1535 SELVA MARINA DR - FORM BOARD FORM BOARD ELEVATION CERTIFICATE
DATE:
PERMIT
NUMBER: / 7
ADDRESS: /s-ir " s 144- IA/4- Dom•
A.A.S. WORK ORDER NO. /3--- 0'a
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN: I3. 5 '
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: /1/,g�
SURVEY COMPANY
NAME: ALL AMERICAN SURVEYORS OF FLORIDA INC.
6820 SOUTHPOINT PARKWAY, SUITE 4 JAX, FL 32216 (904) 279-0088
SIGNATURE OF SURVEYOR: (Party Chief)