The URL can be used to link to this page

Home My WebLink AboutPERMIT WORKSHEET - INCOMPLETEPERMIT NU Installer Address of home being Installed Manufacturer PERMIT WORKSHEET License # r-! / Length xwidth /a9�� NOTE. if home �s a single wide fill out one half of the blocking plan if home fs a triple or quad wide sketch in remainder of home I understand Lateral Arm Systems cannot be used on any home (new r used) where the sidewa l lies exceed 5 ft4 in. Installer's initials T. !n l Hier cr. _.... rl.r��..• r. i... .. I.........y1 IOI orN Show locations of Longitudinal and Lateral Systems (use dark lines to show these locations) anpilunlnu, i... "-----"--'-'-'-----------------------'----"- L ... J El. Li wpli piers within 2' Of end of hemp per Rule 15C r rr-r-i Li Li Li rY-1-+-l-i-r^rYl-yr-rT-r-I'Yi-*-r-r-r'I^1-YT-TV- _ f-i I I 1_J_!_J_i_) i -f "I 1 1'' � r—_� II 11 1 r�1- -L-I-J-J-4-, 1 1 Ir 1 I 11 � r-r-1--+-T-r-r-1--I-�- - I (I-r-r-r-' 1 1 1 I 1 I 1 1 1 I 1 11 1 1 11_f.___rn I -i 1 __J_J_L_L _i �'�_J_ L_I_!_J i 1 1 1 1 - 1 1 1 L_4. _I J J 1 1 I. 1_ I J J_� L 1 L_I_J_J 1•^ ___ 1_L_1. _L I 1 1 1 I I I 1 1 I 1 I 1 1 1 I 1 I 1 I 1 I I 1 1 1 1 I 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 I 1 II 1 I 1 I 1 1 I I 1 1 1 1 1 1 I I 1 I 1 1 I I 1 1 1 I 1 •-'-Y-'-'r-4-+-r-�-r'--1--I-+-T'r-r^r-r�-+-+-r-r-r-ram-+-+-«-r-1-"'�-+-T"r-1--1 1': 1 l - i'' 1 1 i i; 1 1 1 1 1 1 1 1 1 1 SCANNED BY St. Lucie County New Home Used Home N Home installed to the Manufacturer's Installation Manual page 1 of 2 Home is installed In accordance with Rule 15-C Single wide 9 Wind Zone II Wind Zone III Double wide ❑ Installation Decal # Triple/Quad ��II . y� ❑ Serial # 070 7?^7442j �lj5]gj PIER S PACING TABLE FOR USED HOMES 11 . 111 . interpolated from Mule idol pier spacing vole. PIER PAO SIZES I-beam pier pad size A0 Perimeter pier pad size �(62 Other pier pad sizes (required bylhe mfg.) I Draw the approximate locations ofinarrlac wall openings 4 fool' or greater. Use this 1•• ••� symbol to show the piers. List all marriage wall openings greater than 4 too and their pier pad sizes below. Opening Pier pad size TIEDOWN COMPONENTS mom WL> 1 1 •11 rfr Ti633bYr/�[riQm �I�i. '.[:1♦KKK ANCHORS 4fl 5R_ within 2' of end spaced at 5' 4'; Longitudinal Siabiilipg Device (LSD) Sidewall Manufacturer II 0 f' Longitud Longitudinal Stabilizing Device w/Lateral Arms Marriage Manufacturer ShearwE PERMIT WORKSHEET PERMIT NUMBER The pocket penetrometer tests are rounde down to psf or check here to declare 1000 lb. soil without testing. OCKET PENETROMETER TESTING METHOD 1. Test the perimeter of[lie home at6locations, 2. Take the reading at the depth of the footer. 3. Using 500 Ib. Increments, take the lowest reading and round down to that increment. The results of theli torque probe test is � 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. Note: Astate approved lateral arm system is being used and 4 fL anchors a e allowed at the sidewall locations. I understand 5 ft anchors a e required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may requires anchors with 4 b holding capacity. Installer's Initials ALL TESTS MUST BE PERFORMED BYA LICENSED INSTALLER Installer Name Date Tested Connect electrical conductors between multi -wide units, butnotto the main power source. This includes!the bonding wire between mult-wide units. Pg. Connect all sewer dralhs to an a)dsting sewer tap orseptic lank, Pg. Connect all potable water supply piping to an eAsting water meter, water tap, or other page 2 of 2 Debris and organic material removed P-V--' Water drainage: Natural Swale II Pad Other as ening multi wide units Floor: Type Fastener: Length: Spacing: Walls: Type Fastener: Length: Spacing: Roof: Type Fastener: Length: Spacing: For used homes a min. 30 gauge, 8" wide, galvanized metal strip will be centered over the peak of the roof and fastened with galv. roofing nails at 2" on center on both sides of the centerline. Gasket (woa Uiorp roof I no roqulremont) 1, I understand a properly 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 notserve as a gasket. Type gaske Pg. II11IL... —A Installer's initials Installed: Between Floors Yes Between Walls Yes Bottom of ridgebeam Yes weatherproofing The bottomboard will be repaired and/or taped. Yes —L� Pg. Siding on units Is Installed to manufacturer's specifications. Yes nT— Fireplace chimney installed so as not to allow intrusion of rain water. Yes rz Miscellaneous Skirting to be Installed, Yes ✓No Dryer vent installed outside of skirting. Yes _yG N/A Range downflowvent installed outside ofskirting. Yes —NIA Drain lines supported at4 footintervals. Ye Electrical crossovers protected. Yes_ Other: Installer verifies all information given with this permit worksheet is accurate and true based on the is installation instructions and or Rule 15C-1 & Installer Signature /n, Date PERMIT WORKSHEET PERMITLIIslq�h0. NUMBER /( Installer - (_k1 _ License # �l-{� I C��.�i'r-{'�•� Address of home n being Installed i Manufacturer Length x width NOTE: if home 'is a single wide fill out one half of the blocking plan if home is a triple or quad wide sketch in remainder of home I understand Lateral Arm Systems cannot be us ad on any home (newgr used) where the sidewall lies exceed 5 it in. L J!�� I Installer's initials Typical pier spacing ( lal eras 2' I Show locations of Longitudinal and Lateral Systems `� enalludlwl (use dark lines to show these locations) or and or holm per -r1-,-T-i-r-r-I-1-1-1-r-r-r -r l-l-T-r-r-r'1- n-1^T-r^r-+ 1! I 1 I I I, 1 1 1 1 1 1 I 1 I 1 I I 1 1 i_;_ I "i I"�-r-r-i 'i "i l' i-T"i-f"f-i 1' i'T-T-i 'r ^1^i-�' r-I J_J- J_1-!_ L J. .I... 1. I. 1. I L!_J_1_L_L _L J. J. L_L.�.J 11 I 11 1 1 1 1 i 1 L.1. 11 1 1 1 1 I I' I I I 1 1_L_L_L.LJ.J.J_;.L_L .I. J.J_1_L _L.L J_J.J_1-L_L _L .I I I I I 1 I JI I LI I I I I I I I 11 'L I -L_L_1_-.1-J-L_L..I. y-J_a.1_L_L-I_J_J_J_4.4 1 I I I I 1 I 1 I 1 I I I 1 1 r-r-1-,-y-rr-1--I--I-,-T-r-1•_r-1-,-y_, r-r r 1 I I I I I I I I I I I I I I I I I I r-r-IfYl-'1-1-i-r-r'i l-l-*-r-r-r-r,-T-T-r-P-I 1_ I I I 11_ 1_ 1 1 1 I I I 11 1 1 1 1 L_ I 1 1 I I T f-I I "i l" I t-r-r -r -I--i- i-r-r ^I J_J.1. I_IL 1-I.J-1- 1_!_J.1 L L !! 1 1 1 1 I I I I I I r I 1 1 I I 1 1 1 I I 1 1 I 1 I I 1 _}_L_L_L 1-J-J_1.J_1. L. L-LJ 1 1 1 1 1 I I 1 I I 1 I 1 1 1 . I . I . 1 I I 1 1 1,, I L.L.L _I-J_J_1.4-4-1--1_J I I I 1 I I 1 1 I I 1 1 I I I 1 1 I I 1 I I 1 I I 1 1 1 I I I I I I 11 1 I 1 I I 1 I I 1 I I 1 1 1 1 1 1 1 1 New Home 11 Used Home Nr Home Installed to the Manufacturer's Installation Manual page 1 of 2 Home is Installed in accordance with Rule 15-C Single wide 9 Wind Zone II Wind Zone III Double wide Triple/Quad El Installation Decal # ■ E/ ■ Serial# GT_,Xj7-Gi c2V3f9/ PIER SPACING TABLE FOR USED HOMES NO i•AbPEFii Interpolatea rremmuiv iul , piu, opuwliv low1u. PIER PAD SIZES I-beam pier pad size rA0 YLao Perimeter pier pad size I%a �A f_{p Other pier pad sizes (required by the mfg.) Draw the approximate locations of marrial wall openings 4 fool'orgreater. Use this 1•.�,•� symbol to show the piers. List all marriage wall openings greater than 4 Foc and their pier pad sizes below. Opening Pier pad size POPULAR PAD S ZES c . c I MER �' r� INNEM mum I MEN ANCHORS 4ft it within 2' of e spaced at 5' TIEDOWN COMPONENTS 1 v' Longitudinal Stabil Irg Device (LSD) Sidewall Manufacturer Pt Vo 4 Longitud Longitudinal Stabilizing Devrce wl Lateral Arms Marriage Manufacturer _ — Shearws PERMIT WORKSHEET PERMIT NUMBER I The packet pen et�ometertests or check here to cjeclare are rounde down to psf 1000 lb. soil wilhouttesting. x .— x x — — — POCKET PENETROMETER TESTING METHOD I 1. i est the perimeter of the home at6locations. 2, Take the reading at the depth of the footer. 3. sing 500 lb. increments, take the lowest reading and round down to that increment. X X X I — I TO S The results of the torque probe lest is 2W inch pounds or check here if you are de laring 5' anchors without testing . Atest showing 275 inch pounds or less will require 5 foot anchors. Note: Astate 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 tie points where the torque lest reading is F75 or less and where the mobile home manufacturer may requires anchors chors with 4 b holding capacity. Installer's initials ALL TESTS M+ UST BE PERFORMED BY A LICENSED INSTALLER Installer Name Date Tested ecrca Connect electrical con source. This includes uctors between multi -wide units, but notto the main power ha bonding wire between mult-wide units. Pg. um mg page 2 of 2 Debris and organic material removed Water drainage: Natural Swale Other Fastening multi wide units Floor. Type Fastener: Length: Spacing: Walls: Type Fastener: Length: Spacing: Roof: Type Fastener: Length: Spacing: For used homes a min. 30 gauge, 8" wide, galvanized metal strip will be centered over the peak of the roof and fastened with gaiv. roofing nails at2" on center on both sides of the centerline. Gasket IWYJl110rPrQuf1ne roqulromonll I understand a properly 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 notserve as a gasket. Type gasket Pg. Il� Installer's initials Installed: Between Floors Yes Between Walls Yes Bottom of ridgebeam Yes weatherproofing The bottomboard will be repaired and/or taped. Yes � I Pg. Siding on units Is installed to manufacturer's specifications. Yes tT Fireplace chimney installed so as not to allow intrusion of rain water. Yes iz Miscellaneous Skirting to be Installed. Yes t/No Dryer vent Installed outside of skirting. Yes _�_ N/A Range downflow vent installed outside of skirting. Yes —TN/A Drain lines supported at4 footinlervals. Ye Electrical crossovers protected. Yes_ Other: I WFl is Connect all sewer drains to an ebsting sewer tap or septic tank. Pg. manufacturers Connect all potable water supply piping to an epsting water meter, water tap, or other Installer Signature _ ition given with this permit worksheet and true based on the In instructions and or Rule 15C-1 & 2 Date