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r <br /> 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 /> rI CERTIFY that I am a Florida Professional Surveyor and Mapper retained by: <br /> rInsert name of CONTRACTOR) <br /> OR) <br /> rWho is the CONTRACTOR for the following Project: <br /> PROJECT NAME : NORTH COUNTY REGIONAL PARK , PHASE 2 <br /> ' INDIAN RIVER COUNTY PROJECT # 0399 <br /> I FURTHER CERTIFY that 1 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 /> 1 <br /> r <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 /> rCompany Address : <br /> rTelephone Number: <br /> 1 <br /> 0399-00634 - Professional Surveyor and Mapper's Certification as to Elevations and Locations of the Work.doc <br /> ' <br /> 00634 - 1 <br /> F:\Engineering\Capital Projects\0399 North County Regional Park, Phase 11\0399 Contrail Docs\0399-00634 - Professional Surveyor and Mapper's Certification <br />as to Elevations <br /> and Locations of the Work.doc Rev. 06/01 <br />