Laserfiche WebLink
SECTION 00634 - PROFESSIONAL SURVEYOR AND MAPPER'S CERTIFICATION A . TO <br />ELEVATIONS AND LOCATIONS OF THE WORK <br />(TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER RE AINED <br />BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR'S FINAL APPLICATIIN FOR <br />PAYMENT) <br />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: Vero Lake Estates Asphalt Millings Pr <br />(Phase I) <br />INDIAN RIVER COUNTY PROJECT #1314 <br />ject <br />1 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 - Professional Surveyor and Mapper's Certification as to Elevations and Locations of the Work RE <br />00634 - 1 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS \1314 -107th Ave Milling_90th St to 94th St\Admin\bid documents\Master Contract Documents \00634 - Pt <br />Irvevnr anri Mannans Certification as to Elevations and Locations of the Work REV 04-07.doc Rev. 06/01 <br />04-07.doc <br />fessional <br />