HomeMy WebLinkAbout15-15897 CI OF,ZEP�HYRHILLS
5335-'8TH STREET
', (si3)�so-oo20 15 97
� B ILDING PERMIT I�
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PERMIT- INFORMATION _ LOCATION INFORMATION
Permit Number: 15897 Address: 39554 CYPRESS POINT LN LT 197
Permit Type: PARK MODEL ZEPHYRHILLS, FL.
Class of Work: PARK MODEL SET-UP Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 2,400.00 OWNER INFORMATION �
Date Issued: 1/14/2015 Name: NHC-FL115 LLC
Total Fees: 1,053.00 Address: 39554 CYPRESS POINT LANE LT197
Amount Paid: 1,053.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/14/2015 Phone: (419)962-4674
Work Desc: REPLACEMENT PARK MO EL 12 X 36
CONTRACTOR S � I APPLICATION FEES
EAS E ,L L L. PAR M DE ETUP 60.00 PARK M EL E CTRI 40.00
CRANDALL,RICHARD PARK MODEL LUMBING 40.00 PARK MODEL MECHANICAL 40.00
EASLER,LIONEL L. TRAFFIC IMPA T FEE 99°0 864.27 TRAFFIC IMPACT FEE 1% 8.73
BAHR'S PROPANE GAS&A/C,INC.
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', In ections Re uired
PAR E E HA ICAL
, PARK MODEL PLUMBING
PARK MODEL SET-UP
PARK MODEL ELECTRIC
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REINSPECTlON FEES: Reinspection fees will omplylwith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corr ctions not made when inspections called d)work not ready for
inspection when called e) permit not po ted on job site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 anagem�nt, 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 int nd to obtain financing,consult with your lender or an attorney
before recordi g youri notice of commencement."
Complete Plans,Specifications Must Accom any�Application.All work shall be pertormed in accordance with
Ci Codes and Or inances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
, CALL FOR INSPE TION � 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
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City o;f Zephyrhills
BUILDIN PLAN REVIEW COMMENTS
ContractarlHomeawner: �, A S ��LL Ma ►ti„r h1�N�Tc S YC.
Date Received: 4 � - I 0 Z - 2 0 t S'
Site: 3qSSY �' ARES �81NT LN tT. t97
Permit Type: �ltRtG Nta4�E,L S'�'T i3J�
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Approved w/no cc>mments: Approved w he belo�comments: ❑ Denied w/the below comments: Cl
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This comment sheet shalI be kept with the permit and/or plans.
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Kalvin Sun lans Exarniner Dat Contractor and/ar Homeawner
(Required when comments are present}
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' e��-��o Cit�r o Zephyrhills PeRnit Application Fax-a»-�ao�o2�
Building DepadmeM
Date Received Pho e Contact for Pertnitting � ��U —
' , Owners Name �1 I� I Owner Phone Number J- S
�tQ� � 1° ��
owners aaa►ess Owner Phone Number
Fee Simple Titleholder Name 1�-+pF I Owner Phone Number
Fee Simple TitlehdderAddress � I
JOB ADDRESS S Y�SS � �� LOT# �
SUBDMSION �. S PARCELIQq o��l-dl0'c��^���' ����'
(OHTAfNm FROM PROPERTY TAX N0710E)
WORK PROPOSED � NEW CONSTIi B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE �i SFR Q COMM Q OTHER
TYPE OF COPISTRUC710N Q BLOCK Q FRAME Q STEEL ��
DESCRIP'iION OF WORK YY�Ii�1 I
BUILDING SIZE Zi k �Q FOOTA E '~� HEIGHT �
� BUILDING $ �
� �� ALUATION OF TOTAL CONSTRUCTION a'I���
��LECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.RE.C.
�LUMBING $ �
�MMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � (�� �
���
QGAS Q ROOFING Q SPECIALi 1( � OTHER
� FINISHED FLOOR ELEVATIONS FLOOD Zi NE AREA QYES NO
BUILDER COMI ANY (. ��� �"�.(�iJ�� �lU� `��'
SIGNATURE REG15fERED Y N FEECURRQ. /N
�� S I ��# t Kto s2i b
ELEC7RICIAN COMIPANY � C
SIGNA7URE REai5r�EO Y N �cuwten /N
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Address � ' , r� � License# ��\Z �
PLUMBER COMIPANY � �UYJ�� �?�
SIGNANRE REGISTEF2ED Y N FEECURRE� Y N
Address � I License# �l��G� �
MECHANICAL COMIPANY tS � �-
SIGNATURE R[�clsrEaW Y 'N . �cuRREn /N
Address ,� I License# c��U ?S
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07HER COMPlWY
SIGNATURE REGISTERED Y/ N FEECURREA Y!N
aaa� � u�#
� � � t � � � t � � � i � � � � e � � � � � � � � � t � � t � � t ��e � i � � � � i � � � � � � � � � � � � i � � � � � � � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildng P ns;(1)set oF�Energy Fortns;R-0-W Permit fw new construction,
Minimum ten(10)working days afler subm I date..Required onsRe,Construdion Plans,Stortnwater Plare w!Silt Fence installed,
Sanitary Facildies 81 dumpster,Site W Pertnit for sutidivisionsllarge projects
COMMERGAL Attach(3)complete sets oF Building Plans lus a L'rfe SaFety Page;(1)set oF Energy Forms.R-O-W Permit for new consWdion.
Minimum ten(10)working days aRer su6m I date. Required onsRe,ConsWdion Plans,Stortnwater Plans w/Silt Fence in5talled,
Sanitary Facilities&1 dumpster.SHe W Permit for all(rew projeds.All cammercial requiremeMs must meet compliarxe
SIGN PERMIT Attach(2)sets of Engineered Plans. _ , ,i ..
""PROPER7Y SURVEY requlred for all W cronsMldil rL ,
DlrecBons:
Fill out appliption completely.
Owner 8 Cantradw sign badc of�plication,notar¢ed
H over 52500.a Notice of Commencement is requlred (AIC upgrades over S7b00)
" AgeM(for tlm co�trador)or Power of Attomey(far the er)wauld be i eone with rrotarized letter from amer authoriang same
OVER THE COUNTFJ2 PERMITTING (Front of Applicati n Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Comter iF wi public roadways.. ROIN
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. � '
' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or ' "
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor•may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply fo�the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
, 90-07,as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy°or final power release. If the project does not involve a cert�cate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
COPISTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Lav�Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of 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 the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet�.standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies�include but are not limited to:
- Departm'ent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers�eawalls,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authoriry-Runways. '
' I understand that the following restrictions appty to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time 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 pemiitted building using stem wall
construction,I certify that fill will be used only to fill the ar�ea within the stem wall. . '
- If fill material is to be used in any.area, I certify that use�of such fill will�,not adversely.affect adjacent
properties. If.use of fill is found to adversely affect adjacent properties,the owner fiay be cited for violating
the conditions.of the building permit issued under the attached permit application,,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required. �
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specfically,included in the application. A
permit issued shall be canstrued 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 issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work 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 a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If woric ceases for ninety(90)consecutive days,the job is considered abandoned.
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 OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEF RE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subsaibed an bswom to(or affirtne�before me this ubs��an wom to� r affirtned)before me this
Who is/are personalty known to me or has/have produced Who is/are rsonally k to me or haslhave produced
as identifiption. as identifica6on.
Notary Public Public
Commission No. Co iss' n N ,.�������., LINE BOG S
�'�� � �c:: Commission#FF
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Name of Notary typed,prinled or stamped Name of Notary - or
�'%;���F;�?4`� Bonded Thru 7roy fain Inr•u�enca 600-3&5-7019
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f�la�estic Oak � Q
Lot #197 Minimum Spacnng beiween
Structures 10 0
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��o Jacobsen ANSI 750
Park Model ,' ' q
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Minim m S�aein between
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C4TY OF :.?f��' -�YRNI L5 <
Exis in Concrete ���R_ _d/' /
Driv ay 12'wide � L
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NORTH
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� PERMIT VlIORKSHEET I page 1 of 2 I `�%
PERMIT NUMBER
New Home � Used Home ❑ . `' '
Installer _ E��1�� �.�� `'�� �icense# _I� {I���o�) L
r� Home installed to the Manufacturer's Installation Manual [t,]�
Address of home ,� 1�..`Q,S�,��J ��(..�� � tC('� Home is installed in accordance with Rule 15-C � -�
being installed
�-��-�� �'9 j n'(��� P�}{�-�. � Sinpie wide �`°� Wind Zone II [�-"'� Wind Zone III �
Manufacturer � [ �l -�(���jE� Length x width � %�� x,�� Double wide ❑ Installation Decal#
NOTE: If home!s a single wlde flll out one half of the blacking p/an Triple/Quad � Serial# i�-P�/V�.�.�n.
If home Is a f�/ple or quad wlde skefch/n remalnder of home
I understand Lateral Arm Systems cannot be used on any home(new or used) Rooi System: �f''+Typical Hinped
where the sidewall ties exceed 5 ft 4 in. � PIER SPACIN�TABLE FOR USED HOMES
Installer's initials ��'��- l.oad Footer
i 6"x 16" 18 1/2"x 18 1/2" 20"x 20" 22"x 22" 24"X 24" 26"x 26"
Typical p�spaCln� bearing size �256) (342) (400) (484)' (576)" (676)
( ie�erei capacity (sq in)
2� � � � ,
IShow locations of Longitudinal and Lateral Systems � �� � � �
, longitudinal
(use dark lines to show these locations) � � � �
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- � interpolated from Rule 15C-1 pier spacing table.
PIER PAD S12ES •
I-beam pler pad slze ' y��" � �7�� ' a ze n
i� �1 X ,
Perimeter pier pad size I�(Il�(1 ��.Q x ��C x
��..�..�- ---•--------------------•---------•-------•--------••-----------------•---------•--• .�..J� Other pler pad sizes x
(required by the mfg.) x
� x ,
'' `, Draw the approximate locations of marriage x
r wall openinps 4 foot or preater. Use this x
� f` martiege ellplerswlthln2'otend IhomeparRu� 75C ' �°��°�symbol to show the plers. x
� £ , X
� List all ma�iriage wall openings preater than.4�foot x
., "^ " _ +,� � and their pier pad sizes below. _ ANCHORS
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�--� - - '( --'.... . - -,- ..._...... ,.....�..._ . ........ •----.. ni Pier' ad size
, �..... �................ ..._ . Ope ng P
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a.....�::�.�:�::.(:::.::_::(:�:�....�:.:::::::]::�.:.::: . :.....�.....�........ ..._............,..........�.....;.....(..�:�:::"i::-��--..�...�...................................�.....�.
i � i t � • , 1.... � . .;. . .� _ ...I.............._..... 4ft �5ft
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...�.....�.........�.._..}.....�.... }.........�..... � �..... �••-• i ._� i i � i....�.. . '....� �`,
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. -, - j....��-::.t_.._....�.....�:::....... �::�:..........::.......... � � .�:.ti:.....
...
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....•-••- r • - � ...i....�.... ,.. .. T ...a---•• 3 FRAME TIES
}:�...� {....�...� � � � , � �...1. E , �:�::.�::::..:............ ;::::; ...f....... 1.....i.._..;..._.; /�-
,....__----.........�._ ....._................... �.... :._ ..... � �
. .......... . ..
..... ....��.._..........Y...
: ; � 1 , ; , � _f' r•': '" 1 j f 7.........:...............j.....1..._t.....�.....r..�--•r---.i__......'.....;..._.; \
�....�....�.....�..... ....�--...i._..:.....E....�....�....i.........:.....�_....__.�.....�.........1.....�....�....s...............;....:.....i.....i..._+....�__.}__s : ; -- �.., within 2'of end of home
� � � i 1 � � � � t i i � � 1 � i j....r....�.._.}.._.i , �,
;.......... � • � � j ...... .... ............. ....�.... !--. ...;...._ � � ..., spaced at 5 4 oc�,L
....
;...1�...i....�.....I...�.{.:..�I.....1.:..;....5.....�....�....;:...,.....I...�j:....j....;.....�.....�:....1..�.I..:�.1_�....1....j.....�._..!._.�..._�..�..�.._i,�..i....(...:.a.......... ....:... i
....t..... i... ...!.._t....�. �. ' �-•-. ... ....±....� ... ....'....' .l .. � � � � �.......-.. 1 TIEDOWN COMPONENTS OTHER TIES
f_..�....�. �...... ;.....�. 1.... ._.}.....�.....t . _- •.._..................�...............
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� ° 1 ;.....�.....�.....�....�...1....... � _....�...,_...._��.._...........�._..�.....�....�...............:.....j.........�....� I---....-..i.._,..._` Number
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` ' I -....�-...r....-....•-��-�---...-�....�-...�....4.....�..-. .. � � : �..�................ , LongifudinalS�ablNzing Devlce(LSD) Sidewall
r'._....'-:'......... . . � �."'a..... � i '
' , . -�- -..1....'1"-..�..
+ , � i : ; � � � ...�....:..... ....{..........J.....�.....1 ...�.._�
. .... ....
�.._.,.....�.....:.....t----�--1 1 • ....._ �...--�----•----�_..�._ � ..�.._�_..�----�-�-------�--�� , ..... , � ; --...�._...�.�....i i Manufacturer_(�b�asP 1( �G 9� Lon itudlnal
: , i t .�..... ; � � �i f : ; �--�••? T � i .._..f..--�-----r--•�----�-- j..._�._._�
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{�--..i.._.�.----i.....1....:...................1...•-;•-•-.�....-i.__;.....�_.-;•-••;--_-...:...._ ` � � • �_•-j•- �...r-...�.....f._...r.._f_. _ Longltud/nal Stab!!lzing Dev/ce w/Latera/Arms Margage wall
, � t . , ; '•._..�..._�....;--...+_..{...._....�....• _ ;.. ,
:.._.�_..:.... :..._:...._... � ....s....�-•-•---�- +---�:._..•.... � . , Sh I
�-�--�:.....� . . l-�---'--...�_...i---�-�.....�.....j..-�'--�� _ � i � �- �---�t�- j Manufacturer
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PERMIT WORKSHEET a e 2 of'2
PFRIIAIT NI IMR�R
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Site PreparaUon '
POCKET PENETROMETER TEST I
Debris and organic materiaf re oved ✓ '
The pocket penetrometer tests are rounded down to 3�,D psf Water drainage:Natural �Swale Pad Other �
or check here to declare 10001b.soil without testing. I
Fasteninp multi wide unit� f�1 e4
x Z� x�.,p x ��GC�
Floor: Type F�a te�ler: Length: Spacfnq:"
Walis: Type Fastener:� Lenpth: .--�'Spacing:
POCKET PENETROME'fER TESTING METHOD Roof: Type Fastener: '�� Len�t�i�-= Spacing:
For used homes a min.30 pa�e,-S"wide,Aalvanized metal strip
1. Test the perimeter of the home at 6 locations. wlll be centered oveyihe'p"eak of the roof�and.fastened with galv.
roofing nails at�2"'on center on hoth sides of the centerline.
2. Take the readinq at the depth of the footer.
G89k8t(wenthernrooflno reaulrementl �
3. Using 500 Ib.increments,take the lowest
reading and round down to that increment. I understand a prope�ly installed gasket is a requirement of all new and used
homes and tltat�eoCdensation,mold, meldew and buckled mar;riage wails are
a result of a poorly Instalied or no gasket being installed..,l.uriderstand a strip
X i�� X (� X t�pC�3 of tape will not serve as a gasket.
Ins It�r's in" itials
TORQUE PROBE TEST �
' Tvpe pasket Installed:
The results of the torque probe test is�_,inch pounds or check Pg. Between Floors Yes
here if you are declaring 5'anchors wlthout testing . A test , Between Walls Yes
showing 275 inch pounds or less will require 5 foot anchors: Bottom af ridgebeam Yes
Note: A state approved lateral arm system is being used and 4 ft. ,
anchors are allowed at the sidewall locat(ons. I understand 5 ft Weatherprooting .
anchors are required at all centerline tie points where the torque test
reading is 275 or less and where the mobile home manufacturer may The bottomboarci will be repalred and/or taped. Yes ✓. Pg. .
requfres anchors with 4000 Ib holding capacity. Slding on units Is installed to manufacturer's speciflcations. Yes �
Installer's initials Flreplace chimney Installed so as not to a8ow intrusfon of rain water. Yes��
ALL TESTS UST BE PERFg RMED BY A LICENSED INSTALLER Mlscelianeous
Installer Name � � 4��(. Z'�5�� Skirting to be installed. Yes 1� No
Dryer vent installed outside of skirting. Yes N/A /
Date Tested � �'� �o�-�� �� Range downflow vent lnstalled outside of skirtfng. Yes N/A ✓
Drain lines supported at 4 foot interoals. Yes__y,�_
Electrical crossovers protected. Yes�
Other:
ElectHcal
Connect electrical conductors between multi-wide units,but not to the main ower
source. This includes the bonding wire between mult-wide units. Pg.�
Installer verifies all information given with thls permlt worksheet
um no is accurate and true based on the
manufacturer's Installatfon instructions 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 ather
installer Signature "�ir,___._-/ L�-'�_._ Date '�'Z �� (�
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independent water supply systems. Pg.
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