1752 MARITIME OAK DR - FORM BOARD ELEV FORM BOARD ELEVATION CERTIFICATE
Date Permit Number: /7 - O& 66
Address: / 73 c Mae-;71;,72 />/< Lai s/ /U
All American Surveyors Work Order # /58`43-5-
Required
'J5Required Slab Elevation on City Approved Site Plan:
/2
Actual Elevation of Form Board or Grade Stake:
/2 . / a
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)