545 ATLANTIC BEACH CT - FORM BOARD' FORM BOARD ELEVATION CERTIFICATE
DATE: / - / - /(
PERMIT
NUMBER: zoo
ADDRESS: 54'5
A.A.S. WORK ORDER NO. ,44�. A'7--*/ e_ea .,?"
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: /7 /0
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: //- /Z
SURVEY COMPANY
NAME: ALL AMERICAN SURVEYORS OF FLORIDA INC.
6820 SOUTHPOINT PARKWAY, SUITE 4 JAX, FL 32216 (904) 279-0088
SIGNATURE OF SURVEYOR: (Party Chief)
w IN
III p UES Project No: 0910.1400187.0000
Workorder No: 180808-1
ENGINEERING SCIENCES Report Date: 01/12/2017
Consultants In:Geotechnical Engineering•Environmental Sciences
Geophysical Services•Materials Testing•Threshold Inspection
Building Code Administration,Compliance Inspection&Plan Review
5561 Florida Mining Blvd So.,Jacksonville, FL 32257 -P:904-296-0757 -F:904-296-0748
In-Place Density Test Report
Client: Toll Brothers, Inc UES Technician: Brandon Davis
160 Cape May Avenue Date Tested: 01/11/2017
Ponte Vedra, FL 32081
Project: Atlantic Beach Country Club
Lot 27, Atlantic Beach, Duval County, FL 32233
Type of Test:
Area Tested: House Pad Lot 27 Field: ASTM D-6938 Nuclear Gauge Method
Material: Fill Laboratory: ASTM D1557 Modified Proctor
Reference Datum: 0 = Top of Fill
The tests below meet the 95%minimum compaction requirement.
Maximum Optimum Field Dry Field Soil Pass
Test Density Moisture Density Moisture Compaction or
No. Location of Test Range (pcf) (%) (pcf) (%) (%) Fail
1 Southwest corner of house pad 0- 1 ft 103.3 14.3 104.6 8.6 101 Pass
2 Southeast corner of house pad 0- 1 ft 103.3 14.3 103.5 10.3 100 Pass
3 Northeast corner of house pad 0- 1 ft 103.3 14.3 103.0 9.4 100 Pass
4 Northwest corner of house pad 0- 1 ft 103.3 14.3 102.3 9.4 99 Pass
To establish a mutual protection to Universal's clients,the Public and ourselves,all reports are submitted as confidential property of our clients and
authorization for publication of statements,conclusions or extracts from or regarding Universal's reports is reserved pending our written approval.
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AL UESUES ProjectReportNo:No: 0910.1400187.0000p 09-180808
ENGINEERING SCIENCES
Consultants In:Geotechnical Engineering•Environmental Sciences
Geophysical Services• Materials Testing•Threshold Inspection
Building Code Administration,Compliance Inspection&Plan Review
5561 Florida Mining Blvd So.,Jacksonville,FL 32257 -P:904-296-0757 -F:904-296-0748
Activity Record
Client: Toll Brothers, Inc
160 Cape May Avenue
Ponte Vedra, FL 32081
Project: Atlantic Beach Country Club
Lot 27, Atlantic Beach, Duval County, FL 32233
Date of Activity: 01/11/2017
Brandon Davis
Technician:
As Requested, a Universal Engineering Sciences Technician was present at the above referenced
location for the purpose of Density testing on house pad at lot 27.
While on site, the technician observed the general condition of the areas to be tested and performed 4 soil
density tests. All tests were performed in accordance with the nuclear gauge method and were found to
meet the project compaction requirements of 95% of the maximum dry density per ASTM (D1557) /
D698).
The Contractor was notified of the test results. The density tests are attached to this report.
This test was performed without deviation from ASTM procedures.
This report shall not be reproduced,except in full, without the written approval of Universal Engineering Sciences.
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