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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