1600 ATLANTIC BEACH DR - FORM BOARD V"f2a�c Can Perm,,4 # (9PLoU 31--/ 7
FORM BOARD ELEVATION CERTIFICATE
Date /0-31 / `7 Permit Number: e 31 - —015r
Address: 3:50 '4714.4 c ,3'a-c.4 /,/e.
All American Surveyors Work Order # /5,33a
Required Slab Elevation on City Approved Site Plan:
/! . 5O
Actual Elevation of Form Board or Grade Stake:
/Z. '7z
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)
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