Site Specific Request - Gulf Coast Supply

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Site Specific Design Request

CUSTOMER

Requestor:(Required)

Project:

Project Address:(Required)

Street Address Address Line 2 City State ZIP Code

Submittal Date:(Required)

Building Department:

Permit # (if applicable). Put N/A if not applicable.

Special Submittal Requirements:

Unless otherwise noted, a scanned version of the signed/sealed report will be emailed to the requestor. If additional requirements exist, these must be specified (e.g. "overnight (1) paper copy of wet signed/sealed report to … ")Typical processing time is one week, pending availability of third party engineering services.

PANEL

Roof Panel and FPA or NOA #:(Required)

If permit app has been submitted, the FPA or NOA # submitted MUST BE NOTED.

Fastener Pattern (horizontal fastener spacing):

If project has not been installed yet, "as required" is an appropriate entry.

Vertical Fastener Spacing:

If project has not been installed yet, "as required" is an appropriate entry.

Panel Width:(Required)

Panel Material and Gauge/Thickness:(Required)

Roof Deck Type & Thickness:(Required)

Deck type + thickness must be noted. Specify purlin type+thickness+spacing for open framing.

Roof

Roof Slope:(Required)

Eave Height (highest eave):(Required)

Ridge Height (highest ridge):(Required)

Predominant Roof Type (Hip/Gable/etc):(Required)

Length of Building (being roofed):(Required)

Width of Building (being roofed):(Required)

Overhangs?(Required)

Site

Wind Speed Zone:

Use this link to find wind speed: https://hazards.atcouncil.org

Exposure Category:

Building Risk Category or Building Use:(Required)

If the risk category is unknown, describe the current or proposed building use (e.g. "residential," "retail," "school," etc).

Enclosure Classification:(Required)

Note if the structure is fully enclosed (walls on all sides from ground to roof).

Miscellaneous/Additional Notes:

Note any special conditions or unique requirements below. If drawings are available, please attach a copy. Unless otherwise requested, the specific design considers wind uplift performance only. If other issues need to be considered, note those below.

Signature(Required)

By signing below, I certify that all of the information contained on this form is accurate, to the best of my knowledge. I understand that submission of a design request is no guarantee that the requested design is possible. Furthermore, I understand that the building department which has jurisdiction is the final authority on all code-compliance related issue. While uncommon, I understand that successful completion of this design request is no guarantee that the building department will concur.

Name of Person Signing:(Required)

First Last

Date Signed:(Required)

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Site Specific Design Request

CUSTOMER

PANEL

Roof

Site