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Certification for Design Load Compliance
Planning & Development Services Department. COUNBuilding & Code.Regulations Division. 2300 Virginia Avenue; Fort Pierce, FL 34982 = (772) 462-1553. Certification for Design Load Compliance Project Name: Project Address:,0_\ Q11 Permit.#:. ��J��e" ©'3`1 a Occupancy Type: Construction Type: INSTRUCTIONS 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 or -multi -family) .o Residential Addition. o Any accessory structure requiring a building permit 0. Any non-residential structure. * Note: Form. not required for interior renovations providedthat_no exterior structural elements are-affected.and certain minor building permits at the discretion of the local building offlcial..Contactthe # above for questions: DESIGN -PARAMETERS AND ASSUMPTIONS USED: (complete all that apply): 1. DESIGN CODE::- Florida d\li Code 2010 Edition with 20 V.), Supplements. using ASCE 7-10 2. Structure Designed as (check one): Enclosed. Partially Enclosed Open-. 3. .Risk Category: _I If III IV Exposure Category:-B:.fC.: D. 4. Design Mind Velocity mph . ASD. LRFD� End Zone Width: ft . S. Mean_ Roof Height ft Roof Pitch :12 Parapet:, ft 6: Components &Cladding Design.Pressures:Used: (PSF, based on 10sgft @ 15'MRH, clearly label on:all plan openings): . Zone 1: 2one22: Zone 3: Zone 4' Zone 5: Garage: 7. Design Loads: Floor: `► l� PSF Roof/Dea&[ PSF Roof/Live Balcony: > PSF Dock: PSF. 'D.eck: PSF Stairs:', PSF fence: PSF Railings: PSF 8.. .Were Shear Walls Considered .F.orStruaure? Yes Not Applicable Explain Why Not: . 9._ - Is A Continuous Load Path Provided? Yes Not Applicable Explain Why Not: 10.. Design Soil Bearing. Pressurecy . PSF Soil Test Reports Submitted? Yes DESIGN PROFESSIONAL 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 County. I also certify that structural elements_ depicted on these plans provide adequate resistance to the design forces specified:. r 14 Print. Name Cert #.& Co. Cert Auth. Signature' Date; and Seal L �u. Company Name& Address. Revised 07/25/2014 MAI PERM177IN0 . St. Lucie County, FL