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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