Laserfiche WebLink
SECTION 00634 - PROFESSIONAL SURVEYOR AND MAPPER'S CERTIFICATION AS TO <br />ELEVATIONS AND LOCATIONS OF THE WORK <br />(TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER RETAINED <br />BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR'S FINAL APPLICATION FOR <br />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 />PROJECT NAME: INDIAN RIVER COUNTY PUBLIC SHOOTING RANGE - SKEET AND <br />TRAP FACILITY IMPROVEMENTS (PHASE I) <br />INDIAN RIVER COUNTY PROJECT: #1213 <br />I FURTHER CERTIFY that I have personally performed the survey work for the preparation <br />of Record Drawings for the CONTRACTOR for this project or that such work was performed under <br />my direct control and supervision. <br />I FURTHER CERTIFY that all constructed elevations and locations of the Work are in <br />conformance with the Contract Documents, except for discrepancies listed below. <br />[Attach additional sheets as necessary] <br />CERTIFIED BY• <br />(SURVEYOR'S SEAL) <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 />00634 1.DOC <br />00634 - 1 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1213-IRC Shooting Range -Skeet & Trap Improvemnts & Hunters Train Bldg\Admim\bid documents\Contract <br />Documents\00634--1.DOC Rev. 06/01 <br />