ELEVATION CERTIFICATE 7a
4: MENT 0 MELA D SECURITY OMB No: 1660-008
Fed[iaI Arz rgenm -ncy Expiration Date: November 30,2018
Nat :I!O ceProgr
0 o LEVATION CERTIFICATE
(V Important:Follow the instructions on Pages 1-9
c fl
Co. tfi ,.s is Elation Ce kat- and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
400 k •111 O SEsi PROPERTY INFORMATION FOR INSURANCE COMPANY USE
0ilitf5 -- - tV (Note:Not Valid to use for any other person or entity). Policy Number:
V AAIAN H• k
A . ilding Stre& • . . STncluding Apt., Unit,Suite,and/or Bldg. No.or P.O. Route and Company NAIC Number:
Box f�
634 WI D RD CIRCLE SOUTH •
City State ZIP Code
BOYNTON BEACH FL 33435
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 30,CASA DEL MAR(PB 121 PG. 116 THROUGH 118 P.B.C.R.)
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat. 26°33'10.17"N Long.80°03'12.32"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 645 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 WA sq. in.
d)Engineered flood openings? ❑ Yes ® No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number 82.County Name B3.State
BOYNTON BEACH;120196 PALM BEACH COUNTY FLORIDA
84. Map/Panel B5. Suffix B6. Firm Index 87. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO,use Base
Revised Date Flood Depth)
12099C 0791 F 10/05/17 10/05/17 AE 7'
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 D Other/Source:
812. 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
a)
OMB No: 1660-008
E A • WEE RTIF4 TE Expiration Date: November 30,2018
/MP®T:1.• :In these spd , opyy corresponding information from Section A. FOR INSURANCE COMPANY USE
l in !IBuit s (ncludin tnit, Suite,and/or Bldg. No.or P.O. Route and Box No. Policy Number:
( 63 j l8 CIRCLE SOUT
'CityU Ir 1 State Zip Code Company NAIC Number:
go. si1 H —i2 33435
i
'! O cc0 s (AQ C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
�1 ' EI®tioripe t . ' . Z Construction Drawings* ❑ Building Under Construction* 0 Finished Construction
0�.• • levatio• -• - ill be required when construction of the building is complete.
.4!";,,, ations–Zr ei 1 r+,AE,AH,A(with BFE),VE V1–V30,V(with BEE),AR,AR/A,AR/AE,AR/A1–A30,AR/AH,AR/A0.
• plete Ite • .a-- below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benc " -r: PALM BEACH COUNTY BENCHMARK#U233 EL=9.83' Vertical Datum:NAVD 1988
Indic, >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) 8.50 ® feet 0 meters
b) Top of Next Higher Floor 2180 Z feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑ feet 0 meters
d) Attached garage(top of slab) 8.00 ® feet 0 meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 8.50 ® feet 0 meters
f) Lowest adjacent(finished)grade next to building(LAG) 7.90 Z feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 8.00 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
NA 0 feet 0 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.
1 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:
David P. Lindley,PLS L.S. 5005 I
Seai
Title: Here
Professional Land Surveyor
Company Name: David P. Lindley, PLS
Caulfield&Wheeler, Inc. L.S.5005,State of Florida
Address: 09/26/2018
7900 Glades Road-Suite 100 "Not Valid without the signature and
City: State: Zip Code: the original seal of a Florida Licensed
Surveyor&Mapper"
Boca Raton FL 33434
Signature: Date: Telephone:
09/26/2018 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.
*Certificate updated 2/17/2020.
FEMA Form 086-0-33(7/15) Replaces all previous editions Page 2 of 6
a)
OMB No:1660-008
E AT . ERTFF1. TE Expiration Date: November 30,2018
/ MP®T:t•• :In these spm op% corresponding information from Section A. FOR INSURANCE COMPANY USE
Buil in; ..•t s �ncludin t nit,Suite, and/or Bldg. No.or P.O.Route and Box No. Policy Number:
\ 634.A I a CIRCLE SOUS(
ity ' + N State Zip Code Company NAIC Number:
+--• •U 'E FI J FL 33435
ri O O r�SE BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)
1
9 CO FOR ZONE AO AND ZONE A(WITHOUT BFE)
i
C
iVo}!on: • • a3A( 'it • t a omplete Items El-E5. If the Certificate is intended to support a LOMA and or LOMR-F request,
tSe ion A :,44(4,t = Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,
eters. a®
E1.. PProtion i ormation for the following and check the appropriate boxes to show whether the elevation is above or below
the hi 1 jacent grade(HAG)and the lowest adjacent grade(LAG).
a)To bottom floor(including basement, N.A ❑ feet ❑ meters ❑ above or ❑ below the HAG
cra space,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 pages 1-2 of instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is N.A ❑ feet 0 meters ❑ above or 1:1below the HAG
E3. Attached Garage(top of slab) N.A ❑ feet ❑ meters ❑ above or p below the HAG
E4. Top of platform of machinery and/or
equipment N.A 0 feet 9 meters 9 above or 9 below the HAG
servicing the building is
ES. 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? 9 Yes 9 No 0 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:
Address City 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
, ERT1E(CATE Expiration Date: November 30,2018
)T;t : In these s es,^copy corresponding information from Section A. FOR INSURANCE COMPANY USE
o
Jin/ .. -t 5!St-copy
t nit,Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number:
,3 a. IO/ CIRCLE Sou
ity` I� State Zip Code Company NAIC Number:
3, Trlk :LZSEH rl FL 33435
. I`
4 co
n 0 ECTION G—COMMUNITY INFORMATION (OPTIONAL)
r +n4 ci�` ]'ho 1�u[h. 1.4• / law or ordinance to administer the community's floodplain management ordinance can complete
t tion,", C or E), an, .43 1 levation Certificate. Complete the applicable item(s)and sign below. Check the measurement
0 • -ml.G8- t io Rico only, enter meters.
Gi. h inforrmat n in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
peers.....
the Comments area below).
G2. 9 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 65. Date Permit Issued 66. Date Certificate of
Compliance/Occupancy Issued
67. This Permit has been issued for: 9 New Construction 9 Substantial Improvement
G8. Elevation of as-built lowest floor(including basement) • ❑ feet 9 meters Datum
of the building: --
G9. BFE or(Zone AO)depth of flooding at the building site: __ 9 feet 9 meters Datum
610. Community's design flood elevation: . 0 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 Name Telephone
Signature Date
Comments
9 Check here if attachments
FEMA Form 086-0-33(7/15) Replaces all previous editions Page 4 of 6
• 7----it
777-
BUILDING PHOTOGRAPHS
, - OMB Na: 1660-008
AT r CERTI IC�TE,,- See Instructions for Item A6 Expiration Date: November 30,2018
'IMR, T•i_:In these}(aces, • •L • corresponding information from Section A. FOR INSURANCE COMPANY USE
Buil ii et d�sslIncludin,3, nit, Suite,and/or Bldg. No.or P.O. Route and Box No. Policy Number:
1`\ 63' I�
/ O CIRCLE SOUT 4
\ ttv N J State Zip Code Company NAIC Number:
o= BE�PH efl
a FL 33435
1 tU
If g\ E�atioertif' obtain NFIP flood insurance, affix at least 2 building photographs below according to the
•
S ,4 I foeem " ,photographs with date taken; "Front view"and"Rear view';and,if required, "Right Side View"
J`11• SI View." . .i able,photographs must show the foundation with representative examples of the flood openings
Ga._
,as ih'i . . . If submitting more photographs than will fit on this page,use the Continuation Page.
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Immi trn, ..-'ve d '14,1c.4, . -'•E".5..,-414". —.90"
Photo One Caption: Proposed 7-22-2020 Photo Three Caption: Proposed 7-22-2020
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Photo Two Caption: Proposed 7-22-2020 Photo Four Caption: Proposed 7-22-2020
FEMA Form 086-0-33(7/15) Replaces all previous editions Page 5 of 6
BUILDING PHOTOGRAPHS
OMB No: 1660-008
7.0
,.. ' CERTI fC TE See Instructions for Item A6 Expiration Date: November 30,2018
1IM•':T, ,4 .Int - e •. iser
,- corresponding corresponding information from Section A. FOR INSURANCE COMPANY USE
Bui -y: et AAA��. (Indudin Y�g[,Unit,Suite,and/or Bldg. No.or P.O.Route and Box No. Policy Number:
' 631 y I <a CIRCLE SOUT Q
c
\ity r 1 �f ( j J //yIy�� State Zip Code Company NAIC Number:
//��\ r., rt, BF H u•r FL 33435
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If 5 � rL g mere phagrap ill fit on the preceding page, affix the additional photographs below. Identify all photographs
i . • ti ktbb"Frc Jie•/ •ear view";and,if required,"Right Side View"and "Left Side View."When applicable,photographs
� [s,�tw he founds '<�y.resentative examples of the flood openings or vents,as indicated in Section A8.
O
e
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Photo One Caption: Photo Three Caption:
Photo Two Caption: Photo Four Caption:
FEMA Form 086-0-33(7/15) Replaces all previous editions Page 6 of 6