1525 TALISKER DR a„�;.���p�-r��r�=o=�oa����s=cu�rn ELEVATtON CERTl�1CATF oN►B�vo. �sso-000s �
Federal Emergency Managemerrt Agen�y � ExDit�es Februarv 28.2(�9 (
l4atiana!Flood lnsurance Program lmportarrt: Rsad the instructions on pages 1-8.
SECIION A-PROPERTY INFORMATIQN for tnsurance Company Use:
A1. Building Ow�ePs Name BEAZER HOMES Poficy Number
A2. Building St�ree#Add�e.ss(induding Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Raute and Sox No. Campany NAIC Number
1525 TALISI�R DR
�itv CLEARINATER State FL ZIP Code33755
:43. Property Description(Lot and Block Numbsrs,Tax Parce(IVumber,Legaf Descripta.o�,^.y� � f�i ��C�
LOT 10,BL�K 3,HIGHLAND GLEN �� �� O
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 teast 2 photographs of the building'rfthe Certificate is being used to obtain flood"msuranoe_
A7. Buildir►g Diagram Number7
A8. Far a building with a crawf space or enGosure(s},provide A9. For a building with an attached garage,provide:
a} Square footage of c�awl spaoe or e�uie(s) NA sq ft a) Square faota�ge of attached garage NA sq ft
b} No.of permanerrt flood openings in the cr�vt space or b) Na.of pertnane�flood openings in the a8ached garage
endosure(s)walls within 1.0 foot abcrve adjaoerrt grade NA watls within 1.0 foot above adjacent grade NA
c) ToNa1 net area of flood openings in AB.b NA sq in c) Total r►et area af flood opertings in A9.b NA sq in
SECTION B-FLOOD 1NSURANCE RATE MAP(FIRM)INFORMA'�ON
B1.NFIP Community Narne&Communify Nurnber 82.County Name 63.Stafie
CLEARWATER 125�96 PINELIAS FLOftlQA
i
B4.Map/Panel Numtrer B5_SuFfix B6.FIRM index B7.FIRM Panel BS.Fiood 69.Base Flood Eievation(s)EZor►e
Date EffectivelRevis�Date Zone(s) Ap,use base flaod�)
12103Ct1107 N 9J3J03 913/03 KE,X 79'
610. tndiqte the source of the Base F{ood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profi�e �FIRM ❑Cammuniry Determined ❑Other(Des,cribe)
B11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) •
812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes �No
Designation DateN/A ❑CBRS ❑OPA
SECTIOrN C-BUILDING ELEVATION INFORMATION(SURVEY REQUIREDj
C1. Bui�ing elevalions are based on: ❑Construction Drawings' �Building Under Catistrudi�' ❑Fa�isFted Construt�iCm
`A new Elevati�n Certificate will be requir�when�uc3ion of the��is c�amplete.
C2. Elevations—Zones Ai-A30,AE,AH,A(vvith BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AfifA1-R30,AR/AH,ARJAO. Ccxnplete ltems C2.a-g
below acxording to the buildirig diagram sp�ecified in Item A7.
Benchmark Utilized HIGHLAND E Vertical Datum 198$
Conversion/Comments NONE
Chedc ttte measunemern used.
a) Top of bottom floor(including 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 ❑meters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION -%'�` -
.�.
This certfication is to be signed and sealed by a land sunre�ror,engineer,or architect author¢�by law to oerfrfy elevation #��,-�� . •"�-
infiormation. I cefify that the information on this Certifx�fe repres�e�nts my best efiorts fo int�rpret the data avarlable " " � k`� � y
1 understand that any#alse statemertt may be punisitable by fine ar�i�onment ander 18 U.S.Code,Sec�ron 900? � � :t�'
��:�' .��� •° � �{ sf� s
❑ Chedc here if cornmen#s are provided on back af form. •`�,, ,��,' ° �'a �;';
. :+z�.� g�" " LC-
:� - k% C3
t� � J i.
Certifier's Name JOHN R.BEAGH License Number 2984 "' :j`� �' � t
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TiHe PLS Company Name JOtfM R.BERCH 8�ASSOC.,INC. ��� ��, ,,��
„�-•... c�
Address 911 ST.PETERSSURG DR W City OLDSM�R State FL ZIP C�e 34677 "t,..�'�,�,,r .`''`
��`'� �i�`.ia�.�<�-`;:�
Sigrtature Telephone 813-854-1276 °
FE orm -31,February 2006 See reverse side for carrtinuatian. Re ces all previous edifions
�
.
IMPORTANT: in these spaces,copy the conespont�ng infortnation from S�ection A. For tnsurance Company Use: '
Buikiing Street Addre�(ind�ing Apt_,Unit,Suite,and/or Bidg.Mo.)or P.O.Route and Box No. Policy Number
1525 TALISKER
City CLEARWATER StateFLZtP Code 33755 Company NAIC Number
SEC110N D-SURVEYOR,Ei�K�INEER,OR ARCHITECT CERTtF{CATION(CONTf1VUED)
opy both sides of th�s Elevation Certificate for(1)community official,(2)insurance agerrt/company,and(3)building owner.
Cammerrts
Signature Date 4/9/08
❑ Check here if attachments
SECTION E-BUtLDIN LEVATION INFORMATION(SUR EY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITH4UT BFE�
For Zones AO a without ),camplete Items E'1-E5. if the Certificate is inter�ed to support a LOMA or LOMR-F request,cort►plete Sections A,8,
and C. For Items E1- ,use natural grade,if avaifable. Chedc the measuremerrt used. I�Puerto Rico only,enter meters.
E1. Provide elevation irsformation for the fallnwing and chedc the ap�ropriate boxes to sfiow whether the elevation�above or beiow the highest 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(inGuding 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 C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of sfab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of ptatform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG.
E5. Zone AO ony: If no flood depth number is availabfe,is the top of the bottom floor elevated in accordance with the commundy's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this informafion in Section G.
SECTlON F-PROPERTY�QWNER(�R OWNER'S BEPRESENTAT'fKE)CERTIFtCAT10M
The property owner or owners authorized nepresentative who compfetes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE}
or Zone AO must sign her�e. The stst�emer►ts in Secticins A,B,ar+d E are arrrect to the best of rr►y fv�g�.
rty Owner's or Owner's Authorized Representative's Name
ddress City State ZtP Code
Signature DaYe Telepkmne
Comments
❑Check here if attachrnents
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The I�al afficial who is authorized by law or ordinance to administer the communit�s floalplam management ordinar►ce can c�rnplete Sec:tior�A,B,C(ar E),
and G of this Elevation Cert�cate. Complete the applicable 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 ficensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The following ir►formation(items G4.-G9.)is provided for nommunity floodplain management purposes-
G4.Pertnit Number G5. Date Pemrit Issued G6. Date Certificate Of Compliatme/O�ncy Issued
G7.This permit has been issued for. ❑New Construction ❑Substantial lmprovement
G8. Elevation of as-buift towest floor(including basement)of the building: _�feet ❑meters(PR)Datum
G9. BFE or jin Zone AO)tlepth of flooding at the building site: ❑feet ❑meters(PR)Datum
Locat OfiSaaPs Nac�e Tdle
CQmmunity Name Te{ephone
S+gna+.ure Date
�rren7s
❑Check here if attachments
FEMA Fortn 81-31,Febnrary 2006 Replaces all previous edifions