1507 TALISKER DR U.S.DEPARTMENT OF HOMELAND SECURiTY ELEVATION GERTIFICATE OMB No. 1660-000�
Federai Emergency Managemerrt Agenq Exoires Febntarv 28.2009
National Flood Insurance Program lmportant: Read the instructions on pages 1-8.
SECTiON A-PROPERTY INFORMATlOM For Insurance Company Use:
1. Buiiding ONrt�e�'s Name BEAZER HOMES Policy Number
. Building Street Address(induding Apt,UnR,Suite,antUor Bldg.No.)or P.O.Route and Box No. Company NAIC Number
1507 TALISKER DR
City CLEARWATER State FL ZIP Code33755
A3. Property Description(Lot and Biodc Numbers,Tax Paroel Number,Legal Descripti
LOT 2,BLOCK 3,HIGHLAND GLEN ���U� �-��(„`(/"�
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�ast 2 photographs of the building if the Cert"rficate is being usad to obtain flood insurance.
A7. Buikfing Diagram Number1
A8. For a building with a crawl space or encbsure(s),provide A9. For a building with an attached garage,pravide:
a) Square footage of crawl space or endosure(s) NA sq ft a) Square footage of attar�ed gara� NA sq ft
b) No.of pertnanent flcjod openings in the crawl space or b) No.af permanent flood openings in the attacMed garage
endasure(s}walls within 1.0 foot above adjaceM grade NA walls within 1.0 foot aimve adjacerrt grade NA
c) Total net area of flood openings in/iS.b NA sq in c) Total net area of flood openings in A9.b NA sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)iNFORMATlON
B1.NFIP Cammunity Name&Community Number 62_Cour►ry Name 63.State
CLEARWATER 125096 PINELLAS FLORtDA
84.Map/Panel Number 65.Suffoc B6.FIRM lr�c B7.FIfiAA Panel B8.Fbod B9.Sase F�od Efevaaon{s){Zane
Date Effe�ve/Revised DaGe Zone(s) AO,use base flvad depth)
12103C0107 H 9/3tQ3 9l3/03 AE,X 19'
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth errtered in Item 89.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe)
�1. Indicate elevation datum used for BFE in ftem 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
Is the building located in a Coastaf Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No
Designation DateN/A ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INfORMATION(SURVEY REQIitRED)
Gt. Building elevations are based on: ❑Construction Drawings• �Building Under ConstrucEiort" ❑Fnished Cans#ruc�an
A new Elerration Certificate will be required when t�nstruction t�f the building is cx�mplete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE},AR,AWA,AR/AE,RWA1-A30.AR/PtH,11RlA0. Gomplete It�ns C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized HIGHLAND E Vertical Datum 1988
Conversion/Comments NONE
Chedc the measuremertt used.
a) Top of bottom floor(induding basement,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 elevation of machinery or equipment servian8 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-SURVEYOR,ENGINEER,OR ARCHITECT GERTfF1CAT10N
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
ir�#ortnation. I cer6fy thaf the ir►fiwrnafion on this Ce►8ficate►e�presenls my best e�to int�rpret ti►e data availsble.
l urrderstand that an fal��atemerrt ma be unishable b fine or' •.'�� F�.J
Y Y P 3' unP'►rsornnertt urxiler 18 U.S. Code,Sedian 1001 t ` ' -'
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O Chedc here if cammerrts are provided on badc aF fortn. `; , .•'� '�
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�rs Name JOHN R.BEACH License Number 2984 , ,-, , � �-�,�, "p,
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PLS Campany hlame JOHN R.�ACH 8�ASSOC_,INC. ,,,.- .ica ��;v .- <!•_
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Address 911 ST_PETEf2SBURG DR W City C1LDSI�AAR State FL ZIP Code � =: r` �`�
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Signatu 5/6/08 Telephone 813-854-1276 ,`��'� b
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F orm 1-31,February 2006 See reverse side for continuation. ` " , ,�all;�ice�vious editions
IMPORTANT: In these spaces,copy the correspon�ng infortnation from Section A For Insurance Company Use:
Building Strcet Address(induding Apt.,Unit,Suete,a�/or 81dg.No.)or P.O.Route and Box No. Policy Number
15Q7 TALISl�R DR
City CLEARWATER StateFL21P Code 33755 _. Compa�y NAIC Number
SEC1lON D-SURVEYOR,ENGtNEER,OR ARCHITECT CERTIFtCAT10N(CONTINUfD) -
Copy both side�of this Elevation Certificate for(1)commur►ity offrcaal,(2)insurance agerrt/c�mpany,and(3)buiklir�g owner.
Commerrts
Signature Date 5/6l08
❑ Chedc here if attachments
SECTION fLD G ELEVATION INFORMATION(S RVEY NOT REQUIRED)FOR ZONE AO AND ZOhLE A(WITHOUT BFE)
For Zones AO d A(witho F�,complete Items E1-E5. If the Certificate is iritended to support a L�AA or LOMR-F request,complete Sedions A,B,
and C. For Items ,use natural grade,if available. Chedc the measuremerrt used. In Puerto Rico only,errter meters.
E1. Provide elevatian irtfomration for the following and checic the appropriate boxes to show whether the elevation is above or betaw the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(inGuding basement,crawl space,or endosure)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-S with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instrudions),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 siab}is ❑feet ❑meters ❑above or ❑befow the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the FtAG.
E5. Zone AO only: If no flood depth number is availabie,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknrnm. The focal official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S RfPRESENTATIVEj CERTIFICATION
The property owner or ownePs authorized repr�esentative who c�ptetes S�tions A,B,and E for Zone A(without a FEMA-issued or canmunity-issued BFE)
or Zone AO must sign here. The stat�ments in Sec�ions A,B,and E are oonect to the best of my knowdetlge.
Property Owner's or OwnePs Authorized Representative's Name .
Address City State ZIP Gode
Sgnature Date Telephone
Commerrts
❑Chedc here h attachments
SECTION G-COMMUNITY INFORMATtON(OPT{ONAL)
The Iocal official who is authorized by law pr ordinance to administer the community's floodplain managemerrt ordinanae can compbte Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applipble item(s)and sign below. Chedc the measurement used in Items G8.and G9.
G1.❑ The ir►formation in Section C was taken from other documerrtation that has been signed and sealed by a licensed surveyor,engineer,or arc�itect who
is authorized by law to certi(y eievation infortnation. (Indicate the source and date of the eievation data in the CommeMs area below.)
G2.❑ A community official c�mpl�ted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The foUowing ir�formation(Items G4.-G9)is provided for communily floodpfain managemerrt purp�es.
G4.Pertnit Number G5. Date Perm�Issued G6. Date Certficate Of CompfianoelOcarpancy Issu�
G7.This permit bas been issued for. ❑New Constru�ion ❑Substantial Improvement
G8.Elevation of as-built lo+n�st floor(inGuding 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
Lacat OfficiaPs Name Title
Community Narr►s Tefephone
Signature Date
Commers�s
❑Check here if attachmer�4s
FEMA Fotm 81-31,February 2006 Replaces all previous editions