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« Planning
Building&Code Regulations Division
| 2-300Virginia Avenue,Fort Pierce,Fl34982—(772)462-15S3
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Projectmame
Project Address: '9-2- �S D.3
Permit#: 4- Type: �� -� \/ 15
INSMUCFIOMS FOR USE:
= This certification must be completed,signed,and sealed by the design professional of record.
" Submit(2)copies for residential,(3)copies for commercial with all permit applications involving the following:
o New Residences(single ormuld4amAy)
n Residential Addition
n Any accessory structure requiring a building permit
o Any non-residential structure.
~Note: Form not required for interior renovations provided that no exterior structural elements are affected and
certain minor building permits at the discretion of the local building officiaL Contact the#above for questions.
DESIGN PARAMEEMS AND ASSUMPTIOMS USED: (complete all that apply)
I' DB8GNC0DE: Florida (Code Fifth Edition with Z opp|ememsosinQASCE7-10
3' Structure Designed as(check one); w"'snc|ose6 Partially Enclosed Open
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�' Risk Category: | w
| �UY� Exposure B C D
4. Design Wind Velocity mph LRFD End Zone Width- I ft
5' Mean Roof Height 3 ft Roof Pitch: Z :12 Parapet: r'
6. Components 8LCladding Design Pressures Used:(psF,based on10sqft@z7xnnx,clearly label on all plan nnenmg$:
Zone 1: 0 lo'l- Zone 2: fj /A Zone 3: Zone 4 Zone 5: Garage: A� A
' 7' Des4Qncoauu: Floor: + womYoead: Z _pSF xmnvuxe: ima/ron»' r
oodc Deckc F Stairs: F Fence: p Railings: SF
O. Were Shear Walls Considered For Structure? Yes Applicable Explain Why Not:
9' bA Continuous Load Path Provided? Yes m, NotApp8cable Exp|ainVVbyNot:
Dl Design Soil Bearing Pressure: F Soil Test Reports Submitted? Yes
DESIGN PROFESSIOMAL CERTIFICATION STATEMENT:
I certify that,to the best of my knowledge and belief,the attached plans&specifications have been designed to
comply with the applicable structural portions of the building codes currently adopted and enforced by St. Lucie
Cuunty. I also certify that structural elements depicted on these plans provide adequate resistance tn the design
forces specified:-, ,
Print Name [ert#&Co.CertAuth
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Date,and Seal
Company Name&
Address—
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