ELEVATION CERTIFICATEBUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022
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:
127 & 129 N.E. 12TH AVENUE
City State ZIP Code
Company NAIC Number
BOYNTON BEACH Florida 33435
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.
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Photo One
Photo One Caption Front View: 07/02/2020 Clear Photo One
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Photo Two
Photo Two Caption Rear View: 07/02/2020 Clear Photo Two
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022
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:
127 & 129 N.E. 12TH AVENUE
City State ZIP Code
Company NAIC Number
BOYNTON BEACH Florida 33435
If submitting more photographs than 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.
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Photo Three
Photo Three Caption Right Side View: 07/02/2020 Clear Photo Three
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Photo Four. ..
Photo Four Caption Left Side View: 07/02/2020 Clear Photo Four
FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6