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installer 2' Rrk
License # _ $
Address of home L/_
being installed
Manufaof urer i_ength x width "ZY x t 6 Z
NOTE; 'It home Is a single w1de fill out one half of the block/ng plan '
Jf horrie Is a triple or quad w1de sketch In remainder of home
I understand Lateral Arm Systems cannot be used on any home (new or used).
where the Odewall ties exceed 5 it 4 in.
Installer's rnitials
Typical p�ierr spacing •
2' / WOW
Siiow locations of Longitudinal and Lateral Systems
fongriudlnat (use dark lines to show these locations) 1.7
W11Wn 7 of and of horns pal fiule 190
0,4z�
PERMIT In ORKSHEET page 7 of 2
New Home . ® Used Home
DIa�
Home installed to the Manufaoturer's Installation Manual 13
Home Is Installed in accordance with Rule 16-0
Wid ® Wind Zone It Wind Zone Ili
ide installation Decal
TriplafQuad [j serial #
PIER SPACING TABLE FOR USED HOMES
Load
6eatitag
capacity
Footer
size
(sq in)
lw X t s`
(25e)
i8 i/2' X 81/2'
(342)
20' X28'
(400)
22' x 221 24' X 24' -26' x 26'
(484)' (576)' (676)
IODD
s
3
DD
s
46
s
$
000
s .
6
8
8
2 00
s
B
8
a
g
•3000
8
0
PIER PAD SIZES
I-beam pier pact size a )2 2 sy
Perimeter plot pad siz_ e
Other pier pad sizes 7 k Z Z
(required by the mfg.)
®Draw the approximate locations of marriage
wail openings 4 foot or greater. Use this
symbol to show the plerz, ,
List all marriage wall openings greater than 4 foot
and their pler pad sizes below,
ANct10Rs
4 it 5 it
FRAM E TiES
Within 2' of and of home
spaced at b' 4" oo
OTHER YIES , l
Sldewall Nelmbe
Mart , • II E i=
d r. COWLIANICE
ST. LUCIE COUNTY
BOCG
Opening Plerpad-size
TIEDOWN COMPONENTS -
Longitudinal StabilIzIng Device (LSD
Manufacturer
Longitudinal S a zingg Device lLateffal Am7s
Manufacturer__ rwl1A�1..r•c sySf✓
POPULAR PA17'81ZE8
IL
V
W
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PERMIT NUMBER ._�; �' Via:: iiizto ::..<
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POCKET PENETROMETER TES
The pocket penetrometer tests are rounded n to 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 ths.footer.
S. Usinq 500 lb, ihcrements, take the IOwest
reading and round down to that increment.
X_ X_,� X
TORQUE PROBE TEST
The results of the torque probe test is -_ inch pounds or check
here if you, are declaring 5' anchors without testing . A test
showing 275 irlch pounds or less will require 5 foot anchors,
Note: -A state approved lateral arm system is being used and 4 ft.
anchors are allowed at the sidewall locations. I understand 5,ft
anchors are required at all centerline tie points where the torque test
reading is 276 or less and where the Mobile (tome manufacturer may
requires anchors with 4000 lb holding capacity.
Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name
DateTesfed
Electrical
lonnect electrical conductors between multi -wide units, but not to the main power
ource. This•ingludes the bonding wire between must -wide units. Pg.
Plumbing _
;0nneot all sewer drains to an existing sewer tap or septic tank Pg.
onnect all potable water supply piping to an egs . water meter, water tap, or other
(dependent water supply systems, Pg.
PERMIT WO.RKSHEET L page 2012
Site Preparation
Debris and organic material re��oved
Water drainage: Natural ✓ Swale Pad Other__T,
Fastenlnq multi wide Units
Floor. Type Fastener. • Length: b t Spacing: Z
Walls: Type Fastener, Length: ` Spacing: a y
Roof: Type Fastener. Length:. G r Spacing:
For. used homes a min. 30 gauge,Z' wide, galvanized metal strip
will -be centered over the peak of the•roof and fastened with gals.
roofing nails at 2" on center on both sides of the centerline.
Gasket (wealheryrroeling mulreeront)
I understand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meidew and buckled marriage walls are
a result of a poorly installed or no gasket being installer.* I understand a strip
of tape will not serve as a gasket,
Installer's initials
Type gasket Installed:
Pg. Between Floors Yes Cam-'
Between Wails Yes _e___
Bottom of ridgebeam Yes
Weatherproofing
The bottomboard will be repaired and/or taped. Yes
Siding on units Is installed to manufacturer's. specifications. Yes q. ('—
Fireplace chimney installed so as not to allow intrusion of rain water. Yes
Miscellaneous
Skirting to be.instailed. Yes i No
Dryer vent installed outside of skirting. Yes WA
Range downflow vent installed'outside of skirting. Yesy WA
Drain lines supported at 4 foot intervals. Yes [�
Electrical crossovers protected. Yes
Other:
Installer verifies all information given, with this permit krorksheet
is accurate and true based on the
manufacturer's installation Instructions and or Rule 15C-1 & 2
Installer Signatures ��J Date y y