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381 5TH ST - FORM BOARD CERTIFICATE . . FORM BOARD/STEMWALL ELEVATION CERTIFICATE ScQn Phase, 7)-- U `-l2S-/ -7 DATE PERMIT NUMBER 04/24/2017 17SFR-3069 PROPERTY INFORMATION ADDRESS 381 5TH ST, ATLANTIC BEACH, FL 32233 LEGAL DESCRIPTION LOT 36, BLOCK 7, ATLANTIC BEACH SUBDIVISION "A", PB 5, PG 69; RE#169878-0000 ELEVATIONS REQUIRED FINISHED FLOOR ELEVATION ON CITY APPROVED SITE PLAN & DATUM ACTUAL ELEVATION OF FORM BOARD, STEMWALL OR GRADE STAKE & DATUM 12.47 NAVD 1988 SURVEY COMPANY CONTACT & SIGNATURE BOATWRIGHT LAND SURVEYORS, INC - LB 3672 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FL 32250 PHONE: 904-241-8550 SIGNATURE OF SURVEYOR: _ (` ------ STEPHEN W CREWS, PSM LS-5996 4 m w $ w ƒ ° n ? ° 0 Cn 2 ° \ / Q) ) CD -.Q Q = \ 2 k a) 2 2 2 M / ] » ° ° - J_ c 3 a. a ° ° a & E - 7 § Cl) ° 0 ° / � � � ¢ E z a E -n r+ o 0 3 $ > M 0. 2 2 ..... ' « ID - n . � e } \ 0 ° k - 0 Fe a 70 = o m > \ \ / .. 0 S. \ _. - f F ( \ \ \ k m 2 z \ H \ c Z", �x w , m « r m c i o — oo § .P. -0 7 / / m m i \ q \ \ > > > a CO / ƒ K o to CD 7/ w / ) ® u C \ 717 § v « _ � a # % \ $ § 5. m m 0 > $ E ® f c" /0 / m0 -u =.7/ C) - 0 -n § - Ito 7 m = n 2 a O 7 b ( 0CO 3 k \ k q q g 2 E 6 g 7 § o' cn 7 SD § �J ° E z Q E P. o / > (i) ƒ / o / E % \ i E 0 0 o K = e z = \ CO J e >* [ /. _. �0, o CO D \ ° \ @ •• \a / g n 4 0. ■ § t < $ 3 A t § 7 ¢ Z a ( 2 E 0 ( O (0 Cl) 0) ¥ D I I