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� FORM R405-2014 <br /> RESIDEIVTIAL ENERGY CONSERVATION CODE DOCUMENTATION CHECKLIST <br /> Florida Deparfinenf of Business and Professional Regu/afion <br /> Simu/ated Performance Alternafive(Performance)Mefhod <br /> Applicafions for compliance with the 2014 Florida Building Code,Energy Conservation via the <br /> residential Simulated Performance method shall include <br /> I <br /> ❑ This checklist <br /> ❑ A Form R405 report that documents that the Proposed Design complies with Section <br /> R405.3 of the Florida Energy Code. This form shall include a summary page <br /> indicating home address, e-ratio and the pass or fail status along wifh summary <br /> areas and types of components, whether the home was simulated as a worst-case <br /> orientation, name and version of the compliance software fool, name of individual <br /> completing the compliance report(1 page)and an input summary checklist that can <br /> be used for field verification (usually 4 pages/may be greater). <br /> ❑ Energy Performance Level(EPL)Display Card(one page) <br /> ❑ Mandatory Requirements(three pages) <br /> Required prior to CO for the Performance Method: <br /> ❑ Air Barrier and Insulation Inspection Component Criteria checklisf(Table R402.4.1.1 - <br /> one page) � - <br /> ❑ A complefed Envelope Leakage Test Report(usually one page) <br /> ❑ If Form R405 duct leakage type indicates anything other than "default leakage; then a completed <br /> Form R405 Duct Leakage Test Report(usually one page) <br /> EnergyGaugeO-USRCZB v5.1 <br /> 1 1/4/201 6 4:36:40 PM Page 1 of 1 <br />