427 Sargo Rd RESA23-0010 Form board cert/Pre treat FORM BOARD/STEMWALL
ELEVATION CERTIFICATE
DATE PERMIT NUMBER
06/12/2023 RESA23-0010
PROPERTY INFORMATION
ADDRESS
427 SARGO ROAD ATLANTIC BEACH FLORIDA 32233
LEGAL DESCRIPTION
LOT9, BLOCK 17, ROYAL PALMS REPLAT AS RECORD IN PB 31, PGS 16-16D, CURRENT
PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
ELEVATIONS
REQUIRED FINISHED FLOOR ELEVATION ON CITYAPPROVED SITE PLAN & DATUM
10.44 (NAVD 88)
ACTUAL ELEVATION OF FORM..BOARD, STEMWALL OR GRADE STAKE & DATUM
10.37 (NAVD 88)
SURVEY COMPANY CONTACT & SIGNATURE
10*
BOATWRIGHT LAND SURVEYORS INC - LB 3672 = ;�0�5e N`�''6
' 7413
1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FL 32250
STATE OF a,
Ci FLORIDA QQ�
PHONE: 904-241-8550 4 Surveyol����~
SIGNATURE OF SURVEYOR:
JEREMY A HEWITT, PSM - LS 7413
"Your Experts in the Pest Control Industry" Invoic7# 85M4
P.O. Box 352075 • Jacksonville, FL 32235 Date: 61��•Z3
904-759-4576 • 904-759-6951
A&S
PEST SOLUTIONS
Bill To: Service To: BLIM&A L44
o 7 0
Service Description: Amount:
Quantity Products Concentration Location Target Pests
% I
r
Signature: Date: G`L7,-VS A ount Paid
Serviced by: _ Date: -?.3 Ch ck No:
Customers Email:
Payment / Credit Card Information: Type Card #:
V-Code# Amount: Auth. Code: Ref#:
Date: Time:
I Agree to pay above total amount according to card issuer agreement.
Signature: Date:
Tech: Confirmed on: Time In:
Sale Confirmed by: Time Out: