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2018-253F
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2018-253F
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Last modified
1/4/2021 2:24:25 PM
Creation date
12/17/2018 10:53:55 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
11/13/2018
Control Number
2018-253F
Agenda Item Number
8.F.
Entity Name
Johnson-Davis, Inc.
Subject
Gifford Neighborhood 45th Street Beautification Project Phase II (2)
Area
45th Street Gifford
Project Number
IRC-1748
Bid Number
20190008
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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: 451 STREET BEAUTIFICATION <br />PROJECT PHASE II <br />PROJECT NUMBER: IRC -1748 <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 />(SURVEYOR'S SEAL) <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 />00634 - Professional Surveyor and Mapper's Cert <br />00634 - 1 <br />F1Public Works\ENGINEERING DNISION PROJECTS\1748 Gifford Neighborhood-- 45th Street Beautification Project Phase IM-AdminkRE-bidstBid Documentswaster <br />Contract Documents\00634 -.Professional Surveyor and Mapper's Cert.doc <br />
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