Debris and organic material removed ______________.
The pocket penetrometer tests are rounded down to _________ psf Water drainage: Natural ______ Swale ______ Pad ______ Other ________.
or check here to declare 1000 lb. soil ______ without testing.
Floor: Type Fastener: ________ Length: ______ Spacing: ___________
Type Fastener: ________ Length: ______ Spacing: ___________
Roof: Type Fastener: ________ Length: ______ Spacing: ___________
For used homes a min. 30 gauge, 8" wide, galvanized metal strip
1. Test the perimeter of the home at 6 locations. will be centered over the peak of the roof and fastened with galv.
roofing nails at 2" on center on both sides of the centerline.
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. 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
X X X
of tape will not serve as a gasket.
Installer's initials ________________
Type gasket _______________ Installed:
Pg. _________ Between Floors Yes _____________
The results of the torque probe test is __________ inch pounds or check Between Walls Yes _____________
here if you are declaring 5' anchors without testing ______. A test Bottom of ridgebeam Yes _________
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
The bottomboard will be repaired and/or taped. Yes _______. Pg. _______
anchors are required at all centerline tie points where the torque test Siding on units is installed to manufacturer's specifications. Yes ______
reading is 275 or less and where the mobile home manufacturer may Fireplace chimney installed so as not to allow intrusion of rain water. Yes ____
requires anchors with 4000 lb holding capacity.
ALL TESTS MUST BE PERFORMED BY A LICENSED INSTALLER
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 _______
Date Tested Electrical crossovers protected. Yes _______
Connect electrical conductors between multi-wide units, but not to the main power
source. This includes the bonding wire between mult-wide units. Pg. ________
Connect all sewer drains to an existing sewer tap or septic tank. Pg. _______
Connect all potable water supply piping to an existing water meter, water tap, or other
Installer Signature _________________________________ Date _______
independent water supply systems. Pg. __________
Department of Growth Management Page 2 of 2 BF27 MH Permit Worksheet
Revised September 28, 2010
Fastening multi wide units
Gasket (weatherproofing requirement)
POCKET PENETROMETER TESTING METHOD
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 & 2
Mobile Home Permit Worksheet
