320 10th St RES19-0057 Form Board Elev + Density Test LEGACY In-Place Density Tests:
ENGINEERING, INC
subdivision/Lot Number: "'^
(Address if no lot Dumber)
Gemxhniwl&Materials Fngineeringand R iag
Lift/De th %MaxDensi
Location
'd6
The above tests meet the specification requirements–Pass O' Fail ❑ (if 1A sre"°w s°—)
Notes:
This report has not been reviewed by an engineer, LEGACY
the final report can be found at LegacyReports.com
Date Tested: /�1P _ - REPORTS-COM
FAST&EASY ONLINE ACCESS
Tested By:ste SL
6424 Beach Boulevard,Jacksonville,FL 32216- 904-721-1100
FORM BOARD ELEVATION CERTIFICATE
Date Permit Number: '
Address:
All American Surveyors Work Order #
Required Slab Elevation on City Approved Site Plan:
1� s�
Actual Elevation of Form Board or Grade Stake:
12 41
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)