Permit Details

Roof Replacement or Repair Permit

Address	127 SW DEREK GLN LAKE CITY, FL 32024
Parcel #:	02853-263
Acres:	1.00
Owner:	Massey Jason M, Massey Stephanie A
Subdivision:	Russwood Estates Unit 2
Zoning:	RSF-2
Flood Zone:	X
District:	3

Application #:	60842
Permit #:	000047011
Related Permit:
Submitted:	Tuesday, April 18, 2023
Issued:	Thursday, April 20, 2023
Expires:	Friday, May 26, 2023
Completed:	Friday, May 26, 2023
Status:	Completed
Septic Release?	na

Notes:
PICS AND 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
Further Job Details (Explain if decking is being replaced and or Repairs are being done.)	Remove existing roofing materials. Replace with 46 squares of new shingles. FL 10674.1
Type of structure	House
Commercial or Residential	Residential
Roof Area (for this job) Sq Ft	46
No. of Stories	1
Ventilation:	Ridge Vent
Flashing:	Use Existing
Drip Edge:	Use Existing
Valley Treatment:	Use Existing
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	FL10674.1
Product Manufacturer	Owens Corning
Product Description	asphalt shingles
Sealed roof decking options: (Must select an option.)	two layers of felt underlayment comply ASTM 0226 Type II or ASTM D4869 Type Ill or IV, or two layers of a synthetic underlayment meeting the performance requirements specified, lapped and fastened as specified.
Building Code Edition	2020 Florida Building Code 7th Edition and Florida Statute 553.844
Fema map number	12023C0290D

Review Notes

4/18/2023	Application pending.
4/18/2023	Application submitted by applicant.
4/18/2023	City of Lake City Utilities Notified City of Lake City Notified of Application within Utility Service Areas LC_GAS,.
4/19/2023	Final Review - Payment Needed
4/20/2023	Permit Issued Permit #000047011 created and approved.

Contractors

Name/ Business	License	Title	Role
Drew Worthmann Worthmann Llc Liability Insurance & Workers Comp Expired.	CCC1334454	Cert. Roofing	Contractor

Inspections

Inspection	Notes	Performed By	Date
Passed: Re-Roof - In Progress		Matt Forsyth	5/22/2023
Passed: Re-Roof - Final		Matt Forsyth	5/26/2023

Documents

File Name	Date	File Size
Recorded Notice Of Commencement 20230420 095637.pdf	2023.12.23	40.95kB
Roof Pictures 20230523 114025.pdf	2023.12.23	2.08MB
Roof Inspection Affidavit By Contractor 20230523 114025.pdf	2023.12.23	42.49kB
City Of Lake City Approval Letter.pdf	2023.12.23	186.42kB
Owner And Contractor Signature Page 20230418 100319.pdf	2023.12.23	1.21MB
Certificate Of Completion 20230526.pdf	2023.12.23	69.00kB
Property Appraiser Parcel Details Printed Page 20230418 100319.pdf	2023.12.23	408.14kB
Original Permit 20230420.pdf	2023.12.23	43.70kB

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