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P.E. CERTIFICATION FORM <br />The undersigned hereby certifies that he/she is a professional engineer registered in the State of <br />Florida and that he/she has been employed by <br />in accordance with Section <br />(Name of Con(ractor) <br />(insert P.E. Responsibilities) <br />(Name of Project) <br />to design <br />for the <br />The undersigned further certifies that lie/she has performed the design of the <br />, that said design is in conforlYtance <br />(Name of Project Elemeni) <br />with all applicable local, state and federal codes, rules, and regulations, and that his/her signature and <br />P.E. stamp have been affixed to all calculations and drawings used in, and resulting from, the design. <br />The undersigned hereby agrees to make all original design drawings and calculations available to the <br />Indian River County Department of Utility Services <br />(Insert Name of Owner) <br />or the Owner's authorized representative within seven days following written request therefor by the <br />Owner. <br />P.E. Name <br />Signature <br />Contractor's Name <br />Signature <br />Address Title <br />Address <br />END OF SECTION <br />01300-6 <br />D UVIS1014 1`01300 Submittals doc <br />