1656 MARITIME OAK DR - FORM BOARD ELEVATION CERTIFICATE FORM BOARD ELEVATION CERTIFICATE
Date .i--, !D - /co Permit Number: CS IR - 010 6
Address: e4u t T inn gJ oe K 0
All American Surveyors Work Order # 1 56 , 7
Required Slab Elevation on City Approved Site Plan:
!�2 . 30 '
Actual Elevation of Form Board or Grade Stake:
12 qs-
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)