HomeMy WebLinkAboutPermit WorksheetPERMIT WORKSHEET Page 1' of 2
PERMIT NUMBER
Installer CHARLES P. ROGERS License S IH1025311
Manufacturer
PALM HARBOR Leng • x width 38.0'/32'8" X_ 24.0'
b1 �
FEMA or Riverins Zone X & AE Mininumum Required Elevation
Floor at or above Min. Required Eievevation OR Minimum W' Piers ❑
Address of home 5348 GALLEY WAY FT PIERCE, FL 34949
Note: Compete diagram below orsuberlt separate diagram.
I understand Lateral Arm Systems cannot be used on any home (new or used
where the sidewali tie spaong exceeds 5 fr 4 in
Typical pier spacing
2' . In. r/
lnstailes initials a�c_ -
Lateral
Show locations of Longitudinal and Lateral System
L g iel Stabilizing Devke {LSD)
h oif—Wicturer Model g
Longitudinal Stabi0dog Devke W/ Lateral Arms
Manufacturer HOME PRIDE Model # LOCK DOWN
New Home ® used Home ❑
Home installed to the Manufacturi;r's Installation Manu
Home is installed in accordance with Rule 15-C ❑
Single wide ® Wind Zone II ❑ Wind Zone III
Double wide Q Installation Decal # TBD
TriplelQued ❑ Serial #
PER SPACING TABLE FOR USED HOMES
Load
bearing
capacity
Fouler
{sq siza
I
16" x IV
(256)
181/2" x 181l2"
(342)
20" x 21V
(400)
22" x 22"
(48V
24" X 24°
(578)•
26" x 28•
(678)
1000 s
3500 psf
at
I 8'
a'
• Interpolated from Mule 15C-1 pier spacing table.
PIER PAD SiZE.S
!-beam pier pad size 17.5 X 25.5
Perimeter pier pad size
Eat er pmr pad sizes
(required by the mfg.)
13 x 26
VARIES PER
ATTACHED
"U,,
Draw 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 pa"jze
SEE ATTACHED FACTORY DIAGRAM DETAILS
POPULAR i�AQ SIZES _
Pad Sipe
Sq In
16 x 16
266
16 x i8
288
1&5x
k 72.0:
17 x 22
374
13114 x 26114
348
17112 x 22112
394
20 x 2Q
400
17 3t16 x 25 3116
441
24 x 24
676
26 x 26
1 676
d4i iGt�l3$
4 ft 5 It ❑
FRAME TES
X
Within 2' of and of home
x spaced at 54" oa Uj
Bihar Ties Plumber
Marriage wall 4 Sidewall 15
Shearwall 4 Longitudinal 4
c
W
PERMIT WORKSHEET
Ipage 2 of 2
PERMIT NUMBER
The pocket penetrometer tests are rounded down to Of
or check here to declare 1000 lb. soil x without testing.
PWKET PEm TR=ETrER Tess i rrie iS;cTmon,
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the tooter.
3. using 5W lb Increments, take the lowest
reading and round down to that increment.
x....... X. x_._,
The results of the torque probe test is NIA inch pounds or check
if you are declaring S' anchors without testing . A test
showing 275 inch pounds or less will require 6 foot anchors.
Note: A state approved lateral arm system is being used and 4 ft.
anchors are allowed at the sidewall locations. I understand 6 It
anchors are required at all centerline tie points where the torque test
reading is 275 or less and w1we the mobile home manufuscturer may
requires anchors with 4000 122
h ldi capacity.
Installer's initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name CHARLES P. ROGERS
Date Tested
Conti& electrical conductors between multi`" units, but not to the main power
Conn�all sewer drains to an existing sewer tap or septic tank. Pg. 54-55
Connn t, all potable water supply piping to an existing water meter, ►ester t_p, or ether
independent water supply systems. Pg. 78
repast on
Debris and organic material removed
Water drainage: Natural Swale Other
na muuld w units
Floor. Type Fastener. LAGS Length: 6° Spacing: 16"
Walls: Type Fastener: LAGS Length: 6" Spacing: 12"
Roof Type Fastener LAGS Lengin: 6" Spying: 12"
For used homes a min. 30 gauge, W wide, galvanized metal strip
will be centered over the peak of the root and fastened with gals.
roofing nails at 2" on center on both sides of the centerline.
[waifh�nxoaNnanau►
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 installed. I understand a strip
of tape will not serve as a gasket.
Installer's initialsofi^-
Type gasket FACTORY INSTALLED Installed:
Pg. 36 Between Floors Yes
Between Wells Yes
Bottom of ridgebeam Yes
sa ng
The bottomboard wilt be repaired and/or taped 6�( pg. 94
Siding on units is installed to manufacturer's sQ "cation. W
Fireplace chimney installed so as not to allow intrusion of rain water,
Wiiseeilanoous
Skirting to be installe Ye No
Qryer vent insured outside of skirting. Ya> NJA
Rarhgs downflow vent installed outside of 'tting(� WA
Qrain lines supported at 4 foot in ais. Yes
Electrical crossovers protected es
Ocher -
hataller verities all Inforimation given with this permit worksheet
Is accurate and true based on the
manufacturer's installation Instructions and or Rule 15C-1 & 2
Installer Signature 0� �� ..,, Date