SURVEYORS CERTIFICATION CONFIRMING INSTALLATION OF



SURVEYORS AFFIDAVIT CONFIRMING INSTALLATION OF P.C.P.s & MONUMENTS AT LOT AND/OR TRACT CORNERS IN ACCORDANCE WITH SECTION 177.091(8) & (9)

1. I am a licensed professional land surveyor, holding Florida Certificate No. “_________”, authorized to practice in the State of Florida, and was the surveyor who executed the Certificate of Surveyor on the plat of “_________________________________”, as recorded in Plat Book ______, Pages _________, Public Records of Manatee County, Florida, prepared by _______________________________________.

(Name of Firm)

2. Said plat denotes a symbol for a ___________ as a Permanent Control Point (P.C.P.) and stamped “P.C.P.___________”, to be physically placed in the ground at those locations marked on the face of the plat.

3. I assert that all PCP’s have been physically placed in the ground as of _______________.

(Date)

4. I further assert that, all monuments (except as noted) identified as _________ with caps stamped “__________” have been physically placed in the ground at all lot corners, points of intersection, and changes of direction of lines within the subdivision (including Tracts) which do not require a "P.R.M.", "P.C.P.", or where a monument already existed as of __________________.

(Date)

5. The monument for a lot corner (or tract) could not be physically placed in the ground due to a physical obstruction at the following locations:

____________________________________ ________________________________

(Print Name of Surveyor)

Signed and sealed this ___________ day of _________________, 20____.

NOTARY ACKNOWLEDGMENT

STATE OF ______________________

COUNTY OF ____________________

The foregoing instrument was acknowledged before me this____day of_________________, 20___, by ____________________________________ identified herein as Surveyor and who is (___) personally known to me or (___) who has produced ______________________ as identification.

NOTARY PUBLIC SEAL: ______________________________

Notary Public

_____________________________

Print Name of Notary

Commission No. ______________ My Commission Expires ______________

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