1509 TALISKER DR U.S.D�PARTMENT OF HOMELAND SECURITY EL.EVATI4N CERTIFICATE oMe"o. 'sso-a�
Federal Emergency Managemerrt Agency Ex�ires Februarv 28.2009
National Flood Insurance Program important: Read the instructions on pages 1-8.
SECTlON A-PROPERTY INFORMATION For insurance Company Use:
1. Buiiding Owne�s Name BEAZER HOMES Policy Number
. Building Street Address(inGuding Apt.,Unit,Suite,and/or 8klg.No.)or P.O.Route and Box No. Company NAiC Number
1509 TALISI�R Dft
City CLEARWATER State FL ZIP Gode33755
A3. Property Description(Lot and Block Numbers,T�Parc:el Number,Legal Description,etc.
LOT 3,BLOCK 3.HIGHLAND GLEN ��'� 2.Q� �� �J�r��,�
A4. Building Use(e.g.,Residential,Non-Residentiai,Add'Rion,Acoessory,etc.)RESIDENTIAL
A5. LatitudelLongitude:Lat. Long. Horizontal Datum:❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the buiiding if the Certificate is being used to obtain flood insurance.
A7. Buildirtg Diagram Numberl
A8. For a building with a ccawl space or endosure(s),provide A9. For a building with an attached garage,provide:
a) Square fc�otage of crawl space or enGosure(s) NA sq ft a) Square footage of attached garage NA sq 8
b) No_of permanern flood openings in the crawl space or b} No,of permanent flood openings in the aftached garage
enGosure(s)aralls within 1.0 foot above adjacerrt grade NA wal�within 1.0 foot above adjac�nt grade NA
c) Total net area of flood apenings in A8.b NA sq in c) Total net area of flo�openings in A9.b NA sq in
SEC7'ION B-FLO00 INSURANCE RATE M/1P(FlRM)INFORMATION
B1.NFIP Community Name 8 Community Number B2.County Name 63.State
CLEARWATER 125096 PINELLAS FLORIDA
B4.Map/Panel Nurnber B5.5uffoc B6.FIRhA Ind�ac B7.FIRM Panel B8.Fbod B9. Base Flood Elevation(s)(Zone
Date Effedive/Revised Date Zone(s) AO,use base flood deptl�)
12103C0107 H 9/31Q3 9l3J03 AEX '19'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth errtered in ftem 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe)
�1. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
. ls the building tocated in a Coastal Barrier ResourGes System(CBRS)area or Othervvise Proteded Area(OPA)? ❑Yes �No
Designation DateNlA ❑CBRS ❑OPA
SECTtON C-BUILDING ELEVATION INFORMATfON{SURYEY RE(IUtRED)
C1_ Building eievations are based on. ❑Construction Drawir�gs* �Building Under Construdian* ❑Finisfied Construction
A new Elevation Cefificate will be required when construdion of the bu�d"mg is complete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,AR/A,AR/R�E,AR/A1-A30,ARtAH,AWAO. Canplete Items C2a-g
below acxording to the building diagram specified in Item A7.
Benchmark Utilized HIGHLAND E Vertical Datum 1988
Conversion/Comments NONE
Chedc�e measursmerrt used.
a) Top of bottom floor(inGuding basement,crawt space,or enclosure 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 equipmerrt servicing the buitding NA. �feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
� Lowest adjacent(finished)grade(LAG) 26.67 �feet ❑meters(PueRo Rico only)
g) Highest adjacent(fin�hed)grade(HAG) NA. �feet ❑meters(Puerto Rico only)
SECTION D-SURYEYOR,ENGtNEER,OR ARCHI7ECT CERTIFICATiON ����� ».,n,Q._
This certfication is to be s' ned and sealed b a land su �������
ig y rveyor,engineer,or architect authorized by!aw to csertify elevation ,<r,�#�' �t� ���
inf�o�rnation. 1 ae�rtily ihaf the iM�rafion on this Ce►Sfrcai+e represe►rts my best etTiorts to inie►Aret the data ava�ab�e. i} .�J ,., ,„
1 u�alerstarad that arry fal�staf�emerrt may be punishable by fine ar im�wi�rnrrerrt under 18 U.S. Cade,Sedion 1001. �;`�
<�,�� '<�,r -�
p cr+edc nere if ccm,mer�#s are providea or,baac ot fortn. .� �'-�}�a` =`
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rtife�'s hl�ne JOHN R BEACH License Number 2984 * ( :t,f "� ...� �:_ v ,
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PL5 Corttparry fiiame JOHN R BEACH 8�ASSOC.,INC. � ' � �' � �'y/�~ ,'�
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Address 919 ST_PETERSBURG DR W City OIDS�AAR State FL ZtP Code 34677 :;-�':�;� ,
a ,, _,_ ;.
Signatu 5/6108 Telephone 813-854-1276 ;�� � ,�� ;;�
F Fo 1-31,February 2006 See reverse side for continuation. Re laces I pceviaus editians
IMPORTANT: In these sp2tc�s,copy the corresponding ittformation from Section A. For Insurance Company Use:
Buiiding Street Address(inGuding Apt.,Unit,Suite,arnUor Bidg.No.)or PA.Route and Box No. Policy Number
1509 TAUSKER DR
City CLFARWATER StateFLZfP Code 33755 Company NAIC Number
SECTION D-SURVEYOR,ENG�NEER,OR ARCHRECT CERTIFICATIQN(CONTINUED) -
Copy both sides of this Elevation Certificate for(1)car►mtrrrity official,(2)insurartce agent/company,and(3)buildmg uvmer.
Commerrts
Signature Date 5/6/08
❑ Check here iF attachments
SECTION E-BU G EVATION INFORMAi'ION(SUR NOT REQUIRED) FOR ZONE AO AND ZONE A(WtTHOUT BFE)
For Zones AO and witMout BF mplete Items E1-E5. ff the Certifipte is irrtended to support a U3AAA or LOMR-F request,complete S�tions A,8,
and C. For ftems E1- , natural grade,if available. Chedc the measur+�ner►t used. In Puerto Riw only,errter meters.
E1. Provide elevation information for the folJowing and chedc tt►e appropriate boaces to show whether the elevatian 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 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 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 sfab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or 0 below the HAG.
E5. Zone AO only: If no flqod depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The bcat o�fficaal must oertify this i�ormation in Section G.
SECTION F-PROPE�iTY OWNER(OR OWNER'S RERRESENTATlVE�CERTIFlCATION
The property flwner or owner's authorized represerrtative who completes Sec�ions A,B,and E fur Zone A(withaut a FEMA�-issued or c�nmunity-i�ued BFE)
or Zone AO must sign here. The stetemer+ts in Sectrons A,B,and E are�nect to the best of my k►aowfedge.
Property Owner's or Owner's Authorized Representative's Name .
Address City State ZIP Code
Signature Date Telephone
Corr�merKs
❑Chedc here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by taw or ordinance to administer the community's floodplain management orciinanc:e can complete S�tiorts A,B,C(or E),
and G of this Elevation Certficate. Compfete 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 documeMation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is author¢ed by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area belanr.)
G2.❑ A community offrcial completed Section E for a building focated in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The follovrring information{Items G4.-G9.)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy lssued
G7.This permit has been issued for. ❑New Construction ❑Substantiat fmprovement
G8.Elevation of as-buitt lowest floor(including basement)of the building: _�feet ❑meters(PR)Datum
G9.BFE or(in z���e AO)depth ot flooding at the building sfte: ❑feet ❑meters(PR)Datum
Loca#�ficiaPs Name Tdle
Community Name Telephone
Sigrature Datee
Comments
❑Chedc here'rf attachments
FEMA Form 81-31,February 2006 �teplaces all previous editions