HomeMy WebLinkAboutPERMIT WORKSHEETt.
1
-PERMIT' NUMBER
lnsfaller _�
; deiress of l oMe!,
hPau fistailwu rr
Md13flttel' Tc��C` i et�gfh xwldth> l��
hIQ7r-- 'ff home is a s(i 0e:w1da fllf out one fia►f of the blocfdn9 plan
Jf home is a trfpfe or quad wide sketch In tetnahWer of home
I Understand iatetal Atm Systems cannot be used on any home {new or usja
where the sidewall ties exceed 5 ft 4 in;
'=lnstailea's initratst
TyPica! pier �spa;��
' v ' I
and Lateral Systems
PERMIT WOFRKSKEET L
page•( of 2
New Home . ❑ Used Home ,
Home installed to the Manufactureft Installation Manual
❑
0 � ..
Home Is installed in accordance with Rule 15j��Wb?d
.
Single wide El .,,Wind Zons If Zone
Ill ❑
aG Doubts wide ftrstallDh'De
A
TrIpfenuad ❑
PIER SPACING TABLE FOR USI=D HOMES
• �,� � .�. art�3i�1��'i�h�l`3iE3�1
• Y1'� �'����lllC?sI��E���II
uuo.+ruaavu ..gnu rww ..-.r. F+� W+Kuua wuia
PnM PAD SIZES
I-beam pier pact size
Peruneter pier pad she !`? 1��1•
otherpler pad saes _ oil t�
ire4Uired by the mfp.)
®Draw the appro*nate locations of mi-mlia
wall openings 4 foot or pr eatet_ use this
Symbol to show the piers.
List all marriage wall openings greater than 4 too
and-lhetr pier pad sizes below.
vpenliv Pier pad• -size
1Y
71EDowN coMPDNEm
Longltudlnaf Stabl!l aff Device [LSD)
r—PWOUR PAO5 S-
�VTRiF.r,>�E:'i
l�
i�r.�-✓.afa��G1t
ANCHORS
Oft Sfl
Ei�iMET1E5
r end of
spacPao ed at
V 4' o0
bTH9! TIES
SIdawa--
Lon uudinal
shea�f�7�+ps`t1��� - -
� • ,,Nis►
c '
_ I. _ -PERM NUMEMI
A ---A ---------- -
i
EPiET€i0 TES
The pocket penetrometer tests are ro 6� tv pst, -
orchedrhereiodeclare JOW soil withoritte ns.
x x x
POCKET PMEMOMETER TFS' S METHOD -
i- Testthe perimeter of the home at 6 bcaiions. -
2. Take the rmu nng at the dep% of the rooter_- S. U;dng SW fb- k==eais, take the lowest "
reatfi;q and round down to that ina mmA.
X
_ - X__..._ _ X
E P o E-
Ilia results of the torque pr6be test fs I:Ch pounds or check '
here if you are dectarirrg 5 artcfrors wdtiotrf tesbni7 A test -
sinowing 275 imc h potards or less will requka 5 foot anchors,
Note: A state approved -lateral arm system Is being used and 4 fL
atrdwrs are allowed atibe ddewall bcaiiottsr, I takbm and 5 It
_ atrcTzoxs are tequh ed of all centedhe tie pobts wham the torque test
reading is 275 or less and where the trtobile l orne mranufmaturermav
ra4i$r�sandwrs With dlrs'A 9 City
'li�stallet's Initials
ALL TFSj S MUST BE P$3FOR ED HY A I. aISED INSTALLER
InstaIIerName - � _ -
_
ronnact electrkal conductors between rrnulti-wide unX% but not to the main power
orrraa This-Wudes the bonding wire between mLd-wide Mils. Pg_
inq , v
;,need all sewer drains to �dsllrg sewer tap or septic tank Pg.
dnnect all potable wafer supply plpinSr to an eDasffng water meter, wafer tap, or other
depi ndeg1 water supply systems. Pg
PERMff WFORKSHEET - - _ pass zof 2
S12e E'trWetaffon
Debris and ornan'sc material r�A4loved
dt Water abaq x- Naiival V slMale Pad pt -
Fastcn4a mufti w[iie.uniti '
Floor: Type Merle,: —t—
WaIL-,- Type Fastener. Lennft
Aoof; Type Fastener: Leng;k
r __
Foused homes a - m gauge; a- e; gak r izW rn strip
Will be centered 'aver the peak of thesoof snd fastened Wt3fi gahr-
roof-mg trans at 0 on center on both sides of the centerrme. _
- GasfceLM�aa,rc,� - • - - .
I updecst4nd a property Installed gasket Is a n quhpment of atf netewatrd used
homes and that condensetkn, mold, nieldew acid budded marriage watts am
a result of a pooriy Installed or no gasket being Instaueti f urrderstattd a strip
Of tape will not serve as a gasket.
Type gasket �Oafn .Itrsmlled:
Pa Between Floors Yes -
Between Walls Yes
- Bottom of ridgabearn Yes -
The bottomboard WM be repaired and/or k ed Yes—im/— pg• _
Srdum on un s is irsstalfed to cmatut>iacturret's a forts Yes
FirePlace chmurey instalfed so as not to allow kdruskqcd, rain water. Yes ` `U.
bt Oohs
Sl kft to be Installed Yes V
_ No
Dryervent instaffed ontside of sldttlrrg. Y—_Z M
Racine downfIow vent filled oub ide of 6drra 9._ MA
Drain &res supported at 4fod into M.% Y
Elul azusovem protected Yes
Other: -
rtrstaffei''
a au information given with tfft pit
Is accurate anq true based o:t the
.RECEIVED .
taMvaubs. ttnv �M JAN. 2.5- 2018
M�nufadurer bola Repdd
NUt) LABEL at . FLA481968 . tx 481969 , . !>va ment of i.3140
ghway Safety 3� orida Motor Vehicles -_ S s r s aunty; Perm tting
p 1p t FLEE SP426;-32078 A � B
OtJ1CF.fl'S NAkt .
DATE.MeN #,1jQjF!lwT118991 Qlvidon al Motor ctis :. Pahl
? 2900 Pakw{t . ltieao a r39I Truauaaiert N Jtif94M
. Ntd rQti�mut ea�iliat, hRltachae At>DtiESS
AM EL tr._ ... 'L'gT�4+FZ YEAR t3: 91. Florida :. • .. Port St . Lucie, Fl
ohsrnrl�ntiN is : p : s
tdPA, t+tAME, Hoes of Merit. Inc:. . ;� r u"�1e .r ooubte. O Tnpte oaPta E H3Lborii. Wertier & '.Carter
StzF " 13 4 -x 421811. 13 4 . a 60 , NAM .
acuRt:SS P_ O: Box "1606ra AouRNS - LW7 South Urtle Ave.
Bartow FL 33830
c,�,... ap
... Filp@ tpTC1# CI tHCit1tJE-H1ltcaee Clearwater.. FL " 33516 .. •.. .
STRUCTURAL. DESIGN 8ASlS C6RTiftCATE HEATING AND COOLING
Nara{ 0£StGN BASIS CERTIFICATE
Middle
:. Middle :. lalidate
Zanta l Q.
South
Note, Hawiii. Canal Z011e. Puerto Rico and Note:Hawaii and Canal Zone=Zone.
Yirpin islands are South.Zone. Puerto Rico and Virgin Island4Zvna
1t ane]
North
• 2oee
Zone
Zone Its
Zone 11
tteN Laid : lias<pn Wlahr climtts Zen. �
Wind LN lb" mabtia home has teem thermal) Insulated to conkin un
0 Herlf► r0 PSF 3® Sauth 20 P'SF ' Zone 1 15 PSF Hanaantat 8 9 PSF Upittt : 20ae q IHwntanef 25 FSF ttontoalat nstructtoa and a
Q MtddhiJ0PSF 13 .other 0 Outer
d tSPSFflphlt
ter�itrmitent pf .the faEsrat .Rlobite eta{
Shndnds for aU taea>ttans wtthn climattr
:1� ZaAIE . f Cl ZONE It Q IQNE
M wh er IUdet peelpeatlnt Etlut+tolet M{eidatstlar . Mrdat QRlpe{tfen . 11he . hetda urptnnnl has the ca ice to tdaulatm an a
0 eG p ty
Nr t.00dthctwnp BTUnc� l .... �e Clothes lkhsher ...........to° F ampuatwe m this home at outdoor temperature of F !�
* _ t amfon Heating (. 6iU;br j ...: _ Clothes 7a nattmttta huaaee. aperaonp: eeaaany, ai►d to eonsecre-- ese
vita • • . • .. • • • • •.'r;E GSD, • P is (taeintteaded thit this homl. be mstallad.when the outdoor vtutter
G8 J$S1+aG pishwuher ......:...:. design temperature t97uaRl is higher slut{ ° f 1
The above tntatiaatten has been catculatedasaw a'rttaxteturrt ~ f
Guth-tn oven ....... :.......: Food )Yenta p-
vetccrtt al t$ MPH at standatd.atraos anc enure• Cosnter-7op.CookprQ Ifax WaterHeeter.: .: .. A:O:.Smith ES 30 a su arrtlssirrbutae stem tnstaUedi
• • -�_ • • • f>1dY sy n this horse' is Strad
Aetaywator ... _... . s TBYl>35 5tteuka oaiedec Firex .'.. H' Nat deitgae�lor Aid A1C t1eMy. 0 AIC ensta'ted
iftmtaetiuer.: FOR NLr.:.
racwNnss� c�rT�,ir: of�F tvs� c
ekti p ds IM ulditoe{tlt 9 re"Imeta t{r ead tta'0' licks" ravl
i�attap rwfiat a{ faaYtt bdatr arms.
t+ t11S1Rtcr
Hhlls twirnaui. �s a lcrnF: floors ...........:.... 'U'= Au ducts installed oulswei the home ...:....... 'Q' - ` +
Cetbnys 3 roofs of kdh m , yr_ • 047 Air, ducts ui 8odr Heats transfer area to oulsr_de of home from audtiCts a00rtESs cur .ace ry
Ceutrtpr: d: roots 99,6It CC r . 'tf'= Air ducts to ce{tutp .::.:. 'tr, • 25 'Located Inside home Sa Fi 333 f]utstoeHome st a' - o�stt i
` 38.
T t ' It tla{pod ti canto Utz th FWwal ghbne Xwe tintrwft red afsq auadrrde In lira at not ass d euaulscbinr. ;
S<GHEQ... � . Pat Itolmes ._
to
. LA at MLw acCuer _
tD� p Prat ewer
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