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<br /> FLORIpA BUILDING CODE,ENERGY CONSERVATION
<br /> FQRM 402-2010. ResCdent[ai Butiding Therma!Envelope Approach ALL CLIMATE ZONES
<br /> Scape:Compliance wRh Se�tion Q02 ot the h7arida Bullding Code,Energy Conservation shall be demonstrated by the use ot Form 402 for s(ngte-and multiple-family resfdences of three
<br /> stories or less in height,additions to existing residential buildings,renovations to ewstfng residential buiidings,new heating cooling and water heating systems in existing buildings as
<br /> applicable.To compiy,a building must meet or exceed all oi the energy efficlency requirements on Ta61e 402A and a!!applica6le mandatory requlrements summarized in Ta61e 4028 o�this
<br /> #omt.[f a bui{ding does nat comp(y wtth this methad or Altemate Form 402,it snay still comply nnder Section 405 of the florida Buildrng Gode,Energy Garrservaiioa.
<br /> PROJECT NAME: �l"�a�G� scGq ke BUILDER: �u,�S��e l Lt-VY+�n N,w�
<br /> AhlDABOFtESS: ,3�o�$Qt.tAj<Cf RtG��. PERMtTTIt�C, t� �^ t
<br /> ze �n r�ni��5 �l, 33S�I'a OFFICE: �„r1" Of�E � t"Y"ti +�S
<br /> OWNER: {�ay.��(G{ �,eSGI-t� FERNfi7N4.: f p� JURlSDlCTfqNNO.:
<br /> General Instructions:
<br /> 1,New construction which incorpprates any of the tollowing features cannot compiy using this method:glass areas in excess of 20 pe�ent of conditianed fioor area,electric resistance
<br /> t�eat and ait hand(ers located in attics.Addtflons s BUO sq.(t.,renovaflans and equtgment changeouts may compty by this method w'sth excepttons given.
<br /> 2.FII in alt the appticabie spaces of the"To Be installed"co(umn on Ta6te A02A with the infarmation requested.AiI"'�'a 8e Installed"values must be eqaal to or more effiaient than the
<br /> required Ievels.
<br /> 3.Complete page 1 based on the"To Be Installed"column iniormation.
<br /> 4.Read the requirements of Table 4028 and sheek each 6ax to indicate your intent to comply with aii applicable items.
<br /> 5.Read,sign and data the"Prepared 8y"eertiiication statemenf at the bottom of page 1.The owner or ownets age�t rnust also sign and date the form.
<br /> Please Print CK
<br /> 1. New construction,addition,ar existing building 1, IG}dd;--Dw
<br /> 2, Singte-fami[y detached or muittp[e-Eamity attached �,�j y�A�p_1�r le�
<br /> --��r
<br /> 3. If multiple-family-Na,of units covered by this submission g, --'
<br /> 4. [s this a wors#case?{yestno) ¢, J�p
<br /> .�--
<br /> 5. Conditioned floor area(sq.fE.) 5, o�3(+ 75
<br /> S. Giass type and area:
<br /> a.U-factor 6a. •��
<br /> b.SHGC 6b. ��--
<br /> c.Giass area 6c. ��sq.ft.
<br /> 7. Percentage af glass to floor area � ,�_o�
<br /> 8. Floar type,area or perimeter,and insutaYion:
<br /> a.Siab-on-grade(R-vatuej 8a.R= "`t"�' tin.ft.
<br /> b.Wood,raised(R-value) 86.R=��_ o?. 3/•��sq.ft.
<br /> c.Wood,common(R value) g�,�= sq.ft.
<br /> d.Concrete,raised(R-vaIue) gd.R= sq.it.
<br /> e.Concrete,common(R-value) 8e.R= sq.ft.
<br /> 9. Wait type,area and insuiatian:
<br /> a.Exterior. 1. Masonry(Insulatiqn R-value) 9a-1. R= ��-�-sq.ft.
<br /> 2. Wood frame(Insulation R-value) 9a-2. Ft=_�?� .�,zr_sq.ft.
<br /> b.Adjacent: i. Masonry(Insuiation R-value} 96-i. R= sq.ft.
<br /> 2. Woodframe(5isulationR-value) 9b•2. R=�_ /37 sq.ft.
<br /> 10. Geiting type,area and insuta#ton:
<br /> a.Under attic(Insulation R-value) 10a.R= sq.ft.
<br /> b.Single assembly(Insulation R-value) �Qb.fi=_,��. �?3[,��,ffi.
<br /> 11. Air distribution system:Duct insufation,locatian,Qn �����
<br /> a.Duct location,insulation i ia. R= �..(_•�.
<br /> b.AF3LT loca6on 1 i b. ___�.�?-�...__
<br /> c.Qn,Tast report attached(�0.03;yes/no} 1 i e.Test repor att�ched? Yes No
<br /> i2. Cooling system:
<br /> a.Type 12a.Type: p� . ��G
<br /> b.Efficiancy i2b.SEER/EER• I3
<br /> . 13. HeaY[ng system: 33a.Type: !� }�W j��'r�"S{-n�,
<br /> a,TyPe 13b.tiSPF/CdP/AFUE: 7.7
<br /> b.Efficiency
<br /> 14. HVAC sizing catcutatton:aitached t4. Ye's �
<br /> 15. Hot water system:
<br /> �.�Fe 15a.Type:
<br /> b.Efficiancy 15b.EF:
<br /> y ty p p overed by ihe calcutation are in compllance w@h the Flodda Review pf plans a�d speciEications covered by Shis caleulation indcates camptiance v�iih fhe Flarida
<br /> Ener Code. Energy Code.Be(ore oonstruction(s comp ted thIs bulidin will 6e Inspected for compliance in
<br /> � ��_�_ � accordance with SecGon 553.908,F. .
<br /> PREPAftED BY: .�� DATE_!_�`/-!
<br /> ere�y ce a e n s ec catmns c `
<br /> CODE OFFICIAL•
<br /> t htreby'CtrEify hat �sD�1Idin Is co i 'th the Flarida Energy Code: z�/!� �
<br /> OWNER AGENT: ` OATE� / DATE: '� •
<br /> GA 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION
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