HomeMy WebLinkAboutPermit WorksheetPERMIT NUMBER
PERMIT WORKSHEET Page 1 of
New Home � Used Home ❑
Home installed to the Manufacturers Installation Manu
Installer NATHAN HAYFORD License # IH1122082
Manufacturer . PALM HARBOR Length x width 30.0�60 0'
FEMA or Riverine Zone X Minimimum Required Elevation
Floor at or above Min. Required Elevevation OR Minimum 36" Piers
Address of home "TBD" GLADES CUT-OFF RD. PT. ST. LUCIE, FL 3449987
NOW Complete diagram bebw orsubmit separate diagram.
I understand Lateral Ann Systems cannot be used on any home (new or'dsed
where the sidewall tie spacing exceeds 5 ft 4 in
Typical pier spacing Installer's initials
2' r� Lateral
10, Show locations of Longitudinal and Lateral System
(Use dark fines to show these locations)
MAX Longitudinal
HOME PRIM= 1 nrie nrmm u we-r�eec,
04J
Wi a_WM_7M_&i W I WA U
TIEDOWN COMPONE� hl
Longitudinal Stabilizing bevlce (LSD) ` a
Manufacturer 0
Long/tudlna/ StabOlking bevlce w/ Lateral AmV
Manufacturer HOME PRIbE .40.
Model #
Model # LOCK DOWN SYSTEM
Home is installed in accordance with Rule 15-C
Single wide a
Double wide A- 1 Installation Decal #
Triple/Quad ❑ Serial # TBD
Wind Zone III
TBD
PIER SPACING TABLE FOR USED HOMES
Load IFoiorter
capaci'hr
se
(sq in)
16"x 16"
(256)
181/2" x 18 IW
(342)
20"xW
(400)
22"x22"
(484)*
24" X 240
(57e)•
26" x 26"bearing
(676)
3500 psf
• InM.....l..a,.� s.-_
8'
c�
8'
8'
8'
.—J-0wu 11 W116 nute ,ate-, pier spacing table.
PIER PAD SIZES
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes
(required by the mfg.)
17.5 x 25.5
13 x 26
VARIES PER
ATTACHEDPLAN
rUDraw 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 pad.&e
SEE ATTACHED FACTORY DIAGRAM DETAILS
POPULAR PAD SIZES
Pad Size
Sq In
16 x 16
256
16 x 18
288
18.5 x
x360
17 x 22
374
131/4 x 261/4
348
17112 x 22 1/2
394
20 x 20
400
17 3/16 x 25 3116
441
24 x 24
576
26 x 26
676
ANCHORS
4ftW 5ft❑
FRAME TIES
within T of and of home
x spaced at 514" oc F
Other Ties Number
Marriage wall 2 Sidewall 20
Shearwall 4 Longitudinal 4 r
PERMIT WORKSHEET page 2 of 2
PERMIT MUiM13ER
The pocket penetrometer tests are rounded down to pgf
or check here to declare 1000 ib. sot X without testing.
x---- X... x
POCKET PENETROMETER TESTING MjTHO13
1. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the footer.
3. Using 5001b. increments, take the lowest
reading and round down to that increment.
x,x x
The results of the torque probe test is 310 Inch pounds or check
if YOU are declaring 6' anchors vA trout tresting . A best
Showing 275 inch pounds or less wits require 5 foot anchors.
Note: A state approved lateral arm system is being used and 4 fL
anchors are showed at the sideway locations. I understand 5 ti
anchors are required at all Centerline tie points where the torque test
reading is 275 or less and the mobile home manufacturer may
requires anchors with Zaao ing capacity.
ihsta0er's initials
ALL TESTS MUST SE PERFORMED BY A LICENSED MTALLER
Installer Name
Date Tested
Conned electrical cofiors between mutt -wide, units, but not to the main power source. This induass "bonding wire between moil. wide units. Pg. 53
Promb'
Connect an sewer drat an existing sewer tap or septic tank Pg. 54-55
Connect all potable wakPl31Y piping to an existing water meter, water to or oter h independent water supply systems. I'S 78 P,
-Big ENLUMpR
Debris and organic material removed
Water drainage: Natural Swale ❑ Pad E Other ❑ .
Meer a�
Floor. Type Fastener. LAGS La �; 5
Walls: Type Fastener: LAGS Length: 5" Spacing:
nng: 12"
Root: Type Fastener. LAGS Length: 6" Spacing: 12"
For used homes a min. 30 gauge, 8" wide, galvanized metal sw
will be Centered over the peak of the roof and fastened with gale.
roOft nails at r on center on both sides of the centerline.
I understand a properly instilled gasket Is a requirement of all new and used
homes and that condensation, mold, meldew and budded marriage Was are
a result of a poorly installed or no gasket being installed. I undersand a strip
Of tape w11 not serve as a gasket.
instenses iraels f-
9 Ype3 gasket FACTORY INSTALLED Insure&
Between Floors Yes
Between Wells Yes
Bottom of ridgebeam ee m
The bottomboard will be repaired and/or taped. Yes
8i�on units is installed to manufacturer's spetificab� . Yes[�94
ohimneY installed so as not to allow intrusion of rain water, Yes (�]
tMaeatiensous
Skirting to be installed, Yeses No[)
Dryer vent installed outside of skirting. Yes[ W, 0
Range downflow vent Installed outside of skirti Yes NIA [_]
Drain lines supported at 4 foot intervals. Yes []
Electrical crossovers protected. Yes
Other:
veriSft all 11111onmation given with this permit
is accurate and true based on the
Installer Signature