1822 ATLANTIC BEACH DR - FORM BOARD CERT PL�+� �+� -i1-74L�
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FORM BOARD ELEVATION CERTIFICATE
Date /L- /9- /'7 Permit Number: /7 - az1 0
Address: /ez.2 !4,171,6 6e CA-
All American Surveyors Work Order # /60 az og
Required Slab Elevation on City Approved Site Plan:
/Z Irl
Actual Elevation of Form Board or Grade Stake:
/z. 8
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)