HomeMy WebLinkAboutPermit Worksheets- -= PERMIT WORKSHEET -r -'-t I page f ors
PERMIT NUMBER' �.
__
New Ho V@(91ome ..�
ECL -
Ih`staller _'EDDIEGRUNDEL ! License# IH1118467 1 J� i__
- " H e ins all to the Nlanufact re In foliation Manual
°m ��
-� - _i _L, - AR
Address of home 12164 NETTLES I Home is i stallerl'in acco_rdancewith R'le 16=C""'
being ins"tolled jJENSEN'_BEACH, FL -' - _' _ -_! — n Ie wId SST. u i C )rml !j-
`S g el
Manufacturer JACOBSEN - L'e`ngth xwidth 20 X381i?jQj Double wide ® Instalfahbn Decal # TBD
NOTE 11,home is a single wide fill out one half of the blocking plan _ Triple/Quad r Serial # TBDUARNt - NED
- inhome rs a triple or quad wide sketch fh remainder of home
,.
r - :. — St. Lucie County
I understand Lateral Arm System6 cannot be used on any home (new or used) _ PIER SPACINGTABLE FOR USED HOMES
where ttie sidewall ties exceed 5 ft4 in:
Installde' initials -EG - -
,
Typical pi
er;spaci� _
2' 61^
I Show locations of Longitudinal and Lateral Systems
I� use dark lines to show thieselocations)
g9itWlna i
.. LJ ..; _ Li .' _LJ..t..l. _LJ_ '._..LJ__ . ...LJ.. _a I- .. LJ . _ PIE
i - - - - I beam pierpad`sii
—r _- I I
rl
L•L_ .
Perimeter pier pad
-
:Other pier pad siZ6
;.JJ_ .
- - - -- -, (requir`ed bythe in
ri n n ri 7 I —I _.. ( Draw the ai
. i pier spacing_ raoie.
POPULAR PAD SIZES
—
" 17X22i5' - -! a E n q
^ 16X16 7 16x18
342
-i x
x
- 18.5
It x
1.4114YVh1f4 Man
- 1 mmn owall iota Li I— _v _-_r—_—,__
I ,symbol�to show the piers., x
'p3 P 'witNn2-ofondofhomp rRu1.�_
....
_ _ �r
jListall marriage wall openings greaterthan 4 fo`b1 Z6 X26
and thevpierpad sizes below.
` ANCHO
�--,jO"penmg 1_17_X. -Pie
-rpedsize
.
OX ft
1„. I I , I I .- It
1 &4FRAMETIES
,2 &.3__.-
L_L_I_ _: _L_L_, I_J_J_;._
l l l l l l l l l r l l -'�within2'ofend ofFiomeX
r,-T-r-r-1--I--+_.i_r _'_y_I_.I_r _r _"_,
- ;spaced at5'4"ocx —
r r i
1
- r-
, l r r ! i I
...... r i - OTHER TIES
TI®OWNCOMPONENTS
1
longittabil¢ingDeviceCSOJ (ISidewalt
udinalS
L_I_J_a-.J_4-L_L I J_..I-.�-1._I._L _I_N � ♦. Y-1 L J_ia L_L_I J_4-. _J..-
I r r I 11 1 1 1 1 1I, l i 1 � I l l l l i i l l i 'Manufaoture`rOLNER-'Longitudinal ,
-F-F 1 J _? ♦ 4-1-Y Y f f�M F Y� r 4-F-1 - -r Y 1 J.-.,. -
_LongitudinalStahihzingDevicew/L.afera/Armm siMaagewall`
�, r._ .- i_� r._r -+ r F r - �+ 4—e-r r. 1 T-T r 'r—,' , (•Manufa— ter ---- - _-TShearwalf i -
i
PERMIT WORKSHEET
page z.or,&
PERMIT NUMBER
-_„ - - POCKET PE
The pocRetlpenetrometertests are
or check here fo declare 1000 lb. `s
-- - X 160@._
' POCKET PENETROMETER TESTING METHOD---- _
1:-Testthe periiiieterofthe.home at- 6locations`
2.- Take the reading at the depth of the footer.
3 Using 500 lb. Increments,th take e lowest
reading and round down to fhafincremen'f. ,
X 150C X 150E ` X 150E
TORQUE PROBE E
The results of the torque probe testis 28g inch pounds orclieck
here if you are declaring 5'anchors wlthouttesting . Atest
showing 275 inch pounds or less will require 5-footanchors.
_ Note: _-A state approved lateral arm system is being used and 4 ft. I
anchors are allowed`atttie sidewsll locations. I understand 5 ft `
anchors are requlred'atall centerline tie points where the torque test
_.
reading is_275 or less and where`tFie mobile home manufacturer may
requires anchors with 4000`I6holding capacity. J
-EG T F - InstalfePs mrtals
_ _- _
ALL TESTS MUST BE PERFORMED BYA LICENSED INSTALLEk
EDDIE GRUNDEL - - - 1 - - - --
Installer�Narire _- -.
Date Tested
—Wfe—r c
Site Preparation
j' -------- -
-d oeganic eaterial —removed-YES
Lgage-Natural '^ Swale Pad X--- - ` Other'
Floor
-IType'Fasten'e-r:-I-AGLength: 6` -`,Spacing: 24" -
IWalls: _ 'Type Fastener: LAG Length: R Spacing: 24"
jRoof.-1 Type Fastener: GALV !Length:_ Spacing:
j ;For used homes a mi-n. 30 gauge 8_wide, galvanized metal strip
r �aIO e cenfesed over the peak of the roof and fastened witF gale.
ro_ o_fing nails at 2" on center on bothsides ofthe centerline.
,._: a._d-a pr . . ..rl understahroperly installed gasket is a requiremenfof all new and used
homes_and that condensation, mold, meldew and buckled marriage walls are
;a resultofa poorlyinstalled or no gasketbemg installed. l understand a strip
_- of tape-wwill notserve as a gasket
- -,-- -
-'- Installer's initials EG
'Type gasket FOAM `' Installed.
TPg. Between Floois Yes X
I - , • Between V1/alls Yes X_ -
IBottom ofridgebeam Yes X
- ---- - 4
' eat erproo mg
,The bottomboard will be' repaired and/ortaped. Yes X Pg.
I- The
units is installed to manufacturePs specifications. Yes X
j !_Flreplace.chimneymstalled so as nofto allow intrusion of rein water. Yes X
:s.X.__'_' _No_.
at4'f6ofinte—r; lg .-Yes X
---
Electrical
onnec_t electrical conducfors between multi-wld`e units, but notto the main power I
_ -•. - ----._ -.•r Installer verifies all in -'.--- _ _ --- -.
ource. This includes ttie bonding wire between mult-wide units Pg.-`'inst
- - - - - - --� - formation given with this permit worksheet
onnect alfsewerdrains to an eiiisting se
orinect all potable water supply piping fo
..i.�..e—aenY v,�4cr�unnh,cwfcmc Dn
orseptictank. Pg. ----
ting water meter, water tap, cT other'
is accurate and true based on the
manufacturer's installation ittfructionsainaQor Rule 15C-1 & 2
Installer Signature
Date
RECEIVED I PERMIT WORI45HEE'I I page •I or a
PERMIT NUMBER
Installer EDDIE
# IH1118467
Address of home 2164 NETTLES
being installed JENSEN BEACH, FL
Manufacturer JACOBSEN Length xwidth 20 X 3813gj
(VOTE: 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 any home (new or used)
where the sidewall ties exceed 5'ft 4 in.
Installer's initials EG
Typical pier spacing
2'
6, f7 I lateral
Show locations of Longitudinal and Lateral Systems
;onyilwlnal (use dark lines to show these locations)
...
t
marriage
wall piers within 2'ol
and
of homop
rRu1015C
I I r r r r 1 1 1 1 r 1 r r 1; 1;; 1 1 1.; 1 1 r 1 1 1 1 1 1 1
r-r-r-rr i-=-r-r -i -i 'i T-7-r-i -rr-i i-T-r"r -i -i -�" i-rr-r-rri-r7-; -r-r
1-r i_i_r_r_1_J_i__!_L r_i _r_
I I 1 1 I
I I I I I I I I I I I I I r 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 r
-r
�-4 _r_.y_4 _i_t _y_L _r_.J_.r_a_
1 1 1 1 1 1 I 1 11 1 1 I 1 1 1 1 I 1 1 1 1 I I 1 I I 1 I I 1 1 1 1
"-'-i'�_T"r-Y-�_-•r"=-r_r_r_r_�_�-=-r_r_�_r_-1_�_r_�_Y_r _r_�_�_=_r_r_r _r
r I I r r I I r A-
r l l
r-r-r'i '1-1-=-T-r _r __l_y_T_r_r,_i -i-I-n-r-t-r-r-rl-l-=-Tyr-r-I�-l-'1-'I-r-r-1
r
1 1 I 1 r 1 r r 1 I r r r 1 r r 1 1 r I I I I I 1 I r 1 1 r
S_r_f_r_i _,_i_T_r_r_r _i _r_J_J_ __T_r_r_r _i �_i_i_r __
r r r-r -rri- I -_ r -r-r
I I r r r l I r i l r l l r r I r r l r
I r I 1 I r r I r 1 r 1 r I I r I 1 1 r 1 r
1 r 1 11 1 1 1 1 r 1 1 1 1 1 1 1 1 r l 1 1 1 1 1 1 1 1 1 1 r l 1
1r-rr-rl r4-T-IT-rr4
-ir - -rr Tr-f Yl-l'Ir-If 7
r TI -rr
New Home ® Used Home
Home installed to the Manufacturer's Installation Manual 19
Home is installed in accordance with Rule 15-C
Single wide Wind Zone II ❑ Wind Zone III
Double wide ® Installation Decal # TBD SCANNED
Triple/Quad 'Serial # TBD BY
St. Lude, Count
PIER SPACINGTABLE FOR USED HOMES
� r •
SiL71����1iti�]�Si�
i•IrIHrElii`'�`���`���`�
interpolated from Rule 15C-1 pier spacing table.
' PIER PAD SIZES
I-beam pier pad size 17X22.5
Perimeter pier pad size 16X16
POPULAR PAD SIZES
iL�1•E'33�
r •
i i'Le7i C3.Yi.Ye Ii [:1
� �
iYilY.i.YI.YMWM
llllllll�zsyzlS.aM
ANCHORS
4ft X 5ft
FRAM E TIES
within 2' of end of home X
spaced at 5' 4" oc Y_
OTHER TI6
Number
Longitudinal Stabilizing Device (LSD) Sidewall
Manufacturer OLIVER Longitudinal
Longitudinal Stabilizing Device w/Lateral Arms Marriage wall
,Manufacturer Shearwal l
Other pier pad sizes
(required bythe mfg.)
, Draw the approximate locations of marriac
(,I wall openings 4 foot or greater. Use this
0.4symbol to show the piers.
List all marriage wall openings greaterthan 4 foo
and their pier pad sizes below.
Opening Pier pad size
1 & 4 17X22.5
2 & 3 23x31
TIEDOWN COMPONENTS
PERMIT NUMBER
PERMIT WORKSHEET
- --. RECEIVED 1
The pocketpenetrometertests are rounded down to-1500-" psf? ST: Lucii
or check here to declare 1000 Iti. soil - withouttesting.
-,X,150C . i,`; rX`150r _u-'X1150( ..-.
POCKETPENETROMETERTEsT METHOD
1: Test the perimeter of the home at6"loc`ations
2. Take the readingatthe depth ofthe footer`
3.__Using 500 lb. increments, take the lowest
reading and round down w thatincrement:
_ X 150C_.1, X 150( -xi 150C --'
TORQUE PROBE
The results of the torque probe test is 289" inch pounds or check
here if you are declaring 5' anchors wtthouttesti6g - At_est
showing 275inch pounds or less will require 5 footanchors. '
Note:_ Astateapproved lateral arm system is being used and 4 ft.:-
anchors are allowed afthe sidewall Io-cations. I understand 5 ff
anchors are required at all centefrliri tie pomts where the torque test;
reading is 275 or less -and wtiere'the mobile home manufacturer may
._ _.. ---
requires_anchors with 4000 1b holding capacity.__
- - EGi'`v' � Installer'smi4als,-'
ALL TESTSMUSTBE PERFORMED BYA LICENSED INSTALLER
,Installer Name EDDIE'GRUNDEL - - 7 .__.
Date Tested
onnect electrical conductors between multi -wide units, but sotto the main powerl "
wrce`. This includes the bonding wire between mull -wide units. Pg^-"` 7'
i
onnectalfsewe}drains to an ewsting sewe
onnec[all potable watersupply piping -to an
�# -
page a or A
Pad X Other
1Koor: _ j type ras[ener. t28w •Lengmr opaciny_
For used homes a min. 30 gauge, 8° wide galvanized metal strip
jwil_ be' centered over`the peak ofthe roof and fastened witti gely:
roofing nails at2" on center on both sidesoftFe centerline.
-, __.-. r i._ .,....._ i .-. ... ..
Gasket(woothorproofing roquiromont)
I understand a properly installed gasketis a requirementof all new and used
'homes and that condensation mold, meldew and buckled marriage walls are
la resultof a poorly installeii'or no gasket being installed: I understand a strip
_ftape will not serve as a gasket -
-- -'- - - Ins-talIijes initials EG
Pype gasket FOAM -1 Between FlocFs F Ye
X
g Y Between Vvalls as _X _ _ _
Bottomofridgebeam Yes X
_ "Weatherproofing
}Tlie'bcttorriboard willbereoairodan' d%or taped. Yes'X'- Pp.
iw intrusion ofrain water. Yes-X
1
, i
Installer verifies all information given with this permit worksheet
is accurate and true based on the
( ! -� manufacturer's installation irratructions✓,4pd7or Rule 15C-1 & 2
or`septictank Pg` - _-_ L :_I i_ 1 _
' r Installer Signature
ring wavermete'r, watertap, cr.other
- . _ - -- t
Date