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1527 TALISKER DR U.S.DEPARTAAEN'f OF HOMEIAND SECURITY ELEVATION CERTIFlCAT� OMB NO. 1660-0008 f �ederai Emergency Managemerrt Agenc.y � ExDires Februarv 28.2f)Q9 I Natiana!Flood Insurance Program lmportant Read the instructions on pages 1-8. SEC110N A-PROPERTY INFORMATION For fnsurance Company Use: A1. Building Owne�s Fiame BFAZER HOMES Poiic�+NumE�r . Building Street Address(inGud'ing Apt,Unit,Suite,andlor Bidg.No.)or P.O.Route and Box No. Comparry MAIC Number 15Z7 TALISI�R DR Citv CIEARWATER State FL ZIP Code33755 A�. Property Descrip6on(Lot and Biodc Numbers,Tau Parce!Number,l.egal Descripfion,etc.) �� S �� ` �o ,�� LOT 11,BLOCK 3,HIGHLAND GLEN Z,(Y� � �•� 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 buifding iF the Certificate is being used to obtain flood insurance. A7. Building Diagram N�nberl A8. For a building with a cxawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Squa►e foatage of crawl spaae or endosure(s) NA sq ft a) Square footage af attached garage NA sq ft b) No.of permanerrt flood openings in the crasM space or b} No,of permanent flood openings in the attached garage endosure(s)waNs within 1.0 faat abrnre adjaoerrt grade NA waNs within 1 A foot above adjaoerrt grade NA c) Totai net area of flood openings in A8.b NA sq in c) Total r►et area of flood openings in A9.b NA sq in SECTION B-FLO00 INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name 8�Community Number 62.Courrty Name B3.St�e CLEARWATER 125096 PINELLAS FLOfZIDA � B4.Map/Panel Number B5.SuffAC B6.FIRM Index B7.FIRM Panel B8.Flood B9. Base Flood Elevatian(s}{Zorre Date Efiedive/Revised Date Zone(s) AO,�se base fl�d depth) 121 D3C0107 H 9/3l03 9/3/(I3 AE,X 15 BiO. 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(Describej • Is the building located in a Coastal Barzier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes �IVo Designation DateN/A ❑CBRS ❑ OPA SfCTif3W C-BUIL�ING ELEVATION IMFORMATtON(SURV�1f REQ131RED) C1. Building etevations are based an: ❑Canstrudion Drawings' �Building Under Construction* ❑Fenished Canstruc�ian A rtew Elevafion Certificate will be required wt�,m construdion of the buiMing is c�mplete- C2. Elevations-Zones A1 A30,AE,Ati,A(with BFEj,VE,V1-V30,V(with 8FE),AR,AR/A,AWAE,AWR1 A30,ARlA#i,AWAO. CompleEe�terns C2.a� beiow aca�rding to the buildirtg diagram speafied irt ttem A7. Benchmark Utilized HIGHLAND E Vertical Datum 1988 Conversion/Comments NONE Chedc the measurernerrt used_ a) Top of bottom floor(inGuding basement,crawl space,or enGosure 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(PueRo Rico only) e) Lowest elevation of machinery or equipment servicing the building NA. �feet ❑meters(Puerto Rico oNy) (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 ,,r .;r- -. , This oert"rf'+catian is to be signed and sealed by a tand sunreyor,engineer,or archited authorized by law to certify elevafiia� ,,�:{ � ` �' � F+e irrformation. !cerfify that the irrfoimafion on this Cerfificate repre�nfs my best efiorts to irrterpre�t tire data ava�7a6le. ��,,�Jr �„�,.. �.. I understand fhaf arry false sta#emerrt may be pemishat►�e by fine or�nnment under 1&U.S. Code,Section 1QUt. � �, ,�. -.�� :s�� ❑ Chet�e hexe if cornmer�s are prorided on badc of form. �` ,.��.��.'� . ,��,�; `"~ f� �' ' rtifier's Name JOhfN f2.BEACfi License Number 2984 '"> r; � t �.�� `' ��,�� ;�., e PLS Comparty Name JOHN R.BEACH&ASSOC.,fNC. ?�- � vJ & �7 � °,�Q� '� 4 4. �?.... � Address 911 ST.PETERSBURG Di2 W City QLDSMAR State FL ZlP Code 34677 ' �?y-�y� .• _',��e"I*�� oa.t $19R3h1f2 /g/�8 ��8pfl011e�'�3-$rJd-��6 '--- �'r� ,�r��.�� . F Fot^n5' -31'; t�ar�j"20'06 See rev�rse side for carrtinuation. �Repla all previous editions ; � � � IMPORTANT: in these spaces,copy the corresponding infortnation from Section A. For Insurance Company Use: � Building Street Address(indudirrg Apt.,Un�,Suite,ancf/or Bldg.No.)or P.O.Route and Box No. Poticy Number 1527 TALISKER City CLEARWATER StafeFLZIP Code 33755 Company NAIC Number SECTtON D-SU4tVEYt3R,ENG[NEER,OR ARCHITECT CERT[FICATION jCONTIAIUED) - Copy both sides af this Elevation Certificate for(1)community official,(2)insurance agerrt/company,and(3)building owner. Commertts Signature Date 4/9/08 ❑ Ct�ec�c here if attachments SECTION E- L� G ELEVATION INFORMATION(S VEY NOT REQUIRED)FOR ZONE AO Al�ID Z�NE A(VlilTHUUT BFE) For Zones AO nd A(witho E),complete Items E1-E5. If the Cettificate is intended to support a LOAAA or LOMR-F request,camplete Sections A,B, and C. For 8ems - , rratural grade,'rf available. Checic the measur+emeM used. In Puerto Rico only,enber metets. E1. Provide e�vafion information for the following and chedc the appropriate boxes to show whether the elevation is above or betvw�e highest adjaoent grade(HAG)and the lowest adjacent grade(LAG). a}Top of bottom floor(inGuding basement,crawf space,or enclosure)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 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 0 below the IiAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in acxordance with the community's floodpiain management orcfinance? ❑Yes ❑ No ❑ Unknown. The iocal official must cert'rfy this information in Section G. SECTI�N F-Pt�OPERTY QWNER jQR OWNER'S RE�RESENTATIYEj CERTIFICATICHtit The property owner or owners authorized represerrtative who completes Sections A,B,and E for Zone A(without a FEMA-issued or cammunity-issued BFE) or Zone AO must sign here. The statemer+ts irr Sedians A,B,and E a�awr�ct to Hie frest of rtry knowledge. Property Oxmer's ar Owne�s Author¢ed RepreSe�tative's Name - Address City State Z(P Code Sig�a�re Date Telephor�e Comrt�nts ❑Chedc here it attachmerrts SECTION G-COMMUNITY INFORMATION(OPTIONAL) The I�at ofticial who is authorized by iaw or ardinar�ce to administer the community�s floodplain management ordiaance can compiete 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 information in Section C was taken from other documerrtation that has been signed and sealed by a Gcensed surveyor,engineer,or architect who is authorized by law to certify elevation infortnation. (indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a buitding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The fottowing infatmation(Items G4.-G9_)is pravided fior commurriEy flOOdpla)n managemerrt purpwses. G4.Pe�rnit Number G5_ Date Pemrit Issued G6. Date Certificate Of CompliancelOr,cupancy Fssrred G7.This pertnit has been issued for: ❑New Construction ❑Substantial Improvement C8.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 �.00dI�{ftCl3��3�BTife '�'QjE Comrnunity Name Telephane �iqnature Date _�omments ❑Chedc here if attachments FEMA Form 81-31,February 2006 REplaces all previous editions