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FORMS FLORIDA BUILDING CODE,ENERGY CONSERVATI�ON FORM 402-2010 Residential 8uilding Thermal Envelope Approach ALL CLIMATE ZONES Seape:Compliance with Section 402 oi the Florida Building Code,fnergy Conservation,shall be demonstrated by the use ot Form 402 tor single-and multiple-family residences of three stories or less in height,additions to existing residential buildings,renovafions to existmg residential buildings,new heating cooling and water heating systems in existing buildings as applicable.To comply,a building must.meet or exceed all of the energy efiiciency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4026 orthis form.If a building does not comply with this method or Alternate Form 402,it may still comply under Section 405 of the Florida Building Code,Energy Conservation. PROJECT NAME: TR bTrl E}2 �D�plT101J gU1LDER: Q��E� AND ADDRESS: 3340 MLt.I�c�i'�G,�'• pERMITTING D n �(' Z � Y'�li��s F�.33S OFFICE: ` � ' �l� dt' /�,�'l--� OWNER:Th�m� �,., �,e1,.. PERMIT NO.: t �j�5� JURISDICTION NO.: � � General Instructlons: 1.New construction which incorporates any of the following features cannot comply using this method:glass areas in excess of 20 pe�cent of conditioned iloor area,electric resistance heat and air handlers located in attics.Additions<_600 sq.tt.,renovations and equlpment changeouts may eamply by this methad with exeeptians given. 2.Fill in all the applicable spaces of the"To Be Installed"column on Table 402A with the iniormation requested.All"To Be Installed"values must be equal to or more efficient than the required levels. 3.Complete page 1 based on the"To Be installed"column information. 4.Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items. 5.Read,sign and date the"Prepared By°certification statement at the bottom of page 1.The owner or owners agent must also sign and date the form. Please Print CK 1. New construction,addition,or existing building 1. ��.�-�pw i 2. Single-family detached or multiple-family attached 2 5' 3. If multiple-family-No.of units covered by this submission 3 - 4. Is this a worst case?(yes/no) 4 Np 5. Conditioned floor area(sq.ft.) 5. p 6. Glass type and area: a.U-factor 6 a. ��5 b.SHGC 6b. • ?�O c.Glass area � 6C. ��] sq.ft. 7. Percentage of glass to floor area � ��o 8. Floor type,area or perimeter,and insulation: a.Slab-on-grade(R-value) ga,R= lin.ft. b.Wood,raised(R-value) 8h.R= f 3 �sq.ft. c.Wood,common(R-value) 8C.R= sq.ft. d.Concrete,raised(R-value) 8d.R= sq.ft. e.Concrete,common(R-value) 8e.R= sq.ft. 9. Wall type,area and insulation: a.Exterior: 1. Masonry(Insulation R-value) 9a-1. R= sq.ft. 2. Wood frame(Insulation R-value) 9a-2. R= (3 y�02.,sq.ft. b.Adjacent: 1. Masonry(Insulation R-value) 9b-1. R= sq.ft. 2. Wood frame(Insulation R-value) 9b-2. R=� o�9 7 sq.ft. 10. Ceiling type,area and insulation: a.Under attic(Insulation R-value) 10a.R= sq.ft. b.Single assembly(Insulation R-value) 10b.R= �3D a� sq.ft. 11. Air distribution system:Duct insulation,location,Qn a.Duct location,insulation 11 a. R= F�OO Y b.AHU location 11 b. -/�/ c.Qn,Test report attached(<0.03;yes/no) 11 c.TeSt teport attached? Yes � 12. Cooling system: �` ��G ��,pe 12a.Type: �. b.Efficiency 12b.SEER/EER:_13 13. Heating system: 13a.Type• (U Kw �"��u,f.s'�np a.Type 13b.HSPF/COP/AFUE: 7•7 b.Efficiency 14. HVAC sizing calculation:attached 14. Yes � 15. Hot water system: a.Type 15a.Type: /��/l�' b.Ef6ciency 15b.EF• I hereby certi(y that the pl s and specifications covered by the calculation are in compliance with the Florida Review o(plans and specifications covered by this calculaUon indicates compliance with the Florida Enargy Code. Energy Code.Before construcUon Is completed,thfs building will be Inspected for compliance in � ' -'' 'L accordance vaith Section 553.9D8,F.S. PREPARED BY• �ATE:��I7 �� CODE OFFICIAL: I hereby certify that thls bullding Is in compliance with the Florida Energy Code: OWNER AGENT: DATE: DATE ��-- C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION