1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665-7486
bpcustomerservice@semiolecountyfl.gov
CONCEALED OFF RIDGE VENTS FOR TILE ROOF
APPLICATIONS – INSTALLATION AFFIDAVIT
PERMIT #:
JOB ADDRESS:
LOT / SUBDIVISION:
COMPANY:
I, , Contractor for the permit listed above,
(Please print name)
license number , did personally inspect the installation of
the vent assembly, sealing the underlayment and blocking of the deck as required.
I certify the work is in compliance with the current Florida Building Code – Building Volume.
__
Contractor Signature Date
STATE OF FLORIDA )
COUNTY OF _______________)
Sworn to and subscribed before me by means of [ ] physical presence or [ ] online
notarization, this _____ day of ___________________, 20___, by _____________________
_________________ (name of person acknowledging), who is [ ] personally known to me;
or [ ] has produced __________________________ as identification.
________________________________
Signature of Notary Public (Seal)
