The URL can be used to link to this page

Home My WebLink AboutPermit Worksheets IT WORKSHEET Tpage 1 of 2 - FERM(TNUMBER . :.. .... :.v:.:. ".. ((�� Ioktma [] Used Home )t 1 Installer L1I1se i� �TlI Q'l— ' lC5 ailed to the Manufacturer's Installation Manual ❑ Address of hom e stalled in accordance with Rule 15-0 �. being installed r� � J" , CJ1 • H ❑ Wind Zone II [[Wind Zone III ❑ Manufacturer Me" Length x width (00 ' w y v' e Installation Decal n - - - - NOTE.- 'If-home-is a-single wide fill out-one half of the.blocking plan- Serial 0 If home Is a triple or quad wide sketch In remainder of home �c� �'\ ❑ - - - - - - ---__� __________ _- _ _. I understand Lateral Ann Systems cannot be used on any home(new PiER SPACING TABLE FOR USED HOMES where the sidewall ties exceed 5 fit 4 in, jt Z • Installer's initials �V ,� _ Lcad Footer O bearing size 16'x 16' 18 1/2'x 18 1/2' 20'x 20' 22'x 22' 241 X 24' 26'x 26- Typical pierspa capacity (sq 1n)cing t� - (256)- — (342)-- (400) -- (484)'_ (575)' _(676) ' lateral 2' 100D s 3 l Sfiow locations of Longitudinal and Lateral Systems 15010 Ps 4 6 6' P8 I lo�ll� t (use dark lines to show these locations) 000 s 6 8 8 2600 s 6 8 8 8 3000 r)sl 8 8 8 3 00 IDSt 1 8' 1 81, 8 interpolated from Rule 15C-1 pier spacing table, SIZES POPULAR PAD SIZES PiER PAD ��- pier pad size , 1a x Size n. z Re fteter pier pad size n i?- C r��-L7/ 1 x 1 mvm �� X �iG`. X1 :r %t ,pier pad sizes x 22.5 LLJJ-- - .---- rn t984ed by the mfq.) 1 • x 22 974 Fa!rDv 13 1 x 4 a a Draw the approximate locations of marriage 2QX20 z P wall openings 4 foot or greater. Use this 1 1 X 1 441 marrlape Wall pl.awllhln7of end ofhome per Rule 150 0 W M W 0sYmbol to show the piers, / X 24 1;a0111anarriaqe W 4x lamp mL wall openings greater than 4 foot x $or pier pad sizes below. ANCHORS 80�00 eninq Pier pad:siize )c 22�l 4 ft '5 ft 2— 2-2-/Z FRAM E TIES within 2'of end of home spaced at 5'4"oc TIEDOWN COMPONENTS OTHER TiES Number Longitudinal O St�ljlz ng Device(LSD) Sidewall;. Manufacturer 1 n11i f'_ rt A n Longitudinal w� Longltudinal Stab/Iizing Devlce Wl Lateral Arms Marriage wall V' Manufacturer Shearwall . PERMIT WORKSHEET page 2 of PERMIT NUMBER slte Preparation POCKET PENETROMETER TEST Debris and organic material removed The pocket penetrometer tests are rounded wn to psf Water drainage: Natural Swale Pad Other or check hereto declare 1000 lb, soil without testing. Fastening multi wide units X X X +� Floor: Type Fastener. L& Length: Spacing: Walls: Type Fastener. Length: Spacing: POCKET PENETROMETER TESTING METHOD - -Roof: Type Fastener._ - Length: -�t Spacing: - For-used homes' a mi 0 gauge, 8 wide, galvanized metal strip 1. Test the perimeter of the home at s locations. will be centered over th peak of the-roof and fastened with galy. roofing nails at 2"on center on both sides of the centerline. 2. Take the reading at the depth of the.footer. • Gasket(Wmlherprooling requlrctr+enl} S. Using 500 lb. increments,take the lowest reading and round down to that increment. I understand a properly installed gasket is a requirement of all new and used homes and that condensation, mold, meldsw and buckled marriage walls are a result of a poorly installed or no gasket being installed. I unders and a strip X X X of tape will not serve as a gasket. 0 Installer's initials TORQUE PROBE TEST Type gasket Installed: The results of the torque probe test Is Inch pounds or check Pg. Between Floors Yes LIZ here if you are declaring 5'anchors without testing . A test Between Walls Yes showing 275 inch pounds or less will require 5 foot anchors, Bottom of ridgebeam Yes Note: A state approved lateral arm system is being used and 4 ft. .anchors are allowed at-the sidewall locations. i understand 5 ft Weatherproofing anchors are required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes Pg. requires anchors with 4000 lb holding capacity. Siding on units is installed to manufacturer's specifications. Yes Installer's initials Fireplace chimney installed so as not to allow intrusion of rain water, Yes_ ALL TESTS MUST E PERF ORM BY A Ll ENSED INSTALLER Mlsaellaneous ER Installer Name wry f Skirting to be installed. Yes No Dryer vent installed outside of s irting. Yes_Lt:L Date Tested Range downf low vent installed'outside of skirting.. Y � N/A Drain lines supporied at 4 foot intervals. Y Electrical crossovers protected. Yes Tt Other: Electrical :onnect electrical conductors between multi-wide units,but not to the main power ource. This•includes the bonding wire between mult-wide units. Pg. T installer verifies al-1 information given with this permit worksheet Plumbing is accurate and true based on the ® onnect all sewer drains to an existing sewer tap or septic tank. Pg. manufacturer's installation instructio or Rule 750-1 &2 onnect all potable water supply piping to an existing wafer meter,water tap, or other installer Signature Date : < (dependent water supply systems. Pg, ton to:Dept of Highway Safaty and Mator Whlcles,Nell Kin man oullamg,rattanssatrs,rs.acoaa-u— 1 rr -,------ B# 1277166 -Identification Number Year--r—Make Body Wr-L-BHP ---T Vessel Regis.No. Title Number = RN." 12111 jH[�8P407351058 i1993 I MERI-T 60' i I'64774456 111 E��( I Registered Owner Date of Issue 03/31/2017 UianRelease interest In the described vehfde is hereby released SANDRA SIMON TRUST PROPERTIES LLC BY j 1800 NE 114TH ST Title MIAMI, FL 33181-3438 Date 13PORTANT INFORMATION 1. When ownership of the vehicle described herein is transferred,the seller MUST complete in full the Transfer of Title by Seller section at the bottom of the certfirate of title. Mail To: 2. Upon sale of this vehicle,the seller must complete SANDRA SIMON TRUST PROPERTIES LLC the notice of sate on the reverse side of this form. 1800 NE 114TH ST 3. Remove your license plate from the vehicle. MIAMI, FL 33181-3438 4. See the web address below for more Information and the appropriate forms required for the purchaser to title and register the vehicle,mobile home or vessel; http:ltwvv4chsmv.state.fl.usthtmlftitlinf.html pil I 7J ldendOcabtxi Number Year Make 4073 Body Wrl BHP Vessel Regis No Title Number r u JiYEZHM83P5 105 8 1993 �MBRI AS 60, 64774456 Llen Release Z� Interest in the described vefide is hereby released Prey Color Primary Brand Sec ondery Brand No Of Use Pray Issue Date Stele —�`- —� Brands j —�— ` FL IPRIVATE 107/22/2014 Title r Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue— Date i I iO3/31/2017 � i , Registered Owner SANDRA SIb= TRUST PROPERTIES LLC 1800 NE 114TH ST MIAMI, FL 33181-3438 i y 1st Lienholder i NONE DIVISION OF MOTORIST SERVICES TALLAHASSEE FLORIDA DEPARTMENT OF HIGHWAY SAFETYAND MOTOR VEHICLES /;47 2 I i Robert R.Kynoch Terry L.Rhode, g: Director Control Number 70 .{ 3 4 85 Executive Director ® r .! 42 /1 127033485 s. TRANSFER OF TITLE BY SELLER(This section must be completed at the time of sale.) -_ Federal and/or state law require that the seller stale the mituge,purchures nmae,sclimil price aad date sad in connection with the transfer of owneift. .. Failure to complete or providing a false statement may result in fines and/or imprisonment. This tide is wmrm*d to be See fmm my rmm eaxept o Doted on the face of tie cerditge and themofnr vebid or vessel described is hereby transferred to: Seller Must Enter Purchasees Name: Address- seller Must Emri Selling Price. Seller Must Enter Date Sold. V Uwe state that this 5 or 6 digit odometer now teads I_I,U,I I I I.LXJ(no temps)miles,date read and I hereby cer*'thm to the best of my knowledge the odometer rudmg I.redacts ACIUALMn.EAm Fj 2.is IN EXCESS OF ITS mEcHANICALLIMrrS. 3.is,NOTTHE ACTUAL MILEAGE. UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE r• SELLER Must CO-SELLER Must Sign Here: Sign Here: Print Here: Print Hem Selling Dealds license Number. % 8 Tax No.: Tax CoOeded: Auction Name: license Numtter PURCHASERMmt SO- CHASER Must — I — ---- Sign Here: t a Print Herm 1 Print Hem; �`'• f� NOTICE`PENALTY IS REQUIRED BYLAW IF NOT tiUBMITTEb'FOR TRANSFER WITHIN 30 DAYS AFTER DATE OF PURCHASE > Y I 4 IdentificationNumber Year Make , Body T Wf-L-BHP -- Vessel Regis.No. Tine Number I �I�ji v�-(,NMI FLHI�SP4SP4 'I 073735105A 1993 MERI i HS i 60' '64774455 1 li�,'.(5y (,r�r�ll'}ly�l,'r 1 Registered Owner. Date of Issue 03/31/2017 Uen Release Interest in the described vehicle Is hereby released SANDRA SIMON TRUST PROPERTIES LLC BY 1800 NE 114TH ST Title MIAMI, FL 33181-3438 Date IMPORTANTIINFORMATION f. When ownership of the vehicle described herein is transferred,the seller MUST complete in full the I Transfer of Title by Seller section at the bottom of 1 the certificate of title. Mail To: 1 2. Upon sale°of this vehicle,the seller must complete = " SANDRA SIMON TRUST PROPERTIES LLC the notice of sale on the reverse side of this form. 1800 NE 114TH ST 3. Remove your license plate from the vehicle. MIAMI, FL 33181-3438 4. See the web address below for more information and I the appropriate forms required for the purchaser to title and register the vehicle,mobile home or vessel: ; hflpJ/www.hsmv sWte.fl.u&ttmMiinf.Mml Il ins N , 1 • HOM 1 Y iderdltleebon Number --- Year I Make —T Body - Wi L BfiP ,Vessel RP Na Tithe Number �� FLHMHSP40735105A 1993 r . I , t Lien Release� 160 7. , thterest in the described vehicle is hereby released . Color777 Primary Brand Secondary Brand ! BNo ofrands `r_Use Prev Issue Date'-'BY State �IINK PRIVATE i07/22/2014 iI j ---=Title Odometer Status or Vessel Manufacturer or OH use Hull Material Prop Date of Issue-- 1 i I 03/31/2017 'Date Registered Owner SANDRA SneON TRUST PROPERTIES LLC 1800 NE 114TH ST MIAMI, FL 33181-3438 1st Lienholder NONE DIVISION OF MOTORIST SERVICES TAUAHASSEE FLORIDA DEPARTMENT OF HIGHWAYSAFETYAND MOTOR VEHICLES JM� t Robert R.Kynoch ,y -� A Q Tent'L.Rhodes J Director Control Number J- `� /'0 `� 4 t,l '.,t 4 F.rtecvtiva Director 42 /1 127033484 ��JJ TRANSFER OF TITLE BY SELLER(this section must be completsd at the time of sale.) --— Federal mW"state law requm:*d the seller state tire tmleagR purrbaseA nano,sellinSprice and drde sold'.camectiun Midi the va=sfer of ownership. Failure to complete or providing a fake statement may result in fires and/or imprisonment. This tide is warranted to be fee from any liens except as noted on the face of the certificate and the motor vehicle or vessel described is hereby transferred to: Seller Must Enter Pmcbasees Name Adds; Seller Must Enter Selling Price: Seller Must Enter Date Sold 1 VWe state that this 5 at 6 digit odameter.now reads I I I I.I I 1 I.LRJ(no tenths)miles,dale read and 1 hereby certify that in the best of my lmowledge the odometer reading: L refieets ACTUAL MUEAGE. 2,is IN EXCESS OF ITS MECHANICAL LIMTM. 3.is NOT'THE ACTUAL ME.EAGE. UNDER PENALTIES OF PERJURY,I DECLARE THAT 1 HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE. SELLER Mist CO-SELLER Mast 1 Sign Here: Sign Here- Print Here: Print Here: " �. Selling Dealefs License Number. Ter No.: Tex Coricct4 I Auc4arNatue License Number. PURCHASER Must CO-PURCHASER Must Sign Hpe. - Sign Here: 61 F'3 PrmtHem - " -- _ - - PrmtHere. t NOTICE PENALTY IS REQUIRED BYLAW IF NOT SUBMITTED FOR TRANSFERS WITHIN 30 DAYS AFTER DATE OF PURCHASE.,,. A, NMWWF - .. - I