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D <br />14 -PRO <br />CERTIFICATION AS TO ELEVATIONS <br />AND LOCATIONS OF THE WORK <br />(TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER <br />RETAINED BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR'S FINAL <br />APPLICATION FOR PAYMENT) <br />I CERTIFY that I am a Florida Professional Surveyor and Mapper retained by <br />(insert name of CONTRACTOR) <br />who is the CONTRACTOR for the following Project: <br />WABASSO BEACH PARK RESTORATION <br />INDIAN RIVER COUNTY PROJECT 0612 <br />I FURTHER CERTIFY that I have personally performed the survey work for the <br />preparation of Record Drawings for the CONTRACTOR for this project or that such work <br />was performed under my direct control and supervision. <br />CERTIFIED BY. <br />Printed Name: <br />Florida Professional Surveyor and Mapper Registration Number: <br />Date Signed and Sealed by Professional Surveyor and Mapper: <br />Company Name: _ <br />Company Address: <br />Telephone Number: <br />+ + END OF SECTION + + <br />(SURVEYOR'S SEAL) <br />L Last Revised 12/2007 00634-1 Wabasso Beach Pk. Restoration <br />F:\Public Works\Cliff Suthard\Wabasso Beach Park\A Construction Bid Documents\Bid Documents as of 1-9-2008\Div 0 <br />AS OF 1-8-2008\00634 - Professional Surveyor's Certification.doc <br />