372 10th St Elev Cert_ LegacyEnginern i
FORM BOARD ELEVATION CERTIFICATE
DATE: rb. z3 Zozz
PERMIT
NUMBER: R E S Z l - 07 3'
ADDRESS: 37Z /0"' Sfie< +
Loi 33 �loc� 12 Pfa} /✓e. 1 S bc�;,.:s:n.. Ff _ �+/ai..�:c Qea��
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: 9. 4-
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: Tor
SURVEY COMPANY
/NAME: cic. mere £ AyDc,+44r, �,,c.
L� ZBZ
67 /�Fn X 737-9088
SIGNATURE OF SURVEYOR: C✓�
� da.f 17 7owP!`r J Psr "SSG3
LEGACY 'In-Place Density Tests:
ENGINEERING, INC Subdivision/Lot Number: 37L M" SA
Geotechnical&Materio(s Engineering and Testing
(Address if no lot number)
Location Lift/Depth %Max Densi
— / .fes "�Z•.
� , '_ ANG G+-d✓
The above tests meet the specification requirements-Pass ❑ Fail O orreii,ire ame:bel.,)
Notes:
This report has not been reviewed by an engineer, LEGACY
the final report can be found at LegacyReports.com
Date Tested: Q_ -.,Z REPORTS-COM
Tested By: _ a FAST& EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville, FL 32216 - 904-721-1100