395 12th St form board elevation certificate FORM BOARD ELEVATION CERTIFICATE
DATE: stai2nls FEB - 9 2017
PERMIT
NUMBER:
ADDRESS: 39512TH STREET, ATLANTIC BEACH, FL 32233
SOUTH 30' OF LOT 40 & LOT 41 BLOCK 1 SELVA MARINA UNIT 1- PB 23 PG 4
RE#171922 0000
REQUIRED FINISH FLOOR ELEVATION ON CITY
APPROVED SITE PLAN:
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE: 12.7 NAVD 1988
SURVEY COMPANY
NAME: BOATWRIGHT LAND SURVEYORS. INC 904-241-8550
1500 ROBERTS DRIVE, JACKSONVILLE BE CH, FL 32250
SIGNATURE OF SURVEYOR: --
DONN W BOATyRIGHT PSM I S '.4995 1 R 3679