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<br /> FLORIDA BUILDING CODE,.ENERGY CONSERVATION
<br /> FOR�I 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
<br /> Scope:Gomptiance with Seciion 462 of the ftorida Building Code,Enetgy Coaservafinn,shat!be demonstrated by the use of Farm 402 for single-and mulfiple-family residences oi three
<br /> stones or less in height,additions to existing resfdential buiidings,renovations to existmg residential buildings,new heating cooling and waier heating systems in existing buildings,as .
<br /> applicable:To comply,a buiiding must.meet or exceed all ot the energy efticiency requirements on Table 402A and all applica6le mandatory requirements summarized in Table 4028 oi this
<br /> form.!i a building does not comgly w�th this method nr Aiternate Eorm 4�2,it may s!'iil compty under Seciion 445 0!ihe Flarida Building Code,fnergy Canseroatioa.
<br /> PROJECTNAME: p��"'SGI.S I�G�r{f�'lo�^,- BUILDER: � „� y�.�'�u„r,.`,
<br /> ANDApDRESS: 3$J�D (�tAa(eQr 21e��*�.. PERMiTTtHG 4 �,�` � f �
<br /> Z-h�lts oFF�cE: �i (p T�-- �� /`` r �[�'
<br /> OWNER: �en�( {.•� V(Q Q 5e� PERMIT NO.: �� �� JURISDICTION NQ.: ' (
<br /> 4eneral I��stmction5:
<br /> 1 New construction which incorporates any ot the lollowing features cennot comply using ihfs method:glass areas in excess of 20 pe�ent oi conditioned floor area,electric resistance
<br /> heat and a�r handlers located in attics.Additlons<_6uU sq.lt.,renovafions and eguipment changenuts may comply by this method with exeeptions glven. �i
<br /> 2.FEl1 in all!he applicable spaces oi the"To Be lnstailed"catumn on Tabte 402A with the information requested.AI1"'Ta Be tnstalled"vat�es must be equal to or more efficient than the
<br /> reqaired leveis.
<br /> 3.Complete page 1 based on the"To Be Installed"column intormation. _
<br /> 4.Read the requirements ot 7able 9D28 and check eaeh box to indicate your intent to comply with al!applicable liems.
<br /> 5.Read,sign and date ihe"Prepared Sy"cedi{icatlon stafement at the botfom of page 1.The owner or awnets agent musf also sign and dafe the farm.
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<br /> Please Pr(nt GK
<br /> 1. Ne�construction,addition,or existing building 1. �{-r�j�,,,, ' "
<br /> 2; Single-famlly detached or muttipie-tamity attached �, 5� ( �wi.
<br /> 3. if mIuitipie-family-No.of units covered by this submission �, ---
<br /> 4. Is tlh(s a worst case?{yes/no
<br /> ) 4. 4�Q
<br /> 5. Coii ditioned fioor area(sq.ft.} g, a��-, ._.
<br /> 6. Glass type and area:
<br /> a U-factor 6a. �tP�
<br /> b.SFTGC 6b. _3(..�
<br /> c.Glass area 6C. �f� sq.tt.
<br /> 7. Parcentage af gtass to floor area � �3 �
<br /> 8. Flolor type,area or perimeter,and insulation.
<br /> a.Slab-on-grade{R-va]ue} 8a.R= lin.ft.
<br /> b.Wood,raised(R-value) gk�,R-_.��_ atjs sq,n,
<br /> c.Wood,comman(R-value) 8c.R= sq;lL
<br /> d.Conerete,raiseci(I2-value) $�I.R- sq.ft. -
<br /> e.Concrete,common(R-value) 8e.R= sq.ft.
<br /> 8. Wal!type,area and insulation: `
<br /> a.Ezterior: 1. Masonry(Insuiution R-value)
<br /> 2. Wood frame(Insulation R-value) 9a-1. R= sq.ft
<br /> 9a-2. R;__L�__._, �!O sq.ft.
<br /> b.Adjacent �. Masonry{Insulation R-vatue} 9h_i. R= sq.fL
<br /> 2, Wood frame(Insulation R-value) g�j-p, R=�_ ��v sq.ft.
<br /> iQ. Ce3ling type,area and insalation:
<br /> a.Under attic(Insulation R-value) 10a.R= sq.ft.
<br /> b.Single assembly(Insulation R-value) 10b.R= 1�0 �[a S Sq.ft
<br /> 11. Air dlstribu#Jon system:Ouct 3nsutafion,location,Qn
<br /> a.Duct lacation,insulation � 11 a. R= _�__
<br /> b.AHUlocation , 11b, p�. - f.IfA
<br /> c.Qn,Tesi repace attached(<0.03;ye.stno} 11 C.Test report att0ched? Yes �o
<br /> 12. Coaling system:
<br /> �� �`i}'P~ � 12a.Type: Pl�.�G
<br /> b.E�ciency t2b.SEER/EER: t'3
<br /> 13. Heating system; 13a.Type:�D kW
<br /> I �,�ype - �3b.FlSPFlCOP1AFUE: ?.?
<br /> b.Efficisncy
<br /> 14. HV�C sizing catcutation.attached , 14. Yes �
<br /> 75. Hot�water system: •
<br /> 15a.Type: ���
<br /> &Type i56.EF:
<br /> � 6,Efficiency
<br /> 1 hereby ceriify ihat the pla d spacifications covered by,the caiculation are€n compliance with the Ftorida Review at plans aod specifications rnvered by thls cafoutatian indicates complia�ce with ihe Florlda
<br /> i Energy Code. Energy Code.Belore construetion ls completed,this buiidin wi be inspected�or compiiance in
<br /> accordance wiih Seat(on 553,908,F.S.
<br /> PREPAREOI@Y• DATE: �!-�-l�F
<br /> CODE OFFIClAL. %
<br /> I hereby certity ihat i uilding i;In co 'n ith th�fiorida Energy Code: ����� ��
<br /> OWNERAGENT: ,3�Zj DATE: � DATE
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<br /> C.4 2U10 FLORtDA BUILDING CODE-ENERGY CdNiSERVATidN
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