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� <br /> 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,Energy Conseivation,shall be demonstrated by the use of Form 402 for singie-and multiple-family residences of three <br /> stones or less in height,additions to existing residential buildings,renovations to existing residential builtlings,new heating cooling and water heating systems in existing bwldings,as <br /> applicable.To comply,a buildmg must,meet or exceed all oi the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4026 of this <br /> form.If a building does not comply with this method or Alternate Form 402;it may sfill comply under Section 405 of the Fiorida B�ilding Code,Energy Conservation. <br /> PROJECTNAME: ?jqS�.00{�r��o� Ln• BUILDER: S(,Ly�s'�a'�' c(..minu <br /> ANDADDRESS: MaJeS'I-«- OQk5 ' pERMITTING <br /> z.e h r-htlls �.3ss�� oFFice: C�� aF Ze�h�rh� �ls <br /> OWNER: �DIIlr1 SGh 0.�S��LII PERMIT NO.: l S�? JURISDICTION NO.: �j `l(p(� <br /> General Instructions: <br /> 1.New construction which incorporates any oi the following features cannot comply using this method:glass areas in excess of 20 pe�cent oi conditioned floor area,electric resistance <br /> heat and air handlers located in attics.Additions<_600 sq.ft.,renavations and equipment changeouts may camply 6y this method with exeeptfnns 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"values must be equal to or more efficient than the <br /> required levels. <br /> 3.Complete page 1 based on the"To Be Installed"column iniormation. <br /> 4.Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items. - <br /> 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. <br /> Please Print CK <br /> 1. New construction,addition,or existing building 1, � r�. <br /> 2. Single-family detached or multiple-family attached 2, S IYIR_ l� <br /> 3. If multiple-family-No.of units covered by this submission 3 v <br /> I 4. Is this a worst case?(yes/no) 4. N d <br /> 5. Conditioned floor area(sq.ft.) 5. 'T�Jo2 <br /> 6. Glass type and area: <br /> a.U-factor 6 a• '�5 <br /> b.SHGC 6b. �- <br /> c.Glass azea 6c. -�O•5 _sq.ft. <br /> 7. Percentage of glass to fioor area � g o�o <br /> 8. Floor type,area or perimeter,and insulation: <br /> a.Slab-on-grade(R-value) Sa.R= lin.ft. <br /> b.Wood,raised(R-value) 8b.R= !3 �32_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) Be.R= Sq.ft. <br /> 9. Wall type,area and insulation: � <br /> a.Exterior: 1. Masonry(Insulation R-value) 9a-1. R= �sq.ft. <br /> 2. Wood frame(Hisulation R-value) ga_2, R=� sq.ft. <br /> b.Adjacent: 1. Masonry(Insulation R-value) 9b-1. R= sq.ft. <br /> 2. Wood frame(Insulation R-value) 9b-2. R= (3 �sq.ft. <br /> 10. Ceiling type,area and insulation: <br /> a.Under attic(Insulation R-value) 10a.R= sq.ft. � <br /> b.Single assembly(Insulation R-value) 10b.R= ,�i O .3 v� sq.ft. <br /> 11. ,Air distribution system:Duct insulation,location,Qn �rY^� <br /> a.Duct location,insulation 11 a. R= � <br /> b.AHU location 11 b. • N <br /> c.Qn,Tes[report attached(<0.03;yes/no) 11 c.Test re ort attached? Yes �o <br /> 12. Cooling system: <br /> a,�Pe 12a.Type: P kA. ���. <br /> b.Efficiency 12b.SEER/EER• �3 <br /> 13. Heatingsystem: 13a.Type: (D KW }�eGtS'f�f�(� <br /> a.Type 13b.HSPF/COP/AFUE: `�.`� <br /> b.Efficiency <br /> 14. HVAC sizing calculation:attached 14. Yes �o <br /> 15. Hot water system: • <br /> a.Type i5a.Type: IJ�/� <br /> b.Efficiency 15b.EF I�T A- <br /> I hereby ceN(y that the pla s and specifications covered hy the calculation are in compliance with the Florida Review of plans and specifications covered by this calculation indicates compliance with the Florida <br /> Energy Code. Energy Code.Betore construction is completed,this building will be inspeded for compliance in <br /> ,�I//_ accordance with Section 553.908,F.S. <br /> PREPARED BY• � DATE:��� <br /> CODE OFfICIAL. <br /> I hereby certify that t' u�ildiqQ I�s in com,p�i'9�with the Florida Energy Code: � <br /> OWNERAGENT ���_,CLy�-t-� DATE:�L/��/S DATE: <br /> C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION <br />