefiircate�rpresa�s my best etTr�Rs to ireterpref the dafa avar7able. ;�
I ur►derstand thaf any fatse staterr�errt may be punishabfe 6y fine or imp►i�nment ur�er 18 U.S. Code.Sect�n 1001. '�fj, . . .``a t� �°��.
❑ Chedc here i�commertts are provided an tsadc of form. ��,
�.n� �
M1
rtifier's Name JOHN R.BEACti Lioense Number 2984 ,; � �"' � � , ' �
:R —_ �������ll.t �- a�
PLS Company Flame JOHN R.BEACH 8�ASSOC.,INC. ;,'" ] ' � � � -..� °
.
' , 1":,.,...'� . � �N J 4,: ....
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Addr+ess 911 ST.PE7'ERSBURG DR W City OLDSNFAR State FL ZIP Cade 344i77 „ i- "a°
•`J� �
Signature Da 5 8 Telephone 813-854-1Z76 . ''M
FE rm -31,February 2006 See revers�side for continuation. a` Repl s afl�'pre'vious editions
IMPORTANT: In these spaces,copy the canesponding ir�ortnation from Section A. For Insurance Com�any Use:
Building St�eet Addness(induding Apt.,Unit,Suite,and/or Bkig_No.)or P.O.Route artd Box No. Poticy Number �
1511 TALISKER DR
City CLEARWATER StateFLZIP Code 33755 Company NAIC Number
SECTION D-SURYEYOR,ENGfNfER,OR ARCHITECT CERTfFiCAT10N(CONTfNUED) �
Copy both si�s of this Elevation Certifrcate for(1)c�mmurtity offiaal,(2)insurance agent/c�nparry,and(3)build'mig owner.
Comm�rrts
5ignature Date 5!6/08
❑ Chedc here if attachments
SECTION E- IN LEVATION INFORINATION(SUR NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO an (without B ,complete Items E1-E5. If the Certificate is irrtended to support a LOMA ar LOMR-F request,comptebe Sections A,B,
and C. For ftems E , natural grade,if available. Chedc the measuremerrt used. In Puerto Rico only,errter meters.
E1. Provide elevation infortnation for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacerrt
grade(HAG)and the iowest adjacent grade(LAG).
a)Top of bottom floor(inGuding basement,crawl space,or enGosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(inGuding basement,c�awl space,or encbsure)is ❑feet ❑meters ❑above or❑ bebw the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of stab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of piatfoRn of machinery andlor equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s flooctplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The focal official must certify this information in Section G.
SECTION F-PROPEitTI(OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or ovmers author¢ed representative who canpletes Sectio�A,B,arrd E for Zone A(without a FEMA-issued or c�mmutiity-issued SFE)
or Zone AO m�st sign here. The statemer►ts in Secfions A,B,and E are aorrect to die best af my know/edc�e.
Property Owners or Owner's Authorized Representative's Name
-
Address City State ZIP Code
Signature Date Telephone
Commer�ts
❑Chedc here if attachments
SECTION G-COMMUNiTY INFORMATtON(OPTIONAL)
The local official who is authorized by faw or ordinance to administer the c�mmunity's floodplain managemerrt ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Chedc the measurement used in Items G8.and G9.
G1.❑ The infortnation in Sec:tion C was taken fr�n other documerrtation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is author�ed by law to certiFy elevation information. (Indicate the source and date of the elevation data in the Commerrts area below.)
G2.❑ A community official c�mpleted Section E for a building located in Zone A(without a FEMA-issued or oommunity-issued BFE)or Zone AO.
G3.❑ The following infom�ation(Itertis G4.-G9.)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certficate Of CvmptiarwelOccupancy i�ued
G7.This peRnif has been issued for. ❑New Construction ❑Substantial tmprovement
G8.Elevation of as-buik lowest floor(induding basemerrt)of the building: _0 feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of ffooding at the building site: ❑feet ❑meters(PR)Datum
Local Otfic9sl's Name T�
Community Name Telephone
Signature p�
Co�nrn�r�ts
❑Check here ff attachments
FEMA Form 81-31,Fehruary 2006 Replaces all previous ed+tions