HomeMy WebLinkAboutPERMIT WORKSHEETMIT NUMBER
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'lfhome lsa slrtgl'e w1da fill out one hall of the bloc!
IfhoMe Isa triple or quad Hdde sketch LT 1ema.trde
uW Lateral Alm System cannot he used on any bome
r sldevr4 tiles exeed 5 ft 4 in:
Installer`s imlials
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SCANNED
_ PEiMII" FWORKSHE BY
�t,Lucie Coun pa9eterz
1{� New Home. 0 Used Home
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-. E-lomeinsEatled to the Mannfacicaer's lnsfel6tlon Maival
Home Is rt�fled in accordance WHh FUe, 15 0 p, fl _
p_•��_� Scrap Wide Q �'0indZma ll �a i✓It E]
h V _ DoL ble Wide f��. / fnstallztion Decal i
7 (] m TrWWQaad - 0 Serials F��M� Py�T135�oS PFr.r
Systems
PIER SPACING TABLE FOR USED nows
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J���E���t�Eli!
P6PULARPADS129§71
/wclfolts
42 Sft -
FR edE77� WIhinVofendof /
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spaoed at 5 4' oo_
OTHER TICS*��r
LongltudhWSfabll7/� Lpe�vv]sTdOWMA
h&nufachZer IM19, 7iP+Vceh cn)
Longftudlnal StabJfl ngD�vJce sv/LaieraJArmz A�hrrtaga vra0 -
MaroLacfurm 1:�v'1-taltisA Shearwalf
uuwpom,w..mn truce .ava {xw aya�ay wu,a
PIER PAb S¢6S
I-beam pler pad slza
Peameterplerpadslze
Otherplerpad
cram ired by the mip.)
®DmwtheapproAiudelocdtlonsormardas
Waft operimps 4toot orpreater Usa'ffic
symbol to shoalthe plfmn�
List all marriztlge Walt open» nps preaterthan 4 toot
andthefr peer pad sizes below. -
Opelft `PlerpadsfZo - -
71rDOWN COMPONENTS
I POCKET PEl4EMOMMFkTESr
The pocket penetmmetertests are m wrt to psf
or check h_erefodedam1o0DIh�.soH riF utteslhlng.
X_ X_ X
POCKETPBIIEMOMEITR7E$'nNr.AMMD -
1. Test the peftelerofthe horheEI6Iocatletts
2_ Taketheread"ngatthedepth ofthe faoter.
S. U;i'ma SW lb. Gras mL%Uade the lowest
reading end mtmd down to that h aemenL
X_ X__ x_
E OSE.
The results of the torque pnibe test Is hndn poundsordm k -
hemfvouwacledaring.9anchomw7fiootte lg -Atent '
sbmft 275 Incb pounds or Iris will redline 5foot Wmho s:
Note: A stda appmved latw4 a n vydou is baing used wd 4 tL
anChOmseallowadatihesklewaflomiicm Imidenstend58
_- bnchorswo tequked at aticenterlNetie lmanttwhemthetDrque test
reacting Is275orlemand where the rqoblimnemanuLactwermay
requlre WsamrswNh �4-�yr y
7 . Itniail�'c Intfels
ALLTE= MUST BE PEBFOR ID BY A UCB14SED INSTALLER
Installer Name {ljJ �. C,n(.� .
�ater€ea: 3 xc
onngd eleddcel canduclors between multi-w de refs, but n of to the main power
ouroa Thick ludesthe bonding wire betty eon mutt-wtdo,mli&
armed all sewer drains to kn edsllng sewer tap orsepgc tank pg:
bnnect all Double wretersupplq ptping to an Misting water meter, vrater tap, or other
dependent water supply systems, Pg_
SCANNED
' BY
P>=c3tmtrvtromsHt=Er St. Lucie Co my e 2et2
Debris and orgai
Waferdraknag�
Roos. Type{asteneG L.ellpffC � .-�.,y4r�k" --
Fastene
Roof: T� BFasfenar. letn `,:—
Yl
For-used homes a so gaups, ii• wrd% galvanized m�I &—flP
wfl be centered overthe peakof thesoof and fastened With gwv_
motmg toils at Z"on center on both sides of the cmierfne.
1 underst;md a property htslalled g u*d Isa nequL�ment of of newand used
homes and that condermEon, mold, maldawand buddedmartiage waft am
a result of a poorly histalled orno gasket being Installed 1 tindarstand a strip
of tape will not serve as a gasket
Tvpegasket YODM limlelled:
PA ' Between Floors Yes ✓
Between Walls Yes
Bottom of ndgebmm Yes
-.ordmg on ardts Is hstafed to manulaCraer's apeC>fiWllOnS. Yes_ j�1��
Fireplace dfunney hrsielfed so as net to al o kdnsin bn of rawater Yes � " \.
GLxeRanaous --
Skidhtgtobainslafed. Yes No _
D Varvert installed outside of sldtting. Y�W,
Range downffow vent InsteQeeou�ide of aldrrnnm Yr ire
Is accurate and trite based ott the
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Installer Signature-. - /i' -+---- - -Date `