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ELEVATION CERTIFICATE
i U.S. DEPARTMENT OF HOMELAND SECURITY 19 ' 71 y t OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2022 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 Al. Building Owner's Name Policy Number: OCEAN BREEZE EAST APTS LLC A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code BOYNTON BEACH FL 33435 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOTS 3-12 (P.B. , PG. 43, P.B.C.R.) PARCEL#08434521100010010 & 08434521000000021 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 26°32'0.98"N Long. 80°03'49.38"W Horizontal Datum: 0 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 or 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 N/A 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 N/A sq in d) Engineered flood openings? ❑Yes 0 No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State CITY OF BOYNTON BEACH; 120196 PALM BEACH FL B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8.Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth) Revised Date 12099C 0787 F 10/05/2017 10/05/217 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑FIS Profile ❑� FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 NAVD 1988 0 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 0 CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 . OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Cede Company NAIC Number BOYNTON BEACH FL 33435 SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' i• 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,ARAE,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:PBC BM-JERRY"EL.17.073' Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 0 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) 17.07 0 feet 0 meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters d) Attached garage(top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A ❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 16.40 0 feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 16.90 ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A 9 feet ❑ meters 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 maybe 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? ❑M Yes 0 No ❑Check here if attachments. .,,ort if/rt Certifier's • Name License Number `y�:v�V P. LIrti � S11 h D David P. Lindley, PLS L.S. 5005 ;aP,.•,iyt... `' Title ' Professional Land Surveyor Company Name .. r = Caulfield 8 Wheeler, Inc. "n jdF L , LS . Address `,`\` wtmai gopr L'S St am, 7:3'. ,d 7900 Glad' -Nt�tb 11 '- 0�,,ki�, s os City Q?' •;$\.i 1 LA r; % State ZIP Code "Not Valid wit feuej ui rreead Boca RAP . • FL 33434 the original seal of a Flonda Licensed • (� Surveyor&Mapper" Signature * ; O - ' CJ � • = Date Telephone Ext. T. tp; • • z 05/28/2020 561-392-1991 Copy allp�eufthis levati?or ttif ie ndallattachmentsfor(1)communityofficial,(2)insuranceagent/company,and(3)buildingowner. (y••. FI Oµ�Q�:•• r7 •� Comments ual t e'of erlt and location, per C2(e), if applicable) Item A5) Latf�tu&S/4 it iNo ined by Magellen GPS Blazer 12. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 • OMB No. 1660-0008 • ELEVATION CERTIFICATE 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO 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 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. El. 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, crawlspace,or enclosure)is ❑feet ❑meters ❑above or O below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or 9 below the LAG. 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 9 feet 0 meters 9 above or 9 below the HAG. E3. Attached garage(top of slab)is 9feet 9 meters 0 above or Obelow the HAG. E4. Top of platform of machinery and/or equipment servicing the building is Ofeet 9 meters 9 above or obelow the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes ❑ No 9 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 9 Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ' ELEVATION CERTIFICATE 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 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 08-010. In Puerto Rico only,enter meters. Gi. ❑ 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 A0. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. 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) of the building: o feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: feet ❑meters Datum G10. Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 • BUILDING PHOTOGRAPHS OMB No. 1660-0008 • ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2022 IMPORTANT: In these spaces,cop the correspondin• 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. 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 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. , .-moi -' y � I ' l Ifr , J r U + PC -�.a - 1 . - Photo One Caption: FRONT Photo Two Caption: REAR I • J _. , , , i , -- -, , ., ... . ,,. .. , ., „ _.T.., .� ,.. ., t r ,�_ _ ,..., ., ,,. r, , . l ,. ,,,,;,_.,!......, . . , ,..,,,,..," ,),. _ T .,. ... . . ...– . P ' r t, , L� YiY ref' "'. e 'er- �+' ti ti,-- `_ t �'� -"°c '• -3(7:c.i:4-,-","' �is 11- �,,�r. --, 'r7€^"' ' �` L. •r C-,,rn ,: ` 4 4-- Photo -,. ". .- i, .4 •. �w�2.� �. ' .4 i iie� 'S• ' Photo Three Caption. LEFT Photo Four Caption: RIGHT 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 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. FhtOrb Phobia Photo Five Caption: Photo Six Caption: Rioloihe Pnx.Fwr Photo Seven Caption : Photo Eight Caption: FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date:November 30,2022 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 agenUcompany,and(3)building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: OCEAN BREEZE EAST APTS LLC A2. Budding Street Address(including Apt.,Unit.Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number. Box No. 102 NE 7TH AVENUE - BUILDING 1 City State ZIP Code BOYNTON BEACH FL 33435 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOTS 3-12 (P.B. , PG. 43, P.B.C.R.) PARCEL#08434521100010010 8 08434521000000021 A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 26°32'0.98"N Long, 80°03'49.38"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 or 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 I]No A9.For a building with an attached garage: a) Square footage of attached garage N/A 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 N/A sq in d) Engineered flood openings? ❑Yes Q No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bl. NFIP Community Name&Community Number B2.County Name 83. State CITY OF BOYNTON BEACH; 120196 PALM BEACH FL B4.Map/Panel B5.Suffix B6. FIRM Index 87.FIRM Panel B8. Flood 89. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12099C 0787 F 10/05/2017 10/05/217 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89: ❑FIS Profile 0 FIRM 0 Community Determined ❑Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑NGV[)1929 •NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes I )No Designation Date: N/A ❑CBRS ❑OPA FEMA Form 0860-33(12/19) Replaces all previous editions. Form Page 1 of 6 4 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 102 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Ct. Building elevations are based on: ❑ Construction Drawings' 0 Building Under Construction' IN 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:FL Geological BM'Et-98-EL=14.64' Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ®NAVD 1988 0 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) 17.02 ®feet ❑ meters b) Top of the next higher floor 26.52 ❑p feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A 0 feet ❑meters d) Attached garage(top of slab) N/A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 16.92 0 feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 16.40 (p feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) _ 16.90 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A ❑ feet ❑meters 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 0 N ['Check here if attachments. Certifiers Name License Number David P. Lindley, PLS L.S. 5005 C�.0 ,AnD P. ti'to, Title �. Professional Land Surveyor I •• Company Name _ * : No, -,,, Caulfield & Wheeler, Inc. E ThT�atiid&LIodlly,PL_Ti Address tt,tttttlrirrr/ SL9. .S oP 'I@1de 7900 Glades�(o ?Saki v -- ...-.Fc0 2q/2 City ��c • (1F 1 s ... State ZIP Code ii, 'p�k:rJm•vo I �,c- ‘Z' and Boca Ratgi - FL 33434 ~',i�6� rrkl: �*�°°" 'Xensed Signature : :•��y * = Date Telephone Ext. - ' r 10/20/2020 561-392-1991 Copyallpats of�NisEI$a31rth1CSrtificate cj lIattachmentsfor(1)communityoificial,(2)insuranceagent/company,and(3)buildingowner. Comments(il 'k�p•• typeL�Pt rr i'location,per C2(e),if applicable) Item A5) Latttu% I k by Magellen GPS Blazer 12. Item C2e)NC Und eit , 1 of Building FEMA Form 086.0-33(12/19) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 102 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO 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 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. El. 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, crawtspace,or enclosure)is ❑feet meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawtspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 8-9 with perrnanent 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 0 feet 0 meters 0above or []below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters Dabove or Obelow the HAG. E4. Top of platform of machinery and/or equipment servicing the building is Qfeet ❑meters Oabove or Obelow the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ 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 088-0-33(12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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 102 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 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 Ga-G10.In Puerto Rico only,enter meters. Gt. ❑ 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 a community-issued BFE) or Zone AO. 03. ❑ The following information(Items G4-G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet meters Datum G10. Community's design flood elevation: n feet o meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e),if applicable) ❑ Check here if attachments. FEMA Form 066-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 E BUILDING 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: 102 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 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 ell 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. _ , ?,t-,, -r'.ie.•-•1.,-ei„lI,-i-. / 1,....,_.•..., i--,,-,'. .f.• . ,„is I, • II , /itt` ' .,.,., 4- ,' ,41ws--' ` 1. i..,.E;„-.,.:-L-.,'.I.a....I,.1::i_ _ nom 7. :r ' - , yi - , . t u's �i F'' A .1 ' 1 _ -v - ---so"..411111'..1.411," . Photo One Caption: FRONT Photo Two Caption: REAR / 117 .. - --H4r- t ' e S1- .. Fir;- -tiE-1.' !;=--Lkii2fi ' O � 7. �� Photo Three Caption: LEFT Photo Four Caption: RIGHT FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation PageExpirationMB No. 1660-0008 Date: 1ate: No008 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: 102 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 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. Fh:ro Ore Fhob Tin Photo Five Caption: Photo Six Caption: ItmloTha Phx:.Far Photo Seven Caption: Photo Eight Caption: FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6 V.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2022 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 Al. Building Owner's Name Policy Number. OCEAN BREEZE EAST APTS LLC A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code BOYNTON BEACH FL 33435 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOTS 3-12 (P.B. , PG. 43, P.B.C.R.) PARCEL# 08434521100010010 8 08434521000000021 A4. Building Use(e.g., Residential, Non-Residential, Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 26°32'0.98"N Long. 80°03'49.38"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 16 A8. For a building with a crawlspace or 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 ID No A9. For a building with an attached garage: a) Square footage of attached garage N/A 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 N/A sq in • d) Engineered flood openings? ❑Yes 0 No SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name 83. State CITY OF BOYNTON BEACH; 120196 PALM BEACH FL B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12099C 0787 F 10/05/2017 10/05/217 X N/A 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: 0 FIS Profile 0 FIRM ❑Community Determined ❑Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑� NAVD 1988 0 Other/Source: 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes I No Designation Date: N/A ❑ CBRS 9 OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. • Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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. 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' 0 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,ARIA,ARAE,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:PBC BM"JERAY"EL.17.073' Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 0 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) 17.07 Q feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters d) Attached garage(top of slab) N/A 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A ❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 16.40 0 feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 16.90 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A feet ❑ meters 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 maybe 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 it'attdclnts. # Certifier's Name License Number V` P I !'v ( >1 David P. Lindley, PLS L.S. 5005 ' Vp.•RT• o •IFfC;r r Title a >s Professional Land Surveyor Company Name m •• �, . CC Caulfield & Whtret rtt 3""„ OF : O J ��,yr; 'l •epvjd P� Lindley,PLS' �` Address 't\V. ....•-• .• Y 4 '• CAotk.. A '� L•. 005 0 •Fi 7900 Glade o#- SaftcdQCkSha,I�oaDs �‘``• City :USO 501 State ZIP Code "Not valid wilfddt t asr 11)ure and Boca Ratan ` F . p _ FL 33434 the original seal of a Florida Licensed Surveyor&Mapper' Signature s 'A� ; • ,• W Date Telephone Ext. 's �t FLr1R�o? ' 05/28/2020 561-392-1991 Copy all pages dttlif le)ation Ce' IrA&l ind all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. fi. EDLP. y` Comments(including A4ppul�ent and location, per C2(e), if applicable) Item AS) Latitude & Longitude obtained by Magellen GPS Blazer 12. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO 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 or LOMR-F request, complete Sections A, Band C. For Items E1—E4,use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters. El. 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, crawlspace,or enclosure)is 0 feet 0 meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters 0 above or 0 below the LAG. 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 ❑feet ❑meters 0above or Obelow the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or Dbelow the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet 0 meters 0 above or 0 below the HAG. ES. Zone AO only: If no flood depth number is available, is the top of the bottom 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 owners 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(12/19) Replaces all previous editions. Form Page 3 of 6 • OMB No. 1660-0008 - ELEVATION CERTIFICATE 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 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. Cl. ❑ 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. CS. ❑ The following information(Items 04—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement) feet of the building: ❑ ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10. Community's design flood elevation: feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 • BUILDING 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 33435 If using the Elevation Certificate to obtain NAP 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. I ...... ✓+ f♦ F I ^ ��tl '� + - -(I�,1t il., r 1 Vt airy r -la yi pti--/..." a r-/ " -If'}= 11 Fi - JY . < �aY e� .- t .e� fi -r -.s.� `.::,:_`'t Photo � One Caption: FRONT Photo Two Caption: REAR 771 ,:r:1 [ ( -1• �. . , - 1 ,; lt ,a. 7 11 q Ir.,* , 4s, , lit; ' 1 .b • r IIS rIlZ1Oi' r:r ' \ .,�Jnt" -� �1'�r�•, ell.‘," -1fr Cy-.sic i .r. � • .-t t?s. -rS..'—....'".A` . y r,* rye,' yr+"'-TL"r-jay' al.an E Rr .r.r.;'I l. -ir'.if _: .ate Y __- yr eo ; /e, q;J' 0477.ys.�4- --" `ICY ti,r -^qty.. ,. -"��a - _ r "� pyA�l: -LYS✓ y siliilr, -.i. Photo Three Caption. LEFT Photo Four Caption: RIGHT Y 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: 700 NE 7TH AVENUE - BUILDING 1 City State ZIP Code Company NAIC Number BOYNTON BEACH FL 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. Fh:to Ore Flub Two Photo Five Caption: Photo Six Caption: A:ahfTh'ra • PM':Fwr Photo Seven Caption : Photo Eight Caption: FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6