1774 ATLANTIC BEACH DR - FORM BOARD FORM BOARD ELEVATION CERTIFICATE
Date _-7 /a Permit Number: i8OO/G
Address: / 779 /9714,47i:6 .r3c- Di?.
All American Surveyors Work Order # /d/ 7Z 4/
Required Slab Elevation on City Approved Site Plan:
12 910
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)