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�— <br /> PERMIT WORKSHEET page 1 of 2 ` <br /> P@RMIT NUMBER . <br /> _Llonel Easler IH1025210 NAw HOme � USed HamA � �� <br />-- - Ipstaller - — -- _ - _— __—License_#_ <br /> —Nome ins alled�to 3he Manufacfurer's tnstailation-Manuat - -� — <br /> Address of home 39541 Cypress Ln,Lot 177 Home is installed in accordance with Ruie 15-C � <br /> beinq installed Zephyrhllls,FL 33542 <br /> Sinqle wide � Wind Zone II � Wind Zone III � <br /> Manufacturer Champlon � Lenqth x width 13�4��x 43'(Including porch) Double wide ❑ Installation Decal# <br /> N07'�: if home!s a single wlde flll out one half of the block/ng plan 7riple/�uad ❑ Serial# <br /> if home Is a trlple or puad wlde sketch In remalnder of home <br /> Roof System: x Typical Hinped <br /> I understand Lateral Arm Systems cannot be used on any home(new or used) PIER SPACINC�TABLE FOR USED HOMES <br /> where the sldewall ties exoeed 5 ft 4 in. <br /> Installer's Initlals : Load Footer „ „ , „ „ , , „ „ <br /> 16 x 18 181/2' x 181/2 20 x 20' 22"x 22" 24"X 24' 26 x 28 <br /> Typical pier spacinp bearing size �256) (342) (400) (484)' (576)' (676) <br /> capacity (sq fn) <br /> 2� 6� laterel <br /> � � � � <br /> I Show locations of Lonpitudinal and Lateral Systems � �� � � � <br /> (use dark Iines to show these locatlons) � � ' ' <br /> longimdlnal � �� , , , <br /> � � � � <br /> � � � � <br /> " interpolated from Rule 15C-1 pler spacinp table, <br /> PIER PAD SIZES <br /> I-beam pler pad size �1,5 X�-�� a ize n <br /> x <br /> Perimeter pier pad size �1�1'� ��D'���o x <br /> , x <br /> ..�..�.,�- ----------•-------------•-----------....................--------...------------------�..,�,..J� Other pier pad sizes x <br /> � i (required by tha mf�.) x <br /> x <br /> � Draw the approximate locatfons of marriape x <br /> wall openinps 4 foot or preater. Use thfs x <br /> marrla awall plere withi 'ol and of ome per Rulo 1 "' "'� symbol to show the piers. X <br /> X <br /> List all marriaqe wall openinqs preater than 4 foot x <br /> and their pier pad sizes below. <br /> ANCHORS <br /> --...---�--�...............� ---. .... .... ..................... ........ ..... . ......----�-----.........---... . Opening Pier pad size <br /> ..........�..........�.........:....�.... ....�....�.....�.....�....E. ..�.....�.....�...�....�..........�.....�.....i....�....�.....�. .�...T....�.........�.....�..........�.....�.. ......�..... 4 ft ---x--.. 5 ft . --- -- --- <br /> � . �....+....�...............+..........�.....,....�.......... <br /> �..........i.....�.. .;.....�.....�........�.........�.....�..........f....�.....f.........T....{.....�.........�.....I..........:....f....� ; �-- -._�.....-----�---'----'....._... FRAMeries <br /> ....� .. .�..-� --.. ..... .. _..� <br /> f---�� T--.. ; f..... f--...�-. ...�---..... ...i... ...�.. � � � x <br /> --...{.---.._...E. .-f---�-�--. ..-- -.. ....... <br /> . ; . .._.... i ...t T �� � i <br /> .... .r......... ........... ... .... . <br /> ..''_... <br /> ' ""i i <br /> ...�... <br /> T����' ( � wi hin 2 f nd of home <br /> �:::::....T..... .f.::::::: ,..::::� ...f..::�:::::::::.i.:.�....:: ....._.......... t o e <br /> .. .... ..................... . .... . ... <br /> � �� <br /> ...� x <br /> i � --.1...� ...�....�. ...�.... ....�....... � � 4 c <br /> ............ <br /> �'���� �"�������1'���'�� s aced at s o <br /> ; � <br /> ..:....... .... . . ... ..... ..... <br /> ............................... <br /> ; � �---- � p <br /> 1�:::.:::::�::::�::.::�:::::::._1::::.::.�1::::�.�::��..-:.��.:::::::1::::----�--�--�::::i:":�.1�::::�:::1::::�:::�1:::::::::::...:�::::�::::i::::.�::::.1::::�...?�:�.::::::I:::-��--::.1::::::::�:� OTHER TIES <br /> . i......... i � <br /> �..........{.....`.....:..........�.........i.............�.............................7.... �.....1.....�.....I..........�..........�....1.........�..........�..........�.....`.....�.........{ 71EDOWN COMPONENTS <br /> E�--......�....1.........................4..............�r....�...................�..............�.....E....}....�.........;...............�.........�....�_... .........t�.....1.....{.........� NB mber <br /> �---�----:-.._....:_..--�--..�........-1---�..--�.... ...I....-�-...�.....�-.... f...�...-��--��� I-...�--�-�---�f----.�--..� � �. � �........-�V----�f---�-4-�-��--�- LongltudlnalStablllzingDevlce(LSD) Sidewall <br /> � : I-� E•�-•t• i------ ,- r-••-T---- •�-�-----�-•--, <br /> � � � � � /y <br /> � � <br /> 1 , � � � 1 � i r Lon itudinal NA <br /> 1 � � : f : � � � Manufacture <br /> }....................j_..................'....�.....�....: .T....�...T......""'�_'".............."'"'"""". ...1__...._..1.... .{-.... t ' '__ '._ - _- _'� �1 <br /> : , + ; f � ;... f.....�.....f... , ; I � � � i � r....�...., �----.;.....E._...�........., <br /> � '" � � � i ----- -- -- — --- <br /> i.....�.....�..........�.....�.....�.... ....�....�.....�..........i......................�.... ....�..........`......... � � y... ,.....�....:.....,..... Lon�gitudinal Stabillzin�Device w/Lateral Arms Marriape wall <br /> f.........:.....�.... . . 1... �.....�....� <br /> �...................:.......................... �. .., . �...( .. l . 1............... .� Manufacturer O(iver7echnpl�a_i_e� Shearwall <br /> :.._.I....!...fi.....!....1.....1.....�.....f.....�.....t.....�....1..�.....::........:....�.....�..:.�...::�.=..1...�i....I_...:....1......,..:..1.....[..�......C...I...]...�.J....;.........�.�.. <br /> � � ..- - - -.�........... . f <br /> PERMIT WORKSHEET a e 2 of 2 <br /> p�R'MI`T NI IIIMRFR <br />