HomeMy WebLinkAboutPERMIT WORKSHEETPERMIT NUMBER w
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Installer �6 �� License �
Address of home �/
being Installed
Manufacturer Length xWidth
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SEP 1 6 2
PERMIT WORKS 019
ET � pegs 1012
T. Lucie County, permitting
New Home ❑ Used Home ®�
Home installed to the Manufacturer's Installation Manual ❑
Home is installed In accordance with Rule 15-0
Single wide
Double wide
NOTE: 'it home Is a single wide fill out one half of the blocking plan 'SCAN n1C�Tr pl&Quad
If home Is a triple or quad wide sketch In remalnderbf home h�UeU lSl 1J
I understand Lateral Ann Systems cannot be used on any home (new or used
Mare the sidewall ties exceed 5 ft 4 in: f L elp ,
Installer's Initials
❑ Wind Zone II [j/ Wind Zone III ❑
❑Installation Decal 4 rssC� ds
❑ Serial # %'—W A
PIER SPACING TABLE FOR USED HOMES
Load
bearing
capacitt y
Feet
size
(sq In)
Wx IS'
(266)
lal/2'X1e1/2'
(342 )
20'x20'
(400)
22'X22'
(484)'
24'X24'
(676)'
26'X26'
(676) '
100D s
3
1 DO psi
4'66
818
DDD pat
6
8
881
8
2 DO s
6
8
B
8
30D0 Ds
81
8
8
3 00
a-
8
Interpolated from Rule 15C•1 pler spacing table. '
PIER PAD SIZES
I-beam pier pad size / 7 !�7(22
Perimeter pier pad size % !/42 2 �,
Other pier pad sizes l7lry(2.2�%
(required by the mfg.)
®Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers,
List all marriage wall openings greater than 4 foot
and.thelr pier pad sizes below.
Opening Pier pad:size '
f, //x ��tr
POPULAR PAD SIZES
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li►iIL•1�Y.F.7�IL'.aEo1�
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ti•I:1Z'l:�tj(�
ANCHORS
4 f t ft
FRAME TIES
Within 2' of end of home
spaced at 5' 4' oc _
TIEDOWN COMPONENTS I S
Number
Longitudinal stabl[14ng D !ce (L SidewEll 4/
Manufacturer J" 1-11 ' Longitudinal
Longitudinal stab111zing Device tv/ ateral Ands Marrlags Wall /e
Manufacturer Yti.1.4 �r �srp Sheerwall
C
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PERMIT NUMB5R
POCKET PENETROMETER TEST
The pbcket penetrometer tests are rounded do to psf
or check hereto declare i D13D lb. soil without tasting.
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 the,footer.
3. Using 500 lb. increments, take the lowest
reading and round down to that increment
X X_ X_
TORQUE PROBE TEST -
The results of the torque probe test is Inch pounds or check
here if you are declaring 5' anchors wit out testing . A test
showing 275 inch pounds or less will require 5 foot anchors,
Note: A state approved lateral arm system is being used and 4 ft.
.anchors are allowed at the sidewall 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 17ome manufacturer may
requires anchors with 4o17 • }wldinp capacity.
G Installers initials
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
Installer Name-Q.N •-P
DateTezfed
Electrloal
tbnnect electrical conductors between multi -wide units, but not to the main power
Durce. This Includes the bonding wire between mult-wide units. Pg.
Plumbingaq�^aP-
cnnect all sewer drains to" existing sewer tap or septic tank Pg.
onnect all potable water supply piping to an existing water meter, water tap, or other
Idependent water supply systems. Pg,
PERMIT WORKSHEET ' ' I page 2 of 2
Site Preparation
Debris and organic material removed
Water drainage: Natural may!_ Swale Pad _ Other
Fastening multi wide units
�r
Floor. Type Fastener. Length: 4�e"' Spacing: /a
Walis. Type Fastener. Length: Spacing: —/,7
Roof: Type Fastener. Length: ,a Spacing: o -
For.used homes a n. 3D gauge, 8" wide, galvanized metal strip
will be centered over the peak of the roof and fastened with galy.
roofing nails at 2' on center on both sides of the centerline.
Gasket (wmlher>rseling r�ulrenentj
I understand a properly 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 not serve as a gasket
Installers initials
Type gasket /i7o'e9" Installed:
Pg. Between Floors Yes e/
Between Walls Yes /
Bottom of ridgebeam Yes
_ Weatherprcofing
The botlombcard will be repaired and/or taped. Yes Pg.
Siding on units is installed to manufacturers specifications. Yes =�
Freplacs chimney Installed so as not to allow intrusion of rain water. Yes
Mluellaneous '
Skirting to be installed Yas Z-�'No
Dryer vent installed outside of skirting. Yes •�N/A
Range downflow vent installed' outside of skirting. Yes �A
Drain lines Supported at 4 foot intervals. Yes Z/' 'T� '—
Electrical crossovers protected. Yes �•
Other:
nstaller verifies all information given with this permit Worksheet
is accurate and true bas on the
manufacturer's installation Lngtijctio and or Rule 15C-1 & 2
Installer Slgnatur, Date g /