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1505 TALISKER DR U.S.D�PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 166fl-QOQ8 Federat Emergency Management Agency Exoires Februarv 28.2009 rNafional Flood insurance Program Impartant: Read the instructions on pages 1-8. SECTiON A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owrr��s Name BEAZER HOMES Poticy Number . Building Street Address(inGuding Apt.,Unit,Suite,and/or Bldg.Na.)or P.O.Route and Box No. Company NAIC Number 1305 TALISKER DR City CLEAftWATER State FL ZIP Code33755 A3. Property Description(Lat and Blodc Numbers,Tax Parael Number,Legal Descripfion,etc.)��� �O�r „�� LOT 1,BLOCK 3,HIGHLAND GLEN ��•� A4. Building Use(e.g.,Residenfial,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 useei to obtain flood insurance. A7. Build'mg Diagram Numberl A8. For a building witih a crawl space or enGosure(s),provide A9. For a build'mg with an athached garage,provide: a) Square footage of c:rawl space or enclosure(s) NA sq ft a) Square footage af attached garage NA sq ft b) No.of pertnaneM flood openings in the crawl space or b} No.of permanent flood openings�the�tached garage endasure(s)walls witMin 1.0 foot above adjacem grade NA walls within 1.0 foot above adjacerrt grade NA c) Total net area of flood ope�ings in AS.b NA sq in c) Total net area of flood openi�s in A9.b NA sq in SECTION 8-FLOOD INSURANCE RATE MAP(FIRIII�tNFORMATtON 61.NFIP Community Name 8�Community Number 62.Caurrty Name B3.State CLEARWATER 125096 PINELLAS FLORIDA B4.AAap/Panel N�nber B5.Suffix B6.FIRM lrtdex B7.FIRM Panel B8.Flaod 89.Base Flood Eievation(s}(Zo�e Date Eft�ive/Revised Date Zone(s) AQ use ba�e flood depth) 12103C0107 H 9/3103 9/3/03 AE,X 19' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in ftem B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe) 11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) fs the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPAj? ❑Yes �No Designation DateN/A ❑CBRS ❑OPA SEC710N C-BUILDING ELEVATION iNFORMATION(SURVEY aEQUiaED) Ct. Buikling elevations are bas�i on: ❑Construction Drawings* �Building Under Construction' ❑Fin�i Canstruction 'A r�ew Elerration Certificate will be required wMen conshudion oF the buikiing is complete. C2. Eaevatians-Zones R1-A30,AE,AH,A(with BPE),dE,V1 V30,V(with�E),AR,/1R/A,AR/AE,AR/A1-A30,RWAii,AWAO. Comple�Items C2.a-g below acxflrding to the building diagram specified in Ikem A7. • Benchmark Util¢ed HIGHLAND E Vertical Datum 1988 Conversion/Comments NONE Chedc the measuremerrt�ed. a) Top of bottom floor(including basemeM,crawl space,or enGosure floor)_ 26.97 �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 eievation of machinery or equipment servicing the building NA. �feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent(finished)grade(LAG) 26.67 �feet ❑meters{Puerto Rico only) g) Highest adjacent(finished)grade(HAG) NA. �feet ❑meters(Puerto Rico only) SECTION D-SURNEYOR,ENGINEER,OR ARCHITECT CER7"FFICATtON This cer6fication is to be signed and sealed by a land surveyor,engineer,or architect authorized by iaw to certify elevation „���s"F""�'�%<„ inioTmatian. I cerfify that tt�e ir�rmaSon on this Certifrsate►a�ese►rts my best efl�Orfs to iM�rpret ri►e data avar7ab�. om 1 understand that arry fatse statement may be punishabte byfine ar imprisonmerrt under 18 U.S.Code,Seclion 1001. �.'��+ ,, ' ••.�� ° . s y. �.. � `i. ❑ Chedc here if commertts are provid�on bedc crf form. " ,.t, � ,� J «� . �~r rtifier's Name JOHN R.BEACH License Number 2984 �� � � � �6 � �� ��. � a �..tS! �k'�� L,��. � .. rtle PLS Company Name JOHN R.BEACH&ASSOC.,INC. .� „�•4� '��r �� �,,�, '' �` - , (� '� + �%> �,, Add�ess 911 ST.PEf'ERSBItRG DR W City OLDSMAR State FL ZIP Code 34fi77 �� x �� � �;�� ��'"" � . � ^.. .° �'� ' Signatu /6l08 Telephone 813-85d-1276 �°-�, ^*.;�. .,, FE orm 1-31,February 2006 See reverse side for continuation. Rep ces all previous editions � + IMPORTANT: in these spaces,copy the comesftond'tng i�tformation frorm Se�tion A. For Insurance Company Use� Building Street�ress(i�duding Apt.,Unit,Suite,andk�r 81dg.Wo.)or P.O.Route and Box No. Policy Number 15(}5 TALtSKER DR City CLEARWATER StateFLZIP Code 33755 Company NAIC Number SECTION D-SURVEYOR,ENCylNEER,OR ARCHITECT CER'ftF1CATION(CONTiNUED) Copy both sid�of this Etevation Gertificate for(1)canmtmity official,(2)insurance agerrt/company,and(3}building owner. Commerrts Signature Date 5/6/08 ❑ Chedc here if attachments SECTION E- DI ELEVATION INFORMATION(SU NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO a A(witho ),cmnplete Items E1-E5. ff Ehe Certfipte is irrtend�to support a LOMA or LOMR-F request,complete Sedions A,B, and C. For Items E - ,use natural grade,if available. Chedc the measur�mertt used. In Puerto Rico only,enter meters. E1. Provide elevation infom�ation for the following and chedc the appropriate boxes to show whether the elevation is above or below the highest adjacerrt grade(HAG)and the lowest adjacent grade(LAG). a}Top of bottom floor(inGuding basement,crawl 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 ❑bebw the HAG. E3. Attached garage(top of slab}is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machi�ry and/or equipmenY servicing the building is ❑feet ❑meters ❑above or�below tfie HAG. E5. Zone AO ony: 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 locai official must certiiy this irrformation in Section G. SECTION F-PROPERTY OW�lER(OR OWNER'S R�PRESENTATfVE)CERTiF1CAT10N The property owne�vr owner's authorized represernative who cwnpletes Sedions A,B,and E far Zone A(without a FEMA-issued or commarrity-issued BFE) or Zone AO must sign here. The statements in Sedions A,8,and E a►e oonect to die best of my krrowledge. Property Owner's or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephane Corrtmerrts ❑Chedc here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the c�mmunity's floodplain managemerrt ordinance can compiete Sedio�A,B,C(or E), and G of this Eievation Certficate. Complete the appticable item(s)and sign below. Chedc the measurement used in Items G8.and G9. G1.❑ The information in Section C was taken from other documerdation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to cert'rfy elevation informatinn. (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 Zane AO. G3.❑ The following infc�rmatian(Items G4.-G9.)�provided for c�mmunity floodplain martagement p.urposes. G4.Pertnit Number G5. Date Permit Issued G6. Date Certificate Of Compliaaoe/Oocupancy Issued G7.This permit has been issued for. ❑New Construction ❑Substantial Improvement G8.Elevation of as-built 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 Lopl^.,�ficiaPs Name Tdte Cormmunity Name 7elephone Signature Date ��� - ❑Check here'rf attachments FEMA Form 81-31,February 20(36 Replaces all previous editions —.�_.._-