HomeMy WebLinkAboutPermit WorksheetHERMIT NUMBS
Installerlc`r'r%'1t License 4 /14000 $? _
Address of home /� 6iA C l-o S4•%F)
being Installed
Manufacturer N 11 a Length x width
NOTE: if home is a single wide fill out one half of the blocking plan
If home is a trlple or quad wide sketch In remainder 'of home
I understand Lateral Arm Systems cannot be used on any home (ne r )
where the sidowall ties exceed S It 4 in.
Installer's initials
Typical pier spacing �
2'
af/ Waal
'
Show locations of Longitudinal and Lateral Systems
lonpnudinal . (use dark lines to show these locations)
PERMIT WORKSHEET
pogo 1 of 2
New dome ❑ rUsed`Hame�-[
Home Installed to:the ManutacE.urer's installation. Manual .. "...
.. ..
Home is installed in accordance with Rule 15-C
Single wide ❑ Wind Zone II 12/ Wind Zone III ❑
CDouble_w d 6/ Installation Decal 11 S-
Triple(Quad ❑ Serial ll e?Z�hxoS'F/aoS`-v
PIER SPACING TARI_F 1=na nson Uf%RJOr
Load
Footer
bearing
size
size
Is' x Is
16 1/2' x I8 1/2'
20' x 20'
22' x 22'
24" X24'
26' x 26'
oapaolty
(sq In)
(2 6)
(342)
(400)
(484)'
(676)'
(676)
I000 s
3
4
00 PSI
6
6
2000 s
6
8
8
8
2500 s
6
8
8
g
8
3000 s
8
8
8
8
5556 PSI
a,
a
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes
(required by the mfq,)
I f< )CAY
Draw the approximate locations of marriage
uwall openings 4 foot or greater: Use this "
symbol to show the piers.
List all marriage wall openings greater than 4 loot
and their pier pad sizes below.
Openipp Pier pad size
TIEDOWN COMPONENTS
IN ACCORDANCE WITH THE FLORIDA
BUILDING CODE,
POPULAR PAI7 SIZES
I�L7
MMM* Lr��
f[:w.s�(:��
.
lE�I311,
ir�1f Mmt4EfE<7f[:9i
Kam
ANCHORS 1
4 It •.-.•_Z5 it
I FRAME TIES
within Vol and of home
spaced at 6 4" oc _�
OTHER TIES
sidowall Number
Longitudinal __Xr_
Marriage wall
Shearwall
PERINNT NUMBER 'f° s : ? Rti •
_...._MO. PENETROMETER TEST
The pocket penetrometer tests are round own to pat
or chock hereto declare 1000 lb. soil without testing.
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home a1 6 locations.
2. Take the reading at the depth of the tooter.
3. Using 500 lb. increments, take the lowest
reading and round down to that increment.
X XT X_
—c —..'TORQUE PROBE TES
The results of the torque probe test is ;#hco nds or check
here if you are declaring 5'anchors without leslinA test
showing 275 inch pounds or less will require 5 tos.
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 al tilentorlina lie points where Iho torque test
reading is 275 or less anthe mobile home manufaciurer may
requires anchors with4 ing capacity.
Installer's initials
ALL TESTS MUST tE I
Installer Name v1de
Date'Tested a`4
1 BY A LI,,ggENSED INSTALLER
r^ retr
Electrical
�onnecl electrical conductors between multi -wide units, but not to the ma' power
source. This includes the bonding wire between must -wide units. Pp.
:onneet all sewer drains to nn existing sewer tap or septic tank. Pg.
2onnecl all potable water supply pipinn to an existing water meter, wator tap, or other
'idependent water supply systorns. Pg.
THESE PLANS AND ALL PROPOSED WORK
ARE SUBJECT TO ANY,CORRECTIONS
REQUIRED BY FIELD INSPECTORS THAT
VI;l.j&;M Wr
ORDER TOIpeas z �t 2UCA9LE 6ABES,
Site prepatatwn
Debris and organic material r oved —Z__
Water drainage: Natural Swale Pad Other.
Fitalaning multi wide units
Floor: Type Fastener: LfIi Length: 67 `t Spacing:. t'
Walls: Type Fastener. -- Length: --to spacing: 7--
Roof: Type Fastener: c%_ Length: - ` _ Spacing: ���
For used homes a min. 30 gauge, 8" wide, galvanized me al sirlli
will be centered over the peak of the root and fastened with gaiv.
rooting nails at 2" an center on both sides of the centerline,
Gasket (weolberpraollnp rCqulleglefA)
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 Err""'�'�N Installed:
Pg. Between Floors
Between Walls
Bottom of ridgebearn a
Woatherprooring I
The bottomboard will be repaired and/or taped. Yes. �-' Pit, /
Siding on units is installed to manufacturer's specifications. Yes
Fireplace chimney installed so as not to allow intrusion of rain water. Yes "J✓4
Miscellaneous
Skirling to be Installed. Yes No
Dryer vent installed outside of skirting. Yes N/A
Range downf low vent installed outside of skirting. as N/A.
Drain lines supported at 4 loot intervals. Yes
Electrical crossovers protected. Yes
Other:
es all information given with this permit worksheet
Is aptfrate and true based on the
Installer Date
S1