93/95 2nd St RES19-0041 Density Report FORM BOARD ELEVATION CERTIFICATE
Date //- 21- Permit Number: mo i ' =� 19 - 004/
Address: 93 / 9s wasr- Nd 57-
All American Surveyors Work Order # 17330a
Required Slab Elevation on City Approved Site Plan:
/d• 5
Actual Elevation of Form Board or Grade Stake:
/14 L3 o, d 5 ibis,
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)