1521 TALISKER DR \ _ - _ __
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„ � OMB Mo. 166Q-0008
U.`.DL RTMENT OiF HOMELANO SECUFtITY ELEiiQ►Ti iON CEi��i Fi�A�'E
Federal Emergertcy Management Agency I Exoires Februarv 28.2009 I
National Fiood insurarrce Program Important: Read the instructions on pages 1-8.
SECTiON A-PROPERTY INFORMATION For tnsurance Company Use:
A1. Budding Owner's Name BEAZER HOMES Policy Number
. Building Street kdd�e.ss(indudng Apt,Unit,Suite,ancUor Bidg.No.}or P.O.Route and Box No. Company NAIC Number
1521 TALISKER DR
City CLEARWATER State FL ZFP Code33755
A3. Property Description(Lot and Biodc Numbers,Tax Paroet Number,Legal Desaiption, , /t
LOT 8,BLOCK 3,HIGHLAND GLEN � � 2���� l7� "�J �
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. LatitudelLongitude:Lat. Long. Horizontal Datum:❑ NAD 7927 � NAD 1983
A6. Attach at least 2 phot�raphs of the building'rf the Cerbfipte is being used to otrtain flood i�uurance.
A7. Building Diagram Numberl
A8. For a building with a crawl space or enGosure{s},provide A9. For a buildmg with an attad�ed garage,provide:
a) Square footage of crawl space or endosure(s) NA sq ft a) Square footage of attacheel garage NA sq ft
b) No.of pertnanerrt flood openings in the crawl space or b) No.of pertnanent flood openings in the attached garage
endosure(s)waifs within 1.0 foot above ad'}acent grade NA waHs within 1.0 foot above acijacent grade NA
c) Total net area of fl�d openings in A8b NA sq in c) Total net area of flaod openinc�s in Pl9.b NA sq in
SECTION B-FLOOD INSURANCE RATE M�4P(FIRM)tNFORMATION
B7.NFIP Commu�ity Name&Community Number 62.Courrty Narne B3:State
CLEARWATER 125096 PINELLAS FLORIDA
B4.Map/Panel Number B5.Suffoc B6.FIRM Index B7.FiRM Panel B8.Flood 89 Base Flood Elevation(s)(Zone
Date Effedive/Revis�Date Zone(s) AO,use base flood depth)
12103C0107 H 9/3/03 9t3/d3 AE,X 19'
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile �FIRM ❑ Community Determined ❑Other(Describe)
11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No
Designation DateN/A ❑CBRS ❑OPA
SECTtON C-BUILDING ELEVATIdN IMFORMATlON(SURVEY REQUIRED)
C1. Bui�irtg elevations are based on: ❑Construction Drawings' �Building Urnler Cortstruction' ❑F�ished Constructian
'A n�v Elevation Certfipte will be r+equired when c�►st►uctkm of the building is c�rnpt�e.
C2. E�vations-Zones A1-A30,AE.AH,A(with BFE),WE,V1-V30,V(with BFE),AFt,ARlA,AR/HE,AR/A1-A30,RR/li�H,ARtAO. Complete Iterns C2.a-g
below accxr�ding to the trui�ing diagram specifred in kem A7.
Benchmark Utilized HtGHLAND E Vertical Datum 1988
Conversion/Comments NONE
Gheck the measutemerrt used.
a) Top of bottom floor(inGuding basement,crawl space,or enclosure floor)_ 27.00 �feet ❑meters(Puerto Rico only)
b) Top of the next 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)
� Lowest adjacent(finished)grade(LAG) 26.7 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) NA. �feet ❑mete►s(Puerto Rico only)
SECTION D-SURVEYOR,ENGtNEER,OR ARCHtTECT CERTIFICATIOW ,� -�=
This certification is to be signed and seal�by a land surveyor,errgineer,or ar�chitect authorized by iaw to certif�elevation �
infarmation. l oeAily that the info�mation on this Ce►�Cate rep►esertts my best efl�rfs to interpret tbe data availaWe.
I understand that arry false staiement may be punishable by fine�irre�isonrr�r►t under 18 U.S. Code,Section 1001. . , J� .';
F� i�
❑ Check here if cbmmer�ts are provided on badc of fom�. . „ � ��
r ts
f� " N�
rtifier's Name JaiiN R.BEACH License Number 2984 �� �`;��
le PLS Company Name JOHN R.BEACH 8�ASSOC.,INC. , . A�
Address 911 ST.PETERSBURG DR W CiiY OLDSMAR State Fl ZIP Cade 34677 �
Signatu 4!9/08 Telephone 813-854-1276 ' '
F Form 1-31,February 2006 See reverse side for corrtinuation. Rep s all previous editions
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IMPORTANT: ln these spaces,copy tf�e cortesponding information from Seation A For Insurance Company � :
Suildir�g Street Address(induding Apt.,Unit,Suite,araf/or 61dg.No.)w P.O.Route and Box No. Policy Number
1521 TRLISKER
City CLEARWATER StateFLZtP Code 33755 Company NAIC Number
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) _
Copy both sides of this Elevatian Certifiqte for(1)comrnun�r affiaal,(2)insurance agent/canpany,and{3)buikfing owner.
Commerrts
Signature Date 4/9/08
❑ Chedc here if attachments
SECTION E- DIN ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND Z4NE A(WITHOUT BFE)
For Zones AO a with ,compfete�E1-E5. If the Certificate is irrtended to support a LOMA or L�-F req�st,camptete Sections A,B,
and C. For�E�-E4,use natural grade,ff available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elewation ir�formation for the following and check the appropriate boxes to show whether the efevation is above or belaw the fiighest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enGosure)is ❑feet ❑meters ❑above or�below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below 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 G2.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 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 community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The Iocal official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property�r or awner's authorized represerrtative who completes Sections A,B,and E for Zone A(without a FEMA-issued or c�mmunity-issued BFE)
or Zone AO must sign here. The statemertts in Sedions A,8,and E are c+orr�ct to the best of my knowledge.
Property Owners or Owners Authorized Representative's Name -
Address City State ZIP Code
Signature Date Telephone
Comrr►ertts
❑Chedc here'rf attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local Mficial who is authorized by law or oMinance to administer the community's floodplain management ordirtanc•.e can c�mplete Sectiais A,S,C(or E),
and G of this Elevation Certficate. Complete the applipble item(s)and sign below. Chedc the measurement used in Items G8.and G9.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify etevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official compteted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The foliowing irrtomtation(Items G4_-G9.)is provided for community floodplain management purposes.
G4.Pertnit Number G5. Date Pertrrit Issued G6. Dabe Certific�te Of CompliancefOccupancy fssued
G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement
G8.Elevation of as-buik lowest floor(including basement)of the building: _�feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum
Local OfficiaPs Name Title
Community Wame Telephone
Signature Date
Commerrts
❑Check here rf attachments
FEMA Form 81-31, February 2006 Replaces all previous editions