ELEVATION CERTIFICATE
OMB No: 1660-008
U.S. DEPARTMENT OF HOMELAND SECURITY
Expiration Date: November 30, 2018
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important:Follow the instructions on Pages 1-9
Copy all Pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and(3) building owner.
SECTION A – PROPERTY INFORMATION FOR INSURANCE COMPANY USE
A1. Building Owner’s Name (Note: Not Valid to use for any other person or entity). Policy Number:
K HOVNANIAN HOMES
A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Company NAIC Number:
Box No.
620 WINDWARD CIRCLE SOUTH, BUILDING 7
City State ZIP Code
BOYNTON BEACHFL33435
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 37, CASA DEL MAR (PB 121 PG. 116 THROUGH 118 P.B.C.R.)
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) MULTI-UNIT RESIDENTIAL
A5. Latitude/Longitude: Lat. 26°33'10.19"N Long. 80° 03'15.12"W Horizontal Datum: NAD 1927 NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number:1B
A8. For a building with a crawlspace of enclosure(s):
a)Square footage of crawlspace or enclosure(s) N/A sq. ft.
b)Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0
c)Total net area of flood openings in A8.b 0 sq. in.
d)Engineered flood openings? Yes No
A9. For a building with an attached garage:
a)Square footage of attached garage 408 sq. ft.
b)Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c)Total net area of flood openings in A9.b N/A sq. in.
d)Engineered flood openings? Yes No
SECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community NumberB2. County Name B3. State
BOYNTON BEACH; 120196PALM BEACH COUNTY FLORIDA
B4. Map/Panel B5. SuffixB6. Firm Index B7. FIRM PanelB8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
Revised Date Flood Depth)
12099C0 791 F 10/05/17 10/05/17 AE 6'
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/Source:
B11. Indicate Elevation Datum Used for BFE in Item B9: NGVD 1929 NAVD 1988 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes No
Designation Date: N/A CBRS OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 1 of 6
OMB No: 1660-008
ELEVATION CERTIFICATE
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number:
620 WINDWARD CIRCLE SOUTH, BUILDING 7
City State Zip Code
Company NAIC Number:
BOYNTON BEACHFL33435
SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building Elevations are Based on: Construction Drawings* Building Under Construction* Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations – Zones A1 - A30, AE, AH, A (with BFE), VE V1 – V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 – A30, AR/AH, AR/AO.
Complete Items C2.a – h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: PALM BEACH COUNTY BENCHMARK #U233 EL=9.83' Vertical Datum:NAVD 1988
Indicate elevation datum used for the elevations in Items a) through h) below.
NGVD 1929 NAVD 1988 Other/Source:
Datum used for building elevations must be the same as that used for the BFE. Check the measurement used.
a)Top of Bottom Floor (including basement, crawlspace, or enclosure floor)
feet meters
7.58
b)Top of Next Higher Floor
feet meters
18.91
c)Bottom of the lowest horizontal structural member (V Zones only)
feet meters
N.A
d)Attached garage (top of slab)
feet meters
6.88
e)Lowest elevation of machinery or equipment servicing the building
feet meters
7.50
(Describe type of equipment and location in Comments)
f)Lowest adjacent (finished) grade next to building (LAG)
feet meters
6.90
g)Highest adjacent (finished) grade next to building (HAG)
feet meters
7.10
h)Lowest adjacent grade at lowest elevation of deck or stairs, including
N.A feet meters
structural support
SECTION D – SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor?
Yes No Check here if attachments.
Certifier’s Name: License Number:
Place
David P. Lindley, PLSL.S. 5005
Seal
Title:
Here
Professional Land Surveyor
___________________________
Company Name:
David P. Lindley, PLS
Caulfield & Wheeler, Inc.
L.S. 5005, State of Florida
Address:
08/09/2018
“Not Valid without the signature and
7900 Glades Road - Suite 100
the original raised seal of a Florida
City:State:Zip Code:
Licensed Surveyor & Mapper”
Boca Raton FL33434
Signature: Date:Telephone:
08/09/2018
561-392-1991
Copy all Pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and(3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable.
Item A5.) Latitude & Longitude obtained by Magellen GPS Blazer 12.
Item C2.e) Refers to AC pads on east and west sides of the building.
FEMA Form 086-0-33 (7/15)Replaces all previous editions Page 2 of 6
OMB No: 1660-008
ELEVATION CERTIFICATE
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number:
620 WINDWARD CIRCLE SOUTH, BUILDING 7
City State Zip Code
Company NAIC Number:
BOYNTON BEACHFL33435
SECTION E –BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE A0 AND ZONE A (WITHOUT BFE)
For Zones AO and A (Without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA and or LOMR-F request,
complete Sections A, B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
N/A. feet meters above or below the HAG
crawlspace, or enclosure) is
b) Top of bottom floor (including basement,
N/A. feet meters above or below the LAG
crawlspace, or enclosure) is
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages1-2 of instructions),
the next higher floor (elevation C2.b in
N/A. feet meters above or below the HAG
the diagrams) of the building is
E3. Attached Garage (top of slab) N/A. feet meters above or below the HAG
E4. Top of platform of machinery and/or
equipment N/A. feet meters above or below the HAG
servicing the building is
E5. Zone AO only: If no flood depth number is available, is the top of the 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 owner’s authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner’s Authorized Representative’s Name:
AddressCity State Zip Code
Signature Date Telephone
Comments
Check here if attachments
FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 3 of 6
OMB No: 1660-008
ELEVATION CERTIFICATE
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number:
620 WINDWARD CIRCLE SOUTH, BUILDING 7
City State Zip Code
Company NAIC Number:
BOYNTON BEACHFL33435
SECTION G–COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community’s floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8 – G10. In Puerto Rico only, enter meters.
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. (Indicate the source and date of the elevation
data in the Comments area below).
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 – G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit IssuedG6. Date Certificate of
Compliance/Occupancy Issued
G7. This Permit has been issued for: New Construction Substantial Improvement
G8. Elevation of as-built lowest floor (including basement)
. feet meters Datum
of the building:
G9. BFE or (Zone AO) depth of flooding at the building site: . feet meters Datum
G10. Community’s design flood elevation: . feet meters Datum
The property owner or owner’s authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Local Official’s Name Title
Community NameTelephone
Signature Date
Comments
Check here if attachments
FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 4 of 6
BUILDING PHOTOGRAPHS
OMB No: 1660-008
See Instructions for Item A6
ELEVATION CERTIFICATE
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number:
620 WINDWARD CIRCLE SOUTH, BUILDING 7
CityStateZip Code
Company NAIC Number:
BOYNTON BEACHFL33435
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; “Front view” and “Rear view”; and, if required, “Right Side View”
and “Left Side View.” When applicable, photographs must show the foundation with representative examples of the flood openings
or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One Caption: Front View Photo Three Caption: Rear View
Photo Two Caption: Photo Four Caption:
FEMA Form 086-0-33 (7/15)Replaces all previous editions Page 5 of 6
BUILDING PHOTOGRAPHS
OMB No: 1660-008
See Instructions for Item A6
ELEVATION CERTIFICATE
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number:
620 WINDWARD CIRCLE SOUTH, BUILDING 7
City StateZip Code
Company NAIC Number:
BOYNTON BEACHFL33435
If Submitting more photographs that will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; “Front view” and “Rear view”; and, if required, “Right Side View” and “Left Side View.” When applicable, photographs
must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One Caption: Left Side View Photo Three Caption: Right Side View
Photo Two Caption: Photo Four Caption:
FEMA Form 086-0-33 (7/15)Replaces all previous editions Page 6 of 6
PROPERTY DESCRIPTION ATTACHMENT
(Optional – Use this page only if the property description is too lengthy.)
ELEVATION CERTIFICATE