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Home My WebLink About14-15695 CITY OF ZE HYRHILLS 5335-8T STREET ($i3)�s -0020 15 '5 �. BUILDIN PERMIT r - --- - . .. - , v,,,_,., ._:.- - , r_. �."r ��.... PE�RMIT�zINFORMATION . � ' ``-{ `` LOCATION�INF�O:RM"�ATION��'$ ��'��°�'� Permit Number: 15695 Address: 3707 BLACK DIAMOND DR LOT 242 Permit Type: PARK MODEL ZEPHYRHILLS, FL. Class of Work: PARK MODEL SET-UP Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0000-00100-0090 , _ ,..- v:-: .,y t -�- �, ��:x-��{� Improv. Cost: 2,400.00 . �y� :__`;`��„F��OWNER�.INF�ORM�►�Tl a ' �, �<<. ;,�• ��-;�:�'��-' Date Issued: 10/08/2014 Name: MA LLC Total Fees: 1,053.00 Address: 3707 BLACK DIAMOND DR Amount Paid: 1,053.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/08/2014 Phone: Work Desc: INSTALLATION REPLACE PARK MO EL 14 X 37 ;".�CONTRAC.TOR S � � APPLICATION FEESy:�a.�ya�.=�4.= • ° ��r`f''A`'" ...� �., EASLER,LIONEL L. PARK MODEL SETUP 60.00 PARK MODEL ELECTRI C 40.00 WESLEY CHAPEL ELECTRIC LLC PARK MODEL PLUMBING 40.00 PARK MODEL MECHANICAL 40.00 EASLER,LIONEL L. TRAFFIC IMPACT FEE 99% 864.27 TRAFFIC IMPACT FEE 1% 8.73 HOMEOWNER r .� / � � � � ��`�Y�� ,� Ins ections�Re"uired ° �A��;. ,� ; � -�:��:�:°.�,:��.�t. �PARK MODE SET-UP PARK MODEL MECHANICAL PARK MODEL PLUMBING PARK MODEL ELECTRIC REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections no made when inspections called d) work not ready for inspection when called e) permit not posted on jo site f) plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, ther 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 managemen , state agencies or federal agencies. "Warning to owner: Your failure to record a notice f commencement may result in your paying twice for improvements to your property. If you intend to ob in financing,consult with your lender or an attorney before recording your n tice of commencement." Complete Plans, Specifications Must Accompany Appl cation. All work shall be pertormed in accordance with City Codes and Ordinances. IVO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER V V � C� 11 11 '� '_ "�F \ � i f City of Z phyrhills BUILDING PLAN VIEW COMMENTS � �/� � Contractor/Homeowner: �� /"L Date Received: — � —1 Site: � G2(GG� -�G�`vL�/1-t,G� Permit T e: e� • l�f"� ' " `�� " l �/� `3 � Yp Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ � This comment sheet shall be kept with the permit and/or lans. ' � Kalvin wrtz ans Examiner Date� Contractor and/or Homeowner (Required when comments are present) SEP-24-2014 12:57 FROM:EASLER MOBILE HOME S 3869383 56 T0:18137860021 P.1 e��7eomzo City of Zephyrhills P rmk Applir�atian Fex.e�s'�ea°°2� . Bak� �1 . v.a w.o,r.a — nne�,.conna ror m D 0 - $ . �..N.�. �� .�.��.. � J own�r.A4d+.a owiw w�o�.Nui�., rw e�mpr ru.nda..r�m. N� owrw.oho�.�,�.. Fw 94nq�1nlwoler lleerN� � .ioe�ooRess I �QT• °�"�� eueon�oN M � � PARCELIOi - la-r�1-OODt�- Ol�{ �� OWIIMCClROr MpIPAIYTAY NOTICCI WORK PRbPbB�D e NLW OONSTR a ADblAI.T SIGN [,� Q DEMOUSH IN37ALL Q REPAIR PRC1P09GD WG � SFR � CONRiA OTMER 7YP8QACCN61ilUC11CN (� BIOCK �] FRAIAE StEEL � ��ON GF 1MORK �+' f,.,.m�KJ1 ` \ iY1LDINC�Ia � 1 x � CO FOOTAGQ N610NY � V�UIIAfNCa i r VALUATION OK 70 AL CONSTAULTION ��A �lEC7RICAL AMP SERVICE Q PRpGRESS ENERGY Q W.REC. �PLUMBING � �j �� QFYIECWWICAL 3 vAl.uAT10N OF M CWINIGAL INSTALLATION � L ,, " 060.8 [] ROOF�NG Q SPECW.'1'r OTWER FlNISHED FLGOR ELHVATION8 � FL000 ZONE REA QY@S NO OYILRR CQMPIW � IrY�D�� "7� B�QN�IURE aFe�an*+E py� LIN1nn a ELEC7AlCUIN tAMPAN � 61GNAT1IA� qCmaiGn4 Y/N NCCq1�+E /N qAA�ya / 4 �brae r PLUMBCFt 1�011P , B�ONOTURS FrtWei� N sr,r•r��Aar,� N �e�n.. �. ua�e. Mecww� `�'� a1GtJAlUR� rsaer N �ce a�t�n V 1 N Autln�s ueenee� OTNER 4�PAM � BIQNATUN$ paOMT /N F6E CU�RGA Y/N AOIM�R LI4111M� � 111111111111111111111111111111111111 IIIIIIIIIIIIIIIIIf111111111111 RE51DlNTIAL Maah(2)Pla�Pinr(2?een d Bu�bkp Flene:(1)eel m Forme:R-0�SN Pertnit ta rrow oomtru�tion. NMlmum Un(101��deY�dt�r wbmittal dau, R omk�,Comkrt+di0n Pltrn�Slqmw�Aei PdMU wf Silt F�na rtnt�lled, SNifary FaaiGti.�31 Amptr,8ih Wpk P.ma far�ubdlvi w��P�1�� CONNERCIAL Attech(9}oompfale eafn d euuainp Piero P�+e e 47e SMeh� .(�)ee�a�npy Fam..Rr0-w Pem�it fer neW�orovueum � MM+knum twl(101MOrkInO deYi�►ef tlbfnlpel CaOe. R arM1Ee�CamtrilGGlw1 Plwa.Slartnw�t�t Pl�tq W!SR Fena�ettlbtF, 8�vtwy F�ralitiw 61 tl�nnpter.SQe vYOrk Portnll ror a8 nw ew.AB oommeiela��equi�wnares must meel canWience ; $1GN f'ERMR AtlpCl lY)IOIf 0�6fqirwmod Plan� , ""PflOpERTf BURVCY�vquired for dl NCW oonstn+nim. i 41f. . � FO eW�pplidA'o�tlanpWly Owner&Cmbli�ar�I¢1 bxk of epplkellal,neleiVeO ' B ovw�2eoo,�Notla�of CommmawnwR b nqul�tl• (AfC WOt� f70oo1 — A�nt tra In.eaMOaa)a Pa�w el Auany pa ufo er„s)wa,ld be n;ln ro►.rkw Mn«mom ovma wlNattrrp wm. OVlR 7HC COUNTlR PQl1l11TMG (Frvrt d npplirp►b�OM�) wma.e trrnpia sewe+. se�vae uooroaer ac F�nou(�u uner►FOaa�.) o�Iwwu�.Nd ever ea,nr��m aere re.euuya�Row ., e��-�eo-oo2o City of Zephyrhills ermit Application Fax��-�so-oo2� ,_�� ' BuildingD artment Date Received � �� phone Contact for Pe itting � (>U Oxmers Name - C Owner Phone Number . � 2 Oxmers Address #V?J�� Owner Phone Number Fee Slmple Titleholder Name P.FP Owner Phone Number Fee Simple Titleholder Address ^ JOB ADDRESS V 4 O LOT It � � SUBDMSION '�511 PARCELID(! �' V � I�' V (OBTAINED FROM PROPERN TAX NOTIC� WORK PROPOSED e NEW CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL DESCRIPTION OF WORK ' f ( BUILDING SIZE � SQ FOOTAGE HEIGHT �UILDING $ Ol� VALUATION OF OTAL CONSTRUCTION ��(V1. lJ �.v �LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. �LUMBING $ [ uIECHANICAL $ VALUATION OF ECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO BUILDER �j COMP Y SIGNATURE "(/ REGIST ED Y N FFE CURREA /N - - aaa� u��# l� OZ ELECTRICIAN COMP � P�� '-` ' SIGNATURE r�cisr eo Y N F�cuwiQ. N Addr�s �� License# uC..i.�� PLUMBER COMP I SIGNATURE REGIST ED Y N FEECURRFI. Y N Address r License# S C�1 MECHANICAL COMP ~ �� SIGNATURE REGIST � Y/ N �cu Y N Address License# OTHER COMP Y SIGNATURE REGIST Eo Y/ N FEECURRR. Y/N Address License# 11111111111111111111111111111111111 IIIIIIIIIIIIIIIIIIItlllllllllll RESIDENIIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-0-W PertnR for new construdion, Minimum ten(10)working days after submittal date. Requi onsde,ConsVuction Plans,Stortnwater Plans w/Sitt Fence instelled, Sanitary Facilities 81 dumpster,Site Work Pertnit for subdi isions/large projects COMMERCIAL Attach(3)complete sets aF Buildng Plans plus a Life Safe Page;(1)set of Energy Fortns.R-0-W Pertnit for new construclion. Minimum ten(10)working days afler submittal date. Requi onsfle,Construclion Plans,Stormwater Plans w/SiR Fence installed, San'dary Facilities 81 dumpster SBe Work Pertnit for all n projeds.All commercial requiremeMS must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consWctio Directions: Fill out application completely. Owner 8 Contractor sign back of application,rwtarized If over 52500,a Notice of Commencement is requfred. (A/C upgrad over E7500) " AgeM(for the conUactor)w Power of Ariomey(for the ovmer)would be eone with notar¢ed letter frwn owner authormng same OVER THE COUNTER PERMITf1NG (Front of Application Onty) Reroafs if shingles Sewers Service Upgrades A/C Fenoes(PI Suney/Footage) Driveways-Not over Counter if on public roadways..needs ROW i �� ' NOTICE OF DEED RESTRICTIONS: The undersigned under}Stands that this permit may be subject to"deed°restrictions° which may be more restrictive than County regulations. The �ndersigned assumes responsibility for compliance with any applicable deed resVictions. UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or •contractors to undertake work,they may be required to be li nsed in accordance with state and local regulations. If the , contractor is not licensed as required by law, both the owner and contractor may be ated for a misdemeanor violation under state law. If the owner or intended contractor are un rtain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Futthertnore, if the owner has hired a contractor o contractors, he is advised to have the contractar(s) sign portions of the"contractor Block"of this application for whic they will be responsible. If you,as the owner sign as the contractar,that may be an indication that he is not properly icensed and is not entitled to pertnitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery F s may appty to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings, s specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,th t such fees,as may be due,will be identfied at the time of pertnitting. It is further understood that Transportation Impa t Fees and Resource Recovery Fees must be paid prior to receiving a°certficate of occupancy°or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to pertnit is uance. Furthertnore,'rf Pasco County WatedSewer Impact fees are due,they must be paid prior to pertnit issuance in a rdance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statute ,as amended►: If valuation of worlc is$2,500.00 or more,I certify that I, the applicant, have been provided with a py of the °Florida Construction Lien Law—Homeowner's Protection Guide°prepared by the Florida Departrnent of Ag'culture and Consumer Affairs. If the applicant is someone other than the"owne�',,I certify that I have obtained a copy o the above described document and promise in good faith to deliver it to the°owne�'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all e information in this application is accurate and that all work will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is hereby made to obtain a pertnit to do work and installati n as indicated. I certify that no woric or installation has commenced prior to issuance of a permit and that all wo will be perfortned to meet standards of all laws regulating construction, County and City cwdes, zoning regulations, a d land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govem ent agencies may apply to the intended work,and that it is my responsibility to identify what acGons I must take to be in mpliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypr s Bayheads,Wetland Areas and Environmentally Sensitive Lands,WaterMlastewater Treatrnent. ' - Southwest Florida Water Management Dist'ct-Wells, Cypress Bayheads, Wetland Areas, Altering Water�courses. - Artny Corps of Engineers-Seawalls,Docks,Navi able Waterways. - Department of Health & RehabilitaGve Servi lEnvironmental HeaRh Unit-Wells, Wastewater Treatment, Septic Tanks. - US Enviranmental Protection Agency-Asbestos batement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use o filt: - Use of fill is not allowed in Flood Zone"V°unle expressly permitted. - If the fill material is to be used in Flood Zo e "A°, it is understood that a drainage plan addressing a °compensating volume°will be submitted at tim of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone"A° in connection with a permitted building using stem wall construction,I certify that fill will be used only to II the area within the stem wall. - If fill material is to be used in any area, I rtify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely a d adjacent properties,the owner may be cited for violating the conditions of the building permit issued un er the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered d inage plan is required. If I am the AGENT FOR THE OWNER,I promise in good fa th to infortn the owner of the permitting condi6ons set forth in this affidavit prior to commencing construction. I understa d that a separate pertnit may be required for electrical work, plumbing, signs,wells, pools, air conditioning, gas, or oth�r installations not specifically inGuded in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall i uance of a permit prevent the Building Official from thereafter requiring a carrection of errors in plans,construction or viol tions of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced ithin six months of permit issuance,or if wark authorized by the permit is suspended or abandoned for a period of six(6 months after the time the work is commenced. An extension may be requested,in writing,from the Building Official for period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR �I PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WIT YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMENCEMENT. FLORIDAJURAT(F.S.117.03) ` � OWNERORAGENT CO TRACTOR Subsaibed and swom to(or affirtned)before me thls S scri ed a m to(or rtned)before me this by — Who is/are personally Imovm to me or has/have produced Wh is/are rsonall Imown to me or hasRiave pmducad as identifica6on. as idenGScation. � Notary Public L.Q Notary Public commission No. c issio N . ��:►?Y f"''•. JA , :+.: :,� Commission#EE 040520 Name of Notary typed,printed or stamped Na e of Nota • o , '.,p,��„�•`' Bo T1w Troy Fan Inserance 80o-33&7019 .- . i , ' �--------. � ----------�-----�— ------------.-----__.-- --.--------. ---�--------,--'---_—..---------------------- -----,------ ---- - -- . -��1}E��I�� . � ----- L COI�f��I;Y WITH AL�-— � � -I ------------------------- -;---��.�L�dO� - - �PHYR ILLS _ -- --- ,--.-----�._,__'__�-'---_._._.__._._.�..._--'p��IAILJ�G C. DES,��itIDA�UII�DPd6--Ci�I�OF,• - - - ---. ��C(�DE-A�}..___...P�� -- ' NATION LEL�C i 7EX,4�I�lER � . -�-- --- ------`-------� —=------(:4DE�------- tLL�O�N�.�C�S. ----- -------.__- ------------ CITY OF ZEPH - `� ' -------- —_--------- � - -- — . -.--- ------ -- - ---------- ------- ---- - --- .. --,-�----___---------------- ---------�---- --�-� ---------- ---------_`---�___'__----� -__---�-- ' - 1-9------- -------- . , � , , ; , � - � ---- - - — -- ---�- - - , ! � � ' � - -- ----------�---�— ---__. _... -------- - -- - -- -------�---- - -- ,-- ---------- - — __----- ' � � , , � , , . : , , _._ -----------;._..-�---. ._ __ _ -- --_.___.._..____ --- - ----- -.------ ----�----- - -- ---- -- --- ---------- -- , � . ; , ; , . .... . . _._._ ----..�'—.-' --__ �._ - °-------- -- ; , . . � ------ --- -----��---- - '13'--' -�-- —----- -. . . �-�7 , , , � . : : _.____------_.----------____._._._- ------� ------�------- -. ------ - —,-- ---�._----- ----- ---- ---------- , : :� � ' , . ; � ' , : . ; � , � ' ' , � � , � ----- '�-----�--- ------,-� ----------!�-, _�---3-7-- : ---------- --- ---------� ---_-----�------------- -------------,— ----, -- 14 --��---- ------- � - , ; , , . � = , ; -,---------__�__._`_r. i . . . ------- ---------- i � � � ' • ' � ' , ' ` � -- ------ -- --•-- .._.. --�---�..._.._.._--= -------- . , , �0 • -----'--------------�-- ` ' ----------'--;---- ---------�-- - -----•- -- ------- , -;-76-- --�--—--- • ; . . � ; ----- --,-------;- — , . , ---- �--- ; , � . , ; . ; , , . . • --�- -------�-- 4 0;- -�----- - - - -- - --- ---..------ ---.._..__ ... .__-- _ _--,- . _�-,---------- __�.___-t--- --.�__, __,. . _.__... , , r-- . . , • � , , , , . , � , , : � i , � _ ,_ '. , ; i ' , , Majestic Oaks RV_____�_,_._... � � ' , � , . .. --------__.___----------�-----------�-------------------- -------------- -- -— � - - -- Zephyrhills,FI 33542 , ` , __ _..T-�—�--�------- ------------------ --------�--�__.__.___..�------------ -- --------- --_...----- Lot 242 --------------�,,�-�')-_________------—____._._.__-- ----__..__—�___.-------------___�.-------- . _��_Q�_._ �L�.�-__ ---.._____--------- . . , '�1 1�1(x:rm.0�id_._ .C��.-.___.-------------_--`--------.---- -- -----_-�__—____----------- -_—____------------------ .--.. _ , � i , i ' 3 ; , . , ' � . � � PERMIT WORKSHEET page 1 of 2 I PERMIT NUMBER . L��V �.1 �� License# ��1-�� (� �j��_ New Home ❑ Used Home � Installer . � Home installed to the Manufacturer's Installation Manual ❑ � Address of.home ��n'1 ?31�'� �. ��ln� 1�� Home is installed in accordance with Rule 15-C [� I being Installed � � fJ-4' ��i� Single wide 'Q^ Wind Zone II [� Wind Zone III ❑ I Manufacturer l_rl Y S i�l C�.� Length x width �`-1, X �� Double wide ❑ Installation Decal# NOTE: il home ls a single wlde flll out one half of the.b/ocking plan Triple/Quad ❑ Serial# '' !f home ls a trlple or quad wlde skefch!n remalnder of home L Roof System:�/Typlcal Hin�ed I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACING TABLE FOR USED HOMES where the sidewall ties exceed 5 ft 4 in. - Installer's initials ,�y,�� Load Footer 16"x i6" 18 1/2"x 181/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26" Typical pler spacinp bearing size �256) (342) (400) (484)• (576)` (676) capacity (sq in) 2� � taterel � � I Show locatlons of Longitudinal and Lateral Systems ' " ' ' ' (use dark Ilnes to show these locations) ' ` ' ' Iongltudinel , „ , , � i � i � ' r i i � - " interpolated fram Rule 15C-1 pier spacing table. " PIER PAD SI2ES �� ze n __ � x Perlmeter pier pad size Mw� ,1�" X 11n`� x x --- ...............................................•------•-----------••-•----•------•---- -•• Other pler pad slzes x . '�M�.,J' .��,�� (required 6y the mfg.) r X x ; Draw the approx(mate locatfons of marriage x � �„�,� wall openings 4 foot or greater. Use this x r�ieMag wallplerawllhlnx�yrendor�homeperRulel5C symbol to show the plers. X X � List all marriage wall openinps greater than 4 foot x i � and their pier pad sizes below. `�,,,- ANCHORS _...._..........._...._.. ....i... . .�. ......._ i ..1. P ni g Pie p d size 4 ft 5 ft .. ,......._...... __ .. . � ,.... . . ....�.....'..... ... , , f_........ , • • . . ....,..... ............ .._............. .. ...... .... .....' � (.....►............. j....:.........;.... �:.....�;.�. ��.. .......:._..E.....F_... �.....�.....�....�-......�.�........f�.'�.... ........_�....� .�....�.._......�.....; � i � � � � � T � � � � � � . .,. . ........ .. . . .... . ......... ..............._. ...... .... ..................�.... ...._....... � i i.... �""'�� '7 � � FRAME TIES ............ �.... ....�....' . ........�........ ; .... ._.1...._....i.....�..... . j....:..... ..........�_..�..... j......................._�....f.... . .�...............;...............�.... � � �........f_ i i ..... ....�.... ....'..........................._..............�........................i..............q.... . . . . � II � ' �.... ._.i.... .....I.... .... ...�............ ...;_..�.... .._�....,....._...1.............. . . ...:.... ..�.............�..... ..T.... � :::i.....,._..�_...�:: _ 1 . .. _.. _ ........ - ( �� - - � .. . , -.. ...1�..�...�...-�...............�._.. p 4tl o °m� .......... � . , I � • 1. , �_. f..••.f �..., ! t � � � ..... �..... .. ...._*.... . � �...... .�.........._....�...._...... ....t•" _.., ... ...�..... ..._ ' ._.. _ _ wt n o e , � �....� s aced at 5' c ........... .... .........., 1-:.....l::::I.....�:_.:�::::,::::1....�....�....�::::.::�:1.........1:::::{.....l....�..............�....�. �....1.::::;..........;....�.....I—��--��?---:�::::::::.i:::::....j._.�..._. � , t � ; i , ' t OTNER TIES � .J. � ,-._....,.... I.....1..... � � .� i � (......._.k_..�....� TIEDOWN COMPONENTS , �.._.._..�.....�.....}.---......�.....�........;....i..._.....:.........�_... � , , �•-...i.....�._..... ....�....�.....�....�.....�.......... � ...•••••- .....:...........................'........_'....1.........' ` � �. i ' � z ' 1..._J 1 • Number .......... .... ._..�. f„ , fi�� ` � , �� j � f � j�� Longltudlnal Stablllzing Devlce(LSD� � Sldewall ..... .......... ......... --.......� �--.�...�.....�....�.....{. �. ,...; .. ....�.....�.....,.....�.....,....�.:::...::}....�.....�.....,.....�..........:.....��:.::_�....�...._....a.....�_::;:::�:::a..._.}�::::.;::�:�:-:::.�....� � --�. i.... 1-----.....�....1....,....�_........ ....J._... . . � �....� �....�....1....+.....�..........�....._....�..._'.....�.... Manufacturer��!(?X rtechYlO 0�ll�S Longitudinal _. :_.. 1.....{ I , � : � �- � r_..._.-��--{....T....;....�_......�.....;...., r._..f._.; : � � : I I f � f � ••-•••_--••.•..•••••--_--••- ,•••-- 1•••Y••••,_•••••_• •F • f , • _•k_••j-••••'•••_i-•_-i-•••••--••F•••••+-•••.•••••i-•••,} Longltudlna! tablllzing Devlce w/Later Arms Marriape wall i f � fi....�....�._..;.....i 1.....�-....._.s-••, ( � j ' : s � � : Manufacturer Shearwall 1� � . a.....��:::.�..._:..._;....a--... : ,..........i..............1�:�::::—��---��-�a--1:::�::�.�....: �....�-�-----�---�..... , � ....._._. —- - — . . .._........ . ...........: �...!....I::::.....1..---,..._1:....?_.!..._�..._!......C::::?:::::::::�::::�......._;....�.....�.._�...-i----T._r:-:::.._.�. 1...........f:::::�....._...1__:�:._.............._.:.._.. PERMIT WORKSHEET a e 2 of 2 PFI�MIT NI IMRFFi Site Preperatton POCKET PENETROMETER TEST Debris and or�anic material removed � The pocket penetrometer tests are rounded down to � � psf ' Water drainage:Natural�,�Swale Pad Other or check here to declare 1000 Ib.soil without testing. Fasteninp multl wide units X 1'�2 W X l5`�� X��j � Floor; Type Fastener: Lenpth: Spacing: Walls: Type Fastener: Lenqth: S�c _ POCKET PENETROMETER TESTING METHOD Roof: Type Fastener: LengtFi: pacing: For used homes a min.30 , "wide,galvanized metal strip 1. Test the perimeter of the home at 6 locations. wlll be centered over eak of the roof and fastened with galv. roofing nails� n center on both sides of the centerline. 2. Take the readinp at the depth of the footer. G8Sk9t fwealherorooflna reaulrementl 3. Using 500 Ib, fncrements,take the lowest reading and round down to that increment. I understand a properly installed gasket_is a requlrement 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 str X1�p(�U X ( 'rj0� X �ZG� of tape will not serve as a gasket. ..—�' � Installer's lnitlals TORQUE PROBE TEST TVpe pasket In ed: The results of the torque probe test is��inch pounds or check Pg. Between Floors Yes ' here If you are declaring 5'anchors without testing . A test • Between Walls Yes showing 275 inch pounds or less will require 5 foot anchors. Bottom of ridgebeam Yes Note: A state approved Iateral arm system Is being used and 4 ft. anchors are allowed at the sidewall locations. I understand 5 ft Weatherproofing anchors are required at all centerline tie pofnts where the torque test read(ng is 275 or less and where the mobile home manufacturer may The bottomboard will be repaired and/or taped. Yes `� . Pg. requires anchors with 4000 Ib holding capaclty. Slding on units is Installed to manufacturer's specifications. Yes ✓ Instalier's initials Fireplace chimney installed so as no4 to allow intrusion of rain water. �fes-{�� ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER Iscellaneous Installer Name �,�G Y11� �tSl-P r Skirting to be instalted. Yes No / Dryer vent installed outside of skirting. Yes N/A �./ / Date Tested ��1"'I �y Range downffow vent installed outside of skirting. Yes WA �/ —�— Drain lines supparted at 4 foot intervals. Yes ✓ Electrical crossovers protected. �Fe�"Ni� � Other; Electrical Connect electrical conductors between multi-wide units,but.not to the main power source. This includes the bonding wire between mult-wide units. Pg. U�� Installer verifies all Informatlon given with this permit worksheet um na Is accurate and true based on the manufacturer's Installation lnstructions and or Rule 15C-1 &2 Connect all sewer drains to an existing sewer tap or septic tank. Pg. � Connect all potable water supply piping to an existing water meter,water tap, or other �nstaller S(gnature � Date � Z �c� independent water supply systems. Pg. �. � l � � � .. ,. 3� , ��►�� . � Tedowr6 f �r—°5,�-q.�—�--5r —�-°� 5��a;_T_5 y„_.T.�S,y„__.�5,y„T_5,y,��>,� �!� a.nch o rS . 9 3eam P�erg -� � � . 91" x 22" � L._. y „_L_ y�_:_J_.._y,__._�..�., �L_y,- � ,y'—�--y'�.,._]__._y'.__.1_._y'.._J . �� , i Y ' ' . � � h ��