HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT WORKSHEET
PERMIT PLUMBER f 3L9(p (0 q
Installer 1=J.SF1' License #�,�-1 Address of of home
being installed -
Manufacturer Lenglh xwidth a
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 used on anyhome (new gr used)
where the sidewall ties exceed 5 ft4 in, j_ J F
Installer's initials
Typical pier spacing
t 101 (Ifll
2 .✓
Show locations of Longitudinal
(use dark lines to show these locations)
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New Home ❑
Used Home N
page'( of
Home Installed to the Manufacturer's Installation Manual
Home Is installed in accordance with Rule 15-C
Single wide g Wind Zone II g fW_i", Wind
Zone III
Double wide Installation Decal # I tL�
Triple/Quad ❑ Serial # G l]WIG a 1=9 -5�?-I
PIER SPACING TABLE FOR USED HOMES
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interpolated Vrom Hula e pier spacing table.
PIER PAD SIZES
I-beam pier pad size
Perimeter pier pad size
Other pier pad sizes_
(requi red by the m fg.)
•1 Draw the approximate locations of marria
- iwall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 fool
and their pier pad sizes below.
Opening
v EB
St. Lucie County
Pier pad size
POPULAR PAD Z
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ANCHORS
4ft Sft
FRAME TIES
within 2' of end'of home
spaced at 5' 4" oc
OTHERTIES
Number
Longitudinal Stabil' i(frrgDevice (LSD) Sidewall
Manufacturer INo Longitudinal
Longitudinal Stabilizing Device w/Lateral Arms Marriage wall
Manufacturer._. __ Shearwall
PERMIT NU
The pocket pen etrometer tests are round down to psf
or check hereto declare 1000 Ib, soil without testing.
POCKET PENETROMETER TESTING METHOD
1, Tes t 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_
x_ x
PERMIT WORKSHEET
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The results of the 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 That anchors.
Note: Astate approved lateral arm system is being used and 4 ft.
anchors are allowed at the sldewall locations. I understand 5 ft
anchors are 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 ,Q"C C j-
Dale Tested Q-_ f C— r Z
ec rE ica
Connect electrical conductors between multi -wide units, but not to the main power
source. This includes the bonding wire between mult-wide units. Pg,
um mg
Connect all sewer drains to an ebsting sewer tap or septic tank. Pg.
Connect all potable water supplypiping to an ebsting water meter, water tap, or other
Debris and organic material removed
Water drainage: Natural Swal
page 2 of 2
Other
as on ng muilvvleums
Floor: Type Fastener: Length:_^ Spacing:
Walls: Type Fastener: Length: Spacing:
Roof: Type Fastener: Length: Spacing:
For used homes a min, 30 gauge, S" wide, galvanized metal strip
will be centered over the peak ofthe roof and fastened with galv.
roofing nails at2" an center on both sides of the centerline.
I understand a property 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.
Installer's initials _
Type gasket Installed:
Pg. Between Floors Yes
Between Walls Yes
Bottom of ridgebeam Yes
vVeathurprooting
— 1
The bodomboard will be repaired and/or taped. Yes _ pg,
Siding on units is installed to manufacturer's specifications, Yes �—'
Fireplace chimney ins tailed so as not to allow intrusion of rain water. Yes tz
isce aneous
i
Skirling to be Installed. Yes ✓No
,Dryer van tininstalledoutsideofskirting. Yes N/A
Range downflow vent Installed outside of skirt�Yes —�—NfA m
Drain lilies supported at foot intervals. Ye
Electrical crossovers protected. Yes
Other
[Installer verifies all Information given with this permit worksheetis accurate and true based on thenufacturer's insta lation in ructions an r Rule 1SC-f & 2
Installer Signature Date