1253 Selva Marina Cir RES19-0308 Form Board FORM BOARD ELEVATION CERTIFICATE
Date (I - z4; - 1 9 Permit Number: KE5 19 - 00
Address: z 53 S�Lv
All American Surveyors Work Order # 178 0 3C
Required Slab Elevation on City Approved Site Plan:
Actual Elevation of Form Board or Grade Stake:
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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)
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( iii. c Y in-Place Density Tests:
ENGINEERING, 1 N C Subdivision /Lot Number: /A 5 Sei,,,^ Moo + Cite
Geotechnical&itlaterials Engineering and Testing (Address if no lot number)
Location Lift/Depth % Max Density
_ehn-1-u 6ers'clet- 0- 12 " /00 74 .
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The above tests meet the specification requirements- Pass Fail ❑ (if fail,see notes below)
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Notes:
This report has not been reviewed by an engineer, _,,
the final report can be found at LegacyReports.com
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Date Tested: /2 , R PQR®T S0CQM
Tested By: /D � ...--es -- FAST & EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville, FL 32216 2904-721-1100
1110 Notice , , ,
an'I or Treatments
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Date of Inspection
Date of Treatment
drtrki I) 7044
Pesticide Used
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Wood-Destroying Organism Treated Pursuant to Section:105.10 of
the Florida Building Code,this notice is required to be posted.Any
licensee who performs control of any wood-destroying organism
shall post notice of said treatment immediately adjacent to the
accesss to the attic or crawl area or other readilyilaccessible area of
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HomeTeam
PEST DEFENSE'
6694 Columbia Park Dr S Ste 3
Jacksonville,FL 32258
904-730-2522
8553-09/16