HomeMy WebLinkAbout290 Pathway Ctrauura:el (0- 11 -
Job Address: 2 9 10-9- w
Description of Work:
Date:
�a 77.?
-VA Afew Al ,, A. -A' f¢ea•FIECMVED
Historic District: Zoning: Value of wont: s • '1000. P° JUN 3 0 2006
Permit Type; . Building•✓ Electrical Mocbanical
Plutmbing_ V FireSprinkler/Alarm PORI
t w Service — # of A
Electrical: NMPS AdditiontAlte ation
' Change of Service Temporllry Pole �r
Mechanical Residential Non-ftidential Replacetnent New
Plumbing/ New Commerdal: # of Fixtures . Layout & Energy C�a Required}
# of Water & Sewer Limes # of Gas Lines
•Plumbing/Nety Resideadal: # of Water Closet
Occup an Plumbing Repair — Residential or ContrnMW t.
P 'cy Type; Residential ✓ Conmla+cW industrial Total Square Footage: � 3�•'
Construction Type: # of Stora / # of Dwd ft.0 Flood Zone:
(FEMA form regoired for other than X)
Parcd.fl:
UvuenWame & Address:
Contractor Name & Address:
Phone & Fax: JJA
Boadiag• Company:
Contact
(Attach Proof of OwnersMP & Legal Descriptlon)
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stit-
_Pbooe: H07-
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License Number:_ f OBOoO a,�
Phone: '
Address: r"�cTt=/t y47 7/� .SAO/.S
Mortgage Leader.
Address:
Arcbitect/Englacer. .
Address:
Pboae:
Fax:
Application is hereby made to obtain a PaTult to do the wort and irtsnllations as indicated I txrti that no work or installation has twtrarnenced prig to the
'=amoa of a permit and that all work will be pafom ed to max staodatds of all laws
Permit must be secured for ELECTRICAL WORK. PLUMBING, SI S mon irn this jtnisdicBon. I tmdaatand that a separate
AIR CONDITIONERS, etc. '• ��• FURNACES, BOIEMS,-HEATERS: TANKS, and
QVNEA;S AFFIDAVIT- I certify that W afthe--
construction and Zoning WARNING TO p g a eta and do all work willbe daao in withall applicable laws regulating
TWICE FOR IMPROVEMENTS 70 YOUR PROPERTY. W..1f0U TO RECORD A NOTICE OF CDMMENCHWENT MAY RESULT IN YOUR PAYING
ATTORNEY BEFORE RECORDING YOUR NOTIM OF COMMIiNCDcMTj, TEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
hiQT C : In addition to the requirerramb of dtis ptamit, these may be additional restrictions applicable to this
this county, and there may be additional pen dts required from otba additional
re entitrictio such as water property that may be found in ilia public records of
Ac managanatt districts, state agencies, or federal agaleies,
a�tance.of P—t is verification that I will notify on owner of the property of rite
requircrrterrls of710rid& Lien Law, FS 713.
JnS _ • 11UM of
wna/Agertt
Date
S*ntWre of Conaactor/Agent
�
Agent's Name
A
Agent's Na
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ji abnre of
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of Fl orida
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Siputu of N Dory tate of Florida
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YA Dater"",
Date
N _ • Agent is t! Persgtalh Known to Me or
•roduoal !D Contractor/Agent is6-000' Personally Known to Me or
Produced ID
A1 MATION APPROVED BY: Bldg: Zoning: ( —I*Ml & Utilities FD:
(Initial &Date) (Initial & Date) (Initial &Date.
�rnrial Conditions:
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The UP&Mis74 .
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ChVtcr-713, Florida S rbyamm will b,
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CITY OF S' ANFORD
PERMIT APPLICA.TIONNANUFACTURED HOMES INSTALLATION
Applicant_ CARRIAGE 'COVE .LLC PERMIT
Address: --500 CARRIAGE COVE WAY
-Name of Licensed Dcaler/Installcr Qh �/'O I/�
SANFORA FL 32773 -- Q ; `fica 6-('orl5trVC*
Licensed Numbcr0 00.0.7.a '
2.9 0 P9 f4 war t. _. lasta4tioq 0crcal
S Snnpr
Manufacturers Name 3 27 :4
Roof Zonc_ ` Wind Zone
Number of SectionsLen _ th 'y
� Width g 1 Ycar�D._ ..
Installation Standard Used:(Check One) ManufactSccialff
urers Manual
15C-1
SITE PREPARATION: ,
Debris and Organic Material Removal v Compacted Fill
Water Drainage: Natural Swale Pad
Other
FOUNDATION:
Load Bearing Soil Capacity 6 O or Assumed 100'Q pg
Footing Type. Poured in Place Porta c Size & Thicknessl't
I-Bcaui or MainraiYPi rs: Single Tiered
Size of Picrs 7S t f Double Interlocked
Placement 0/C
Perimeter Pier Blocking: Size �/Ifrplaccmcnt 0/C eRidgc.Ucam Support Blocking: SizeNumber
Itidgc l3caui Support Fbotcr: Size Number
Loc
Ccater Linc Blocking: Number Sue 7 Locations)
ocation s)
Special 1'icr Blocking Required: (Flreplacc,Bay Win oar, Etc) YES NO
Mating of Multiple Units: Mating Cask c T c Uscd
Fasteners: ROOTS— TYPE AND SIZE YpSPAC1NC'
ENDWALLS TYPE AND SIZE <� O/C
FLOORS TYPE AND SPACING A—�T 0/C
. SPACING -� 0/C
ANCHORS:
Type: 3150 Working 'Load 4000 Working Load..
Height Of Unit: (Top of Foundation or Footer to Bottom of Frame)
Nutilbcr of I'ranic Tics: Z1 'fSpacing Lf �
Debr. C An le of Stra
Strap�S
Number of Over Roof Tics: (If Req !red) 4i CS S•-•� %�� `� ®� � f velem ec/�--
Nuinber of Sidcivall Anchors Zoac II
i\'unibcr of Centerline Anchors - Zane III
Number of Stabilizer Devi
Vents Required for Underpinning (1 SF1150 SF OF FLOOR AR1rA) Num
K_
Date: 1? G
Address: 3.777 3
Contractor:
Permit M
License #: _ /V (9 O 0 00 � z
Torque Tests ,
This will certify the completion of two (2) Soil Ptobe Tests on the above described site:
TEST LOCATION' TESTYAWE
A - 9 a FRONT OF HOME . 1?1413�
B - REAR OF HOME 12 -CC./
POCKET PENETRO METER TEST
N0.9 NO2 0"7 N0.3
N0.4 N0.5 ' Gb NO.6 g�-v
• NO.7 : ' 43d N0.8 N0.9 a
Signature of Tester, a, - c Date: ld#606
Notary:
STATE OF FLORIDA
COUNTY OF -
The foregoing Instrument was acJQwwledged before me this day of 67i h e' 2p O
By _ Ya n 13 r o 4 ! nwho is personally known to me or presented
Florida Identification # .i /� o v opo o a ,� to me.
Q
n A . ' ,14 A
a a - VNYLUS CASTALOO ' -
.� conwooaaW21 SEAL.
E�roi ty15/2009
®� OWW W WU M00f412d254:
NOTE:
1- If the most stringent standard set by the Stale of Florida. Oepartnent of Highway. Safety and Motor Vehicles are
incorporated In the set up procedures and noted as such _ '
The pocket penetrometer test and this form : shaft not be required.
2. Additions, including. but not limited to add -a -rooms, roof overs and porches shall be tree standing and selbsuppo ft with
only the flashing attached to•the main unit unless the added unit has been designed to be married to the existing unit.