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. � i - <br /> � i . <br /> FORM i <br /> , I FLORIDA BUILDING CODE,ENERGY CONSERVATION <br /> FOR I 402-2010 Residential Building Thermal Envelope Approach - ALL CLIMATE ZONES <br /> � <br /> Seope:Co pliance with Seciion 402 of the flo�ida Building Code,EnergyConservation,shall be demoristrated by the use of Form 402 tor single-and multiple-family residences of three <br /> stories or ess in height,additions to existing residential buildings,renovations to existing residential buildings,new heating cooling and water heating systems in existin�buiidings as <br /> applicable� o comply,a building must,meei or exceed all ot the energy efiiciency requirements on Table 402A and ail applicable mandatory requirements summarized in Ta le 4028 oI this <br /> form.If a uilding does not comply wiih this method or Alternate Form 402,it may still comply under Section 405 0l the Fla�ida Building Code,Energy Conservation. <br /> PROJEI TNAME: C��e- I (Ov� BUILDER: 5��5 �C /��U.►'+11✓�uP'�'�- <br /> AND A DRESS: �t' 3 PERMITTING -� <br /> I Ma CS�IG�.5 OFFICE: L l 0� �P �'r����S <br /> OWNE�: C I e �N G 1- L I I 5 L�-�-' PERMIT NO.: ��7 JURISDICTION NO.: `/ �� <br /> G eneral I�structlons: <br /> 1.New co struction which incorporates any ot the lollowin9 features cannot comply using this method:glass areas in excess of 20 pe�cent oi conditioned floor area,eiectric resistance <br /> heat and a�r handlers located in attics. Additlons<_600 sq.fl.,renovations and eguipment ehangeouts may comply hy this method with exseptions given. <br /> 2.Fill in al the appiicable spaces of the"To Be Instalied"column on Table 402A with the information requested.All"To Be Installed"values must be equal to or more efficient ihan the <br /> required I,vels. <br /> 3.Comple�e page 1 based on the"To Be Installed"column iniormalion. <br /> 4.Read th� requirements of Table 4028 and check each box to indicate your intent to comply with all applicable items. <br /> 5.Read,s'gn and date the"Prepared By"ceriification statement at the bottom of page 1 The owner or owners agent must also sign and date the form. <br /> � <br /> - Please Print CK <br /> i. Ne construction,addition,or existing building ,. /�ddi�"IDY1 <br /> 2. Sin le-family detached or multiple-family attached Z, yt �� <br /> 3. If i ultiple-family-No.of units covered by this submission 3, - <br /> 4. Is t is a worst case?(yes/no) 4. N� <br /> 5. Coil ditioned fioor area(sq.it.) " 5. oZ g�P <br /> 6. GI ss type and area: <br /> a.U-factor s a• •�/S <br /> b.SHGC 6b. - 30 <br /> c.Glass area 6c. � �� _sq.ft. <br /> 7. Percentage of glass to floor area � �_o� , <br /> 8. FI I r type,area or perimeter,and insulation: <br /> a.Slab-on-grade(R-value) Ba.R= lin.ft. <br /> b.Wood,raised(R-v:ilue) Sb.R=�_ sq.ft. <br /> c.Wood,cbmmon(R-value) gc.R= sq.it. <br /> d.Concrete,raised(R-value) Bd.R= sq.ft. <br /> e.Concrete,common(R-value) 8e.R= sq.ft. <br /> 9. Wa I type,area and insulation: <br /> a.Exterior: 1. Masonry(Insulation R-value) 9a-1. R= sq.ft. <br /> 2. Wood frame(Insulation R-value) 9a-2. R= �3 ��a D 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= l 3 �sq.ft. <br /> 10. Cei ing type,area and insulation: � <br /> j a.Underattic(Insulation R-value) 10a.R= sq.ft. <br /> i b.Single assembly(Insulation R-value) 106.R=�� ��sq.ft. <br /> 11. Air�distribution system:Duct insulation,location,Qn <br /> � a.Duct location,insulation 11 a. R= �D �' <br /> b.AHU location 11 b. -N R <br /> c.Qn,Test repbrt a[cached(<0.03,yes/no) 11 c.Test report attached? Yes No <br /> 12. Co ling system: / <br /> a.Type 12a.Type: ��<�• �!G <br /> b.Efficiency , 12b.SEER/EER: �3 <br /> 13. He ting system: 13a.Type: (D KW �'����"r�l� <br /> a.Type 13b.HSPF/COP/AFUE: �7 <br /> I b.Efficiency <br /> 14. HV I C sizing calculation:attached �q, y� „�� <br /> L% <br /> 15. Hot water system: , <br /> a.Type 15a.Type: C�CG• <br /> b.Efficiency 15b.EF' . �('1-- <br /> I hereby ceAify ihal the pla nd specitications covered by the calculation are fn compliance wtth the Florida Review of plans and specifications covered by this calculation in'" es compliance with the Florida <br /> Energy Co i. Energy Code.Betare construdion is co leted, s ildi ill be inspected far compllance in <br /> S /��/ accordance wifh Section 553.908,F. <br /> PREPARED BY� DATE: < <P <br /> � COOE OFFICIAL. <br /> I hereby certi ihat h ul d' is in mpli ce with the Florida Energy Code: <br /> OWNER A6�NT: � DATE: ��y/l� DATE: �3`" <br /> C.4 � 2010 FLORIDA BUILDING,�ODE-ENERGY CONSERVATION <br /> I <br />