1697 Atlantic Beach Dr FFE certification Scan �� Z6 -SPIE- led�6
DUVAZ COUNTY
CERT/F/CA TION OF F/N/S,l/ED FL OOR ELEVA TION
THIS FORM /S TO SE COMPLETED BY IHE SU/LD/NO CONTRACTOR,
SURVEYOR OR A PROFESS/ONAL ENC/NEER AND MUST BE RETURNED
AFTER SLAB INSPECT/ON AND PR/OR TO ANY FURTHER INSPECT/ON
REQUESTS:
BU/LD/NG PERM/T NO. i 6-sro.< isa
ADDRESS- /497 AWL 9" ,u
L OT NUMBER.• t7
SURDIVIS/ON.• ATL $rk u
Df-SIGN M/N/MUM
F/N/SHED FL 0 O ELEVA TION. 10, 00
AS SU/L T
FIN/SHED FLOOR EL EVAT/ON.
SIONA TURE.-
L/CENSE NUMBER.• v 4600
DA TE-