1624 ATLANTIC BEACH DR - FORM BOARD ELEVATION CERT FORM BOARD ELEVATION CERTIFICATE
Duval County / Clay County/ Nassau County
Left copy on site No box
Lot and Subdivision: L4 A./la,,4,?
DATE:
PERMIT
NUMBER: ��
ADDRESS: Al
r
REQUIRED SLAB ELEVATION ON CITY
APPROVED SITE PLAN:
ACTUAL ELEVATION OF FORM BOARD OR
GRADE STAKE:
SURVEY COMPANY
NAME: Bartram Trail Surveying, Inc.
1501 CR 315, Suite 106
Green Cove Springs, FL 32043
SIGNATURE OF SU Pa Chien