1517 TALISKER DR U.S.DEPARTMENT OF HOMELAND SECURITY ELEV�►Tit)N CERTIFICATE OMB No. 1660-000$ -,
Federal Emergency Managemerrt Agency Exoires Februarv 28.2Q09
National Flood Insurance Program Importarrt: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. Build'mg Owners Name BEAZER HOMES Poficy Number
A2. 8uilding Street Add�s(inGuding Apt�,Unit,Suite,and/or Bldg.Mo_)or P.O.Route and Box No. Company NAIC Number
1517 TAUSKER DR
City CLEARWATER State FL ZFP Code33755
A3. Property Descripfion(Lot and Blodc Numbers,Ta�c Paroel Number,Legal Description,etc.)p 9 c�r�
LOT 6,BLOCK 3,HIGHLAND GLEN D C r- [...007' O��T �`
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 building if the Certficate is being used to obtain flood irisurance.
A7. Building Diagram Numberl
A8. For a buiiding with a crawl space or enGasure(s),provide A9. For a building with an attached garage,provide:
a) Square fiootage of crawl space or enGosure(s) NA sq ft a) Square fiootage of attached garage NA sq ft
b) No.of permanent flood openings in the crawl space or b) No.of pertnanent flood openings in the attach�ed garage
enclosure(s)watls within 1.0 foot above adjaaerrt grade NA waNs within 1.0 foot abovoe adjacerrt grade NA
c) Total net area of flood openings in AB.b NA sq in c) Total net area of flood openings in A9_b NA sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRiA)iNFORMATlON
B1.NFIP Community Name 8�Community Number B2.County Name B3.Sta#e
CLEARWATER 125096 PINELLAS FLORIDA
B4.Map/Panel Number B5.Suffix Bfi.FIRM Index B7.FIRKA Panel 68.Flood B9.Base Flood Elevation(s)(Zone
Date Effedive/Revised Date Zone(s) AO,use base flood depth)
12103C0107 H 9/3/03 9/3/03 AE,X 19'
B10. 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)
B11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) �
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes �No
Designation DateN/A ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings* �Building Under Construction' ❑Finished Co�trudion
A r�w E�vation Certificate wiH be required when construdion vf the buitding is ccxnpleke.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V3Q V(with BFE),AR,AWR,AR/AE,ARJA1-A30,RR/RH,AWAO. Compkte Items C2.a�
below acxording to the truilding diagram specified in Itern A7.
Benchmark Utilized HIGHLAND E Vertical Datum 1988
ConversioNComments NONE
Chedc the measutemertt 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(Puerto Rico onty)
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 certification is to tse signed and sealed by a land surveyor,engineer,or archited authorized by law to certify elevatian - ,;-�
in#ormation. l ce►fi/y diat fhe information on this Cerfficate rep��rtts my best etfats to irrterpref the data ava�7ab�.
I understa►rd that any fa/se statement may be punishable by fime vr imprisonment under 18 U.S. Code,Secfiort 1a09. �''� -
❑ Chedc here'rf c�mmerrts are provided on badc of form. -
,aD
certfiers n�ame JOHN R BEACH Lioense Number 2984 �� -
� � ._
TR1e PLS Company Mame JOHN R.BEACH 8 ASSOC.,INC. - �j� .-
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Address 911 ST.PETERSBURG DR W City OLDSNWR State FL Z1P Code 34677 '�` "
Signatu 4/9/08 Telephone 813-854-1276 -
a , ,.Y-;;,
FEM%�Form 1-31,February 2006 See reverse side for continuation. �Rept s all previous editions
�
IMPORTANT: in these spaces,copy the cornESpondirx,�information from Section A. For Insurance Company Use: �
Building Street Pudd�ess(indudirtg Apt.,Unit,Suite,and/or Bldg_No.)or P.O.Route and Box No. PoGcy Number
1517 TALlSiCER
City CLEARWATER StateFLZIP Code 33755 Company NAIC Number
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERT(FICATION(CONTINUED)
both sides of this Elevation Certificate for(1)community official,(2)irtsurance agenUcorrtpany,and(3)buiidi�g owner.
Commerrts
Signature Date 4/9/08
❑ Check here if attachments
SECTION UIL NG ELEVATION INFORMATION( URVEY NOT REQUIRED)FOR ZONE AO AND 20NE A(WITHOUT BFE)
For Zones A and A(with BF�,cornplete Items E1-E5. If tfie Certificate is irrtended to support a LOMA or LOMR-F request,cornplebe Sedions A,B,
and C. For It�ns ,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and chedc the appropriate boxes to show whether the elevation is above or belaw the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enGosure)is ❑feet ❑meters ❑above or�below the HAG.
b)Top of bottom floor(inGuding basement,crawl space,or endosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with pertnanent flood openings provided in Section A ttems 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 tfie HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG.
E5. Zone AO only: 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 local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who campletes Sections A,B,and E for Zone A(wifhout a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statemenfs in Sections A,Q and E a�e conect to the best of my knowledge.
�operty Owner's or Owners Authorized Representative's Name
ddress City State ZIP Code
Signature Date Telephone
Commerrts
Cl Check here'rf attachments
SECTION G -COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain managemerrt ordinance can cromplete Sedimis A,B,C(or E),
and G of this Elevation Certficate. Complete the applicable item(s)and sign below. Chedc the measurement used in Items GS.and G9.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. ({ndicate the source and date of the elevation data in the Comments area bebw.)
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 information(Items G4.-G9.)is prouided for communify floodplain management purposes.
G4.Pertnit Number G5. Date Permit Issued G6. Date Certficate Of Compiiance/Occupancy Issued
G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement
G8.Elevation of as-buitt lowest floor(induding basement)of the building: _�feet ❑meters(PR)Datum
G9.BFE or(in 2one AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum
Local OfficiaPs Name Title
Community Name 7elephone
Signature Date
mmerrts
❑Check here"rf attachments
FEMA Form 81-31, February 2006 Replaces all previous editions