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PERMIT WORKSHEET page 1 of 2 <br /> PERMIIT fdUM6�R "' <br />- — --Installer �ionel_Easler -- _ _ __ _ New Home � Used Home ❑ <br /> --Licen&e=#-- IH102521_0 _ <br /> Home installed to the Manufacturer's lnstallation Manual — ---� --- —�- — <br /> Address of home �� � I �J �l� �' l. Home is installed in accordance witY� Rule 15-C ❑ <br /> beinp instailed <br /> _ zephyrhllis,FL 33542 � j�, Single wide � Wind Zone II ❑ Wind Zone III � <br /> Manufacturer Champlon Lenpth x width �3�4^x 43'(Including porch) Double wide � Instailation Decal# <br /> 1VOT�: !f home Is a sin�le wlde fill out one half of ihe b/ocking plan Yriple/C1uad ❑ Serial# <br /> If home Is a trfple or quad wlde sk�tch!n remalnder of home <br /> Roof Svstem: X 7ypical Hinped <br /> I understand Lateral Arm Systems cannot be used on any home(new or us�� PIER SPACING 7ABLE FOFi USED HOMES '1 <br /> where the sidewall ties exoeed 5 ft 4 in. <br /> Installer's initials Load Footer <br /> 16"x 16" 181/2"x 18 1!2' 20"x 20" 22'x 22" 24"X 24" 26"x 26 <br /> TypiCal pier spaCinp -� bearing size �g56) (342) (400) (484)' (576)' (676) <br /> � s ,� lateral capacity (sq in) <br /> � <br /> � � � � <br /> I Show locations of Longitudinal and Lateral Systems � �� � � � <br /> longltudinal (use dark Iines to show these locations) � � � � <br /> i u � i i <br /> i i i i <br /> i � i i <br /> " interpolated from Rule 15C-1 pler spacinq table. <br /> PIER PAD SI��S <br /> I-beam pier pad size 17,5 x 22,5 a ize n <br /> min i6"x16" X <br /> Perimeter pier pad size x <br /> . x . <br /> '"' ! Other pier pad sizes x <br /> --- ---•------------------------------•---------------------•-•----•----------•-----------•�,. ...;---- (requfred by the mf�.) x <br /> l... ... <br /> x <br /> i Draw the approximate locations of marriape x <br /> �..�„� wall openinps 4 foot or preater, Use this x <br /> a«iaoewau pio wunin z' f ond ol homa por Rule 16C symbol to show the piers, x <br /> x <br /> List all marriape wall openinps preater than 4 foot x <br /> and their pier pad siaes below, <br /> AN�WOFiS <br /> ......... . . . . Opening Pier pad size x <br /> � i.. (....; ..�....;....T....I....j.....�.....1.....�_....I.....�.�.�....-G-�.7---�.....�...1..........1.....(....�....(....I....r....i........�.....,.....�.....I.�...�_....�..�.�..... 4 ft --------5 ft .------- <br /> �.........� <br /> ,� �.... .;..... T.... <br /> 1..........�.....`.....�.....f.....�.... ....�.....�.....�.....f.........f..........�.....�.... ....�.....�.....�..........�....... ....... i....�.....�..........�.....�.........�....�.....� <br /> � .� ................ �.......... ... 1..._ . �..... . � ...�-�-� - <br /> ----� <br /> , f f--�---� f-�- 1 �----...._7.... f <br /> ..... ........ <br /> ---��-;�---��--------�---.......f--------�- <br /> f........T.... : f._...1. : � � 1...� j...--- t....:... i � � j-...., <br /> �.... ..._ � . . . �...._................................ .� : , ,�----..... ._� <br /> � ' �'�� � ` '����� ���������i����� withln 2'of end of home x <br /> ....:.............. . .._.. . . .. , <br /> ........... ...._ <br /> --.. ... . ......... <br /> .... .._........... <br /> _....... __ _ <br /> . ..J.......................... <br /> � <br />� i��....... ......._�....�........... .....�........_t.... ....� � 1 �-...�....�....�.... � . �.....f.........�....�._..�.....I....1.............� spaced at 5'4"oc x <br /> .�............ .. : .�...- � "" r""-"_ r.•'"'...... <br /> .....�..... <br /> ......... <br /> ' ' 'I - <br /> i ----.i.._....._.�... ... ------._..i......... ..... <br /> �.._......�....1.....�....�...._�.....�.....�..:.1.�.:::.C:..:.C::.:::::��::::f::.�:i:::::�::::1.....I.....�...1._..�::::�I�:::::::::�:::.:1:::::;....:�.---?....?�:�.--�:::1_..............�.....1...... ..� <br /> �.. �.. � � � 1....�....J.....1..............i.....�......... l.....!..... �....{....�.....�.....}....!....�.....�.....{.....#.....�.....�....1....�.........1 TIEDOWN CONIPONENTS OTHER TIES <br /> .. ...... ..................�........, <br /> � � � � ' � � � 7....�.... 1..... � i............... �.....�....�....'..... ....,..........i.....) N�r�ber <br /> .{ . .. �._..�--- t�--- �.........:.....� � 1 <br /> . .. .E---��---- <br /> ..._....... <br /> ....... ._... <br /> 1.... <br /> �..... <br /> .......�........;.-------.. <br /> I I ( � f <br /> � f I { � � L n ! I !z d vl <br /> .. ..... <br /> � o tudlna Stabl! !n e ce LSD Sidewall <br /> ..... ..... <br /> ................................... .�..............----�---........ ......... ....J..........�.........._....--��'�---'.-..--- --� - - - ' <br /> r f • E r r , . { i t � i 1 � � 1 f f 7 .�....�...i....�.....�.....�....F.--'-F-........� <br /> ;��-•��--�-;....-4-....;.....F....:_........�_...�....�.....�...�....,.. .�....a_._�....�....� � ;....�.....'_....(._._:-�--'--�-!--..:....�....:_....�._...•.....i..._!_....F..-�!--...�.__; Ma�facturer �----------------------- Lonpitudinal ,�,.;--- <br /> � , � : � � � , i 1' � � � t � T'�'T��"�' f � , ; , � t � � 1 ? � � f � Lang�fud�ngl5tabilizingqDevicew%L teralArms Marria�ewall <br /> i.....................�.....F.....,.... 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