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FORMS
<br /> FLORIDA BUILDING CODE,ENERGY CONSERVATION
<br /> FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
<br /> Scope:Compliance with Section 402 of the Florida Building Code,fnergy Conservation,shall be demonstrated by the use of Form 402 for single-and multiple-family residences ot three
<br /> stones or les�in height,additions to existing residential buildings,renovations to existing residential buildings,new heating cooling and water heating systems in existing buildings as '
<br /> applicable.7o comply,a bwlding must meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4028 of this
<br /> form.If a budding does not comply with this method or Alternate Form 402,it may still comply under Section 405 of the florida Building Code,fnergy Conseivation.
<br /> PROJECT NAME: GI���T-J:•SHEP/}Q BUILDER: fJG/,C G�Q c� C7JD � I �%•_ �(J�GLI� . /A'��C. �
<br /> AND ADDRESS: 7��8 OME(9/4 CT. pERMITfING
<br /> SPsYkiHL�S•,FL. 35 O oFFice: C/� dF Z�/�Y/�fIL�
<br /> OWNER: PERMIT NO.: � �3� JURISDICTION NO.: 6 r��p DO
<br /> Genera I Instructions:
<br /> 1 New construction which incorporates any oT the following features cannot comply using this method:gtass areas in excess of 20 pe�cent oi conditioned floor area,electric resistance
<br /> heat and air handlers located in attics. Add�tions 5.600 sq.it.,renovations and equipment changeouts may camply hy this method with exceptions given.
<br /> 2.Fill in all the applicable spaces of the"To Be Installed"column on Table 402A with the information requested.All"To Be Installed"vafues must be equal to or more effieient than the
<br /> required levels.
<br /> 3.Complete page 1 based on the"To Be Installed"column information.
<br /> 4.Read the requirements of Table 4028 and check each box to indicate your intent to comply with all applicable items.
<br /> 5.Reatl,sigri and date the"Prepared By"certification statement at the bottom of page 1 The owner or ownet's'agent must also sign and date the form.
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<br /> Piease Print CK
<br /> 1. New construction addition, r existing building ,.�aa�Tio �`• �= � ' -`�-' '
<br /> 2. Single-family detached or multiple-family attached �2,,S//�/G(E'/C'f��'J/LY.�ET.
<br /> ;,.•,.,,_.,:, .
<br /> 3. If multiple-family-No.of units covered by this submission `3;.�^/,/f::-,� .;�, �
<br /> 4. Is this a worst case? yes/ o) 4. yE�'
<br /> 5. Conditioned floor area(sq.ft.) 5. 5� �(/Ezj)
<br /> 6. Glass type and area:
<br /> a.U-factor 6a. •��
<br /> b.SHGC � 6 b. ...�O�
<br /> c.Glass area � . 6c:�� `' 's ft.
<br /> ,� -?�.•7�' q.
<br /> 7. Percentage of glass to floo`r area' " °•` � ���2 Z ,�o
<br /> 8. Floor type,area o imeter,and insulation:
<br /> .Slab-on-grade(R-v e) ��Q, �Q/�Q� (J�,F�� �p00 SQ•� 8a.R= Iln.ft.
<br /> b. -value) 8b.R= sq.ft.
<br /> c.Wood,common(R-value) 8c.R= sq.ft.
<br /> 'd.Concrete,raised(R-value) 8d.R= • sq.ft.
<br /> e.Concrete,common(R-value) 8e.R= �� sq.ft. '
<br /> 9. Wall type,area and insulation:
<br /> a.Exterior: 1. Masonry(Insulation R-value)
<br /> 9a-1. R= 7.8 37Q sq.ft.
<br /> 2. Wood frame(Insulation R-value) 9a-2. R=N A•_ sq.�ft.
<br /> b.Adjacent: 1. Masonry(InsulationR-value) 9b-1. R= �,IQ. sq.ft.
<br /> 2. Wood frame(Insulauon R-value) 9b-2. R=�/�. sq.ft.
<br /> 10. Ceiling type,area and insulation:
<br /> a.Under attic(Insulation R-value) 10a.R e ��
<br /> b.Single assembly(Insulation R-value) sq.ft��
<br /> 10b.R= sq.ft.
<br /> 11. Air distribution system:Duct insulation,location,Qn \ /�
<br /> a.Duct location,insulation 7/�J� Tp E�(/S�lI�� (2 Q(Z��lJ 11 a. R= t'J
<br /> b.AHU location � 11 b.
<br /> c.Qn,Tesc report attached(<0.03,yes/no) 11 c.Test report attached? Yes No
<br /> 12. Cooiing system: ��
<br /> •a-�'Pe 12a.Type:FLEC?'�i /G Il.P
<br /> b.Efficiency 12b.SEER/EER: �D.0
<br /> 13. Heating system: 13a.Type:ELBGJ�i 1G �iP.
<br /> a.Type 13b.HSPF/COP/AFUE: 7,tj
<br /> b.Efficiency
<br /> 14. HVAC sizing calculation:attached RDDlr! /¢�d/f70�-N•�• 14. Yes O
<br /> 15. Hot water system: 15a.T e rEGEG G EX/ST��
<br /> a.Type yp �
<br /> b.Efficiency 'I Sb.EF•_LJN�[�t/0�1/
<br /> I hereby certiry that the plans and specifirations covered by the calculation are in compliance with the Florida Review of plans and specifications cavered by this calculation indicates compliance with the Florida
<br /> Energy Cotle. Energy Code.Betore constructlon is completed,this huilding will be inspected for compliance in
<br /> W��I�R� d• � /A��il� accordance with Sectior� d�.9 , ,
<br /> PREPARED BY•�/(/��• ���C _ �PRIO�) DATE:Oq 23_ZO/S ,
<br /> CODE OffICIAL.
<br /> I hereby certify th thi h ' g is' comp' ce with the ida En gy Code: .�^ �fp'J
<br /> OWNER AGENT A�' DATE:�_L+��S DATE: �C/1 / �
<br /> C.4 �� � 2010 FLOAIDA BUILDING CODE-ENERGY CONSERVATION
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