389 Hanson Pkwy 17-1785; MOBILE HOME SETUPJob Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
JUN 14 2017 Application No:
00BY: Documented Construction Value: $ O 00
Historic District: Yes No
Parcel ID: 'o`at•• ( 3C j•' Residential QCommercial
Type of Work: New ErAddition Alteration Repair Demo Change of fuse Move
Description of Work: n-v..1-..aF x5a
Plan Review Contact Person: L i nc-S t.Q eeC Title:-0al iIj r-
Phon LQap 3G5 Fax: %k R`J'1 Email:_ t iCQ 1lir s5 c't U Q P O.wl
Property Owner Information
Name ,F')Un_CUjM,lAiAACS Phone:
Street: _ 1-1i--0-nmi n A6 Resident of property? : t4n ,
City, State Zip:,P-XuJ hV> e 1 , A j yf,03y
Contractor Information
Name ark-- R. ahns Phone:'aUyZJr1-(J3 n
Street: T" •C), y t to Fax: Ste` City,
State Zip: S -'j 3^ ( State License No.: — l0a 45;I ] Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information 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, \v furnaces,
boilers, heaters, tanks, and air conditioners, etc. jv(\ FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code J Revised:
June 30, 2015 4;
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.
Signature o Ag g atc
w commm3101J # 6G 02W
EXPIRES: k*d 14.2020
ft)#d Thru NOto y PAft W dKWMM
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Agent's Name
S-n
olatyestateWM& Date
NGG OQOYs4WEEXPJRE&-k9 A itl, 2W
9otdld 1 Not9ry PYWe u11aMNllbts
Contractor/Agent is--onally 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:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: "2-UTILITIES:
ENGINEERING: 1'
WASTE WATER:
BUILDING: 5F(-• a l f?
COMMENTS: vim- 'bQ CQT 3' x S ' o6 l e %o/-1Q, on a 5 85 o'fof u, -
N.
J rea r va
Revised: June 30, 2015
Permit Application
REQUIRED INSPECTION SEQUENCE
BP# 1-1 _ I -1 ?K Address: Y>$ l-vJ prul
BUILDING PERMIT i.
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
10. 1000 Mobile Home Tie. Down
1000 Mobile _Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial — New
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELE -T GAW&I 11EimT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
1000 Mobile Home Eleetric'Final
7OMv '.
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
10.00 Mobile Home: hi ing Final
Min Max Ins ection Description
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 Mechanical Final
REVISED: June 2014
THIS INSTRUMENT PREP ED BY:
Name:
Address: '
V%ac.jl's-+-
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
GRANT IIALOYr `;EMINOLE COUNTY
CLERK OF CIRCUIT COURT t, C:ONPTROLL.ER
BK 3932 Pq 1192 (1f'os)
CLERK ; 2017059580
REC:MDED 06/14I2017 02,21'2:- 1=11
RECORDING FEES $1.0.00
RECORDED BY Jeckenro
Parcel (D Number:l.J° `iI.LJ' i )•
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.
OF PROP,FRTY: (Legal descliption Af the propertv and street
GENERAL DESCRIPTION OF
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR:
Address:
Persons within the State of Florida Designated byOwner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
of
To receive a copy of the Irenoes Notice as Provided in
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 1, 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 est f my knowledge and belief. —
Q Aei, ,
SI re"ors Printed s
Florida Statute 7 3.13(1)(g): owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.'
V-1L-y-;6o-
State of D U S j CI Countyof The
f nstrument was acknowled ed before me thts da by (, Who
is personally known to me Name of
person Making sta OR who
has produced identification identification produced: 1i1 11L
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1
GCIftrli Ji_.14 ii- :R1 FM r-YPIRES:Aagu,t ;1.2C20 lets t'a
Notst) . Notary ignature 4z 06
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RECORD COPY
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REVIEWED POR CODE COMPLIANCE
PLANS EXAMINER
62a 7-f 1 -
DATE
A P RMIT ISSUED SHALL BE CONSTRUED TO BE A
LICEt ISE TO PROCEED WITH THE WORK AND NOT AS
AU HORITY TO VIOLATE, CANCEL, ALTER OR SET
ASID _ ANY OF THE PROVISIONS OF THE TECHNICAL
ODE , NOR SHALL ISSUANCE OF A PERMIT PREVENT
T E BUILDING OFFICIAL FROM THEREAFTEP,
RE -Of IRING A CORRECTION OF ERRORS IN PLANS,
C 'VSTRUCTION OR VIOLATIONS OF THIS CODE
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MODEL 261-•RH3523A y
3 BEDROOM, 2 BATH ' a 'Iwag
ACTUAL SIZE: 23'-4" x 52'-0" NoFUM NoF-
TOTAL AREA: 1,214 SQ. FT.
FloorMid
52'
9'-81 12' 12'
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Dining
Living
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614N 214 10'-911
308 °q
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Bedroom-3
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Bedroom-2
3060 3000
2'-4" 14'-8" 2'-4" 12'-5"
MOOIFICATIONS MODEU 261 _RH3523AisedReferLocationGCK11.30-1
TITLE: L-1 O 1Biaci<fine
PROPRIETARY AND CONFIDENTIAL DRAWN 13Y: BOB GATE 0"6-15THEWDRAWINGSANDSPECIFICATIONSAREORIGINAL,
REV. APROMETARYANDOONFIDENTWiMATERIALSOFCHA&IPIOt 7.
COPYRIGHT 0 t 976-2007 BY CKW APIO N FOXWOod
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1) ALL EXTERIOR DOORS, BAY WINDOWS, RECESSED
COLUMN BLOCKING SIDEWALLS AND EXTERIOR WALL OPENINGS 48" OR
SEE SOIL BEARING CAPACITY CHARTS FOR PAD SIZE GREATER. WILL REQUIRE BLOCKING ON EACH SIDE.
L J BLOCKING
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OFORHeodMm
MERIT"
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DAPIA SEAL MODIFICATIONS MOOEL:261.I -RH3523A SHEET
1 ^j S LVHOMES
TITLE:
PIER FOUNDATION
PROPRIETARY AND CONFIDENTIAL
THESE DRAWINGS AND SPECIFICATIONS ARE ORIGINAL,
PROPRIETARY AND CONFIDENNAL MATERIALS OF CHAMPION,
COPYRIGHT a197&2007 BY CHAMPION
DRAWN BY: BOB DATE: 08-06•15
FQXWOOCiDARr1X9M7HWYMFA4TIAKFMTYFI :iilYiii
Mobile Home Permit Worksheet
n.
Installer :
I(A
n> License # A ± "" i0 !
Address of home -.
being installed r— I
Manufacturer Length x width a
NOTE. if home is 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 spacing Installer's initials
2' j `
L--
al.
Show locations
in
Longitudinal and Lateral SystemsL4onitdin (use dark lines to show these locations) I
Permit Number: Date:
New Home E"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
Triple/Quad
Installation Decal #
Serial #
PIER SPACING TABLE FOR USFn NnnnFc
Load
bearing
capacity
erF
sizesize
sq in)
16" x 16"
256)
18 1/2" x 18
1/2" (342)
20" x 20"
400)
22" x 22"
484)*
24" X 24"
576)"
26" x 26"
676)
0 0 s 4 5
50 s 46
20 S
5 0 s 6
0 s 13 g
MT s
PIER PAD SIZES I POPULAR PAD -SIZES I
I-beam pier pad size / 7, S)( Pad 15d a —'I S q Ifln
16 25t)
l
x
Perimeter pier pad size / ( x
Other pier pad sizes
required by the mfg.)
Draw the approximate locations of marriage
wall openings 4 foot or greater. Use this
symbol to show the piers.
List all marriage wall openings greater than 4 foot
and their pier pad sizes below.
Opening Pier pad size
F 019L /6 X / /
ANCHORS
Oft S`y5ft
FRAME TIES
within 2' of end of home
spaced at 5 4" oc
r:............
j..1j i OMPONTS....I.........
S
f:....
1........L... I .....{:•
I.....:.
I l.i.:.1.1.;...L:...................1.....;:.... LonSt
Device (LSD) Number. i.....(.................... .:.....................:.......
r •••••....:.....:...........:...........:..........;....:.... '
J. ...............'.........'.....
i...........
i t "+" ' ' i ......
i...._;.....
Man
fac
uner/ Longitudinal Stabi
fzrng evice Sideall Longitudinal
i....... ...._.......... :...........:...........:... i
w/
Lateral Arms
Manufacture r rl
Marriage wall Shearwall Department of
Growth
Management Building Division Page
1 of 2 BF27 MH Permit
Worksheet Revised November 04,
2010
Mobile Home Permit Worksheet
Permit Number:
The pocket penetrometer tests are rounded down to psf
or check here to declare 1000 lb. soil without testing.
X -L0v X - 2(9 X w
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.
X L eo X J5() n%
The results of the torque probe test is 2 9 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 4000 lb holding capacity.
1 Installer's initials
ALL TESTS MUST BE PERFORMED B(Y'A LICENSED INSTALLER
Installer Name
Date Tested
Electrical
Date:
Site Preparation
Debris and organic material removed
Water drainage: Natural Swale Pad b---- Other
Floor: Type Fastener: Length: & / / Spacing: 6 j
Walls: Type Fastener: ength: Spacing: r
Roof: Type Fastener: Length: Spacing: 20 /
For used homes in. 0 gauge, 8" wide, galvanized metal strip
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 requirement)
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 ga et Installed:
Pg. _ Between Floors Yes 1/
Between Walls Yes
Bottom of ridgebeam Yes
Weatheroroofina
The bottomboard will be repaired and/or taped. Yes _V___. Pg.
Siding on units is installed to manufacturer's specifications. Yes
Fireplace chimney installed so as not to allow intrusion of rain water. Yes
Miscellaneoouu)s
Skirting to be installed, Yes V No
Dryer vent installed outside of skirting. Yes _,.Z N/A
Range downflow vent installed outside of skirting. Yes I,,-_ N/A
Drain lines supported at 4 foot intervals. Yes Jt,:
Electrical crossovers protected. Yes
Other:
Connect electrical conductors between multi -wide units, but not to the main power
source. This includes the bonding wire between mult-wide units. Pg. <— Installer verifies all information given with this permit worksheet
Plumbing is accurate and true based on the
manufacturer's installation 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 a istin9 water meter, water tap, or other Installer Signature l_ Date
independent water supply systems. Pg.
Department of Growth Management Page 2 of 2 BF27 MH Permit Worksheet
Building Division Revised September 28, 2010
h:.
R 52
u
65aauu
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.
can Q17M In NO PAD AREA innn PSF Stl1L 2000 PSF SOIL 3000 PSF S011
Oval 16" x 18.5" 1055-23/AIT-06-1000 1 288 sq. in. 2000 lbs. 4000 lbs. 6000 lbs.
Oval 17" x 22" 1055=16/AIT-06-1001 j 360 sq. in.- 2500 lbs. 5000.Ibs_ 7500 lbs.
Oval 17.5" x 22.5" 1055-21 384 sq. in. 2667 lbs. 8000 lbs. 8000 lbs.
Oval 17.52' x 25.5" 1055-17/AIT-06-1002 .432 sq. in. 3000 lbs. 6000 lbs. 9000 IN.-*
Oval 21"x 29" 1055-22/AIT-06-1003 576 sq. in. 4000 lbs. 8000 lbs. * 12000 lbs. *
Oval 2325" x 31:25 1055 20/AIT 06-1004 f _ ; ._ 675 sq. in.. 4694 lbs. . 938.8 lbs. * 9388 lbs.
onn Q 7C 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 Ibs. j 3560 lbs. 5333 lbs.
Square 18.5" x 18.5" 055-9/AIT-061006 I 342,sq. in. 2375 lbs. 4750 lbs. 7100 lbs-
Square 20" x 20" 1055-7/AIT-06-1007 j 400 sq. in. 2750 lbs. 5500 lbs. 8250 lbs.
Square 24" x 24" 1055-13/AIT-06-1008 576 sq. in. 4000 lbs. 8000 Ibs. * 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" ID#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
Oval 16" x 18.51' 2'9" 5'6"
Oval 17" x 2T TO" 6'0"
Oval 17.5" x 22.5" 3'9" TV
Oval 17.5" x 25.5" 4 0" s'o"
Oval 21" x 29" 4'5" I 8109,
Oval 23.25' x 31.25'. 6'0" 8101,
Page 712
Revised 04.29.7 7
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 /z" hex
tech screws. Minimum Pier Base 7 1/4 inches. The Mulit-Pad configuration 35" x 25.5" ID #AIT-06-1002 (03) requires minimum 91/.i' pier base.
15. Available pads tested on 2000 PSF soil density using steel piers are: ID 41055-14, 1055-9, 1055-7 and 1055-13.
16. CALIFORNIA: Use an assumed value of 1000 Ibisq. ft. unless engineering and calculations are provided.
INSTRUCTIONS for Mulit-Pad Configurations
ABS Pad Types
Oval 16" x 18.5" Pad 2.00 Square Feet ID # 1055-23/AIT-06-1000
Oval 32" x 18.5" Pad Configuration (03) 1 4.00`Square Feet
Oval IT x 22" Pad 2.50 Square Feet 1134 1055-16-AIT-06-1001
Oval 34' x 22" Pad Configuration (03) 5.00 Square Feet
Oval 17.5" x 25.5" Pad 3.00 Square Feet i ID # 1055-17/AIT-06-1002
Oval'35" x 25c5" Pad Configuration (03) 1 6.00 Square Feet
MAXIMUM PIER LOAD IN POUNDS:
Soil Bearing Maximum
8" Cell Block Value Load
32'x 185"
Pad Configuration
Single Stack I 1000 lbs. / sq.,ft_ :' j 4000 Ibs:-
Double Stack 1 2000 lbs. / sq. ft. ; 8000 lbs.
34-x 22"
Pad Configuration
Single Slack 1000lbs. [sq. It. 50001bs. Double
Stack 1 2000 lbs. / s . ft. 10000 lbs. 35"
25.5" Pad
Configuration Single
Stack 1 1000 lbs. / sq. ft. 1 6000, lbs. i
Double Stack 1 2000 lbs. / sq. ft. 1 12000 lbs. dE Concrete
blocks are only rated at 8000 pounds, 8001 pounds and higher must be double stacked. PAD
ASSEMIDL7 STEP
1 -17" x 22" ABS Pad STEP 2 - (2)17" x 22" ABS PADS STEP 3 e Complete Assembly Note:
Use 2 blocks side by side for soils ° 0 I' Op 31" 3{ " Multi -pad Configuration rated
at more than 1.000 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 W 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. Page
212 Revised
04.29.11