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F
PERMIT NUMBER
Installer ►'llpMW _ L,(B1 lal n uDense# �N - W) 3-7
Address of home 621 �rJ
being Installed l ' 1'i"(N� - oiri
Manufacturer
NOTE '!f home !s a Length xwidth
nale
one half of the blocking plan
!f home Is a triple or quad wide sketch in remainder of home
I understand Lateral Arts Systems Cannot be used on any home (new or used)
where the sidewall ties exceed 5 it 4 in.
Installer's initials
Typical pier spacing
E—,I
I
Show locations of Longitudinal and Lateral Systems
latpltu9nd . (use dark lines to show these locations) '
Maf-i- W1M pl,m WHWn 7 d end.1 hems
PERMIT
JAN 10 2019
rn/ST ucie County r� a
New Home. 47 de LJ
Home Installed to the Manufacturers Installation 4W
Hoome Is installed In aocordance with Rule 16.0
Single wide ❑ Wind Zone II ❑ V)
Double wide ' Installation Decal #
Tdple(Quad ❑ Serial # r.
LL PIER SPACING TABLE FOR USED IIOM O [A
of
Laed
Footr
bearing
lza
size
16'X16'
181/2'Xt81/2' 20'x20'
.22'x22'
24'X24' 26'x26'
capacity
(sq in)
1")
(e42) (40D)
(464)'
(576)' (676)
1000
5
3
00 s
4 6
6
B
oDD
6
g g
2 00 s
6
g g
B
3000 s
g
3 0
g
PIER PAD SIZES I�'�7 ��� POP AR PAD 61 ES
I-beam plat pad size
Lam)
Perimeter pier pad size ) 2 21
Other pier pad sizes 1 Zt�i
(required by the mfR.)
®Draw the approximate locations of marriage
wall openings 4 toot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and their le d I b
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itrsz•1•a��V
iKiICS'LI:�IC�
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2
i►L<ii[:3:Y.r.'icifl:t
i►flfsrY4ar%
.ter.
����"
p r pa s zes elow.
ANCHORS
rr Opening ` Pierpad:slze
4 it L"" •5 it
2 ZL � FRAMETIEB
within 2' of end of home.
spaced at 5' 4n Do V
TIEDOWN COMPONENTS OTHER ES
Longhudlnal $tabJ/izM Device LS Sidewalt Number
Manufacturer ia7
L;j Longitudinal
Longitudinal StabllWng Device WL era/ArmsJ Marrlags wail
Manufacturer. Sh mrwa)I
PERMIT NUMBER� PERMIT WORKSHEE7 page 2 of 2
a;
a' t".1
POCKET PENETROMETER TES
The pbcket penetrometer tests are rou d owrite— psf
or check hereto declare 1000 lb. soil without testing.
X—_ X__ X_
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the.footer.
S. Using goo lb. increments, take the lowest
reading and round down to that IncramenL
TORO E PROBE TEST
The results of the torque probe test is • Inch pounds or check
here If you are declaring 5' anchors without test ng _ - A test .
showing 275 Inch pounds or less will require 5 foot anchors.
Note: A state approved lateral arm system Is being used and 4 It
anchors are allowed et4he sidewall locations. 1 understand 5 It
anchors are required at all centerline He points where the torque test
reading Is 27Tr or less and ere the rrlobile home manufacturer may
requires anchors with 4D bb I a`pacity.
Installer's Initials
ALL TEST S'fv1 T BE PERF RMEDBY A LICENSED I1:ISTALLER
Installer Name
Date Tested
' FJeetrleal
Ionneot electrical conductors between multi•wide units, but not to the a ower
ouroe. This•Includes the bonding wire between mult•wide units. Pg.
onnect all sewer drains to an existing sewer tap or s plc tank Pg.
onnect all potable water supply piping to an ng water meter, water tap, or other
rdepandent water supply syslems, 'Pg.
Debris and organic material
Water drainage: Natural _
Floor.
Walls:
Roof:
WIII be centered over
roofing nails at 2° on
an both sides of the
Other
_ _ Gasket Iweelhenroofi rwul p
I understand a property installed gasket Is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a result of a poorly installed or no gasket being Instal*1understand a strip
of tape will not serve as a gasket.
Installer's initials
Type gasket Installed:
Pg. Between Floors Yes
Between Walls Yes
Bottom of ridgebeam Yes
Weatherproonnc
The bottomboard will be repaired and/or taped. Yes Pg.-
Siding on units is installed to manufacturer's specifications. Yes
Fireplace chimney Installed so as not to allow intrusion of rain water. Yes
Skirting to be Installed. Yes _��No_
Dryer vent installed outside of skirting. Yes WA��
Range downflow vent installed outside of skkkjjjrtrtrtin as WA
Drain lines supported at 4 foot Interval
Electrical crossovers protected. Yes �L_
Other:
is accurate and true based on the
Installer Signature
Dete&% —2951