283 BELVEDERE ST - FORM BOARD ELEV FORM BOARD ELEVATION CERTIFICATE
Date ' ZZ / (9 Permit Number: / 7 -62 4/
Address: 2- 63 /3e/,,eaRre
All American Surveyors Work Order # 16 /spy
Required Slab Elevation on City Approved Site Plan:
Jo 50
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)