808 AMBERJACK LN ELEV CERTIFICATE g!w►
FORM BOARD ELEVATION CERTIFICATE
Date ` 16'11 Permit Number: Z y- oy
Address: 'ug', (��vl c��
All American Surveyors Work Order # 2 (9 I 35
♦ y
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Grade Stake:
Survey Company:
ALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone: 904-279-0088
Signature of Surveyor: (PartyChief)
•
,,m...: nu Turner
i'. i#�'�-� IAS OFFICE:480 E�,:taa000 A4m,SOUR, J>�sn!n+.Lu,F.URI�t 32245
is= Pest e :. -a .,,W, ,.
Sr.M Mys,Gr. 912 5761300 Ocau,Fu.-352-351.43$6
r... !". Control ®�, ,6€uH,R.A.-386-783-8383 Sr.L .Fu.-772-602-00711
What's : i1„-. You? i6e.waa�t,fa.-321.951-3325 TAM.Fu.—813-661.6381
:..;_ „....................._. . NOTICE OF INTENT FOR PREVFNTATiVE TREATMENTS AGAINST TERMITES
t .•....... . .. .. ,gas: rpOirecf bp'Ffonda 5wIth o Code. FBC 104.2 a;
..........................................,::::. ..........
:::#..... ;:.. . I Address: $08 mberjack Ln Rd, Atlantic Beach, FLZ32233
”` Lot: „ Block: Date: 06/26/24
ALL STRUCTURAL CHANGES
R (ARE Trrmiticide(wood Trcazment ARE TO BE REPORTED
r Product Used FOR RETREATMENT
y: . .. . j isodium ate Tetrah drate
Y 23%Active In4gardient
Chemical used(actin a ingredient) Percent Concentration
Application will be performed onto szructurai,woe it dried-in ags Qfconstructittp
Stage of treatment(Horizontal,Wrtical,Adjoining Slab,retreat at disturbed area) •
BORA-CARE Termiticide application shall b applied accord igso EPA
tegistrated jabsidirectiop as seated in the FloridaBuilding Co40,ectio41 163,
' (INFORMATION TO BE PROVIDED TO LOCAL BUILDING CODE
OFFICES PRIOR TO CONCRETE FOUNDATION INSTALLATION)
1'"
•
9556 Historic Kings Road • Suite 201
lialitiet
Jacksonville, FL 32257
Phone: (904) 886-0766 FIELD DENSITY TEST REPORT
OFJAX,INC. Email: twheeler@agesofjax.com
AGES JOB NO.: •5"-Zo1 S y DATE TESTED : (�fz 7/2-0 7 V
JOB NAME: A b g Rwh eA J PGk REPORT DATE:
CLIENT : 1\n, h�,Ar`t,wc-r-40,s TECHNICIAN : KA/..\
LOCATION: REPORT NO. :
Test MbiAiii Wet Dry Proctor Proctor RetativeCorrmpaction
No. Content Density Density Number Density Achieved Required IPass/Fait Test Location Elevation Test Datum
1%) (Pct) (Pct) (Pc! (°M (%) (Feet)
_ L
PROCTOR INFORMATION SUMMARY: The relative compaction results are a quality control measure of the This report shall NOT be reproduced,
Proctor Max. Dry Optimum adequacy of the fill and/or sub-grade compaction effort. The data shown Except in Full, without written approval of
Type Number Density Moisture Soil Type herein is representative of compaction achieved at the specified test AGES OF JAX, Inc.
location and depth. Passing density tests should not be construed to be a
Proct (pcf) (%) "certification" of suitability of the "subsurface soil conditions" and/or an
/14
evaluation of the ability of the subsurface soils to adequately support theREPORTED BY:
Mcc P/'i , J 1 g1l. )I- - `, planned construction.
AGES OF JAX, Inc. agrees to keep confidential any and all matters
related to these test results and understands that unauthorized disclosure
Remarks of these test results to anyone other than our clients, or their designated TIMOTHY R. WHEELER, P.E.
representative, without the client's expressed permission, is in violation of
MOD=Modified Proctor Density (ASTM D 1557) AGES OF JAX, Inc. professional ethics and company policy. Registered Fla No. 42802