2794 MORNINGSIDE DRU.S. DEPARTMENT OF HOMELAND SECURITY
Federai Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
important: Follow the instructions on pages 1-9.
Copy ali pages of this Elevation Gertificate and ali attachments for (1 } communityofficial, (2} insurance
285760 SECTION A– PROPERTY INFORMATION
A1. Building Owner's Name
BERNARD J DAVIDSON AND CAROL A DAVIDSON
A2. Building Street Address (inciuding Apt., Unit, Suite, andlor Bidg. No.) or P.O. Route and
Box No.
2794 MORNINGSIDE DRIVE
City State
CLEARWATER FL
A3. Property Description {Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
OMB No. 1 o-ooas i ;
Expiration te: Novemberl30, 20�
aenUcompa' y, and (3) buiid ng owner.
FOR INSU NCE COMP NY USE
Policy Nu er: �
�—
Company IC Number. �
f
ZIP Code I
33759 ;
A4. Building Use (e.g., Residential, Non-Residentiai, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27°59'13.43"N Long. 82°43'18.07"W Horizontal Datum: ❑�
A6. Attach at least 2 photographs of the buiiding 'rf the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
A8. For a buiiding with a crawlspace or enclosure{s):
a) Square footage of crawlspace or eRClosure(s; NIA sq ft
bj Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent
c) Totai net area of flood openings in A8.b 0 sq in
d) Engineered fiaod openings? ❑Yes �No
A9. For a buiiding with an attached garage:
a) Square footage of attached garage 600 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A9.b d sq in
d) Engineered flaod openings? ❑Yes �No
SECTION B– FLOOD INSURANCE RATE MAP {FIRM) INFORMATION
61. NFIP Community Name S� Community Ptumber B2. County Name
125096 - PINELLAS PINE�LAS
64. Map/Panei 65. Suffix 66. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9.
Numbar G Date Effective/ AE(NAVD88}
12103C0126 9/3/2003 Revised Date
9/3l2003 55
610. Indicate the source of the Base Fiood Elevation (BFE) data or base flood depth entered in Item 69:
❑FIS Profile �FIRM ❑Community Determined ❑Other/Source:
611. Indicate eievation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988
B12. Is the buiiding located in a Coastal Barrier Resources System {GBRS) area or Otherwise Protected Area
Designation Date: ❑CBRS ❑OPA
1927
7
83. State
Florida
Flood EI�
AO, use
Depth}
�
FEMA Form 086-0-33 (7115) Replaces ali previous editions. � Form
1983
s)
1 of 6