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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