369 10th St RES19-0329 form board elevation certificate LEGACY In-Place Density Tests:
ENGINEERING, INC Subdivision / Lot Number: 3jp9 7;,/A Sr
Geotechnical&Materials Engineering and Testing (Address if no lot number)
Location Lift/Depth % Max Density
$E (4 -, e / D- P —f, I Q -iZ/;, 7r.0
ceoltr of- P'A'S' —A p101.1 /ny/z
5� Co($42/ — ,014.1 7 fC
h) u�F
C5k sot 044{rro/ 6 -,r+g —)S4- L ;l1 v X19. 7
Cen 3-e✓ -i k e7oc g•04-‘;is — 154- G dr• /ff, 6
The above tests meet the specification requirements— PassFail ❑ (if fail,see notes below)
Notes:
This report has not been reviewed by an engineer, � LEGACY
the final report can be found at LegacyReports.com
Date Tested: 2--/9-Zd REPORTS COM
Tested By: c4........ . FAST & EASY ONLINE ACCESS
6424 Beach Boulevard, Jacksonville, FL 32216 - 904-721-1100
4.
FORM BOARD ELEVATION CERTIFICATE
I
JOB # 37059-C
DATE: FEBRUARY 11, 2020
PERMIT
NUMBER: 19-0329
ADDRESS: 369 10TH STREET, 32233
REQUIRED SLAB ELEVATION ON CITY APPROVED
SITE PLAN: 10.60
ACTUAL ELEVATION OF FORM BOARD
OR GRADE STAKE: 10.60
SURVEY COMPANY NAME: RAY THOMPSON SURVEYING, INC.
SIGNATURE OF ,47,_
SURVEYOR: