1102 1104 Stocks St Form Board LEGACYin-riace venstty 1ems:
ENGINEERING, INC Subdivision / Lot Number: Ira, c4oe1.CS Sr
(Address if no lot number)
Geotechnical&Materials Engineering and Testing e
Location Lift/Depth % Max Density
Ce n-}Ler � /.cl e 0-/D1 95-% '
cei--,41, r„.ry,ea- Off`74.7,o/ C3-/c2' qs°/O
c.z S4, Co )c r n‘/na ri fnr P n -/,_'' G S%
R_as+ Corner 04)c)cr klrG /' 0-/, 71 95'1/4
The above tests meet the specification requirements- Pass Fail ❑ (if fail,see notes below)
Notes:
This report has not been reviewed by an engineer,
the final report can be found at LegacyReports.com ---- LEGACY
Date Tested: 0940- R01�, R REPORTS®C
OM
Tested By: A-.27- FAST & EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville, FL 32216 - 904-721-1100
LEGACYitt-ri tcc IJGUIJily 1 GJW.
ENGINEERINGINC Subdivisiod / Lot Number: //41-1 c-(- Ms s-1-iee-11
,
Geotechnical&Materials Engineering and Testing (Address if no lot number)
Location Lift/Deth % Max Density
o/ c'-1 a ' 95%
��•�sC cam.,.,e-' o 5,0oaiz/ p-/G? 95%
4f:4C 1C-/ c74t- Q-/off qS'/o
re. ac , mac.- O -/a '` 9sC/P
The above tests meet the specification requirements— Pass WtFail ❑ (if fail,see notes below)
Notes:
This report has not been reviewed by an engineer,
the final report can be found at LegacyReports.com LEGACY'
Date Tested: O9 /° —aa/9 a REPORTS.COM
Tested By: FAST & EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville, FL 32216 - 904-721-1100
FORM BOAR"b ELEVATION CERTIFICATE
DATE :
•
PERMIT NUMBER :
ADDRESS : II(7Z S`rocks ST, Qv,i..)
i,44 /.l`(IC L- CC 32233
REQUIRED SLAB ELEVATION ON
CITY APPROVED SITE PLAN :
ACTUAL ELEVATION OF FORM
BOARDS OR GRADE STAKE : 9. '
SURVEY COMPANY NAME : PERRET and ASSOCIATES, INC.
PSIGNATURE OF SURVEYOR : ,
NATHAN P. PERRET 146900
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