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<br /> FORfVIS, -
<br /> � '
<br /> I� ' FLORIDA BUILDING CODE,ENERGY CONSERVATION
<br /> FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
<br /> Scope:Corppliance with Section 402 of the florida Building Code,fnergy Conservation,shall be demonstrated by the use of Form 402 for single-and multiple-family residences of three
<br /> stories or less in height,additions to existing residential buildings,renovations to existing residential buildings,new heating,cooling,and water heating systems in existing buildings as
<br /> applicable.To comply,a building must meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4026 of this
<br /> form.If a brilding does not comply with this method or Alternate Form 402,it may stp,�Gomply.:under�Section 405 of the Flo�ida Building Code,Energy Conse�vation.
<br /> PROJEQT NAME: S��Z L�L I�1 �� BUILDER:
<br /> AND ADIDRESS: /� �
<br /> PERMITTIPIG � �
<br /> OFFICE: �f-�
<br /> OWNER�I� N� PERMIT NO.: Z JURISDICTION NO.: 6 ! �(J�
<br /> General instructions: ,
<br /> 1 New construction 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 airj handlers located in attics. Additions<600 sq.ft.,renovations and equipment changeouts may comply 6y this method with exceptions given.
<br /> 2.Fill in all the applicable spaces of the"To Be Installed"column on Table 402A with the information requested.All"To 8e Installed"values must be equal to or more efficient than the '
<br /> required lev�ls.
<br /> 3.Completelpage 1 based on the"To Be Installed''column information. �
<br /> 4.Read the Fequirements of Table 4026 and check each box to indicate your intent to comply with all applicable items.
<br /> 5.Read,sigp and date the"Prepared By"certification statement at the bottom of page 1 7he owner or owners agent must also sign and date the form.
<br /> ��
<br /> Piease Print CK
<br /> 1. New Iconstruction,addition,or existing building y
<br /> 2. Sing le-family detached or multiple-family attached 2:
<br /> 3. If m itiple-family-No.of units covered by this submission 3
<br /> 4. Is thil a worst case?(yes/no) .4
<br /> 5. Conii tioned floor area(sq.ft.) 5. O�
<br /> 6. GIasS type and area:
<br /> a.U-factor 6a.
<br /> b.SHGC 6b.
<br /> c Glass area s�. Sq n
<br /> 7. Perc�lntage of glass to floor area 7, %
<br /> 8. Floorltype,area or perimeter,and insulation:
<br /> ba.Slab-on-grade(R-value) 8a.R= lin.ft.
<br /> .Wood,raised(R-value) 4
<br /> c.Wood,common(R-value) 8b.R= sq.ft.
<br /> d.Concrete,raised(R-value) 8c"R- •, Sq•n•
<br /> �e.Concrete,common(R-value) 8d'R- S9•ft:
<br /> 8e.R= y,
<br />' 9. Wall tl pe,area and insulation: -
<br /> �.Exterior: 1 Masonry(Insulation R-value) ga_i, p= sq.ft.
<br /> 2. Wood frame(Insulation R-value) - �
<br /> � 9a-2. R= s .ft.
<br /> q
<br /> .Adjacent: I Masonry(Insulation R-value) 9b_�. R_ Sq ft
<br /> 2. Wood frame(Insulation R-value) 9b-2. R= Sq,n,
<br /> 10. Ceilin type,area and insulation:
<br /> �.Under attic(Insulation R-value) 10a.R= sq.ft.
<br /> II Single assembly(Insulation R-value) 10b.R= y,ft,
<br /> S
<br /> 17. Air distribution system:Duct insulation,location,Qn
<br /> �I.Duct location,insulation 11 a. R=
<br /> b.AHU location ��b
<br /> l�
<br /> a.Qn,Test report attached(<0.03,yes/no) 11c.Test report attached? Yes No
<br />' 12. Cooli II s stem:
<br /> �9 Y
<br />, bI Type 12a.Type: �
<br /> i Efficiency 12b.SEER/EER: '
<br /> 13. Heatin s stem:
<br /> � Y ,
<br /> 13a.Type:
<br /> II
<br /> a Type 13b.HSPF/COP/AFUE:
<br /> b�E�ciency �
<br /> 14. HVAC Sizing calculation:attached 14. Yes o
<br /> 15. Hot w Iter system: �
<br /> �Type i5a.Type:
<br /> b�Efficiency . 15b.EF:
<br /> I
<br /> I hereby certiry t at the plans and specifications covered by the calculation are in compliance with the Florida Review of plans and specitications covered b thi calculation indicates compliance with the Florida,
<br /> Energy Code. Energy Code.8efore construction is c p d, is huilding wili be inspected tor compliance in
<br /> accordance with Section 553.9 y+
<br /> PREPARED BY� DATE. � .
<br /> CODE OFFICIAL. y ry _ � ` .,z '
<br />, I hereby certify that this building 1s iqynmpliance with the Florida Energy Code: , q _ � 3, +
<br /> ' OVJNER AGENT:Ii • "��! � ,
<br /> _�, � � .
<br /> DATE: •DATE:
<br /> ' "^._ . �' 1,,.
<br /> � �C'4 at �- ``4 " `� `�p' , �. ,,. , 2010 FLORIDA BUILDING CODE-ENERGY COMSERVATIOfi!
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