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388 Hanson Pkwy 17-1784; MOBILE HOME SETUPCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 ) -I E Oo Documented Construction Value: $ Eb lu Job Address: rN ot I Historic District- Yes No Parcel ID: ©- 0113 btm Residential Oommercial Type of Work: New BAddition Alteration Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: Li nc&u -Title: Phone:-31i( _ (a()- (D365Fax: P W-1%9 Email: I-11'ris"eirui(o. Flon Property Owner Information Name Bu I-1 Immun i- CS Phone: Street: a-1-1-1-1 _V7r( n y.N 1 i n gd Resident of property? : ND City, State Zip: e tfyxi e (cA' ., V\1 aaj Contractor Information Name CW c lics ' of I i ()5 Phone: H(U - vl Xl' l9 365 Street: O. a eck I In i Fax• em pl- 1 ( ; City, State Zip: a State License No.: Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction \/ in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised Jame 30, 2015 Permit Application \ NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. qSigna45Ag cntS Dat UL Print 101, er Aeent's 4amA 1 A1Y MALl. MY CoWlssMN / GG 020M EXPIRES; August 14, 2M Bandod Thou NWmy Pa * W*w'" Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Date C)n0-r6-- S C'cot\ ns P ontrac or/A / s Name AW NAIL AAY t:OMMISM 0 tiff 02M FXPIRE9 Arlan 14,210 o tlandMllw 1'ttU6tlCllndolrit0oa Contractor/Agent is ersonally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: 1 UTILITIES: WASTE WATER: 74ENGINEERING: FIRE: BUILDING: COMMENTS: i M UM Revised: June 30, 2015 Permit Application THIS IN TRUMENT PREPARED BY: Name: if1 Address: a'_ R' NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: GRANT MALOYf SE11INOLE RUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 89.32 I'3 1193 (7.N:gs) CLERK'S T 20170 59581 RECORDED nL/14l21]17 02:21,21, P[l RECORDING FEES 1-1Ci.iiil RECORDED BY .ieckenro Parcel ID Number: The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Le ai description of the propert r nd street addressddresss if available 8 _I -Scn rKi r-t, n Ld It i1 lC J -1 GENERAL DESCRIPTION OF IMPROVEMENT: Fee Simple Title Holder (if other than owner) Name: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to tba ehost of my knowledge and belief. t, . IC 1 . atule -*.% Own rs Printed N Florida Statute 713.13 1 v aownermusanoticeofcommencementandnooneelsebepermittedtosignin his or her stead State of Countyof The eforegoing 1instrument was acknowledged before me this ay of y0 by t cri Who is personally known to me Name of person maklog statement OR who has produced 1 ification produced: ANY HALL My COMMISSION ti GG =161 3 Ey REs; AQust 14, 2020 gondedTin+NowyPublicsUttdtstvcd r+ o ry Signature I- r.,- r— i • '" hlllvm'`" LU{ C-- Q O S O O CC u UOZ LL' O 0 U- cuOOO xUz Cr- LAJ 0 oc cW Z W i UUaLn oa cv CV xj 3 1 (:) n'- K ",-I4an 'vl3 Hornes i Ze, gb)(aL o Lug s zsz 85X5- CORD COPY VIEWED r-OR CODE COMPLIANCE SF' PLANS EXAMINER DATE NFORD BUILDING DIVISION 41T ISSUED SHALL BE CONSTRUED TO BE A TO PROCEED WITH THE WORK AND NOT AS RITY TO VIOLATE, CANCEL, ALTER OR SET Y OF THE PROVISIONS OF THE TECHNICAL IOR SHALL ISSUANCE OF A PERMIT PREVENT BUILDING OFFICIAL FROM THEREAFTER ING A CORRECTION OF ERRORS IN PLANS, TRUCTION OR VIOLATIONS OF THIS CODE E3P 1'l - l"7 8N 421p X t o e 1noYvt2 0 i 4s' X 85` 5' and recur yarn ac S . Maxirn rin fewct W'CSA1l is k$,. LDiNc SANf=ORD 1 7 - 1 7 8 4 i"=10 MODEL R4483A 3 BEDROOM, 2 BATH ACTUAL SIZE: 26'-8" x 48'-01, TOTAL AREA: 1,280 SO. FT. I ,_71 OPWPOR V-7.1 too0. ME -_ r {I/ems r p I Enfir, lE CNN Nl NN w i N"RON INN WON »....... on 0 4IEEE Ir—'lltarc Gi NMI- F.JI':.r.C..::rCC1 JTiTiITiRi:1:: ••:I i/SEEN NN NNENS NNNNN E N t" NEW t No Ills I ISSN! al Living of : 1 f • f C Bed* 4'-6" L 11' Redman Homes 7'-9 4,1 I OPT. GLAMOUR BATH-1 1 -1 5.-A,. 1 -0 r M o OPT. GLAMOUR BATH wrwn ^_ _uin Ff00f191 (j Im R44 i M MU tt:261 R4483AIceOption SHEET: GCK 02-1615 it Drywall Breaks GCK 08-0515 Ltlith3 T GCK 0715.15 TITLE: QIRCICIIl1@ OPRIETARY ANO CONRDENi1At DRAWN BY: GCKIHYANOcONFICEIVCCA9TwK9ORIGMOFnL. DATE:01-2&14 COPYRIOHTO 1979.2111 aY CHAMPpN Alafla REV. C II L _J I -BEAM L __J W 12'-10" L _J I L__J L__J L__JBEAM L__J L__J L__J 0 l r-- r-- 4632# r—_n r-- 3350# OMr-- r---T r-- L J I -BEAM L _J L__J L__J L__J L__J L__J Cn r r---I r--1 r--i L J I -BEAM L__J L_ QM 2' 7,-4„ T-4„ T-4„ 7.-4„ 7, 4" T-4- 2' 48' 1) ALL EXTERIOR DOORS, BAY WINDOWS, RECESSEDCOLUMNBLOCKING SIDEWALLS AND EXTERIOR WALL OPENINGS 48" OR SEE SOIL BEARING CAPACITY CHARTS FOR PAD SIZE GREATER. WILL REQUIRE BLOCKING ON EACH SIDE. BLOCKING DAPIA SEAL MODIFICATIONS M°DEL 261-R4483ARedman TITLE: Homes PIER FOUNDATION PROPRIETARY AND CONFIDENTIAL DRAWN BY: GCK DATE: 01-28-14 y /_y_ CA p ' AVC /y THESE DRAWINGS AND SPECIFICATIONS ARE ORIGINAL, _ O^ Lv 1 Gf17T LMG 1i11 1 , FL 32056 PROPRIETA^" ' D CONFIDENTIAL UAT ERIALS OF CHAMPION. - -'- - q- 2IGHT'C7976-20078Y CHAMPION __. A'alla 3L,)3 SHEET: S-20 Mobile Home Permit Worksheet installer: .o 'j t s License # ! I'r " /0 5 l (q I Address of home(IliK i; being installed Manufacturer Length x width "I NOTE: if home's a single wide fill out one half of the blocking planIfhomeisatripleorquadwidesketchinremainderofhomeIunderstandLateralArmSystemscannotbeusedonanyhome (new or used) where the sidewall ties exceed 5 ft 4 in. Typical pier spacinq Installer's initials 2' sue/ lateral Show locations of Longitudinal and Lateral Systems longitudinal (use dark lines to show these locations) Permit Number: —co- `IDate. - New Home [ Used Home Home installed to the Manufacturer's Installation Manual Home is Installed in accordance with Rule 15-C Single wide Wind Zone II Wind Zone III [] Double wide ( Installation Decal # Triple/Quad Serial # PIER SPACING TABLE FOR USED HOMES Load Fpoter bearing size 16" x 16" 18 1/2" x 18 20" x 20" 22" x 22" 24" X 24" 26" x 26" capacity (sq in) ( 256) 1/2" (342) (400) (484)" (576)" (676) PIER PAD SIZES I-beam pier pad size Perimeter pier pad size / Other pier pad sizes required by the mfg,) t Draw the approximate locations of marriage l wall openings 4 foot or greater. Use thisjsymboltoshowthepiers. List all marriaqe wall openings greater than 4 footandtheirpierpadsizesbelow. Opening. a Pier pad size TIEDOWN COMPONENTS Longitudinal Stabi1--z-W Device (LSD) Manufacturer _. _ U,- j Longitudinal Stabi zia Device W, Lateral ArmsManufacturer....-... 19TR 0S1 E$ aize a in x 6 x 2 x 2. 0 x2 4x 348 2 x 20 40 3 x 25 3 441 x 2 x2 576 26 x 6 6 ANCIJORS 4 ft __.._S. - 5 It FRAME TIES within 2' of end of home spaced at 5' 4" oc OTHER TIES Number Revised November 04, 2010 Mobile Home Permit Worksheet POCKET E ROMETER ES The pocket penetrometer tests are rounded down to psf or check here to declare 1000 lb. soil without testing. POCKET PENETROMETER TESTING METHOD 1. Test the perimeter of the home at 6 locations. 2. Take the reading at the depth of the footer. 3. Using 500 lb. increments, take the lowest reading and round down to that increment. 4 X _&Z X The results of the torque probe test is 2c3 0 inch pounds or check here if you are declaring 5' anchors without testing . A test showing 275 inch pounds or less will require 5 foot anchors. Note: A state approved lateral arm system is being used and 4 ft. anchors are allowed at the sidewall locations. I understand 5 ft anchors are required at all centerline tie points where the torque test reading is 275 or less and where the mobile home manufacturer may requires anchors with 4009,[p lding capacity. Installer's initials ALL TESTS MUST BE PERFORMED BY'A LICENSED INSTALLER Installer Name Date Tested 2 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. :!2 Z Plumbing Connect all sewer drains to an existing sewer tap or septic tank. Pg. _45, Permit Number: Date: Site Preparation Debris and organic material removed Water drainage: Natural Swale Pad Other Fastening multi wide units Floor: Type Fastener: Length: Spacing: 16 1 Walls: Type Fastener: Length: Spacing: Roof: Type Fastener: Length: Spacing: rr For used homes a Inin, 30 gauge, 8" wide, galvanized metaIrstrip will be centered over the peak of the roof and fastened with gals. roofing nails at 2" on center on both sides of the centerline. Gasket (weatherproofing requlmment) I understand a properly installed gasket is a requirement 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 strip of tape will not serve as a gasket. Installer's initials Type gas t Pg. Installed: Between Floors Yes V_ Between Walls Yes Bottom of ridgebeam Yes Weatherproofing The bottomboard will be repaired and/or taped. Yes I/ . Pg. "z-q Siding on units is installed to manufacturer's specifications. Yes Fireplace chimney installed so as not to allow intrusion of rain water. Yes Miscellaneous Skirting to be installed. Yes _—,-*No Dryer vent installed outside of skirting. Yes N/A Range downflow vent installed outside of skirting. Yes N/A Drain lines supported at 4 foot intervals. Yes , d Electrical crossovers protected. Yes G Other: Installer verifies all information given with this permit worksheet is accurate and true based on the manufacturer's installation instructions and or Rule 15C-1 83 2 Connect all potable water supply piping to ar e fisting water meter, water tap, or other Installer Signature lyrl Date J independent water supply systems. Pg. Department of Growth Management Page 2 of 2 BF27 MH Permit WorksheetBuildingDivisionRevisedSeptember28, 2010 Installation Instructions for ABS Pads For use on all Mobile and Manufactured Homes, including HUD approved Homes and Modular Building Patent #5503500 and other patents pending GENERAL INSTRUCTIONS: 1. All pads are to be installed flat side down, ribbed side up. 2. The ground under the pads should be leveled as smooth as possible with all vegetation removed. Pads to be placed on fully compacted or undisturbed soil, at or below the frost -line or otherwise protected from the effects of frost.Refer to NCSBCS/ANSI A225.1 3. Pier & pad spacing will be determined by the manufactured homes' written set-up instructions or any local or state codes. 4. The open cells between the ribbing on the upper side of the pads may be filled with soil or sand after installation to prevent any accumulation of stagnant water in the pads. 5. A pocket penetrometer may be used to determine the actual soil bearing value. If no soil testing equipment is available — use an assumed soil value of 1000 lbs. / square foot. 6. All pad sizes shown are nominal dimensions and may vary up to 1/8"_ 7. The maximum deflection in a single pad is 5/8" measured from the highest point to the lowest point of the top face. NOTE: Actual test results were less than 5/8") 8. Pad loads are the same when using single stack or double stack blocks. 9. The maximum load at any intermediate soil value may be determined as the average of the next lower and next higher soil value given in the table below. 10. If the home manufacturer shows soil densities greater than 3000 lbs. When using ABS pads, do not exceed 3000 lbs. soil pier spacings per set up manual. ner% 017C in tin aen AREA innn a_RF _ROIL 20M PSF SOIL 3000 PSF S011 Oval 16" x 18.5" 1055-23/AIT-06-1000 288 sq. in. 2000 lbs. 4000 lbs. 6000 lbs. Oval 17" x 22" 1055716/AIT=06-1001 360 sq. in. 2500 lbs. 5000 lbs. 7500 lbs. Oval 17.5" x 22.5" 1055-21 384 sq. in. 2667 lbs. 8000 lbs. 8000 lbs. Oval 17.5" z 25.5" 1055-17/AIT-06-1002 432 sq..in. 3000 lbs. 6000,lbs. 9000 lbs. Oval 21"x 29" 1055-22/AIT-06-1003 576 sq. in. 4000 lbs. 8000 lbs. * 12000 lbs. Oval 23.25`x 31.25" 1 _1055-20/.AIT-06-1004" 675 sq. in: 4694Ibs. 9388 lbs. * 9388 lbs. nAn 111170 ID NO_ PAD AREA 1000 PSF SOIL 2000 PSF SOIL 3000 PSF SOIL Square 16" x 16" 1055-14/AIT-06-1005 256 sq. in. 1785 lbs. 3560 lbs. 5333 lbs. Square 18.5" x 18.5" 1055-9/AIT-06-1006 342`sq. in: 23751bs. 4750 lbs. 7100 lbs. Square 20" x 20" 1055-7/AIT-06-1007 400 sq. in. 2750 lbs. 5500 lbs. 8250 lbs. S uare 24"x 24" 1055-13/AIT-06-1008 576 sq. in. 4000 lbs. 8000 lbs. * 8000 lbs. Concrete blocks are required to be double blocked. 11. Any ABS pad configuration may be used to replace a home manufacturer's recommended concrete or wood base pad. 12. ALABAMA ONLY: The 23.25" x 31.25" I13#1055-20 may not be installed in the State of Alabama. For the State of Alabama all ABS pads shall not have more than 3/8" deflection. See chart below for details on correct installation in Alabama. EXAMPLE: 16' x 80' section (Alabama only) PAD SIZE 1000 PSF 2000 PSF 18.5" 2'9" 5'6" 22" 3'0" 60" x 22.5" Mv 3'9" 7'6" x 25.5k' 4'0"' 29, 4'5„8'0".. x 3125" 6VI 8,0" Page 112 Revised 04.29.71 467 Swan Ave • Hohenwald, TN 38462 a (800) 284-7437 e www.olivertechnologies.com o Fax (931) 796-881 13. TEXAS ONLY: 17.5" x 22.5" ID #1055-21 and 23.25" x 31.25" ID #1055-20 may not be installed in the State of Texas. 14. Steel Piers: All pads are tested with steel piers on 1000 PSF soil density unless otherwise noted. (See 15) If required, attach with (04) 2" #12 x'/2" hex tech screws. Minimum Pier Base 7'/4 inches. The Mulit-Pad configuration 35" x 25.5" ID #AIT-06-1002 (03) requires minimum 9'W' pier base. 15. Available pads tested on 2000 PSF soil density using steel piers are: ID #1055-14, 1055-9, 1055-7 and 1055-13. 16. CALIFORNIA: Use an assumed value of 1000 lb/sq. ft. unless engineering and calculations are provided. INSTRUCTIONS for Mulit-Pad Configurations MAXIMUM PIER LOAD IN POUNDS: Soil Bearing Maximum ABS Pad Types 8" Cell Block value Load Oval 16" x 18.5" Pad 2.00 Square Feet ID # 1055-23/AIT-06-1000 Oval 32" x 18.5" Pad Confi uration 03 4.00 Square Feet Oval 17' x 22" Pad 2.50 Square Feet ID # 1055-16-AIT-06-1001 Oval 34' x 22' Pad Configuration (03) 5.00 Square Fee( Oval 17.5" x 25.5" Pad 3.00 Square Feet ID # 1055-17/AIT-06-1002 Oval:35" x 25.5' Pad Contiguration (03) 6.00 Square Feet 32"x 185" Pad Configuration Single Stack 1000, lbs. /sq. ft. 4000 lbs Double Stack 2000 lbs. / sq. ft. 8000 lbs. * 34-x 22" Pad Configuration Single- Stack' 1000 lbs. /sq. ft- 5000 lbs: '- Double Stack 2000 lbs. / sq. ft. 10000 lbs. * 35"25.5" Pad Configuration Single Stack 1000 lbs. /sq. ft. - 6000.Ibs:. Double Stack 2000 lbs. / sq. ft. 12000 lbs. * Concrete blocks are only rated at 8000 pounds, 8001 pounds and higher must be double stacked. STEP 1 -17" x 22" ABS Pad STEP 2 - (2) 17" x 22" ABS PADS STEP 3 - Complete Assembly Note: Use 2 blocks side by side for soils (34" x 22" Configuration) 34" x 22" Multi -pad Configurationratedatmorethan1,000 lbs / sq. foot) 1. General instructions (on reverse) apply to all multi - pad configurations. 2. The 32" x 18.5" pad configuration is formed by using (3) 16" x 18.5" ABS Pads. Place (2) 16" x 18.5" side by side, and place (1) 16" x 18.5" on top, laid in the opposite direction to the bottom pads. 3. The 34" x 22" pad configuration is formed by using (3) 17" x 22" ABS Pads. Place (2) 17" x 22" pads side by side, and (1) 17" x 22" pad on top. The top pad is laid in the opposite direction to the bottom pads. 4. The 35" x 25.5" pad configuration is formed by using (3) 17.5" x 25.5" ABS Pads. Place (2) 17.5" x 25.5" pads side by side, and (1) 17.5" x 25.5" pad on top. The top pad is laid in the opposite direction to the bottom pads. Revised 04.29.11 Page 212 REQUIRED INSPECTION SEQUENCE BP# t1- 1-is-f Address: 38 1-Pc3sor.1 Q C.J' BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab / Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'1) Building Ceiling Grid Final Roof Final Stucco / Siding Final Insulation Final Firewall Final Door Final Window Final Utility Building 1:0 1000 obile Hoine Tle. Down 000 Mobile HomeBBuldin Final Pre -Demo Final Demo Final Single Family Residence Final Commercial — New Final Commercial — Addition / Alteration Final Commercial — Change of Use Final Building (Other) Min Max Ins ection Description Electric Underground Footer / Slab Steel Bond Electric Ceiling Rough Electric Wall Rough Electric Rough Pre -Power Final Temporary Pole 1000 Mo- bile Home Electric IF rial Min Max Inspection Description Roof Storm Drain Rough Plumbing Underground Plumbing 2"a Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rough Plumbing Steam / Chill Water Rough 1`000 Mobile Home .Plumbing :Final Min Max Inspection Descri tion Mechanical Rough Mechanical Fire Damper Framing Mechanical Ceiling Rough Mechanical Fire Damper Annular Space Mechanical Insulation Wrap Mechanical Fire Damper Angle Light / Water Test Ck Welds Mechanical Grease Duct Wrap 1000 Mobile: Home Ivlecham, 0 Final REVISED: June 2014