801 Begonia St RES19-0304 Form Board (2) FORM BOARD ELEVATION CERTIFICATE
Date / _) -c Permit Number:
Address: o of 1 St,
All American Surveyors Work Order # 7`(, -370
Required Slab Elevation on City Approved Site Plan:
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Actual Elevation of Form Board or Grade Stake:
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)
1
all" 4ii� 9556 Historic Kings Road • Suite 201
� '� Jacksonville, FL 32257 FIELD DENSITY TEST REPORT
_\ O ��� Phone: (904) 886-0766 •
OFJAX,INC. Email: twheeler@agesofjax.com
AGES JOB NO.: i 9' DATE TESTED :/? - /6 ' /?
JOB NAME: ,;o( QeSvhic4 Srr. REPORT DATE:
CLIENT : s ti lccr l6"�'s TECHNICIAN : �, /( ' /ctc ti
LOCATION: REPORT NO. :
1
Test MoistureWet Dry Proctor Proctor Relative Go i pAefloji
No. Content Density Density Number Density Achieved Required Pass/Fail Test Location Elevation Test Datum
(%) (Pc1) (Pa) (Pc!) eb) (°4) (Feet)
/ .e, i' / i C / 1/4....-, •caol s i
/ 67,1 I y y-; / p ,e-. „0. fiG6�
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 (pCD (%) "certification" of suitability of the "subsurface soil conditions" and/or an
v� /2/ toy 5/ (z., ,s.i,- 4,/ jl /'G rt 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
S
,y
slailL
9556 Historic Kings Road • Suite 201 t
`At. '•• Jacksonville, FL 32257 FIELD DENSITY TEST REPORT
— . — Phone: (904) 886-0766
OFJAX,INC. Email: twheeler@agesofjax.com
AGES JOB NO.: ,''o37 DATE TESTED : '? - i6 - iy
JOB NAME: a/ atyOh1C Si- REPORT DATE:
CLIENT : +::4/S/' E,l,.•�e S TECHNICIAN : .i2'kite H
LOCATION: ' / '-' / REPORT NO. :
Test Moisture Wet Dry .. Proctor Procttir' Reltative Compaction
No. Content Density Density Number Density Achieved Required Pass/FaiTest Location Elevation Test Datum
(%) (Pct) fper) (Pct) (°h) _ (%) (Feet)
o` /
Ifl4
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
l/0 y ,F's L. (r4C-f evaluation of the ability of the subsurface soils to adequately support the
' A Qt le planned construction. REPORTED BY:
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
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