1771 Maritime Oak Dr Form Board Elev t -)T- iO
FORM BOARD ELEVATION CERTIFICATE
Date /1 - /3-19 Permit Number: 0
Address: v 77.1 , ,i71 �;,,? 0c-A pe. OFFICE COPY
All American Surveyors Work Order # / 7773S-
Required
7773S-
Required Slab Elevation on City Approved Site Plan:
/ Z . /0
Actual Elevation of Form Board or Grade Stake:
/ 3 . y9
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)
,J It
tw----- ,
9556 Historic Kings Road • Suite 201
Jacksonville, FL 32257
FIELD DENSITY TEST REPORT
p Phone: (904)886-0766
iIAX,INC. Email: twheeler@agesofjax.com
AGES JOB NO.: OFFICE CNO.:-.1 / i DATE TESTED : f I
JOB NAME: ;'7/ Meir4,ri.ie. CALS. REPORT DATE:
CLIENT : ' 'r L i '"" • TECHNICIAN : ' ^
LOCATION: REPORT NO. :
Test Moisture Wet Dry Proctor Proctor Relative CortjOidlon
No. Content Density Density Number Density Achieved Required Pass/rail Test Location Elevation, Test Datum
(%) !Pc!' (Pct (Pci (°h} t°4} ;Feet
PROCTOR INFORMATION SUMMARY: The relative compaction results are a quality control measure of the This report shall NOT be reproduced,
Proctor Max. Dry Optimum adequacy of the fill and/or sub-grade compaction effort. The data shown Except in Full, without written approval of
herein is representative of compaction achieved at the specified test
Type Number Density Moisture Soil Type AGES OF JAX, Inc.
location and depth. Passing density tests should not be construed to be a
Proct (pcf) (o/0 "certification" of suitability of the "subsurface soil conditions" and/or an
evaluation of the ability of the subsurface soils to adequately support the REPORTED BY:
planned construction.
AGES OF JAX, Inc. agrees to keep confidential any and all matters
related to these test results and understands that unauthorized disclosure
Remarks of these test results to anyone other than our clients, or their designated TIMOTHY R. WHEELER, P.E.
MOD=Modified Proctor Density (ASTM D 1557) representative,without fee ioeal ethexpics
and mpanyipo, is in violation of Registered Fla No. 42802
AGES OF JAX, Inc. professional ethics and company policy. g
9556 Historic Kings Road • Suite 201
Jacksonville, FL 32257 FIELD DENSITY TEST REPORT
Phone: (904) 886-0766
ic. Email: twheeler@agesofjax.com
t,� •• 4.7 ytiqs- ('►C DATE TESTED :
JOB NHS.. , tic..,rt.,C ,(�E'oc4 evr,N,4-/ G/u- U�I�IIjI�. COPY
! REPORT DATE:
CLIENT : 1ill L th,,V iterri#7 TECHNICIAN :
LOCATION: REPORT NO. :
Test Moisture Wet Dry Proctor ProctorRelativeCo ipaictIon
No. Content Density Density Number Density Achieved Required pass/Fail Test Location Elevation Test Datum
(%) (Pc?) (Pct) (Pct) (%) (%) , (Feet)
- I
PROCTOR INFORMATION SUMMARY: The relative compaction results are a quality control measure of the This report shall NOT be reproduced,
Proctor Max. Dry Optimum adequacy of the fill and/or sub-grade compaction effort. The data shown Except in Full, without written approval of
Type Number Density Moisture Soil Type herein is representative of compaction achieved at the specified test AGES OF JAX, Inc.
location and depth. Passing density tests should not be construed to be a
Proct (pcf) (%) "certification" of suitability of the "subsurface soil conditions" and/or an
:, ‘.--:--r'.:• /:r r.,. evaluation of the ability of the subsurface soils to adequately support the REPORTED BY:
planned construction.
AGES OF JAX, Inc. agrees to keep confidential any and all matters
related to these test results and understands that unauthorized disclosure
Remarks of these test results to anyone other than our clients, or their designated TIMOTHY R. WHEELER, P.E.
representative,without the client's expressed permission, is in violation of
MOD=Modified Proctor Density (ASTM D 1557) AGES OF JAX, Inc. professional ethics and company policy. Registered Fla No. 42802
A