1523 TALISKER DR_ _ _ _ ___
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U.S;DEP�R'T1IAENT OF HONIELANO SECURfTY ��.��a I I�� CE��I�IC��� OMB No. 1660-0008
Federai Emergency Manageme►rt Agency ExDireS FebruaN 28.2009
National Flood insurance Program Important: Read the instructions on pages 1-8.
SEC110N A-PROPERTY INFORMATION For Insurance Company Use:
1. Building Owners Name BEAZER HOMES Policy Number
. Suilding Street Address(inGuding Apt_,Unit,Suite,ar►d/or Bidg.No.)or P.O.Route and Box No. Company NAIC tJumber
1523 TALISKER DR
City CLEARWATER State FL ZtP Code33755
A3. Property Description(Lot and Blodc Numbers.Tax Paroel Number,Leyal Description.etc.)
LOT 9,BIOCK 3,FttGHLAND GLEN 2� � -- ��y�j�
A4. Building Use(e.g.,Residential,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 Certificate is being used to obtain flood insurance.
A7. Building Diagram Numberl
A8. For a building with a crawl space or enclosure(s),provide A9. For a building witl�an attached garage,provide:
a) Square footage of cxawl spaoe or encbsure(s) NA sq ft a) Square footage of att�ached garage NA sq ft
b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade NA walis within 1.0 foqt a�e adjacern 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-FLOOD INSURANCE RATE MAP(FIRM)tNFORMATION
B1.NFIP Cammunity Name 8�Ca�mmunity Number B2.Courrty Name 63.State
CLEARWATER 125096 PIIdELLAS FLOftIDA
B4.Map/Panel Number B5.Suffoc B6.FIRM Index B7.FIRM Panel BB.Fbod 69 Base Flood Elevation(s)(Zone
Datie Etfcdiwre/ReviSed Date Zorre(s) AO,use base flood depfh)
12103C01 d7 H 9r3/03 9/3103 RE,X 19'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile �FIRM ❑Communiry Determined ❑Other(Describe)
�1. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
fs the building located in a Coastal Barzier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No
Designation DateNlA ❑CBRS ❑OPA
SECTION C-BUtLDtNG ELEVATION INFQR1fAAAATION(SURYEY REQUiRED)
C1. Building elevatiorts are based on: ❑Construction Drawirtgs' �Building Urtder Construdion` ❑Finished Canstruction
*A r�w Elevation Certificate will be required when co�utrudian of the building is c�nplete.
C2. Elevations—Zones A1-A30,AE,RH,A(with BFE).VE.V1 V30,V(with BFE),AR,AR/A,AR/AE,AWA1-A30,AR/AFi,AR/AO. Comptete Items G2.a-g
below acoord"mg to the building diagram specified in Item A7.
Benchmaric Utilized HIGHLAND E Vertical Datum 1988
Conversion/Comments NONE
Chedc the measu►emerrt used.
a) Top of bottom floor(including basement,crawl space,or enctosure 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 ❑meters(Puerto Rico only)
SECTlON D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATtON ,;�,. ,., =
This certification is to be sign�and sea�d by a land surveyar,engineer,or architec�author¢ed by#aw to oefify eleva#ion ��:.',
infomeation. l certily that the information on Hris CertifiCate represerrts my best efhorts to ir�terpret the data avaiJable. F
1 understand that arry false stafemerrt may be punishab/e by fine or imprisonmenf under 18 U.S. Code.Section 1001.
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❑ Chedc here if commerrts are pruvrded on badc of fortn. •'
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rtifier's Name JOFlN R_BEACH License Number 2984 �,,�t „�'r:
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�e PLS Comparry Name JOi-tN R.BEACH&ASSOC.,INC. "!�j .
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Address 911 ST.PETERSBURG DR W City OLDSMAR State FL Z!P Code 34677
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Signature Date Telephone 813-854-1276
FEMA,�tiim 81- 1,Febn�ary 2006 See reverse side for oontinuation. ep s all previous editians
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IMPORTANT: In these spaces,copy tF�e correspondi�information from Section A For Insurance Comparry U'�e: �
BuildPng Street Address(induding Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
1523 TALfSKER
City CLFARWATER S#ateFLZfP Code 33755 Company NAIC Number
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUEDj -
Copy both sides of this Elevaticm Certificate for(1)community offi 'aal,(2)insurance agentk�rnparty,and(3)bui�ing owner.
Commerrts
Signature Date 4/9/08
❑ Check here'rf attachments
SECTION E-B ING LEVATION INFORMATION(SUR Y NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and without BF ,oomplete Items E1-E5. if the Certificate is intended to support a LOMA ar LO�ifR-F request,complete SecEions A,B,
and C. For Items E1- ,use natural grade, 'rf available. Chedc the measuremerrt used. In Puerto Rico unly,enber meters.
E1. Provide elevation ir�formation for the following and chectc the appropriate boxes to shaw whethe�the elevation a above or befow the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or�below the HAG.
b}Top of bottom floor(inGuding basement,crawl space,or enGosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with pertnanent 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 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 local official must certify this information in Sedion G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property awner o�owners authorized represerrtative who completes Sections A,B,and E for Zone A(without a FEMA-'rssued or community-issued BFE)
or Zone AO must sign here. The stateme►rts in Sectiorrs A,8,and E are conect to the 6est of my kr►owle�je.
Property Owner's or Owner's Authorized Representative's Name •
Address City State ZIP Code
Signature Date Telephone
Cornrr�ertts
❑Check here'rf attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by taw or ordinarrce to administer the community's floodplain managemertt ordinance pn complete Sections A,B,C(ot E),
and G of this Elevation Certificate. Complete the applicabte 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 elevation information. (Indicate the source and date of the e�vation data in the CommeMs area below.)
G2. ❑ A community o�cial completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3_❑ The foNowing infortnation(Items G4.-G9.)is provided for commurrity floodplain managemerrt purposes.
G4.Permit Wumber G5. Date Permit Issued G6. Date Certificate Of Comptiance/Occupartcy Issued
G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement
G8.Elevation of as-buift 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 CNficial's Name Tdle
Community Name Telephone
Signature Date
Comments
❑Check here'rf attachments
FEMA Form 81-31,February 2006 Replaces all previous editions