HomeMy WebLinkAboutPERMIT WORKSHEET-PERMIT° NUMBER ;.ter::
License #
Address of home 1 Gf�kf.CTCC(�
being Installed ..
Manufac(urer Lenpthxwidth 2-7?
NOE• • if home Is a single Wide fill out one half of the blocking plan
If'honie is a triples or quad Wide sketch In t emslnder of home
I understand Lateral Ann Systems cannot be used on any home (now or
Where the sldawall ties exceed 6 it 4 in. nI
Insfallo'f(itiaiv / •.
TyDlcal offer soaetn... _ Y
PERMIT W0F1KSkE�eT $ 0 2019 a page 1 of 2
Cte County, permitting
New Home . Used Home
Home installed to the Manufaoturees Installation Manual ❑
Home is Installed In accordance with Rule is-C
Single wide ❑ Wind Zone II a' Mod Zone III ❑
Double wide ' Installation Dscal 4 3 _ Vj I
Tdpla/Quad ❑ Sedal#5-\AM6SPS3y A
PIER SPACING TABLE FOR USED HOME&
Lead Footer 16'7r16• 181/2'Xte 7/2' 20'X20• •22'x22r hwng' size 24 Xz4' P•X2('I
oapaaity (egin) (?s6). (642) . (411) ,(4e4)• (6re)• (676)
I-beam pier pad size • Z�
Perimeter pier pad size
Other pier pad sizes
(required by the mfg.)
®Draw the approy1mate locations of marri,.
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foc
and.their pler.pad sizes below.
Opening Pler d i
pa sze
�7�oz'L 4it It
' FFAMETIES
within 2' of end of home
spaced at G 40 oc
TIEDOWN coMPONENTS OTHER ES
LongitudinalStsbll/zl Devlce(LSOJ, SidewaqNumber
Manufacturer— + f S "S Lon fludinal
Longitudinal Stabll/z Vlo� /L t Arms Marriage wall
ManufacturerlAa� SW Shearwall
ECEIV
° :PERMIT NUMBER `�_t�� ; v:�A.:.\`Iwo
Ms
POCKErPENETROMETERE5
To'keet re to declare 106D Ib. sell without testing, psi
X— X� X�
POCKET PENETROMETER TESTING METHOD
t. Test the perimeter of the home at 6 locations.
2. Take the reading at the depth of the•footer.
S. Using 5001b, ineremente, take'the lowest
reading and round down to that Increment.
X X—
TORQUE PROBE TEST •
The; results of the torque probe test Is io inch pounds or check
bane if you are declaring 5' anchors without testing A test
showing 2751nch pounds or less will require 5 toot anchors
Note: A state approved lateral arm system Is being used and 4 tt,
anchors are allowed et'the sidewall locations. I udderstand r, it
anchors are required at all canterllns Us Points where the torque test
reading is 275or less and where the mobile home manufacturer may
requires anchors with 4000 lb holding capacity.
Installers initials
ALL TESTS MUST BE// PERFORMED BY A LICENSED INSTALLi=R
Installer Name 4✓ ¢,'ter/d I ��- I
Date Tested
Ibnnect electrical conductors between muittwlde units, but not to the main power
came. This-In41udes the bonding wire between mull wide units Pg,
�d�Isiffiffis+bwwer tap or septic tank Pg.
Rjpdeibt ifatpl✓qtppiyhyWsleAams.. PnplPletr tiilteXi!PPgwater meter,water tap. orother
r
BOCC
PERMIT WORKSHr:gT OCT 16 2011t Rase zerz
ST. Lucie, County,
Debris and ornanio materlal removed
Water drainage: Natural -/ weIla ,Pad Other �.
Floor. * Type Fastener. Length:
Walls: Type Fastener, Length;
Roof; Type Fastener. Length.
naffs
aasKet min� romin'r hmro,a � —��
a1 understand a properly installed gasket Is a requirement of all new and used
and tiedongakeeki�maersnas am result of apoorlynstallro sbing fstalledIdtad Of tape will not serve as a gasket,
Installers initials
Type gasket Tom[ if� .,n Installed.
Pg. Between Floors Yes
Between Walls Yes --�`
Bottom of rldgebeam Yes r
The bottomboard will be repaired and/or taped. Yes 4-'� . Pg.
Sitting on units is Installed to manufacturers specifloatlons. Yes
Fireplace chimney Installed so as not to allow intrusion Of rain watE
' Mlseellaneotts �
Skirting to befnstalled, YesNo
�Rwnletstafg WAangedfow,vvnlnaldoof
Drain lines supported at 4 foot Intervals, Y
Electrical crossovers protected, Yes a
Other: '
i� accurate and true based'on
Installer signature _