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1251 SELVA NARINA CIR - FORM BOARD CERTIFICATE FORM BOARD/STEMWALL ELEVATION CERTIFICATE DATE PERMIT NUMBER 11/13/2017 R-17-0138 PROPERTY INFORMATION ADDRESS 1251 SELVA MARINA CIRCLE, ATLANTIC BEACH, FL 32233 LEGAL DESCRIPTION LOT 2, BUDNICK PLACE; PB 70, PG 112 - DUVAL COUNTY ELEVATIONS REQUIRED FINISHED FLOOR ELEVATION ON CITY APPROVED SITE PLAN & DATUM 15.0 NAVD 1988 ACTUAL ELEVATION OF FORM BOARD, STEMWALL OR GRADE STAKE & DATUM 14.96 (15.00) NAVD 88 SURVEY COMPANY CONTACT & SIGNATURE BOATWRIGHT LAND SURVEYORS, INC - LB 3672 1500 ROBERTS DRIVE, JACKSONVILLE ACH, FL 32250 PHONE: 904-241-8550 SIGNATURE OF SURVEYOR: DONN W BOATWRIGHT, PSM - LS 3295 EyiEllis&Associates IIIc. Corporate 7064 Davis Creek Road,Jacksonville,FL 32256 P:(904)880-0960 F:(904)880-0970 EGroup of Companies Branch Location: Brunswick: 134 Newman Drive,Brunswick,GA 31520 P: 912 279-0085 =F: 912 279-0086 Geotechnical■Conlstruction Materials•Environmental•Facilities ( ) ( ) Daytona: 2706 S.Ridgewood Ave.,Suite 2 P:(386)944-9588 r:(386)944-9589 ellisassoc.com South Daytona,FL 32119 Work Order#: REPORT OF IN PLACE DENSITY RESIDENTIAL Project#: Subdivision: '"Reported to: Report#: Unit or Parcel: Location By: Gauge#: Date Tested: Lot#Block: Contractor: Street Address: t_ k\IF,' -' ; City: - Method: • Course: ' t Material: - Specific Requirements: Pass/ Elev/ Base/LR/ Dry Max. Dry % of Max Moist Fail/ Location Depth Asphaltl Density Density* Density % Retest /Lift Thickness ,1... / ` j t Irs .. i f w , . Imo ! _l . j r ( *Source of Proctor (Project#and/or Work Order#) P- Test Meets Specification Requirements F-Test Fails To Meet Specification Requirements R- Retest To Be Completed In Field `--, Standby Approval Employee Name , Time Superintendent Printed Name Start/Stop Travel Standby Job Superintendent Signature (Office use) EA-10(rev.04/16) white copy-office use yellow copy-personal use pink and goldenrod-client use Page_of_ T Ellis & Associates, Inc. 7064 Davis Creek Road Jacksonville, FL 32256 LETTER OF TRANSMITTAL (904) 880-0960 [Phone:] (904) 880-0970 [Fax:] ECS Group of Companies November 7,2017 RE: 1251 Selva Marina Circle Eastern Shores Construction ECS Job# 35:26322 1015 Atlantic Blvd Suite 240 Atlantic Beach,FL 32233 Permits: Location: 1251 Selva Marina Circle ATTN: Bob Leinenweber Atlantic Beach,FL We are enclosing: X Field Reports X For your use X As requested ENCL: Please find attached the results of the Modified Proctor(ASTM Dl 557) test performed on the soil sample obtained from the house pad. Thank you for allowing Ellis-ECS Florida,LLC the opportunity to provide construction materials testing services for this project. Should you have any questions and/or comments,please contact our office. �`�'�•���¢��, tt///� ' .0" 000B YACO `% a. C ,• Ct'•.• \CE „9„..'•. O ': F•• N No 44 • Nemer( i Ow is 1 Eo F Senior NOt�'2017 ,kk) TkitEP 110/72017 Senior Prisafal #'4./4S..; .................. eee, ///i+litlss”' This report(and any included attachments)shall not be reproduced,except in full,without the prior written approval of ECS. 1000.3 i 61, COMPACTION TEST REPORT 105 104 16.0% 1034 pd 103 U C o > 102 • 101 100 10.5 12 13.5 15 16.5 18 19.5 Water content,% Test specification: ASTM D 1557-00 Method C Modified Elev/ Classification Nat. %> %< Depth USCS AASHTO Moist Sp.G. LL PI 3/4 in. No.200 0.00-1.00 SP 2.7 NP TEST RESULTS MATERIAL DESCRIPTION Maximum dry density=103.4 pcf Tan Fine Sand Optimum moisture=16.0% Project No. 26322 Client: Eastern Shores Construction Remarks: Project: 1251 Selva Marina Circle OSource of Sample:House Pad Sample Number:29972 EA Ells&Associate s.. ECS croup }Coe. 7054 Davis Creek fCoad .Jac ills.Florida 3220 Figure Tested By: JF Checked By:HN