HomeMy WebLinkAboutPERMIT WORKSHEETRtUtr\
` PERMIT WORKSHEET .
.... •.•t� �� rz. MAY 2° 41 RMI•- NUMBER, � � �.' .
• ;��;'OWN
� S7 -io count,
pp 0CMiMNrW) New Home. �] Used Hum
�e "
Installer VAim-; luclr),�� C' Cr License# tau
Home Installed to the Manufacturer's InstallaWn Manual
Address of home - q �T. l.ti)L�byi s j St. Lucie County
being Installed Home is Installed in accordan6a wlth'Rule 15-0
k Sit 1+ LUC'E- �y55 Z Single wide � Wind
� !! ❑ Wind Zone II
Manufacturer Flees 0t Uile1L77' Length xWidth 4-7 k b0 Double wide ' � Installation Decal.#
NOT&. • if home is a single wide flit out one half of the blocking plan
If horde Is a triple or quad wide sketch In remainder of home
I understand Lateral Ann Systems cannot be used on any home (new or
where the sidswall ties exceed 5 ft 4In.
Installers initials
Triple/Quad ' ❑ Serial #
1719 Page
Permitting
PIER. SPACING TABLE FOR USED HOMES a
2'
Load Footer
treating size
16' X 16' 181/2' x 98 1/2' 20' X2a•
22' x22t
2
26.0126•
capacity (sq In)
(� (54z) (40o ) .
aea
( )•
i
�si
Y OOD Dst
3
00 DSf
-4166Lg
' 0o0
6 6 ' - 8
2 00 s
6
3000 par--
818' 8
mw,pmewo :tom mute,c::-i pier spacing mts.
PIER PAD SIZES t
I-beam pier pad size f7 nir�Z
Perimeter pier pad size �a
Other pier pad sizes
(required by the mfg.)
®Draw the approximatelocatlons of maul
wall openings 4 foot or greater. Use thk
symbol to show the piers.
List all marriage wall openings greater than 4 fo
and.their pier pad sizes below.
Opening Pier pad:size
®-- r'Zt ��r� /7 rrk7-z11
(,7't>r -2,7,t
I '7
TIEDOWN COMPONENTS
Longitudinal Stablllzing Device fLSD)
Manufacturer
Longitudinal Stabilizingg Device w/,.LLai relAnms
Manufacturer- IM11J++a�- NSF
POPULAR PAD SIZES
ANCHORS
4It 5 it
FRAMETIES
within 2'.of end of home
spaced at 5' 40 oo
OTHER E&
Sidewail
Longitudinal
Marriage wall
Shaeiwall
PERMIT NUMBER
POC PENETROMETER TES '
The pbokst penetrometer testa are round wn to psf
or check here declare 1000 lb. soil without testing.
X__ X_ X_
POCKET PENETROMETER TESTING METHOD
1. Test the'perimeter of the home at 6 locations.
2. Take the reading at the depth of tha foots
3. Using 60016. increments, take the lowest
reading and round down to that increment
X X X__
ORQUE ROBE T ST
The results of the torque probe test isinch pounds or check
here if you are declaring 5' anchors without testing —hors, A tact
showing 275 Inch Pounds or less will require 5 foot anc
Note: A state approved lateral arm system is being used and 4 ft.
-anchors are allowed 614he sidewall locations. I understand 5 it
anchors are required at all centerline tle points where the torque test
reading Is 275 or less and where the niobile, Fjome manufacturer may
requires anchors with 4000.Ib holding capacity.
Installer's Initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
installer Name
Date Tested
Eleeo-1
ibnneot electrical conductors between multi -wide units, but not to the main power
ouroe. This•lnoludes the bonding wire between mutt wide units. Pg.
onneot all sewer dralns,to an existing sewer tapt�fank. Pg.
onnect all potable water supply piping to an s inp water meter, water rep, or other
rdependent water supply systems. Pp.
PERMIT WORKSHEET
Page 2 of 2 I
Debris and organic matey al oved r � Z
Water drainage: Natural Seale Pad Otha l
Floor. Typo Fastener. ZA lr
- Length:
Walls: Type Fastener.. Length:
Roof: Type Fastener. Length:
For.used homes' a min. 30 pauge;!8" wide, f
will be centered •over the peak of thatoof anc
roofing nails at 2" on center on both sides of
I understand a properly.installsd 'gasket Is a requirement of all newand Aid a
homes and.that condensation, mold, meldew:and buckled marriage walls ere
a result of a'poorly installed or no gasket being installed. I derstanii a strip
Of tape will not serve as a gasket
Installer's tnftials
Type gasket �!' � ft', 1A Installed: '
Pg. Between Floors Yea r�
Between Walls Yes
Bottom of rldpebeam Yes—��
The bottomboard will be repaired and/or taped. Yes_�pp,
Siding cn units Is Installed to manufacturees.specifications. Yes 7�
Fireplace chimney Installed so as not to allow intrusion of rain water: Yes 2/fV
M ellanaoes
Skirting to beInstalted. Yes No
Dryer vent installed outside of striding. Yes=�'N/A
Renga downflow vent installed•outslde of skirting. Yes 2=�WA
Drain lines supported at 4 foot intervals. Y
Electrical crossovers protected Yes_{
7ther:
Installer signature
accurate and true based on
019