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788 SNUG IS��,.. u $. c�urr�rr oF �o��uo e�am+nr r�,w,�. �r �r,�w�r� �c+r N'qna.d�to�rl�am�� I �t Addree�s ISLAt�lD � os-Z.°t— ts- �r3°�s7—d�a— p �So EI.EVATIt3t�1 �ER?'1�11CAT`E IteipatlaR�lt: Rsed fl�rt t�atn�io�s on p�Itpee �#-�. � suthe. andtor 81dg. #�► or � • «. o�e ra. ��aeca�000s � a�.:.� �fi. �� �,___ A3. Ptop�iy Dttsvlp�an {knt and Btoc�s N�anbsts. Tax 1+Nar+6�er, #�f Dasatpt�on.'e�1c.1 : lOT 45 . tiNi'f 7'B 1SLAND ESTATES t?F' G4FJIRYVATER. l4t. BuYdlnp tia� (�T•, Ra�det�lsl, Nar►#iaeiidsi�l!lal, Add#ke►. A�ooe�soiY, ok.i A5. LstltudeA�o�riplh�ds: tai. �„� t,+otp, � liorisoe�l�t Ofitm: I� t�l�4D 4�ZZ7 � NAD 19�i 1k6. Atiet# at leset 2 pt�cEographa at tt�a bu�d6�p Mi4w C�e 19 be3np ueed to +o6htln t100d itsautlt�e. A7. Bulkiinp Dleptam l+iurnbet � A8. For � buNdfn� wllh a a�wlepoo� orencican�(sj: . A9. Pa a�INilogw� ea �d�ed Benga: e} Sq��s tootoqs W trawl�p�os or ee�t�(s) et� 1t s� &'lu�s tooFspe a� atlsdwd g�e�pa W ft Di t,turtiber d ps�en�nt Aood cp�fir� ��e c.�aa�P�ce b) t�aml�ur al pam�st�n# iload openfngs in il�e elbr,lied garvge � etxioeur�(Sj �1tAkr 1.O too2 rtaow! �aoe�rt grade witl�i� 1.0 fioot efsawe s�d'}aoe�tt gnade c) Tctal n�t s� odllood opentnps h�18.is aq k� cj To�M nst enw dAood �pe�ttr�gs tn A9.b aq f� dl Engh�d fbad openit�r? O Y� C7 � �i �Y� ���? (,� Yta ❑ No BEGi'#ON B—�W�D t1�1$URANC� RATE MAP {FIRNi} iNf`URliYEA73i�N � CI.EI�ftWAi'C-R �12�{I96` � �crrrmu�f �'lunber � ptNEW�S � � FL. � B! 0, indk�Ee �ti �otttCS 4f the Soee Flood Ele+reitlon t�i �t or bses Aood depih eu�etsd tn Rern �. C7 F'iS Pnfl!!s � i�IRl�A � ComttwnlEl► DshMrr�in�c1 (:j C1U�omoe: B1'f. htdi�b elfsvaiiDll dado►E tlssd tnr BfE �t �e�m M: Q t�C31�ti 1929 � NA17D 1A88 L� Otl�Souros: ' 812. �!!se lw�iding [oestsd !n o Goes�i 8oala�Re�ouras 5yateim {CBRS},u� or Otl�e�a PtotxEeQ M�t {Qi'A}?' 0 Ya (�l No Oe�tla� paEe: Ci GBftS C{ 4PA �. $EC'TIO!! G — 9UlLDlNG �l.�1lA'f'ION (t!I�QRMA'i1GN ($URY�Y RE61UtRE�i c,. s� ��,,�.a o� n c� �• 0 e�me w�a� co�• �� c�ava�n •A naw �tevatkm GeNkMte wAi bs nqt�s� wlwn a�+Won of #he �Q i� c3ampMRe- CZ. Eta+talia�s-2uas� A1-A3Q, AE. AH. A� BfE}, ���.� �� er�ertneEei9. �t-A30. J�RtAti� JtftJllO. Camplele� Ilene CZe-h i�ato��r aa�ofdin0 t0 tl�e 6tt0dfn0 tlt�r�t sped�d �� �� c��g7'ER F� VeAicai �rm+: NA1lD'BB Et.EV. +t..6tf Indics�e aievettlo�t dah�m uerod ip'tl�e eMrvatla� i►� �etne aj f!►totrph hj bebw. Q NEiVD 192Q � NAW 1qBB 0 afihedSouroe: a.turt► uaad ror bui� �ieYe�a mu�t b. ths arme a� a�at used ior ihs �E q� uur me�eu�nsnt �ra. n) Tqr ot bottom iforx (iidudtnp baesrt� asw�paa, or a�uie Noon b) Top ot ths twlt hipl�' 1ba' a>e��r���r�►������ ����d�� e� i.owe� a� atsrwwh�Y ar �►� �9 tl+. t�►�D �p�e � �daqu�nteM and loa�on d� C.e�nsnt�j f} tawe�t adJio�snt {tb'�Mdy geads,mtea tw�n0 (kAt�) 4i y�9� � 4�+�i 0� t�eoQ to E�ulid4tp iliAG} hl �� 9� ��t atevaUon a aedc o� �a, �dso� �►ral aupport �� 1�� -- - �. �.� �� �4 QZ � � t� O �neesra �� ❑� ❑+� a� �� a�� �� o� gl fi�et Q me�ta �t f%at L1 mecene ❑ leet � tnatsrs $ECTiOM i! — 3UR1/E1tOR, ENt3�+iEER► tiR ARGHfi'EC'f �'"eRi1F1G�1T10H Thte � ls ta be sipned ane swied by a tand sutvsyor, e�qk�e�; �' �� as�orh+ed Eil► hnr to r�rtil� t�Mv�lto�s infioRt�s, l�j* �Aat fhs �n�brm�r OA !Ma C0�1lceb! raPra�r� m3' b� e�e Ea irt#erp�ret !!� d�EP av8!!�. i undsrs[�r�d Q�ed�Yf+uo�r �Gml�msrrl�Y� F�;� bY� orknpafs�uun�ri w�drr i8 US Cods. Sac�n �t10f. ❑ cl�ectc nara ff cotnn,er�s,us p�or►idsd on eaac � Ib�rn. v1�Cw la�aos �s tanolhws fi sedlon �k �mvkied M e r��.e Q Chedc tbre If sf�dmenb. Noer�eed 1�d swvelnst? ❑ Yes C3 No SEAL �r'e Nsrne WIIlU4M C. K1EATtNG `. tJoenee Number 152Ef' HERE 1itMe tANU SURVEY�R ComP+nY Hama RWEDBtiRVEYtt�G I Addre�t 72�. HI�HLAIVD�,VE. CitY Cr.l.�Al�VATER 5t�r FL 2IP t'.oda 33T58 � i�10 12-03-1� Fotln 086-0�3 . ) See I+�t81se �e !'Ci' ta�r�taeti0tt. ' -- �'�PE� � R� �i as�Z�—ts —�r3�-s��oDa — o4-so � nAPaRT�4R1't: In these spaces, Cop�+th8 COrt't ypDAdl�tg i1Ti�GT�atlO�i #t+D11tJ SBGf[OR A ,Fbi tiixuner►ce Ga�rpai�Y Lrsa . �uil��g Street:Address including ltgf„ Urdt. Su�e, ar .lor Bktg. Na.} or P:t3. RouFe asuf Box CVo. ~' Policy,�Nu�nb�r ' 766 SNUC iSI.AND City Stats ,�j� ;p� Q�, �Gampeny tC IVumbEr. �+,LiHF�4�iA'1'F'+� �`�Q� �ipl 3 � � � �% 7-+�%r " 4 ..� ,. �zr.p -_� _�.� SECTlON t? - SURYEY� :i, ENGSNEER, Ofl A#iGMt'tECT GEflTlFlCtiiiON {COM'If�titE�) Gopy bnth sides of th}s EtevaUort Certl�icate fot {i} car. �ureiiy ottidai, (2)lnsur�nce agentJcompany. acYd �} but#t!"eng evvner. Cornments LTNE SY� e =�IR GOND3TIOI0EEft PAI? = ELEV. $.39 DEC. Ci3 r 24� 4 EcitFlr�r Lr�f(+./ ' ' - uaiu +G' / � D GheCk hete if etl8Chm8i'tts SECTiON E- 8tl1t.D Nl E3 ELEYATI N t F(?4�MATlQN (SURVEY NE1T iiEQU{RED) FOF� ,_ONE AQ At�iD ZONE A(WiTHOUT BFE� For Zanes AO and A{wilriout BFE}, c�n+�ete Items E-ES. {f Ure GariiBcate is Intended to suppat a LQF A ar LQMA-F requgat, cQmplete 8ed3one A, B, and G. For ifems ET-F4, usa naWrai grade, #f avaNah's. Cheds fhe meesurern�! c�eci. tn F'uetto Rico c•uy, er�ter meters. E1. Provtde elevallon lMortnaNan forlhe #oHowin� er �i ct►edc the eppmpri�e bmte� to st►ow whether ihe elavatiort ts ebovs w belaw tha hlghest adjecent gteeie (HAGj and tl7a towesi a�jecent grade {tA� !, a} Tcp oi i�ottom ffoot (irtciuding #asernes►t, asw i#�ce� or enciosure) !s C� ieel :� melets Q ehove or Q E�erlow tha HAG. b) Top af iauttom Hoar {including t►esertieat. tsavy;=pec�, or ere�osure} fs O feei .� meters Q ebave or j� t�tow itre LAG. E2. F�x Su�a��g ai�grams s-s wi+n pemi� aood ::penbigs provl� � Sectian A itesns 8 and/oc 8 4ar� peges 8•� af tnstn�ctionaj> the nasd hlgt�e�' f4aor (elevatitmn C2.b in tha disgrents) at the buflding I; Q ieet � meters ❑�we � Q tseiow ti[e NAG. � E3. AtFached gerage {top of aleb) la ❑ teet � meters Q above w❑ belaw the iAt3. �4. Tap af platlorm of mad�in�ry andlar Bqutpment .�rvidng ths butldM�g ie � feat �� e#ers [� nborre or Q b�ow �Se HAG. E5. 2one AO on1�: {t no Hnod t�pth number is av�. s�$, b tha top of thc bottom !#ooraleveted 3n accarru►ca wilh tl�e communNy's tloodplsin manegement ordlnance? Q Yes ❑ No Q WcNmovrn, 'C' ' tocgf otC�dai muet c�tify �fe {niormaUon M 8ecti+ . G. SEC7lt)N F- PRQPEt2'%Y iOWNER �OR OWNER'S itEPRESEfitTAT•'.•`Ej CERTiFiCATK►N The pmperty wemer or ownera auth�rized Eep��eatet e wha compietes 5ectiona A, B. and E tar Zane .•-+rrlhout s FEMA-issued orco►nmunity-tssued BFE} or Zone AE? must Slgn her9. The sfutements Hr Sectia�rs A, B, and � ere catre�et ta !he bast ofmy knoivle.,�. Property trime�'s or Owner's Aulhorized Rrapre�eateti �'a Na�ne Address r {�ty Stste ZtP Cade Signature Qa#e Tesspharse Comments - • � ❑ Check he[s lt attschmerts �ECT'IG�1 G • CUMMUNtTY lNFORMATIOM (�OPTIC"+'AE.) The focel o�cist wha � aufhorized by law nt ordinance :c��admirrister tt►e communiEy'& �IOOdp18llt titaflBQitlfl�:'t! OfQ�►StSOB C8�1 COlTtWetE SeCf10�15 A. 8, C(or E}. antl G of th�s Elevation Certiflcate. G�1mpleEe �e apptR�.nie Kem{s} e�d 9k,)rt helaw. (;heGic the �sasurerne�t t�aed ��seme 68 end C8. G 1. � The inforsrtation In Seciton G was t�� irom � her documentafion thet has besn signed and seet� 3 by a pcenaed awtireyo�, engineer, ar archttect wha is eutharized by iaw ta cerl;�y elavation infanr ton. (Indicate ths source sr�d date of ttt� �ratior �eta in tFts C�nmeiNs area below.} G2. ❑ A community officiei campiated Ssctlon E for ,. buil+dfng focated fn Zona A(w3thoat a FEMA-issuer ssr cornis�nunitydas��ed 6FEj o[ Zone AO, G3:�j� 'the toBowJng fniarnaticn jitears G4G9) b pn, dded iar communky �ptetn menagemerrt purpc *- �s. �Gd. Permit Nurt►ber G5, i3aie Pe .�t Issuad G6. daie Certf`•`:.ate Of CompCiBnCe/OoCUpanCY Issufld � d7. This germit has been issued far. ❑ l�ew Cocr :r.�cUon � Suhsl6u�t�t improvement � G8. �tev811on ai 8s-buH4 Eowesf tloor {indt�tilttg b8semt �tj Of The �ulidfig: [� teel [� tn8ts�.d {PR} Da#um ae. BFE or {in Zflne A63) d8p� ot �oodtng at ihe bu(It��. 3 sRe: [] teet ❑ me�'s (P1ij Qertum Gio. Cammunity's desk,}n �nat e�evetton Q feet p me�s (PR) Detum Lacal CtificiaPs hlame 'iitie ' Gommuntry Nsme 7eleptrone Signature � �3�te Cotttments _, 1"t � fis; e If attechments �EMA F�rm 8i -31, Mar 09 + Repiaces al! previous ed�sans ., � ��1� ES,Tq��n REALTS' � n�o as �Zq -1 S�-�34�7-- �1�4- 4�sv ISLAND ESTATES REALTY 1 I O Island Ways Clearwater Beach, FL 3376? ��a�� a��-oa4a {72�) �w.�-2691 Fax Vi£�'V OUR BEAUTI�UL BEACH VIRTUAL TOUR ON QUR WEB3ITE Website: wv►rw.IslandE�,tatesRealtv com PERSONAL PROPERTY ���D EST9� � � REALTY �� i Regarding the purchase af the property tocated nt 7b8 Clesrwater, FL 33�67 the following items are incladed in the purc6ase price, a d have no vafu FAMILY ROOM DINING TABLE AND 6 CHAIRS DINING ROOM TABLE, �CHAIRS AND BUFFET ��TER BE,�tOOM BED, DRESSER AND SMALL CHEST � � � ( � l U CHASER fi �: , ,, i,�. \`� EC%t �: ���'� _. SELi.ER �,.,.`` �