1702 ATLANTIC BEACH DR FORM BRD - i
r i
FORM BOARD ELEVATION CERTIFICATE
Date Permit Number:
Address: /742_
All American Surveyors Work Order # / iM975
Required Slab Elevation on City Approved Site Plan:
Ian
Actual Elevation of Form Board or Grade Stake:
1/, it/
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)
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