1519 Jordan St form board elevation certificate FORM BOARD ELEVATION CERTIFICATE
CCC � C
DATE: 2/16/2017 '
PERMIT
NUMBER: 16-SFR-2832
ADDRESS: 1519 JORDAN ST,ATLANTIC BEACH,FL 32233
N 34.2'LOT 2&S 15.7'LOT 3.BLOCK 2,ED SMITH SUBDIVISION:PB 26,PG 50:REx172297-0000
REQUIRED FINISH FLOOR ELEVATION ON
CITY APPROVED SITE PLAN: 15.7NAVD1988
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: 15,7 NAyD 1988
SURVEY COMPANY
NAME: BOATWRIGHT LAND SURVEYORS,INC. 904-241-8550
1500 ROBERTS DRIVE.TACKSONVILLE
SIGNATURE OF SURVEYO l
%THAWADB-LS6164 LB3672