HomeMy WebLinkAboutRevisions; Permit WorksheetOFFICE USE ONLY:
DATE FILED: q1-7110
REVISION FEE:
PERMIT # 1666-tV Z-
RECEIPT #
ST. LUCIE COUNTY
PUBLIC WORKS DEPARTMENT
CODE COMPLIANCE DIVISION
2300 VIRGINIA AVENUE'
FORT PIERCE, FL 34982-5652
(772) 462-1553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
1. LOCATION/SITE
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
3. CONTRACTOR INFORMATION:
ST. of FL REGJCERT. # M ST. LUCIE
BUSINESS NAME:P'-
4.
5.
QUALIFIERS NAME:
ADDRESS:
CITY:
PHONE (DAYTIME):
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE /CELL:
ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:,
CITY:
PHONE (DAYTIME):
STATE:
'FAX: _
ZIP:
STATE: ZIP:
FAX:
STATE: ZIP:
FAX:
THESE PLANS AND ALL PROPOSED WORK
.ARE Si 11',1l�ITl�1 page l of t I
• PERMIT NU ;,:: D FIELD INSPECTORS NUMBER �K..:f :, ::; : w�fi .:.. J 4 •,� :' .�U RED BY ORS THAT
SAY BE N jrQS y IN CgER T(Aed Home
Installer /=ug • t w.o000'J` License # c�C od?, k d�PL� �U`iig� ALL �DP�I�,��: E �,����
Flome ins
ta led o h�`tuta'ni:factri er's Installation Manual ❑ '
Address of home
being Installed
NOTE: If home !s a single tsild�
If home is a triple or !qt
I understand Lateral Arm Systems
where the sidewall ties exceed 5 ft
and Lateral Systems
),se locations)
Home is installed in accordance with Rule 15-0
Single wide ❑ Wind Zone II MXWind Zon-a III ❑
Double wide Installation Decal #
Triple/Quad '❑ Serial # F,1 fl a 0 z1 3 3 L ,9- D
J- FG 9(+ o o 0 533 a-7d .
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
I Footer
size
(sq in)
16,X161
(256 )
18 1/9' x 18 1/2'
(342)
20' x 20'
(400)
22' x 22'
(484)•
, 24' X 24'
(576)'
26' x 26'
(676)
00 s
3
15ao. Dst;
000 s
6
8
2 00 ps
818
3 00 psi
a
8
13-
35uu psi8"
- mierpoiatea rrom huie i st:-i pier spacing tame.
PIER PAD 51ZES _
I-beam pier pad size G 7 —0
Perimeter pier pad size t 9,0 7 t �
Other pier pad sizes t ?
(required by the mfg.)
MIDraw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and.their pier pad sizes below.
Opening Pier padzize
7 �Y71 A.—
1 � ry •�
TIEDOWN COMPONENTS
Longitudinal Stablllzing Device (LSD)
Manufacturer
Longitudinal Stabilizing Devicp jv4Latera/Arms
Manufacturer vti .1
POPULAR PAD SIZES
ANCHORS
4 ft .5 ft
�=FiAM E TIES
within 2' of end of home
spaced a.t 5' 4" oo .
CO'tHER TIES
Number
sidewall 17
Longitudinal
Marriage wall
Shea,
wall
PERMIT NUMBER
POCKET
The pocket penetrometer tests are
or check hereto declare 1000 lb. s
X
f
POCKET PENETI
1. Test.the peri i at
2. Take the r6idlinf
S. Using 500 lb, Imc
reading and rlou
X ;l
i
The results of the torque pro
here if you are deciarinq'5' a
showing 275 inch pound's or
Note: A state approved lateral
.anchors are allowed af-t
anchors are required at
reading is 275. or less ar
requires anchors with 4(
i<
ALL TESTS MUST BE PE
Installer Name /n
Date Tested
i
'onnect electrical conductors
ource. This'includes the bon
onnect all sewer dralns to an
onnect all potable water supi
(dependent water supply syst
-ound n to psf
ill without testing.'
X iX—
�OMETER TESTING METk6D
of the home at 6
the depth of the_footer.
nents, take the lowest
down to that increment.
X' I�
inch pounds
(thout testing i Ai
requires foot anchors:
system is being used and
iewall locations. I undersh
itehine tie points where thi
ere the mobile home mane
,bolding capacity.
P :- 1 Installer's initial
RMED By A LICENSED
r1 ,a-CG
)r check
t THESE PLAN'
ARE SUBJE
id 5 ft REQUIRED
torque WY BE NE(
acturer ma IM, Pi°i W
ALLER
I Electrical_
Itweari multi -wide units, but not to thel main power
g wire between.mult-wide units. Pg.
Plumbing
isting;sewer tap or septic tank: Pg.
plpir � to an ezistinq water meter, water tap, or other
PERMIT WORKSHEET
page 2 of 2
Debris and organic material removed
Water drainage: Natural se— Swale Pad Other
Fastening multi wide units
t-' f,
Floor, _ Type Fastener, Length: Q Spacing:
Walls: Type Fastener. Length: -JZ- Spacing: A
Roof: Type Fastener: Length: 9-1-1 Spacing:
For used homes a In, 30 gauge, 8" wide, galvanized.metal strip
will be centered over the peak of the roof and fastened with qalv.
roofing nails at 2" on center on both sides of the centerline.
Gasket (w"therpiooflnp requlmment)
I understand a properly 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 installed. I understand a.strip
of tape will not serve as a gasket.
Installer's initials
Type gasket O/%�l/'' Installed:
Pg. Between Floors Yes
AND ALL PROPOSED WORK Between Walls Yes _
� TO ANY CORRECTIONS Bottom of ridgebeam Yes _ l
(FIELE) Re Tt t RT
t e 6 Weatherproofing
.. .. ee enre Ise � es eee ee ee e
)AKY IN VKUM I V
dT f } �nt�Q� rdl 0=paired and/or taped. Yes F'g,
Eidl'r oti`t9i`iit§`'is jhtfi Yo manufacturer's specifications, Yes„
Fireplace chimney Installed so as not to allow intrusion of rain water. Yes
Miscellaneous
Skirting to be installed. Yes _ No
Dryer vent installed outside of skirting. Yes WA
Range downflow vent installed' outside of skirl Yes WA
Drain Ilnes supported at 4 foot intervals, Yes
Electrical crossovers protected. Yes
Other;
44
verifies all Information given with this permit worksheet
is accurate and true based on the -
Installer Signature Date