Permit Details

Roof Replacement or Repair Permit

Address	1410 SW INDIAN GLN LAKE CITY, FL 32025
Parcel #:	08028-176
Acres:	0.20
Owner:	Maldonado Jorge D Diaz, Lopez Rosayra Vega
Subdivision:	Cypress Landing
Zoning:
Flood Zone:	X
District:	5

Application #:	60840
Permit #:	000047149
Related Permit:
Submitted:	Tuesday, April 18, 2023
Issued:	Friday, May 5, 2023
Expires:	Wednesday, May 31, 2023
Completed:	Wednesday, May 31, 2023
Status:	Completed
Septic Release?	na

Notes:

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 material. Replace with new 27 squares of shingles.
Type of structure	House
Commercial or Residential	Residential
Roof Area (for this job) Sq Ft	27
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	10674.1
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	12023C0291D

Review Notes

4/18/2023	Application pending.
4/18/2023	Application submitted by applicant.
4/18/2023	City of Lake City City of Lake City Notified of Application within City of Lake City LC_GAS, LC_WATER, LC_SEWER.
4/19/2023	Final Review - Corrections Needed NEEDED * LAND OWNER AFFIDAVIT FROM ROSAYRA LOPEZ TO JORGE DIAZ OR BOTH OWNER TO SIGN OWNER AND CONTRACTOR SIGNATURE PAGE
5/4/2023	Final Review - Payment Needed
5/5/2023	Permit Issued Permit #000047149 created and approved.

Contractors

Name/ Business	License	Title	Role
Drew Worthmann Worthmann Llc	CCC1334454	Cert. Roofing	Contractor

Inspections

Inspection	Notes	Performed By	Date
Cancelled: Re-Roof - In Progress		Melissa Garber	5/15/2023
Cancelled: Re-Roof - In Progress		Melissa Garber	5/15/2023
Passed: Re-Roof - In Progress	Old Roof Covering Removed And In Progress On Nailing	Gary Pitzer	5/25/2023
Passed: Re-Roof - Final	Dark To Light Gray Den. Shingle Roof Covering. Ridge Vents	Gary Pitzer	5/31/2023

Documents

File Name	Date	File Size
Certificate Of Completion 20230531.pdf	2023.12.23	53.67kB
Recorded Notice Of Commencement 20230418 102327.pdf	2023.12.23	38.02kB
Property Appraiser Parcel Details Printed Page 20230418 095656.pdf	2023.12.23	298.27kB
Original Permit 20230505.pdf	2023.12.23	43.67kB
Owner And Contractor Signature Page.pdf	2023.12.23	1.29MB
City Of Lake City Approval Letter.pdf	2023.12.23	187.37kB
Roof Inspection Affidavit By Contractor 20230530 055402.pdf	2023.12.23	41.73kB
Worthmann Waste Pro 20230418 111301.pdf	2023.12.23	89.00kB
Roof Pictures 20230530 055404.pdf	2023.12.23	1.14MB

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