1667 Atlantic Beach Dr form board elevation certificate 1 ✓IPdSP , scan
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FORM BOARD ELEVATION CERTIFICATE r
DATE: 1- 31-17
PERMIT
NUMBER: i� - sFrz - Wyss
ADDRESS: A/,-
A.A.S.
iiA.A.S. WORK ORDER NO. iS3936
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: ��-i. 9, 70
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: !0 7Z-
SURVEY
zSURVEY COMPANY
NAME: ALL AMERICAN SURVEYORS OF FLORIDA INC.
6820 SOUTHPOINT PARKWAY, SUITE 4 JAX, FL 32216 (904) 279-0088
SIGNATURE OF URVEYOR: (Party Chief)