HomeMy WebLinkAboutCertificate For Design Load CompliancePlanning & Development Services Department
Building & Code Regulations Division
2300 Virginia Avenue, Fort Pierce, FL 34982 — (772) 4��Eu MAY 2 2
v
Certification for Design Load Compliance
Project Name: 12 Gr i d c nc c --
Project Address:
Permit #: 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
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 PARAMETERS AND ASSUMPTIONS USED: (complete all that ap0 )-
1. DESIGN CODE: Florida (S wrl� tic_ Code 2010 Edition with 20 / supplements using ASCE 7-10
2. Structure Designed as (check one): / '� Enclosed Partially Enclosed Open
3. Risk Category: _I -� II III IV Exposure Category: B C ✓ D
4. Design Wind Velocity I'Co'5 mph ASD ✓ LRFD End Zone Width: Y. 3 ft
5. Mean Roof Height 1 (10 ft Roof Pitch: _:12 Parapet: N�ft
6. Components & Cladding Design Pressures Used: (PSF, based on 10sgft @ 15'MRH, clearly label on all plan openings):
Zone 1: rid . 0 Zone 2: 0, b Zone 3: 103, O Zone 4: Y 7. Y Zone 5: 5$.S Garage: r-),,A
7. Design Loads: Floor: PSF Roof/Dead: 2 S PSF Roof/Live:;?, o Balcony: 60 PSF
Dock: PSF Deck: Ka PSF Stairs: ''(o PSF Fence: PSF Railings: PSF
8. Were Shear Walls Considered For Structure? X Yes Not Applicable Explain Why Not:
9. Is A Continuous Load Path Provided? K Yes Not Applicable Explain Why Not:
10. Design Soil Bearing Pressure: 2 So a PSF Soil Test Reports Submitted? K_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:
5 /l 1S
Signat e, Date, and Seal
SLCCDV Form # 020-12 Revised 3/15/12 (JS)
Print Name ^^ Cert # & Co. Cert Auth.
Leo A✓L_ d (Iac�Dirnt� SiY Z(eb
f-d, 6cac-L GcrJtA; F-L 33` I'T
Company Name & Address
L5
F, Lk
-.�Y