Loading...
HomeMy WebLinkAbout96110404-DESIGN CERTIFICATION FOR WIND LOAD COMPLIANCEDEPARTMENT 2300 DESIGN CERTIFICATION This Certification is to be completed by the project design ai applications for budding permit involving the construction of net structure requiring a building permit, and any nonresidential stru that no structural walls, columns or other similar component is assistance, please contact the Building Inspection Office at 41 PROJECT NAME 1 (14) C t+ V S 7> STREET ADDRESS CERTIFICATION STATEMENT: r."ILUCIE COUNTY 12) )F COMMUNITY DEVELOPMENT RGINIA AVENUE, ROOM 201 —k ec= PIERCE, FL 34982-5652�1�� 407-462-1553 )R WIND LOAD COMPLIANS'PI "�t�'-O 1 :hitect or engineer. This Certification must be submitted with all residence (single or multi -family), residential addition, any accessory ture. This Certification shall not apply to interior renovations (provided )eing effected) and certain other minor budding permits. For further t-1553 or 462-2172. PR NUMBER ro r 4-—Pt Lrd PERMU NUMBER OCCP. TYPE CST. TYPE I - CERTIFY THAT, TO THE BEST OF MY KNOWLI HAVE BEEN DESIGNED TO COMPLY WITH THE APP CURRENTLY ADOPTED AND ENFORCED BY ST. ELEMENTS DEPICTED ON THESE PLANS PROW FORCES SPECIFIED BY CURRENT CODE PROVISI 1. BUILDING CODE EDITION USED (tom -aL—✓sBC( 2. BUILDING DESIGN IS (ice oW ENCLOSED t/ 3. BUILDING HEIGHT. .2 - FT 4. 5. WIND EXPOSURE CLASSIFICATION OWFER TD MPOSURE 1 11. iE AND BELIEF, THESE PLANS AND SPECIFICATIONS kBLE STRUCTURAL PORTION OF THE BUILDING CODES ICIE COUNTY. I ALSO CERTIFY THAT STRUCTURAL ADEQUATE RESISTANCE TO THE WIND LOADS AND AVERAGE WIND VELOCITY PRESSURE ON EXTERIOR FACES PEAK WIND VELOCITY PRESSURE ON EXTERIOR FACES OF ASCE 7,W OTHER (SPECIFY) PARTIALLY ENCLOSED OPEN BUILDING WIND SPEED USED IN BUILDING DESIGN: L' . 'U� MPH E� W IN OLMMING CODE MBMF1ED IN UNE 91): OF STRUCTURE tL`Z PSF STRUCTURE: 4 PSF . IMPORTANCEfUSEFACTOR(oerButwiNG CoDE� LOADS: FLOOR M PSF ROOF/DEAD: I S /PS.F ROOF/LNE: PSF WERE SHEAR WALLS CONSIDERED FOR STRUCTURE (CHECK CM YES ✓` NO If NO, why? (attadh ice+) IS A CONTINUOUS LOAD PATH PROVIDED pE= am e>�mnation) ARE COMPONENT AND CLADDING DETAILS PROVIDED e3planation) " YES NO If NO, wtry? (attach am YES ✓ NO If NO, why? (attach 13. UNIMUM SOIL BEARING PRESSURE - 9,S-Q © I PSF AS WITNESSED BY MY SEAL, I HEREBY CERTI CERTIFICATION IS TRUE AND CORRECT, TO THE B NAME cn-k�-1 kkNAj WVl`( f�. .1` CERTI DESIGN FIRM: DATE: THAT THE INFORMATION INCLUDED WITH i HIS_ 'OF MY KNOWLEDGE AND BELIEF. N NO: -�)-�- 1 1 Ik9 ILV [SEAL HERE] COMM STATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES DATE PAID ONSITE SEWAGE DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT Authority: Chapter 381, FS & Chapter 1OD-6, FAC By CONSTRUCTION PERMIT FOR: QW es,'":ffliv ["-]'New System [ ] Existing System [ ] Holding Tank [ ] Temporary/Experimental [ ] Repair [ j Abandonment [ ] Other(Specify) APPLICANT AGENT: PROPERTY STREET ADDRESS: LOT: BLOCK: SUBDIVISION: PROPERTY ID #: i [SECTION/TOWNSHIP/RANGE/PARCEL NUMBER] [OR TAX ID NUMBER] U SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 10D-6, FAC REPAIR PERMITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM THE DATE OF ISSUE. ALL OTHER PERMITS EXPIRE ONE YEAR FROM THE DATE OF ISSUE. HRS'APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME) ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY'THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. IF AREA OF DRAINFIELD IS SUBJECT TO ------------------------------------------------------ru*hT iivJirn4�vL, _ ROOF MUST BE GUTTERED FRIO.R TO SYSTEM DESIGN AND SPECIFICATIONS FINAL APPROVAL. T [ ] [GALLONS'/ GPD],SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI—CHAMBERED/IN SERIES:[ ] A [ -, ] [GALLONS' / GPD] = CAPACITY MULTI'-CHAMBERED/IN SERIES:[ ] N ( ] GALLONS' GREASE INTERCEPTOR CAPACITY [;MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS] K ( ] GALLONSPER DOSE DOSING TANK CAPACITY DOSE RATE [ ] PER 24 HRS NO. OF PUMPS: [ ] I D [ "e] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [7 _] MOUND [ ] I CONFIGURATION: TRENCH [ ] BED N F I E 'L D LOCATION OF BENCHMARK: ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ "; ] [,INCHES/FT] [ABOVE/.BELOW] tiBENCHMARK/REFERENCE POINT FILL REQUIRED: [ a', `*,] INCHES EXCAVATION REQUIRED: '[ ] INCHES O H = "� SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: CPHU DATE ISSUED: '; "`,S EXPIRATION DATE: HRS-H Form 4016, Mar 92 (obsotetes previous editions which may not be used) (Stock Number: 5744-001-4016-0) BUILDING DEPARTMENT Page 1 of 2 INSTRUCTIONS: PERMIT NUMBER: Permit tracking number assigned by CPHU. APPLICATION FOR: Check type of permit, if "Other" specify type in blank. APPLICANT: Property owner's full name. TELEPHONE: Telephone number for applicant or agent. AGENT: 0 Property owner's legally authorized representative: MAILING ADDRESS: P.O. box or street mailing address for applicant or agent. LOT, BLOCK, SUBDIVISION or PROPERTY ID#: 27 character id number for property. (CPHU may require property appraiser ID # or section/township/range/pareel number) SYSTEM DESIGN AND SPECIFICATIONS: TANK: Minimum specifications from Chapter IOD-b, FAC. DRAINFIELD: Minimum specifications from Chapter IOD-6, FAC. OTHER: Other specifications, such as operating permit requirements, low -volume flush toilets, variance provisos. SPECIFICATIONS BY: Name of individual providing specifications. If designed by a registered engineer must be sealed. APPROVED BY: County Public Health Unit (CPHU) personnel reviewing and approving permit. DATE ISSUED: Date permit is issued by CPHU. EXFIl2ATION DATE: One year from date issued if the system has not been installed. Permits for system repairs become void 90 days from the date issued.