Permit Details

Roof Replacement or Repair Permit

Address	1101 SW TUSTENUGGEE AVE LAKE CITY, FL 32025
Parcel #:	08585-002
Acres:	4.99
Owner:	Crosby Robert Wayne, Crosby Sylvia Bosarge
Subdivision:
Zoning:	A-3
Flood Zone:	X
District:	4

Application #:	58761
Permit #:	000046309
Related Permit:
Submitted:	Thursday, January 19, 2023
Issued:	Thursday, January 19, 2023
Expires:	Thursday, February 2, 2023
Completed:	Thursday, February 2, 2023
Status:	Completed
Septic Release?	na

Notes:
AFFIDAVIT REC'D
LAKE CITY UTLITY CUSTOMER SERVICE NOTES The City of Lake City does not provide utilities to this location.

Job Details

Type Roofing Job	Replacement - Tear off Existing and Replace
Type of structure	House
Commercial or Residential	Residential
Roof Area (for this job) Sq Ft	42
No. of Stories	1
Ventilation:	Off-ridge Vent
Flashing:	Use Existing
Drip Edge:	Repair Existing
Valley Treatment:	New Metal
Roof Pitch	4:12 or Greater
Any cable and/or race-way wiring located on or within the roof assembly?	No
Is the existing roof being removed?	Yes
Type of New Roofing Product	Asphalt Shingles
Florida Product Approval Number	fl10124
Product Manufacturer	gaf
Product Description	architectural shingles
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	12023C0382D

Review Notes

1/19/2023	City of Lake City Notified of Application within Utility Service Areas LC_GAS,.
1/19/2023	Final Review - Payment Needed
1/19/2023	Permit Issued Permit #000046309 created and approved.

Contractors

Name/ Business	License	Title	Role
Deborah M Jackson Dr Roof, Inc County License & State License & Liability Insurance & Workers Comp Expired.	CCC1330709	Cert. Roofing	Contractor

Inspections

Inspection	Notes	Performed By	Date
Passed: Re-Roof - In Progress	In Progress On Removing Old Shingle Roof Covering And Replacement Of New Shingles	Gary Pitzer	1/26/2023
Passed: Re-Roof - Final		Gary Pitzer	2/2/2023

Documents

File Name	Date	File Size
City Of Lake City Approval Letter.pdf	2023.12.23	186.32kB
Roof Inspection Affidavit By Contractor 20230327 085547.pdf	2023.12.23	594.18kB
Original Permit 20230119.pdf	2023.12.23	43.58kB
Roofing Affidavit 2023-02-01 10.40.06.543.pdf	2023.12.23	1.16MB
Recorded Notice Of Commencement 20230327 085547.pdf	2023.12.23	355.21kB
Owner And Contractor Signature Page 20230327 085447.pdf	2023.12.23	453.24kB
Product Approval Code Specifications Form 20230327 085548.pdf	2023.12.23	338.68kB
Application Information Page 20230327 085447.pdf	2023.12.23	334.80kB
Scope Of Work_job Details List 20230201 095146.pdf	2023.12.23	1.84MB
Certificate Of Completion 20230202.pdf	2023.12.23	53.65kB
Roof Pictures 20230201 100946.pdf	2023.12.23	1.84MB

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