HomeMy WebLinkAboutPERMIT WORSHEETPERMIT WORKSHEET
Instafle ( �S �. �i(l►,/�C1�1 License# l�A 16Z$)o-$
Address of home 0-
beinginstalled
�tZCI sey'1 -a
Manufacturer Tp co P s'm.7 Length xWidth 5�t
Home installed to the Manufacturers Installation Manual
page 1 of 2
Home is installed in accordance with Rule 15-C
Single wide Wind Zone" D Wind Zone III
Double wide
NOTE: if home is a single wide fill out one half of the blocking plan Triple/Quad
if home is a triple or quad wide sketch in remainder of home
I understand Lateral Arm Systems cannot be used on any home (newppppyyy� ed)
where the s'idewall ties exceed 5 ft 4 in.
Installer's initials
Typical piers paCi,ng-�
( lateral
Show locationsof • • • and Lateral Systems
(use.dark lines to show these locations)
r
iWSW■
� , 1 1 1 1. • 1 J � 1 1 � 1 1 1 1 -1 [ I I 1 , 1 f 1 - L t 1 1 1 1 � 1 1
_LJ_
L_L_1_J_J-•_L_L_L _I_y_y_1 _4�L_�_I�r/ r1.-_.L _L� �� � L J-J_�_4-L -L _r
1 1 I [ 1 I 1 1 I 1 1 I' I I I [ 1 I✓r`�1//Z( rL�'I�'r/ I� 1 1 1 1 I
Y-r-1-�-1-T-r-r-Y-1-•1-7-�-r-I'-r �r-1 1 T _, -1-1- -Y-r T-r-r-r-1
1 I I I 1 1 I 1 1 1 1 1 1 , • 1 1 1 1 I /1 1 I 1 1 1 1 / 1 I 1
r-r-r-1'Y•l'7-r-r-r -i '1-1-T-r-r _r-i �l- r 1�-1-T-T-r-I
r
1 1 1 1 / 11 1 11 1 1 I 1 1 I 1, -
r -r-� Yr
1 -1 1 1 1 1 1 1 1 i I I 1 1 1 1 1 I / Iri_ 1 1 1 1 1 1 1
L _L. J_J_J 1. L_.L _t_!_J_J_1_L_L _L _I_J:J_ 1__ J_ J_J_1_1_L_1_!
L _1_J_.1_1 •_L_L_1_J_y_y_L_4 _L �_�_.I-i-•**�Yr-1-J ♦I�_.L`�1►�7,
. xili!- YI
/.-IF (��-
1 4-1-
1 I 1 1 I I ! 1 1 I I
-r-Y-r-4-i-1-1-r-rr-r
-�-•- •-.•-�-••_.�-^-•--• -•... .-r_--. .-.-r-r-r-Ir �-�-T-r-r-� __�-l'T-r-r-r -I
I�v,
■
Installation Decal #
Serial #
PIER SPACING TABLE FOR USED HOMES
F
Other pier pad sizes 23 x 31
(required by the mfg.)
Draw the approbmate locations of m
I-�wall openings 4 That or greater_ Use
-� symbol to show the piers..
List all marriage wall openings greater than
and their pier pad sizes below.
Opening
Pier
-pad size
1. POPULAR PAD.SIZES--I
ANC RS
4ft 5ft
FRAMETIES
within 2' of end of hare€
spaced at 5'4" oc VV /h/,jJi
OTHER TIES
Number
Longitudinal Stabilizing Device (LSD) Sidewall
.Manufacturer dG/1J&2 2 Longitudinal
Longitudinal Stabilizing Device w/Lateral Arms Marriage wall �_
Manufacturer //o/l� D�Ji NCH Shearwall _�,
TI®OWN COMPONENTS
PERMIT WORKSHEET
PERMIT NUMBER
The pocket penetrometer tests are rounde own to psf
or check here to declare 1 DQ0'lb. soil without testing,
X X X
POCKET PENETROMETER TESTING METHOD
1. Test the perimeter of the home at 6 locations.
2 Take the reading at the depth of the footer.
3. Using 500 lb. -Increments, take the lowest
reading and round down to that increment.
X
The results of the torque probe test is 2.9S inch pounds or check
here if you are declaring 5' anchors without testing . A test
showing 275 inch pounds or less will require-5. foot anchors,
1
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 at all centerline lie points where the torque test
reading is 275 or,less and where the mobile home manufacturer may
requites anchors wit 4 olding capacity.
Installer's initials
ALL TESTS MUST BE PERFORMED/B+YA LICENSED INSTALLER
Installer Name �90/�-jFq'S
Date Tested
ectr ea
Connect electrical conductors between multi -wide units, but notto the main power
source. This includes the bonding wire between molt -wide units. Pg. Q ky'S?_
prwm grog
Connect all sewer drains to an e)asbng sewer tap or septic tank. Pg_ 116- <iv
Connect all potable watersupply piping to an e`Asting water meter, watef tap, & other
page 2 of 2
Debris and organic material removed /.
Water drainage: Natural Swale Pad Other
Fastening multi wi a units
r
Floor. Type -Fastener Ley Length: ---A — Spacing: _
Wtil.ls: Type Fastener L ngth: Spacing: i
Roof: Type Fastener: ength: /o Spacing: p/✓ r�/Q/�S
For used hom s a min, 30 gauge, 8" wide, galvanized metal strip
will be centered over the peak of the roof and fastened with gaiv.
roofing nails at 2" on -center on both sides of the centerline.
Gas ket(weatnorproonng ruqufroment)
i under'stand a properly installed gasket is a requirement of all new and used
homes and that condensation, mold, meldew and buckled marriage walls are
a resultofa poorly installed or no gasket being installed. I understand a strip
of tape will not serve as a gasket.
Installer's initials
Installed:
Between Floors Yes
Between Walls Yes
Bottom of ridgebeam Yes-�
The bottomboard will be repaired and/or taped. Yes V . Pg.
Siding on units is installed to manufacturer's specifications. Yes IV —
Fireplace chimney installed so as not.to allow intrusion of rain water., Yes S/
Skirting to be installed. Yes No
Dryer vent installed outside of skirting. Yes V NIA
Range downflow vent installed outside of s"ing Yes
Drain fines supported at 4 loot intervals s
Electrical crossovers proteicfed. Yes
Other:
Installer verifies all
is a
Installer Signature
this permit worksheet
on the
Rule 15C-1 & 2
Date
VERTICAL VINYL SKIRTING ( COOPonents & installation �
WALL L
i
Ar-TaLHEo w,T,4
Inek 54R&wS lb"a>,vAe�
- i
TOP iROA;T
SIUA�PS 1!J Tp Tcs7s BANG
h11D119 �I�ECVS ANb PANE4 evTg
VOTES
j.9 it1 HCS PE(t F, OT
SirGu$ jy 0 To
Ban dF' Vg�yr'rtATbM
TCM RAIt._v4e goq, INt:N SC1LEavS
ALL pAIJe LS f tde" OL
�Qfi q CGE SSt J+_E �y
RETMeV wy G P F'QOaT 4Ftn
%UP ON PAAre
BOTTdM T ACK
Ai'rTa GR4ct�ub
CKl tTi: 71/ICtf GAt�k1LrIZEdMAit. i9
IF SG-L lS 3AmCOU- igIq Qr,,ncrC) OG'
BLOCK SUPPORT
,y c
l` I
5
a
r
;+f
_
y
_
r
The Imperial
0
'--------------------'-fiAi MOOMM------------_--------_..----.--- '------
I L if
I MASWA BEDROOM UVING ROOM i � � CpS� �`!► >�
1 I tr—e x tt'—r x 1r—t• x tt'—tal' 11
' k 1
w �
j OP ONAL l
x011
I LL L ,r LLLLLLL.;r�%&LLLL
LL L LLLLI:
LL LL�Ir--i GLLLLLLL. i
600 Packard Court ■ Safety Harbor, Florida 34696 ■ Telephone (721) 72.6-1138
S 40'
24' X 50' NC_ OPT PORCH)
960 SQUARE FEET (1,200 W/OPT. PORCH)
Model- ZKP-2408A-556
Bois
(A. SIZES AM AWVO>c)
DESIGNED FOR ZONES It It III
Wl S�,PS