ELEVATION CERTIFICATE 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 agent/company,and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owners 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 3
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°31'59.29"N Long. 80°03'47.36"W Horizontal Datum: 0 NAD 1927 0 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 No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION '
B1. NFIP Community Name&Community Number 82.County Name B3. State
CITY OF BOYNTON BEACH; 120196 PALM BEACH FL
B4. Map/Panel B5.Suffix 86. 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 ❑Community Determined ❑Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 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(12/19) Replaces all previous editions. Form Page 1 of 6
OMB NO. 1660-0008
' ELEVATION CERTIFICATE Expiration Dale: 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 3
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' 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:PBC BM-JERAr EL.17.073' 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) 17.25 feet ❑ meters
b) Top of the next higher floor N/A 0 feet 0 meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A 9 feet LI meters
d) Attached garage(top of slab) N/A 9 feet 0 meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) N/A 9 feet 9 meters
f) Lowest adjacent(finished)grade next to building(LAG) 16.50 • feet 9 meters
g) Highest adjacent(finished)grade next to building(HAG) 17.00 Q feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support N/A 0 feet 0 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? DYes ❑No ❑Check here if attachments.
Certifier's Name License Number 44;,,,i,;;t.,
David P. Lindley, PLS L.S. 5005 NVID P •`rr
Title `` i
Professional Land Surveyor . ,� E` -
Company Name p' , Drn•
u•
- m . - S
Caulfield & Wheeleh 1pctr1r,,. =_ eD'avid. i ley,PLs ; 'I
Address J` QV`...i „yd! �`•.� 43.S.5095 S� f�oitFlorid
1t
7900 Glade$'R?tkt,YSSt/ '0k% a
. c, •= ,, � o5(2�rtlizo.
City No c- r r•-_ * - State ZIP Code "Not vo6A ghout'the'sgnot Yao.v
Boca Rato- •• • _ theorigirplAe6ofJ�iorldoC,hsed
• FL 33434 Su/Mir&fvtoppWA
•Signature in •, i•flt'"ap d` Date Telephone Ext.
.��.q^t^f` . ,�r 05/28/2020 561-392-1991
Copy all pages o1.tprsrp vvatlonLerfif tSeaodallattachmentsfor(1)communityofficial,(2)insuranceagent/company,and(3)buildingowner.
Comments(includiridityp.MritgRaTeM and location, per C2(e), if applicable)
Item A5) 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 3
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 El—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.
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,
crawlspace,or enclosure)is ❑feet 0 meters 0 above or ❑below the HAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is El feet ❑meters 0 above or ❑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 El above or 0 below the HAG.
E3. Attached garage(top of slab)is ❑feet U meters ❑above or Dbelow the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is feet 0 meters ❑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? ❑ 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
U 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.)of P.O. Route and Box No. Policy Number:
700 NE 7TH AVENUE - BUILDING 3
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.
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 05. 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: ❑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,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 3
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.
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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 3
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.
Fht Orr3 PhoSTMo
Photo Five Caption: Photo Six Caption:
RloloThlm PS)Fax
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
ir 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.
106 NE 7TH AVENUE - BUILDING 3
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°31'59.29"N Long. 80°03'47.36"W Horizontal Datum: ❑NAD 1927 Q 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 113
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 89: •
❑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 0 No
Designation Date: N/A ❑ CBRS ❑ OPA
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
4 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.
106 NE 7TH AVENUE - BUILDING 3
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' Q 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: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 fl 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) 17.25 0 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 U meters
d) Attached garage(top of slab) N/A feet 0 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) 16.50 • feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 17.00 • 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? I]Yes ❑No ❑Check here if attachments.
•"\�N 111 N;UIIIr
Certifier's Name License Number ``` PVIU P. 1/4/ ,��^
David P. Lindley, PLS L.S. 5005
Title :,•GERTI. ' CF
11 . ,
Professional Land Surveyor * : •�,5
Company Name = i^
r" r •
qr
Caulfield & Wheeler, Inc. DaridP.Lindlej,®6S
a
Address eiS.Alo5,� lorid Opp
7900 Glades RQ@dw:Suiter 100 '% Q�rnj O "".
City Y. IN - �ho t Vra ""
`‘0,.‘",0 State ZIP Code "Not Valid wnhout r t�jm�r rerdir�
Boca Rat . 'tiF• •; FL 33434 the original seal of iggian,censed
Surveyor&Mapper
Signature; Date Telephone Ext.
e • ' _ 05/28/2020 561-392-1991
Copy allpi9e Of thisI thertifif,at and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comment'' udin
syrC�Js g pe of Pquipm�kf�d location, per C2(e), if applicable)
Item A5) Lafitylr &{.a lPude i d by Magellen GPS Blazer 12.
',0 €0 LAND
5%,O`N"
\
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6
OMB No. 1660-0008
'i 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.
106 NE 7TH AVENUE - BUILDING 3
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 0 feet 0 meters ❑above or ❑below the HAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is ❑feet ['meters ❑above or ❑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 Dabove or Ubelow the HAG.
E3. Attached garage(top of slab)is ❑feet meters ❑above or Obelow the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is feet ❑meters 0 above or Dbelow 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 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(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.
106 NE 7TH AVENUE - BUILDING 3
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.
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. 0 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: 0 feet 0 meters Datum
G10. Community's design flood elevation: ❑feet 0 meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(including type of equipment and location, per C2(e), if applicable)
0 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:
106 NE 7TH AVENUE - BUILDING 3
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.
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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:
106 NE 7TH AVENUE - BUILDING 3
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.
FbtOte Rub Two
Photo Five Caption: Photo Six Caption:
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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
I 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.
106 NE 7TH AVENUE - BUILDING 3
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°31'59.29"N Long. 80°03'47.36"W Horizontal Datum: ❑NAD 1927 I 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 No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bi. NFIP Community Name&Community Number B2.County Name B3. State
CITY OF BOYNTON BEACH; 120196 PALM BEACH FL
B4. Map/Panel B5.Suffix 86. 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 ❑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(12/19) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
S 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:
106 NE 7TH AVENUE - BUILDING 3
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' ❑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:FL Geological BM'B-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 ❑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) 17.25 • feet ❑ meters
b) Top of the next higher floor 26.81 • 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) 17.18 • feet 0 meters
f) Lowest adjacent(finished)grade next to building(LAG) 16.50 • feet meters
g) Highest adjacent(finished)grade next to building (HAG) 17.00 • 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 ❑No ❑Check here if attachments.
Certifier's Name License Number
David P. Lindley, PLS L.S. 5005 tttututururrr
Title `%%%% t AVID
Professional Land Surveyor . •C •/ d�.��
•
Company N�r�eptnuurrr * ' i f1" e s
Ca ulfie,�d``�y0.Ii elr�,A,Thc. = m Davl&: f p,tPi;s °
Address •.GERTIFj'•.ocF''., ... {/11 L.S: S' of Flyrida
7908 Glade Road• utte400 •
�1•.�� io 1 ozo:'
Ci[� 5005 State ZIP Code ��1 Jo4 eNut the;ign9i,e yad
BoEa2ator� FL 33434 a�`d.�,,�•oneo�oro�22(�gT:ed
Si c1 •re, A E O �rirr�r ?f1i7ta•Pe640
��. � Date Telephone Ext. rrrtlllltt
,,Fp ' �O • ' (� 10/19/2020 561-392-1991
Copyall ptI1t 'tkgEertificateand all attachments for(1)communityofficial,(2)insurance agent/company,and(3)building owner.
Comments(irfE(dtllfigltype of equipment and location, per C2(e), if applicable)
Item A5) Latitude & Longitude obtained by Magellen GPS Blazer 12.
Item C2e)NC Unit located at Front Right Side 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.
106 NE 7TH AVENUE - BUILDING 3
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 El—ES. 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 ❑feet 0 meters ❑above or ❑below the HAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is Meet ❑meters D above or ❑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 ❑above or Dbelow the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or Ubelow the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building is Ofeet ❑meters ❑above or Dbelow 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 0 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
Address City State ZIP Code
Signature Date Telephone
Comments
0 Check here if attachments.
FEMA Form 086-0-33(12119) 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:
106 NE 7TH AVENUE - BUILDING 3
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.
01, ❑ 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.)
02. ❑ 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 GS. 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: _ ❑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,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.
106 NE 7TH AVENUE - BUILDING 3
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.
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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:
106 NE 7TH AVENUE - BUILDING 3
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.
Pho6oQoa PhobTwo
Photo Five Caption: Photo Six Caption:
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Photo Seven Caption : Photo Eight Caption:
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6