1847 Atlantic Beach Dr form board elevation certificate k
FORM BOARD ELEVATION CERTIFICATE
Date 7- / - 17 Permit Number: 17 - y &' yy
Address: liflz -Z, vi
All American Surveyors Work Order # 1s-915-9
Required Slab Elevation on City Approved Site Plan:
13 , y0
Actual Elevation of Form Board or Grade Stake:
Survey Company:
ALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone: 904--279-0088
Signature of Surveyor: (PartyChief)