1674 MARITIME OAK DR - FORM BOARD CERTIFICATE FORM BOARD ELEVATION CERTIFICATE
Date 416 . 2g Zor7 Permit Number: 18c5 --/7-. 4706. 8
Address: /4 7V c'i_r
All American Surveyors Work Order # is-8097
Required Slab Elevation on City Approved Site Plan:
/ 3, 90
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 urveyor: (Pa.rtyChief)