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FORMS <br /> � _� <br /> FL�ORI�A Bd!!Ll�INCi�"'ODE, ENEd9C;Y CONSERtlAT/DAJ _ <br /> Re��r��ntial B�iEcli�g Tt�erma#E�velop�Ap�raac� <br /> FflRM R�02-�0't4 �lima#e Zane L� <br /> Scope:Compiiance with Seotion R402.1.1 of the�Iorida BuNd/ng Code,Ene�gy Conservafior�,shait be demonstrated by ihs use of Form R402 <br /> fo� single-and multiple•family residences of three stories or less in height,additions to existing residential�uildings,alterations,ren�vatlons, <br /> s�d buitdiag systertss ia exist�csg tauifdings,as appttcat�la.To c4mA1Y.&buittii�tg mus#meet or ex�e�d at1 of the energy eiflcEBncy t8qut�ements <br />� o�Table R402A and all appiicable man�tory requirements summarized in Tatsle f�4�3P8 at this torm.If a buikifng does noi camply with th3s <br />` rryethod,or by the UA Alternative method,it may still compty under Seation R4Q5 of the Florlda BuUding Code,Energy Conservatlan. <br /> PqOdECT NANlE: BUIWER: ���,�I'y� �/q�, �'1' C�OK4-Y�'i <br /> a{vo ana�Ess: g'Z 3'8 �� :��E.� '"/ rl,.7� <br /> ow��: -Z�.Q�t�ff2 t.i z� �"t,. . '335"�12 ���►rrn�c�o��c�: �}� �f' �� <br /> � JURISDICTION NUMBER: (e./`�PO L7 <br /> PERMtt HUNtBER: j� � <br /> GenerallnstrucUans: <br /> 1 h'iit t�eit 1h�apptio�bta apa��i tt�a"7a ee ine4etited"column on Yeble Ft4Q2d valth the IoiormaUon requcsted.�(1'To Be Instplled"valuttm mstst be <br /> e�tusl to or tYs4se t##tciasst#han tha�uira�#evl+l8. <br /> 2 Complete page 1 based an the"To Be Instelled"aolumn Informatlon. <br /> 3.Read the Requlrements of Tabls R402B and check each bax to lt�dlcate your InisM to comply w{!tt a{I app4fcable ttems. <br /> 4.Rand,algn and date tha"Preparcd By"certiftcstion statemmt at the bottam ot paga 1.The owner ar awner's sgent muat eiso sign and date the tarm. <br /> t� Hew coostructlon,�Qditton,or extgting f�u[id(ng f. <br /> 2, Singic�-family detached or mulNple-femily ettached 2. ��� <br /> 3� if mulEiple-4amUy,n�mder ot untts comered by this submtsslan 3. � <br /> 4!, ta fhlsi a warst c�se?{yestrFo} 4. �.�O <br /> B� Condtttorted itoor a�a(sq.ft.) 5• �.,,'�t] <br /> 5� Wlndawa,type and araa <br /> a) ihfactor. 6a o �� J <br /> b) Solar Heat Gain Coe�cfent(SHOC) 6b. a � <br /> c) Area sc, <br /> r Skytigbts <br /> I a} lJ4actor. Ta < <br /> b} Solar Naat t3atn Coeft�clent{SNGCj Tb. <br /> H Floor type,area or periineter,e�tid insulatton: <br /> a} Slab-on-grade(f�vaius} 8a. <br /> b} Wood.raised(Fi-vatus) Bb. �.�, <br /> c) Waod,common(fXvalue) 8c. <br /> d) Concrste,t�aised(f�vatue} Sd. <br /> e) Gancrete,common(H-value) 8e. <br /> Pe 1Na!!type and Insulattenc y�} <br /> 8} �%�BROT 1_ iNNOOd#t8tti8{IT15Ul3t3fltS fl-V6St38} g31. E a3 <br /> 2. Masonry(In9ulation R�value) 9a2. ^ <br /> b} AdjacenL• i. 1Nood irame{[nsulatian f�value} 9b1. <br /> 2. Masonry(InsulaUon R•vaiue) 8b2. <br /> 1 . CeiUng typ8 artd insulatfon ' <br /> a} Ati2c(insnJat3an R-vaSue} 10�. �� <br /> b) Singte assembly(Insuladon Ft•value) 10b. <br /> 1 . Aly distrlbuUon syatem: <br /> a} t?uc#IocaGon,insutation i1a. ��. <br /> b) AHl1 tocadon tib. �,a� t�'�� <br /> G) Tota!duct leaka$e.Test repoii attachad. 49c. GimTtdtt&.�. Y��Mc� <br /> t Cooiing system: e}rype 12a. �'�/t�"V"'t 9� <br /> b)etficiency 12b. <br /> l Fieating sys#em; a}type 13s. '�.�C 15r"Ll�� <br /> b)�itlCienCy: 93b. <br /> 14. HVAC afzing aalculetion:attached tA. Yes� Na�'"� <br /> tS. Wate�heattng aysteme a}type iSa. ��"y�t „� <br /> b)eNictency 15b. <br /> ! ereby certity thai the pians end specilicatlons cavered by tttis fortn aro Review at plans and speci#Ica#tons aovensd by thls farnn Indicate <br /> 1 aam Ilan vq(t a�B t�i?�r��,r Canaervetfon. cam Ilance with the Flarlda Bulldln Cotf�,Erns Cen�zervafian.8etore <br /> F EPAREO�,���� 'V°• ��' "Dat q^.s-<�o constructlon is complet�,thls bullding wrll!ba in�eted tor comppance In <br /> I reby cortiiy thet thls i dt e' a an �ttth the RlorFda 8utldfng accorctance with Sectlan b53.9Q8,F.S. <br /> �.�'9YCor►ar ffOfl. �r r��� �CODE CtF�tCiA4: <br /> OWN�#tIACxEiriT. Date: :.) Date:. <br /> FL�RIDA BUILDIMG COOE-ENERGY CONSERVATIQN,5th EDRION(201A) R-C.3 <br />