1720 Atlantic Beach Dr form board elevation certificate FORM BOARD ELEVATION CERTIFICATE
Date Permit Number: �c
Address: /7Z -/rz q,vT/C. 3ef4N
All American Surveyors Work Order # v
Required Slab Elevation on City Approved Site Plan:
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)
UNIVERSAL UES Project No: 0910.1400187.0000
Workorder No: 196867-1
ENGINEERING SCIENCES Report Date: 1/15/2018
Consultants In:Geotechnical Engineering-Environmental Sciences
Geophysical Services-Construction Materials Testing-Threshold Inspection Building Inspection-Plan Review-Building Code Administration pl-ear
5561 Florida Mining Blvd So.,Jacksonville, 32257 • P: 904-296-0757 - F: 904-29"748
In-Place Density Test Report
Client: 160 Cape May Avenue UES Technician: David Caseja
Ponte Vedra, FL 32081 Date Tested: 01/15/2018
Project: Atlantic Beach Country Club
Area Tested: lot 78 Type of Test:
Material: Fill Field: ASTM D-6938 Nuclear Gauge Metho
Reference Datum: 0 = Top of Fill Laboratory: ASTM D1557 Modified Proctor
The tests below meet the minimum 95% relative soil compaction requirement of Laboratory Proctor maximum dry density.
Maximumoptimum Field Dry Field Soil Fill
TestDepth Pass
Density Moisture Density Moisture Compaction
No. Location of Test Range (pcf) I%1 (pcf) (%) (%) (inch) or Fail
1 NE corner of house pad 0-1 ft 102.3 14.6 97.8 8.0 96 N/A Pas:
2 NW corner of house pad 0-1 ft 102.3 14.6 96.9 7.2 95 N/A Pas:
3 SW corner of house pad 0-1 ft 102.3 14.6 98.1 7.6 96 N/A Pas:
4 SE corner of house pad 0-1 ft 102.3 14.6 99.3 8.3 97 N/A Pas:
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