1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665-7486
bpcustomerservice@semiolecountyfl.gov
Building Division
Revised 1/2/20
PRE-FABRICATED FIELD ASSEMBLED SHED
SHEATHING AND UNDERLAYMENT AFFIDAVIT
*Must be completed and onsite at time of Final Inspection*
PERMIT # :
JOB ADDRESS:
LOT / SUBDIVISION:
COMPANY:
I, , Contractor for the permit listed above,
Please print name
license number , did personally inspect the installation of
sheathing and underlayment. I certify the work is in compliance with the engineered plans
and current Florida Building Code.
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)