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<br /> FORiVIS -
<br /> FLORIDA BUILDING CODE,ENERGY CONSERVATION
<br /> FORM 4�2-20t0 Resldenttal Building Thermal Envelope Approach ALL CLIMATE ZONES
<br /> Scope:Compiiance with Section 4d2 af the Florida B�ilding Code,fnergy Conservation,sha0 be demonstraied by the use oi Porm 402 for single-and muitipte-famity residences of threa
<br /> stories or less tn height,addit(ons to exisUng resfdential buildings,renovations to existing residentfal buildings,new heating cooling antl water heat(ng systems in existing buildings as i
<br /> appUcabie,To comply,a buildfng rnust,meet or exceed all o(th�e`energy etficiency requlrements on Table 402A and all applicable rnandatory requirements summar(zed in 7able 4028 or this
<br /> form.lf a buiiding daes nof campEy ivdtt th3s mefhod or Alternate Earm 402,lt may stiH compty uttder Section 40S of the Fforida&uiiding Code,Fnergy Goaservaflan.
<br /> PROJECT�IAME: TERR�-D PRrct-h�R BUILDER: (�W yrl g,�^
<br /> AND ADII ESS: ,S/"�cg '�'��ti` '�t PEFtM13"1'It�lG j
<br /> � Zephyrh�)ts, �'I.335�1� OFFICE: � d '
<br /> OWNER: ,�e,��ld Pr�cher PERMIT NO.: (� � JURISDICTION NO.:
<br /> General Instr�ctlons; �
<br /> 1.New const ctfon which incorporates any of the following features cannot comply using this method:glass areas in excess of 20 pe�cent ot conditioned floor area,electric resistance
<br /> heat and air h�odiers located tn attics.Add321oas_<640 sq.tt.,renovatians and equlpment changeouts may comply Gy thls method with exceptions gIven.
<br /> 2.FiI1 in atl ih�applicab(e spacas of tha°To Be Enstalled"coiomn on Ta6(e 402A with the information requested.AtI"To Be lnstalled°vatues mus#be equat to or more efEicient than the �
<br /> required level.
<br /> 3.Complete page 1 based on the"To Be Insialled°column iniormation.
<br /> 4.Read the r�quirements of Tabie 4028 and check each box to indicate your(ntent to compty with ai!applicabie ltems.
<br /> 5.Read,sign;and date the"Prepared Sy"ce�tification statement at the bottnm of page 1.The awner or ownets agenf mast atso sign and dafe the form.
<br /> �
<br /> Ptease Prtnt GK
<br /> 1, New �onstruction,addition,or existing buifding 1. �C�U�f fDY1 '
<br /> 2. Singt�famify detached or muttiple-famity atfaohed 2, .S 1n��C�
<br /> 3. If mu tiple-family-Na,of units covered by this submission 3. - -
<br /> 4, ts thfs! a wors#case?(yes/no} � f(jD
<br /> 5. Conc�itioned floor area(sq.ft.) 5. 3(p(
<br /> 6. Glass type arid area:
<br /> a.U-factor g�, .�D '3�
<br /> 6.SHGC 6b. ••3Q ,
<br /> c.Giass area 6c. �sq.ft.
<br /> 7. Perc ntage of gtass to ftoor area
<br /> 7. f.fJ.J'� %
<br /> 8. Floo type,erea or perimeter,and insulation: • �� .
<br /> a.Siab-on-grade{R-value} 8a,R=_� �'t im.ft.
<br /> b.Wood,raised(R-value) 8b �� Sa rt�
<br /> c.Wood,common{R-value) gc,R= sq.ft -
<br /> d.Cancrete,raised(R valae) 8c�,�= sq,ft.
<br /> e.Concrete,common(R-value) ge,R= sq.ft.
<br /> 9. Watl type,area and insu(etlon:
<br /> a.Fxtedor. ], Masonry(Insulation R-value)
<br /> 2. Wood frame(Insulauon R-value) 9a•1. R= sq.ft.
<br /> 9a-2. R=_.�_ �/87 sq.ft.
<br /> b.Adjacent: I. Masonry(Insniation R-vaIno}
<br /> 2. Waodframe(InsulationR-value) gb-1. R= sq.ft.
<br /> 9b-2. R= �3 .S�O sq.ft.
<br /> 10. Cei!ng type,area and insutatian:
<br /> a.Underattic(InsulationR-value) 10a.R= sq.ft.
<br /> b.Single assembly(Insulation R-value) 10b.R=�__ .3Cnr sq,ft.
<br /> i1. Air [sfribution system:Duct insutatian,tocation,Qn
<br /> a Duct location,insulation 11 a, R=
<br /> b.AHU location �Z b,
<br /> c.Qn,Tesi reporCattached(<0.03;yeslno} 12 C.7est CepoCt aft�Ched? Yes F!o
<br /> 12. Co Ung system:
<br /> a,Type 12a.Type: WJ�l'� U/tll T-'
<br /> b.Efficiency i26.SEER/EER:
<br /> 23. He tingsystem: t3a.i' e• /•t,/�"G�- Ul1l/�
<br /> YP •
<br /> a.Type 13b.HSPFICQPIAFUE:
<br /> b.Efficiency
<br /> 14. HV C sizing calcutation:attached 14, Yes Na
<br /> 15. Ho�water system: ���
<br /> �,�,pe 95a,7ype:
<br /> b.Efficiency 15b.EF�
<br /> t hetebp ce iiy fhat ihe p and specifications cavered by fie oatcufatian are(n compiiance vriih the Rarida Review of pians and specifitations covered by this caic�taHon(ndfcates compliance with She Florlda
<br /> 6nergy Co e, Energy Code.Betora oonstruction Is completed,ihi 'g wfli be fnspected for oompliance fn
<br /> accordance wllh Section 5} 0 F.S.
<br /> PREPARE�BY: u����".L'Y+�C__��� OATE: �a2�'���Q „(
<br /> �- CODE OFFICIAt
<br /> I hereby certify that th ii ng Is in sompliance h the Florida Energy Code: /,'� �7�t +,,, '
<br /> OWNER.A6ENT: G pATE: DATE Ur �
<br /> C.4 2010 FLORIDA BUtLDiNG CODE-ENERGY CONSERVATION
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