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HomeMy WebLinkAbout15-16168 CITY OF ZEPHYRHILLS � 5335-8TH STREET • �sis)�so-oozo 1616 BUILDING PERMIT ,,. PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16168 Address: 3505 BERYL LANE Permit Type: PARK MODEL ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE Est. Value: Parcel Number: 24-26-21-0020-00000-0650 Improv. Cost: 3,500.00 OWNER INFORMATION Date Issued: 4/22/2015 Name: ROGERS RONNIE & DIANN Total Fees: 180.00 Address: 10835 OLD LAKELAND HWY Amount Paid: 180.00 DADE CITY FL 33525-1514 Date Paid: 4/22/2015 Phone: 616-366-3910 Work Desc: PARK MODEL SET UP 32 X 13.4 REPLACE RV CONTRACTOR S APPLICATION FEES BMI LL PARK MODEL SETUP 60.00 PARK MODEL ELECTRIC 40.00 HOMEOWNER PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00 BMI LLC AIR TECH SERVICES OF PASCO INC - V �V s � _ � � - �.� ��,� Ins ections Re uired PAR MODEL MECHANI AL PARK MODEL PLUMBING PARK MODEL SET-UP PARK MODEL ELECTRIC REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site fi) plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that � may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for �, improvements to your property. If you intend to obtairr financing,consult with your lender or an attorney ' before recording your notice of commencement." I Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. /� c � I � C4 RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i � V I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII ' 2015062452 �I Pmmd No. � Parwl ID No / �� _1 NOTICE OF COMMENCEME�j sata�r �[Li i(�� ca,,,�a 1 G.S C C� THE UNDERSIGNED hareby gives notice Uiat Improvement w8i be matle to certeN real propeAy,and In eceoMance with Che�ter 713,Florida SfaMes, ' the foDowit���n�IbnoiRope�ity. Piaroel fden'6firalicCoNrtxnencmnen0� � � �� V �� V L/ StreetAddress: ov� � 2 Generel Desaiptlon at ImprovemeM •� , ' G 3. Owner IMomietlon a Lessee IMormaUon H Ne Lassee oontrecDed far C�e Ynprovement � . e L �7 wy _ �l�,P_ ci-�U1 Address p � Gry � IMerest in Property: ���1� 4 � - - NBme 01 Fea Shnple 71tle�otler. � (Ii diRermt Bam Owner Usted ebove) Address City Stat� 4. ConVsdor. r ' e r � ' ,� �. A ��� 7�L� ��7� �ry s ContraUOfs Telephone No.: 6. Surery: "8f10 ' Rept,:1676707 Rec: 10.00 rwa�9 DS: 0.00 IT: 0.00 �++�+�+�:s 04/21/2015 D. W. , Dpl.y Clerk e. ���; PAULR S.0'NEIL,Ph D PASCO CLERK 8 COMPTROLLER "� 04/21/2015 20 m 1 f 1 aaa� OR BK 9��� PG �7?1 � Lendera Telephare No.: 7. Persau wiMin the Sfam ot FlotWa Aesqnafed by the awner upon xAwm notices w otlier doamre�b may ba servea aa provided by sec�on»s.���Ne)Pl.Florwe smwms: Neme Addrea+ Cty Stete Talephone Numbar oi Deeigneted PersaC B. In edditlan to Nmself,tha owner Cesignales of_ to reoeive e capy af tlie Llerora Notice av provided in Section 713.13(1}(b�FloiWe StaNtes. TalapAona Nwnber af Persm a Entlty Designated by Owner: - 9. F.�4atlen date et Nntire ot CanmanaemeM(tlre e�etbn date may mt be bataea tlie mmpiatbn a(armhuctlnn erd Mal paymeat tn Wa cantreUnr�but vAt be one year fram tlia date d racor��q unleas e d�teraM dete b epecifladr WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER 7HE E7�IRA710N OF THE NOTICE OF COMMENCEMENT ARE CONSIpERED IMPROAER PAYMENTS UNDER CHAPTER713, PARTi, SECTION713.13, FLORIDA STATU7ES, fWD C!W RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEFiTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WfTH YOUR LENDER ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. - .` ��v�h a vwi�r�I Oedare that t have read the toiegdnp no' merqement end tluit the atated tharein ere true ta the hest of my k+�m�edge end helieL \ STATE OF RORIDA ' COUNTY OF PASCO R, OH'�cedD'ofireCa/PaAn�eNM��na8e1 Umer Le9see's Authorhed `'� ��, Y+ � W �� �C�'�1 0 . 'S� � a„��� `e,,/ �rne roregw�9��saumeH was acmawleagea be(ora me+nls aay or J�C�,za�Y �1 . / • • � °a � x es � I�YDe W authoriH.e.g..oflicer.trustee�aCaney in f d � e � • . (nam Qartym dwhc 4�sWmentvma � . . o � � � . .P,erso�ally Known Ptod Oon❑ Notary Signature �' m ` � Type oi Identil'�etlon Rafuced e- Neme(Pr'vit) Q_ ~ • ��' "7 i ��s B �� � LISA BOOKER STATE OF FLORIDA, CQUfJTY OF PAa�;C� "� � ' ���'= THIS IS TO�CERTIFYTHATTHE FOREGOING!SA =`� •r MY COMMISStON�EE884968 TRUE AND CORRECT COFY OF THE DOCUMENT ., ,. ExPIRES.1aru�eryt3,2ot7 ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � VIiITNE,�S NI�Y,HAND AND OFFICIAL SEAL THIS �y�DAY OF ^ 2 O I ' ' S. O'NEIL, C E &COMPTROLLER BY EPUTY CLERK ���-�BV-���� Gity of Zephyrhilis Permit Application Fax-813-780-0021 � Building Department � � '� � \ Date Recelved � Phone Contact for Permitting I� �L – ` Owner's Name . ����(� ��C. Q � .e�.� Owner Phone Number Vl(a7 ''��fp���0 Q f� / -_ B ��,�,1�c� 33 s�.,'' Owner's Address J�u�� �� v �G � C[.t�p�[ !✓ Owner�hone Number Fea Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS a i��� ��� r L i� � LOT# [� susoivisioN ��'1�t' �4 Poi�f' PARCEL ID# �� "O�� °' -- � (� C`,lb -�� � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER d � D TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL DESCRIPTION OF WORK � BUILDING SIZE ��� ��—� SQ FOOTAGE�.0 HEIGHT �U� QBUILDING $ � �� � VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ �,r�� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. J �i QPLUMBING $ �� �/ 16��� OMECHANICAL $ �i��� VALUATION OF MECHANICAL INSTALLATION 1� ` �J� QGAS [� ROOFING Q SPECIALTY � OTHER °INISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES /O�'"1 \_•,�i� ��� �o� G 3UILDER n COMPANY �rn — iIGNATURE I �c.� REGISTERED Y N FEE CURRE� /N Address _ ' l.t'C.��! r , License# ��� � �'�3 � ELECTRICIAN COMPANY �O � ��Y�e r iIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address License# 'LUMBER � v COMPANY i1GNATURE REGISTERED / N FEE CURREP Y/N Address � � License# `�� 3 � �ECHANICAL l COMPANY '��G iIGNATURE ' REGISTERED N FEE CURRE� � Y/N Address �`�� lp � �L�3�y�•License# � � � ^ 1THER COMPANY �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# :ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed. Sanitary Facflities&1 dumpster;Site Work Permit for subdivisions/large projects OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. Minimum ten(10)workfng days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compllance IGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for ali NEW construction. irectlons: • FIII out appHcation completely. Owner&Contractor sign back of application,notarized If over a2500,a Notice of Commencement ts required. (AIC upgrades over 57500) Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same � VER THE COUNTER PERMITTING (Front of Application Only) eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) DNveways-Notover Counterif on'pubii'c'"roacJways:needs ROW -°- •-•� �-•-- �- -•- -. __....._._._. ., :. , � ' ,- { . , ' ' ,; . _ - , . �. � , � . :i.<,. i �.; , l� � � � � .. 1['. �.. .. ' � . . � . � 1 r .' . 1 , . 1 � . _ .r.. �� i _. , .. ,•- � NOTICE OF DEEQ REBTRICTI�NS: The ur�d�rsigned u�der.stands�that thts,p�cmtt.may.be.subJect to°deed"restrictians" whlch may be:more restcictive:than Coun#y reguiat{or�s. 'The a�derslgned asst�rries responsibility for compllance rnrith any applicable deed r�strictions. • � UNl.lCENSED Ct?NTRACTQRS AND CC?t�TRA+�TQR RESPON�tBtl,ITlES: [f the owner has hired �a contractor or contractors to undertake work, they may be required�to be:licensed in a�ceardanc�with sta��.and•local regulatians. If the contractor is not licensed as required by law} bath the owner and canteactc�r may be cited for a misdemeanar violation under state law. If the owner ar 1n#ended contractor are uncer#ain as te�what licensing.require�nents may�apply�for the intended work, they are advised to contack the.Pasco County �uilding Inspection Divislon—Llcensing Sectton at 727-847- 80Q9. Furthe�mare, Jf the owner has htred a cont�actor or contractors, he �s advised to have the cantractot{s) slgn portians of the "cantrac#or Black° of this appilcatian for which they wiil be responslble. If you, as.the awner sign as the � cont�actor, that rrt�y be an indioation that he is not properly licensed and ls not entftled tv p�rmittir�g prtviieges In Pasco County. �.. ' TRAIdSPORTATION IMPACTIUTILITIES IMPACT ANCI RESOURCE RECOVERY FEES: The undersigned unde�stands that Transpo�tatton Impacf Fees and Recourse Recove.ry-Fees maY aPpty to the construc�iore af new build�ngs,`ci�ange o# use in existing buildings, or.expansion of existing`buildings, as speclfled in Pasoo Caunty Ordinance number 89-07 and 90-07, as amended. The undersigned also unders#ands, that such fees� as.may be due,.wlil be identiffed at#he time af permi#ting. tt is fuMher understaod thaf Transpor#ation impact Fees and Resource Recovery Fees mus# be paid.priar to receiving a °certificate af occupancy" or final povuer release. :If the project does not involve a certificate of occupancy or f�nal pawer reiease, the fees must be pald prior to permEt tssuance. Fu�thermore, if Pasco Caunty WaterlSewer Impact fees are due, they must be�pald prior to permit,lssuance�ln accardance wi#h appllaable Pasco County ordinances. CONSTRUCTION �lEN L�►W(sCh�pt�r 713s Fl��ida 53����€�sa�-��ended): !f valuat(on of work is�2,50Q.00 or.more, 1 certifjr that i, #he applicant, h�ve.bee� provlded witfi a copy of tFi� "Florida Constructfan Lien Law—Hameowne�'s Protection Guide" prepared by the Florida Depa�kment of Agria.ultuee ��d �onsumer Affairs. ff th�e a�pltcant Is sorneone other than the"owt�er", i certity that 1 have,ob#ained a copy of the abov�described document and proriiise in.good faith to deliver ft to the"owner"prior-ta commencement: CQN�"RACTOR'SIQWNER'S AFPIDAYIT: 1 cet�ify that all the Inf.acmattan In thls appltcatlon ts accur�te and that all work will�be dane in camp�iance wi#h ail applicable laws regulating construction, zoning and land develap�nent. Applicatian is hereby made to obtain .� p�rmit Ca do work.and Installation as IndEcated. 1 certifjr that n� wrark or lnstailation has commenced priar to lssuanc� af a permit and that.all wrvrk will be performed to meet st�mdards of ali iaws regutating- conskruction, County and City codes, zoning regulations, and land development regulattons tn the jurisdictian. I also certify tha# t undet�s#�nd that the regulatians of other government agencles may apply�to t#�� intended work, and that it is my responsibility to i�en#ify�what:actions I must take.to be�in:cciir�pllance. Such agencA�s-Inciude but are.not limited ta: - Departmen! of Envlronmentai Protecttan-Cypress Bayhe►ads� Wetlae�d Areas and Env{ronmentally Sensitive Lands,WaterNVastewater"�re�tmen#. - Southwrest Florida Water Management. District-Wells, Cypress. Bay.heads� Wefland Areas, Altering Watercourses. _ - Army Corps of Engineer�-Seawalls, Docks, Navigable W�terways. - Department af Health & Rel�abilitative ServiceslEnvironrrtentai He�ith LJnit Wells, Wastevkater Treatmentl Septic Tanks. . - US Environmenta!Proteckion Agency-Asbestos a�iatement. - Federal Aviatlon Authority-Runways. I understand that#he following restrictions apply to the use of flll: � - Use of fiil ls not�Ilowed in Flood Zone"V"uniess expressly permitted. � - If the fill material is to b.e used in Ffood Zone "A", It is understaod that a drainage plan addressin� a "compensating valume" will be �ub►xaEtted a4 tt¢ne of permitt[ng which is prepared by a pro#essional engineer licensed by#he State of�iorida. - If th� fill material is to be used In Flood Zone "A" in�connecfion�with.a permitted building using stem wall construct�an, 1 certi#y tha#fili:w�ll�be used anly.ta ft1)#he area wi#hin ttte stem wall. - If fill material is ta be used in any area,,I c�rtlfy that .use. of such flil will not adversely affeat adjacent properties, If use of fiN is fgund to advers�ly:�€fect ad�acent proper4ies,.the owtter m�y be a6ted far vfola#ing the conditions of the building.permi# issued under the �ttached permit applicatian, for lots less than one (1) acre which are elevated by flll,an englneered dratnage plan is reguired. � tf 1 am fhe AGEN'�FO�'�HE�'iWNE1t,.I,.promise 1n good faitb to Infarm the�owner�f the permitting condi#ions se#farth in this affidavit�prior to commencing canstruction. ! understan�� that a separate permlt may be required far electrical wark, plumbing, si�ns, wells, poals, air cond�tiontng. gias, ar ��her lnstallat[ons nat spec�ftc�lly included�n #he appltcation. A permit issued shall be aanstrued to be a Hcense to proceed with the work and not as authority to.violate,cancel, alter, or set aside any pfovisions af ths technf�ai codes; nar shal� iss�a�a�ce�nf�permlt pr�vent th�Bulldirig�?tficial f�om thereafter requiring a carrection cirt errors In:�0ans,_�onstruction or vlolations of any codes. Every permiE issued shalt become invalid _ �unless the work authorized.by such permlf�is.commenced�wlth(n sfit mon#hs of pe�mlt Issuance, or if vira�k authorized�by- Ehe permit is suspended or.abandoned fa�a pertod of siac{6)months afteF the time the work Is commenced. An extensian may be requested, in writing, from the Building,Official for a period.not to exceed ninety(90) days a�d will-demonstrate justi�able c�use for_the extenslon: If work ceases,for nlnaty(90}consecutive days,-the job is consfdet�ed abandoned. W/�RNING TO OWNER: YOUR FAILURE�TO..RECORD A NOTICE OF' COMMENCEMENT MAY RESULT IN YOUR PAYING TW10E Ff3R IMPROVEMENTS-TO Y{tUR:PROPERTY. I�YOU�tt+lTEND=TO CiBTA11N FINANCING;'CONSUL.T WITH YOUR LENDER OR AN A'�TORNEY�BfFORE�RECORDING`YOUR NOTICE:OF COMMENCEMEMT: FLORiDA JURAT{F.B.!1 ��� OWWER OR At3ENT 6 � 4' �`-"rr.'��--�----�.._-CONTRACTp � Subsccibad a swo M(o rmedj befa e this S a bed a swom t� r atfl d��before met�s ../ � �t' ,,,�t1 ��1 ,.�=���-1.t�t�l Ll� �'(�, �'6 �J Y� Who Is/ar ersonally kno to. e or-haslhave produced Who Is/are a0 e ar as/have produced as IdenUflca@on. as ldenBficat{on. c, � "�� - ������� Nvtary#'ubtic . ��<��L� 1�' Notary Pubtic Commisston No.�f�,�{�.�L'�" ��� Commisston No.�,�,�.�ID�S .. -. 1 �����r��t' � Name ot IVotary typed tlnted or stam d Name vf No ary typed,printed or ,��;`;*�''r•; LlSA BOtJKER :;� '�; �.13A BOOKER �"; •': MY COMMIBSION#EE864958 `' """ MY COMMISSION#�E864958 �'•,4;���`� EXPIl2E8 January 13.2!)17 '',��.�,•, EXPIRES January 13,2017 (407)398-0153 FlaidallotsryServ�oe•com - (407►3�8-0153 FlaidaNOtaryService,com �,o , ` � , � ° ,�I��P�i� �. �����,a� ��� ����=-�.�� �' __�..� ,:� City of Zephyrhills BUILDING PLAN REVIEW C011�IMENTS Contractor/Homeowner: � /•1 .� Date Received: � — (^� "" t S site: � 3 �'0 S �f3 Elr.YL [.Arv� , � z� Perrnit Type: ��������Ci�'�'. �-r»l'�-_���--� `� �J� I Approved w/na comrnents:` Approved w/the below camrnents: ❑ Denied wlthe below comments: � , _ _ � This comment sheet shall be kept with the permit and/ar plan.s. � � Kalvin S itzer—Pl ' aminer Date Contractor and/or Homeowner {Required when camments are present) . � . ` . .�� �1 � � . �+3 � � , � ; � i �t� � � � ` � ���r`�'�`f��'�'�� � .•. � c�r�c,�,��:..�.y� � ,�� ' � ����vs �: ,�..�-� ���.�-���t..� � , ��a��trv��� i , �Ue+_,�;yi r;� n�Y ' 7� .��tp�,? /'��,,� ;,y�y'�{�yj I 1'"L?......i�a.C�a IL_ 'FrMT C." �p4J11,41��� ��"t'1S'.y��, i y� � T��. .7S.A:��l.l II.AJyly V � .LL.i_.t.."s rS�U',,:i,Y., �k,'l.Tli!T.$jlej ' � AR�:�r-s� -.Y. ° �7 -_v.�a�.;�,�,c���s. ; I � � � � � �, > �� � � �. � � PERMIT WORKSHEET page 1 of 2 PERMIT NUMBER � New Home � Used Home � Installer ���� License# Home instailed to the Manufacturer's installation Manual � Address of home S �'��� L1.,1�LQ �m��m 10 d in a cordance with Rule 15-C [] bein,q installed n ^ � �, 1 ���� �J�� —�.r � �S .�qlevord� Wind Zone II ❑ Wnd Zone III ❑ Manufacturer _�� �Q,�C�(� Length x width O� ( Double wide ❑ Instaflation Decal# NOTE: if home is a single w�de ffll out on�half of the blocking plan Tripie/Quad ❑ Serial# if home ls a frip/e or quad wide skefch in remainder of home I understand Lateral Artn Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED iiOMES where the sidewall ties exceed 5 ft 4 in. Installer's initials �� F� � n n , p n �� „ , � � �� S� 16 x 16 181/2 x 181/2' 20"x 20 22 x 22 24 X 24 26' x 26 TYPical Pier spacing �� (Sq��) (258) (342) (40p) (484)* (576)` (676) 2� e�J/ � �atera� _'/ " /C I Show locations of Longitudinal and Lateral Systems s ionaic�m�� (use dark lines to show these locations) s "' intetpotated rom Rule 15G7 pier spacing table. PIER PAD SIZES �.�� 1-heam pier pad size � — OVlC1'� a ze n x Perimeter pie�pad size ��� x „�, . x . � '" Other pier pad sizes x , ------------------------------------------------------------------------ --------- -- 1 + (required by fhe mfq J x x '" Draw the approximate locations of marriage x �,,,,��-� wall openinqs 4 foot or greater. Use this x ; me �-�B w��nin s'ai end of home per Rule 16C symbol to show the piers. x x - � List ali marria�e wall openinAs greater than 4 faot x - and their pier pad sizes below. qwcHOtts _ _ _ _ _ Opening Pier pad size a,YIC.�C� - — - _--� - —�.� 4 ft , 5 ft�+.�$,'r�. . �_ ` ��S�lt. -- ---� FRAME TIES ��_y�. _ within 2'of end of hor�r a� _ spaced at 5'4"oc :�__ - - - - - °-----— - --- ——! _..._ ._ ...- --_....._.�._ _. .___..._.. - __ TIEDOWN COMPONENT3 OTHER TIES •- -• • •._�.•-•- _•.�_� _ .. . ._ _ _. _ __ ..... _.. _ _. .._. . __....._ ... .__ __ ..___....._._._. __ __..._____ . - —---- _..._._ _ ____...---_.. _._.____ Number _ _ LongtGrdlnal Stabiflzf�g Device(LSD) Sidewatl - - .. _ . . .. -- -• - _ _ Manufacturer Longitudinal _ _..._._ _._..._.. . _. ___...._ _ _. _ .._. _ .._.__.. _._.__ _ __ � � •_ _... .__ __ _ Longltudinal S �lizing D�e,w/�L,a�t�e�1 Arms Marriage wall •— _�- _ __I_... ._ _ _ , ,�.,__ Manufacturer ��(—`�-+�U� - Shearwall � -u 1 ........_ _._ ._ --- —�-----••- -- — - •-.�_. � 1_. n.. ..,..r,.�_ � . .r � - - K I � i �r�rYPy1 ' � ���'R PERMiT INORMCSHEET �page 2 of 2 � PERMIT N!lMBER Site Praparatton ��t"/ Debcis and organic materiat remaved � II The pocicet penetrometer tests are rounded dawn to psf Water drainage.Natural Swale Pad Other C4n���� or check here ta declare 10001b.saii without testin,q. �.7�����.� X K X �'�- 1�r5'��� asteningmutHwi untts �,� Flaor. Type Fastener:_�a'�r Length:�Q.+� Spacing: O� i� Walts: Type Fastener: Q Length: �� Spacing: POCKET PENE'TROMETER TE5'fING METHOD ��',� Roof: i'ype Fastenec: ta L.enc�th: +t Spacing: '' For usec!homes a �n.30 qauqe,8"wide,gaivanized►netal strip '{. Test the perimeter of fhe hame at 6locations. wiil be centered over the peak of the roof and fastened with galv. raofinq naiis a#2°an aer�er on bath sides of the cenferline. 2. Take the r+eadinq at the depth ot the foater. Gasket(weatnerpror+MO�squinment) 3. Usfng 500 tb.increments,take the lowest readinq ar�d rouc►d down ta that inccement. 1 understand a proper{y�nstalled gasket is a requirement of ali neuu and used homes and that condensation,mold,meldew and buckled marriage walls are a resu�af a pooriY instatied or no gasket being installed. 1 understand a strip X X X af tape wi11 nat senre as a gasket. � � Installer's initials -�-�} �YPe gaske�.l�a��,�j�, Instalted: The resuits of the torque probe test is inch pou�ds or Pq. Between Floors Yes ✓ here i#yau are dedaring 5'arichors without testinq . A test��- Beiween Wails Yes ✓'�� shQwing 275 inch pounds or less will require 4#aot anchors.��.�l��, ��- Battom af rid�ebeam Yes✓ Note: A state approved laferai arm sysfem is being used and 4 ft. ��r� anchors are ai{owed a#the sidewall laca#ions. t understand 5 ft w er�►mofln� anchors are required at all cent+�line#�e points where the tarque tes# reading is 275 or less and where the moblte F�ome manufacturer may The bottamboard will be repaired anrd/or taped. Yes '� Pg. requices anchors with 4000 tb ttoiding capaa�r. S`rdng on units is instaiied to manufacturer"s specifications. Yes ✓� lnsta4ler's initiats Fireptace chimr�eY insEailed so as nat to allow�nttusi�n of rain water. Yes� ALL TESTS MUST BE PERFORMED BY A LICENSED iNSTALI.ER scet�►eous Installer Name [ �,',�„f f t.� Ia,�� 'L)CIC�G�� SkirttnA to be installed. Yes No��, Dryer vent installed oukside of skirtinq. Yes WA Dats Tes#ed C���_._S, /S ' Ran�e dawnflow vent instaiied outside afi sk`rrting. Yes �^NIA Dra�n Stnes supported at 4#oot inie,rvals. Yes f Elect�ical crossQVers proteded. Yes ✓ Other: Electrlca! Connect etectrical conductars between muiti-wide units,but not to the main power soucce, This includes the bandinq wire between muit wide units. P�. InstaUer verifies alt infarmation given with this permit wrorkshe�# F umbing is accurate and true based on the Connect a!!se�nrer dra4ns to an e�tistinq sewer tap or septic tank. Pg. manufacture�'s installation instructions and or Rule 15C-1 S 2 Connec#ail pptabte water supply piping to a[r e�asting water meter,water tap,or afher ��+��ler Signatu Date�!S indepertdent water supply sYstetns. Pg. . . . dr� 30'-0" o-^ 26'-0" 0-- 22'-0" �-- 18�-0� tr-- 14'-0" e--- 10'-0" 0--- 6'-0" e--- 2'-0° � ��� o o c��i ��+i � rn Q u,W 32'-0" 14'-2�n �_9��, ,_�„ �� ���° o 0 0 0 8'-4 t f 2' 3'-8 1/Y y' °`` �tr • a�-o � �LL w � c�i N N 32'-0' 16'-1 3/4` � � c 7280 SGD t7'-s t/4' 3680 � � 44 � § .................................................. ... z� o 0 2� 3A 0 V y ^ X E.P.B. 24 3 1 f2'x32' o 0 W � N Combined M ; r m > a � 4 Q § Living Room �sa.s sF � � Q�, o b o o M a'-��i/2 � SR Dining Area ; :R. G ' � m '� . i . . m � � G M � 1 � �� Q Y Q Q i,+�a'�: , � N OO O O ..................7..................... c� C � � N ''� ''�� ' 15'-6 7/8' •°-' '_= J I � s,.•• : I I � W Cm cq �? 4 9 ::•.;.•'d' � � ; : --�� �+ n 3 N � � N ___ W/H a� - a •..:. : 1— ~ V� � iN�l N N ............... •�c� `V �- O 4'x2 1/2 32'�« =p � �. � � � y � N =c9 C=�1 �'• '� O t0 _ �k' • O'•: rav E a 0 �� B.B� � � Bedroom#1 r �37� Acs �,�— 'cv� L � � � 50.0 SF w N j" N .0 2'-7 3/ � � v N � � N � — �6 3 t � •=2 °�° � � I Im° ° I 2 0 O s li�� c� ri � a � �l--J�-J� N cfl LL � 3660 3660 5440 3036 g m �i � c� ch 32'-0' 26'-11 1/2' 20'-0' 16�-0' 10'-8' J 8._�. �� o a `� � � � 16'-0�� ,_�„ ,_�„ b-- 30'-0" tr�- 26'-0" b-- 22'-0° b--- 18'-0° 6-- 14'-0" b-- 10'-0" 0�^ 6'-0" b-- 2�-0" �� ���°' N � ° Spec�al lnstruct�on � RETURN AIR PER "PA69-DS-3" UNDERCUT DOOR i� am � � � �, �� -' Truss#M74570/ � z .- N � � 3-l2RoafPrtch � �"�"�'��A"�"S'�"��D Whole House Fan Notes: 9 ft. Flat Ce�l�n ��� UP to 1428 S Ft. = 1 50 cfm fan � WALLS W/ OSB INSTALLED R 22-1/-i� ��� 1429 to 2571 Sq. Ft. _ (1) 90 cfm fan WinGZone2 ��� wnLLSw� 'OSBINSTALLED 2572 and above = 1 110 cfm fan HECK CONFIRM FOR A � ORDER SPEClP/C 1TEMS mCOpyNpK 7013 ,=°�°"'�=°•° �. � 3 24 /5 GRS NTS 2 FP-Z2 9/96 69 C9689 }� ' �o �.-� �DT P P�� Y N� �� } ' ������������.. � � z a ���� ��� �� �� � � �� � �� ������� � � �g ����� � �� � � � �� g$ �� W • � �� ���� �� �— �� -�A � ��� � � y �� a �� � '����� �� t—_. .� ��� � Cn $ �� ��x �$ ��� G� � S�� �� �8 � �� ��� ��� �� � � �b � ��� � � ��� ��� �� � ��� • . �m N � � �� �� � � � � �� m �� � � �� ��� �� � � � � � �� � ' � , ' ��� � � � �b�� ���� 9 � ��� � . • ���� ��� Q� m � � ��� �� ����� �� � �@��������� � � � ��� � ���}��5����� ��� � ��(/�� �x Y y3 2 �^ �v `� ��� ��a�� � � a��' �� �� a�� � � � �� �� �� � Y� p�� O ���� �� � �C� � � � ��� ` ��'����� e� � NA�� �A �A �� � �� ������ �� � ��� � � �� ������ �� � ��� �� � s�, ����� €� s2va s2va ��� � � ���� � � � � � � ���� �� � � � � � � � � � � �� ��� �� �� � � � � � �� � �� � �� � �y � � � � �_ ��,o��, � ,�,e�•��P�_sr,� O � IAI�GPMJiY=tOFPA060tdBCTf0YXU190L83. �: � 77.65Q5SA8SPAD=3000LBS.CIIPACRY O 77.6�QS.SABSPAD Tllh�O'ABSPM e LEGEND ,,.�.�„�P,� ,�,�P,� � cpmvntaR,om � 135Q8'A89PAD•2375LB9.GPACfiY PADASSEN�LY PADASS�BLY MAKLOAD=BOOOl89. MAILLOADII4AOOI.BS. � SIltG1E5iACKBLOCKS SOiGiESUCKBLOCKB CD 8T/1BLLQERSYSf91REGNREDPERPALMHMBORHOAfESMSTALLATiONMAlIWL 17.55d5.SA8SPAD 135Q8'AB8PAD Q � � � ��€�� �"� p � � � � � � � M�el Number: C9689 �� �� � a � ���� �� ^� � � � � � � � �� Serial Number: 919677 � � rtrne�acamnne�va,voa�wnusi»mm�nwr,wr PVaCYY.FpMr335Ci �n � � a 8 � aaooawont�nertAi��neerwnc�e�aiNU�o�ert[ �c�rort� Vl