Permit Details

Roof Replacement or Repair Permit

Address	168 SE CLARENCE CT LAKE CITY, FL 32025
Parcel #:	09208-201
Acres:	5.18
Owner:	Jackson Sidney D, Jackson Donna A
Subdivision:	Myrtis Estates Unit 2
Zoning:	A-3
Flood Zone:	X
District:	4

Application #:	55277
Permit #:	000044738
Related Permit:
Submitted:	Tuesday, June 21, 2022
Issued:	Wednesday, June 22, 2022
Expires:	Wednesday, June 29, 2022
Completed:	Wednesday, June 29, 2022
Status:	Completed
Septic Release?	na

Notes:
PICS REC'D

Job Details

Type Roofing Job	Replacement - Tear off Existing and Replace
Type of structure	Mobile Home
Commercial or Residential	Residential
Roof Area (for this job) Sq Ft	2300
No. of Stories	1
Ventilation:	Unvented
Flashing:	Replace All
Drip Edge:	Replace All
Valley Treatment:	New Mineral Surface
Roof Pitch	2:12 to 4:12
Is the existing roof being removed?	Yes
Type of New Roofing Product	Asphalt Shingles
Florida Product Approval Number	fl5444-r16
Product Manufacturer	certainteed
Product Description	landmark shingles
Other Roofing Product Type Not Listed	mid-states quick-stick fl17401-r6
Sealed roof decking options: (Must select an option.)	a self-adhering polymer-modified bitumen underlayment complying with ASTM D1970 applied over the entire roof.
Building Code Edition	2020 Florida Building Code 7th Edition and Florida Statute 553.844
Fema map number	12023C0405C

Review Notes

6/21/2022	Final Review - Corrections Needed NEEDED *JACKSON SIDNEY TO SIGN AS OWNER OR DEATH CERTIFICATE
6/22/2022	Permit Issued Permit #000044738 created and approved.
6/22/2022	Permit Reissued Permit reissued to reflect updated information.

Contractors

Name/ Business	License	Title	Role
Daniel Dufresne Covenant Roofing & Construction Inc	CCC1332763	Cert. Roofing	Contractor

Inspections

Inspection	Notes	Performed By	Date
Passed: Re-Roof - In Progress		Anthony Aslan	6/24/2022
Passed: Re-Roof - Final		Anthony Aslan	6/29/2022

Documents

File Name	Date	File Size
Recorded Deed 20220630 101946.pdf	2023.12.23	300.91kB
Sidney Death Certificate.pdf	2023.12.23	4.60MB
Original Permit 20220622.pdf	2023.12.23	43.58kB
Updated Permit 20220622.pdf	2023.12.23	43.58kB
Certificate Of Completion 20220629.pdf	2023.12.23	62.19kB
Product Approval Code Specifications Form 20220630 102046.pdf	2023.12.23	295.97kB
Recorded Notice Of Commencement 20220630 101948.pdf	2023.12.23	295.34kB
Application Information Page 20220630 101947.pdf	2023.12.23	333.22kB
Owner And Contractor Signature Page 20220630 102047.pdf	2023.12.23	359.37kB
Roof Pictures 20220627 153127.pdf	2023.12.23	1.87MB
Roof Inspection Affidavit By Contractor 20220630 102048.pdf	2023.12.23	456.04kB
Property Appraiser Parcel Details Printed Page 20220630 102148.pdf	2023.12.23	381.27kB

Contacts

Building & Zoning Department
Hours:
Monday-Friday
8:00 a.m. - 5:00 p.m.

Location:
135 NE Hernando Ave.
Lake City, FL 32055

Mailing Address:
Post Office Box 1529
Lake City, FL 32056-1529

Office Phone:
(386) 758-1008
(386) 758-1124
Building & Zoning Director
Troy Crews, CBO
(386) 758-1040

Fax:
(386) 758-2160

Email:
Building Department

Columbia County, FL | Permit Details

Contacts