1513 TALISKER DR U.S.DEPARTMENT OF HOMELAND SECURiTY ELEVATION CERTIFICATE OMB No. 1�60-OW8
Federal.Emer'gency Managemerrt Agency ExDires Februarv 28.2009
Nationai Fiood Insurance Pragram importartt: Read the instructions on pages 1-8.
SEC17�N A-PROPERTY INFORMATION For Insurance Company Use:
1. Building Owners Name BEAZER HOMES Poiicy Number
. Building Street Address(inGuding Apt.,Unit,Suite,and/ar Bidg.No.)or P.O.Route and Box No. Compaity NAIC Number
1513 TALISKER DR
City CLEARWATER State FL ZIP Code33755
A3. Property Description(Lot and Blodc Numbers,Ta�c Paroel Number,Legal Descxiption,etc�+� � D�� b����
LOT 5,BLOCK 3,HIGHLAND GLEN ��
A4. Building Use{e.g.,Residerrtial,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Lat. Long. Horizontal Datum:❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the building if the Certficate is being used to obtain flood irtsurance.
A7. 8uilding Diagram Number1
A8. For a building with a crawl space or enGasure(s),provide A9. For a buifding with an attached garage,provide:
a) Square footage of cra�M space or enclosure(s) NA sq ft a) Square footage of attached garage NA sq ft
b) No.of pertnanent flood openings in the cra�vl space or b) No.of pertnaner�#flood openings in the attached garage
endosure(s)walls within 1.0 foot above adjacent grade NA walls within 1.0 foot above 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
SEC770N B-fL000 INSURANCE RATE MAP(FlRIII�INFORMATION
B1.IVFIP Communityr Name 8 Communiiy Number B2.County Name B3.State
CLEARWATER 125096 PINELLAS FLORIDA
B4.Map/Panel Nwnber B5_Suffa B6.FIRM inde�c B7.FlRNI Panel B8.Flood B9.Base Fk�od Elevatiort(s)(Zone
Date EffectiveJRevised Date Zone(s) AO,use base flood depth)
12103Cd107 H 9/3103 9/3/03 AE,X 19'
610. fndicate the saurce of the Base Flood Elevation(BFE)data or base flood depth errtered in ftem 69.
❑FIS Profile �FIRM ❑Community Detertnined ❑Other(Describe)
� Indicate eievation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
Is the building located in a Coastal Barrier ResouFCes System(CBRS)area or Otherwise Proteded Area(OPR)? ❑Yes �No
Designation DateNIA ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REG1UfRED)
C1. Building elevations are based on: ❑Construction Drawings' �Building Under Const►uction* ❑Finis#red Corts°trut#ion
`A new Elevation C�rtificate will be required when cronstruction of the building is c�rrtplete.
C2. Eievations-Zones A1-A30,AE,AH,A(with BFE).1/E,V1-V30.V(with BFE),AR,ARlA,AR/AE,AWA1-A30,RWAH,AWAO. Ctxr�ple#e Items C2a-g
below according to the building diagram specified in Item A7.
Benchmarfc Utilized HIGHLAND E Vertica�Datum 1988
ConversioNComments NONE
Chedc the measuremerrt used.
a) Top of bottom floor(induding basement,crawl space,or enGosure floor)_ 26.97 �feet ❑meters(Puerto Rico only}
b) Top of the ne�ct higher floor NA. �feet ❑meters(Puerto Rico only)
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)
fl 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 CERTIFICATIaN
This certification i�to be si ned and sealed a land su or,en ineer,or architect authorized b law to cert' elevatian ;��+*J �;�„
information. I oe�tify�at tfie irrtormation on�Cerfificat�e►epre�nts my best efioits to irrte►pret the data av�1e. �� y
�:.,
!u►►der.;tand thaf arry false statemer►t may be panishable by fine or imprisonme�ur�er 18 U.S. Code,Sec�iorr?�9. .r,` , • • ••.'�,� �;:�
��.
, �.,
❑ Chedc here if c�mmer►ts are pravided on back of form. . � �'
;f' '-w°' �-� �'
r's Name JOHN R.BEACH License Number 2984 �� �
� w. � r �r.:
- Y}..,�, ;;
PLS Comparry Narne JOHN R.BEACti 8 ASSOC_,{NC. � , , �� � �� ,y�;,�, �
� 1 „L
Address 911 ST.PETERSSUI2G DR W City OLDSMAR State FL Z!P Gode 34fi77 -,��'` ,�G w
fl �.�. . •'��� .
Signatu Telephone 813-854-1276 + -
FFM�Fo 1-31, February 2006 See reverse side for continuation. Repla all previous edi#ions
� #
IMPORTANT: In these spac�,c�y the cornesponditx,�information from Section A. For Irrsurance Company Use:
Building Street l4ddress(induding Apt.,Unit,Suite,artdior Bddg.No.}or P.O. Route and 8ox No. Policy Number • ,
1513 TAUSi�R DR
City CLEARWATER StateFLZiP Code 33755 Company NAIC Number
SECTION D-SURYEYOR,ENGiNEER,OR�4RCHITECT CERTtFICATiQN(CQN�1NtiED) -
Copy both sides of this Elevation Certificate for(1)c�nmunity a�Fficaal,(2)insurance ager►t/�npany,and(3j building aamer. ,—�
Commerrts
Signature Date 5!6/08
❑ Chedc here if attachments
SECTION E- 1 ELEVATION INFORMATION(SU EY NOT REQUIRED)FOR ZONE AO AND ZONE A�(1MTHOUT BFE)
For Zones AO a A(without ,complete Items E1-E5. If the Cert�cate is irrte�ed to support a LdMA or LONIR-F request,cornplete Sectior�s A,B,
and C. For Items E - ,use natural grade,if available. Chedc the measurement used. In Puerto Rico anly,enter meters.
E1. Provide elevation i�om�ation for the foflowving and chedc the appropriate boxes to show+whether the elevation is above or below the hic,�hest adjacent
grade(HAG)and the lowest 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(induding basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ betow the LAG.
E2. For Building Diagrartts 6-8 with pertnanent flood openings provided in Section A Items 8 andlor 9(see page S of Instrudions),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 slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servici�g the buifding is ❑feet ❑meters ❑above or 0 below the HAG.
E5. Zone AO only: If no flood depth number is available,is the tap of the bottom floor elevated in accordance mrith the community's floodplain management
ordinance? ❑Y� ❑ No ❑ Unknown. The local official must certify thi�irfioRnation in Sec�ion G.
SECTION F-PROPERTY OWNfR(OR OWNER'S R�PRESENTATfVE)CERTIFlGATION
The property owner or oMrt�rs authorized representative wrho carnpletes Sectians A,B,and E for Zone A(without a F�-issuecJ or c�nmunity-issued BFE)
or Zone AO must sign here. The statements in 5ections A,B,and E'ai+e conect to the best of my k►�owledge.
Property OwnePs or OMmer's Authorized Representative's Name .
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if atkachmertts
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain managemerrt ordinance can complete Sections A,B,C(ar E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Chedc the measuremer►t used'm Items G8.and G9.
G1.❑ The information in Section C was taken from other documerrtation that has been signed and sealed by a lioensed surveyor,engineer,or architect who
is authorized by law to certify elevation informafron. (fndicate the source and date of the elevation data irt tt►e Commerrts area bebw.)
G2.❑ A community official completed Section E for a building focated in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The foUowing information(Items G4.-G9.)is pravided for cornmunity floodplain management purp�es.
G4.Permit Number G5. Date Permit Issu� G6. Date Certificate OP CompliartaetOccupancy issued
G7.This permit has been�ssued for. ❑New Construction ❑Substantial tmprovement
G8.Elevation of as-built lowest floor(induding basement)of the building: _❑feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of flooding at the building siEe: ❑feet ❑meters(PR)Datum
Local QfFici�Ps Name Title
Community Name Tefephone
Signature p�
Cam►nents
❑Check here if attachmerrts
FEMA Form 81-31,February 2006 Replaces all previous editions