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r <br /> SECTION 00634 - PROFESSIONAL SURVEYOR AND MAPPER' S <br /> r CERTIFICATION AS TO ELEVATIONS <br /> AND LOCATIONS OF THE WORK <br /> (TO BE COMPLETED BY A FLORIDA PROFESSIONAL SURVEYOR AND MAPPER <br /> ' RETAINED BY THE CONTRACTOR AND TO ACCOMPANY CONTRACTOR' S FINAL <br /> APPLICATION FOR PAYMENT) <br /> I CERTIFY that I am a Florida Professional Surveyor and Mapper retained by <br /> r (insert name of CONTRACTOR) ' <br /> who is the CONTRACTOR for the following Project: <br /> rHARMONY OAKS MITIGATION PROJECT <br /> INDIAN RIVER COUNTY PROJECT #9219A <br /> rI FURTHER CERTIFY that I have personally performed the survey work for the <br /> preparation of Record Drawings for the CONTRACTOR for this project or that such work <br /> rwas performed under my direct control and supervision . <br /> I FURTHER CERTIFY that all constructed elevations and locations of the Work are <br /> in conformance with the Contract Documents , except for discrepancies listed below. <br /> r <br /> r <br /> r <br /> rattach additional sheets( ee s 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 /> r Company Name : <br /> Company Address : <br /> rTelephone Number: <br /> + + END OF SECTION + + <br /> r00634- 1 <br /> F :\Public Works\KeithM\stormwater Projects\Harmony Oaks Mitigation Project\Construction Contractoidding and <br /> rConstruction Contract Documents\00634 - Professional Surveyor's Certification .doc <br />