1709 Atlantic Beach DrForm Board Elevation Certificate FORM BOARD ELEVATION CERTIFICATE
Date //- d - 08 Permit Number: Ees /8 - o? vs-
Address• / 7o 9 fJ�jG Qctc/7 ��
All American Surveyors Work Order #_1,1, 7 goo
Required Slab Elevation on City Approved Site Plan:
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Actual Elevation of Form Board or Grade Stake:
iD 6 y
Survey Company:
ALL AMERICAN SURVEYORS OF FLORIDA INC.
3751 San Jose Place, Suite 15
Jacksonville FL 32257 Work Phone: 904-279-0088
Signature of Sury y r: (PartyChief)