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From:Royai Oak IVursing Genter 352 567 2250 OSl231201? it0't #09S P.UO2l003 <br /> FORMS <br /> FLORIpA BUIl.OINC�COD�,ENERGY C8lJ5ERVATtCtt� <br /> F4RM 402-2410 Res}denUa!8utiding'1'hermat Em*atape Apptoacf� ALi.CLIMATE ZdNES <br /> Scope:Compiiance with Section d02 of the ftorlda 6ailding Gbde,fr,eryy Conservation shait be demonstrated by ihe use�i Form 402 for Single-and mul�pte�tamiy residences o!three <br /> stoass csr tess in heigM,additions to��sEiog restdentia!bv9tdtn�s,renovatfpns 2o existfng resfdentiai�uiidings,new tseating cooting aod water heating systems in exlsttng buiidings as <br /> appitcaWe.7o comply,a building must meet or exCeed a1t ot Ihe enargy efficiency requiremeRis on Tab�e 4Q2A and all appBca6le mandatory requfremetttS&Uittttl2riZCd IO TObie 4629 o{this <br /> tarm.ii a huiiding does not compiy wiih ihis method or Atternate Form 402,it mEy s1i�l comply under 5ectinn 405 of the fJorida Buildirtg CoGB,Ene�gy CnnservaGarz. <br /> PROJECT NANiE: `L{:SY�V tts'{' C^�G'.�Sf�S�� BUtLDER: r • Yl.rj �`C..�C � �4�' o <br /> nrao nanR�ss: 7 3��p �o. c.�l�.. �Rrairn�a� � !l!S <br /> �, o��rc�: <br /> OWNER�,�. �,�� PEHMl4'81p.: �� RISDtC71QPi tZO.: <br /> Geaenl InxUucttons: <br /> 1 New construction which incorporatas ar�of ihe foltowfig feetures cannot compy using tfiis method:gfass areas in excess oi 20 pece�ot Conditioned floor area,aleeiric resistance <br /> heat and air harsdiers incated i�atiics.Add�ifons 580D sq.it.,renovaltans and equipmentchangeouts me�compiy 6�i ihis method wiih exceptions giren. <br /> �I 2.Fil1 iA a!!the BpStlica64e spaces o!1hs"7o Be Instakied°colmm�on 7abie 442A with the intorntattan requested.AI!"To Be lnsts(1ed"vaiass must be eqasl to or mare efiticient than ihe <br /> ' tequired leveis. <br /> i 3.Cornplete page 1 based on the"Ta Ba tnsteiled"caiumn intormation. <br /> ' 4.Raad the requ�remeni&of Tsbie 4Q26 arrd check each box#a ir�d�cate your t�terrt to wmpty wrih ait appflcable items. <br /> I5.Fiead,sign and date tbe"Prepared 8y"ceRfilcation siatert�erri ai the�oitom o!page 1.The otvner ot ownets age�t musi alsa sign and dafe the farm. <br /> j Ptease prartt CK <br /> � 4. New canstruction,add'it(on,or existing bu3lding i. �. �� ;��,;v�t�, <br /> 2. Stngle-femity dstaehed or muitipie�family ettached x, it 1 .c1�' �� � <br /> 3. �f muilipte-tamiry-No.of untts covere�d by this subrnission �, <br /> 4. is ihis a warst oase?(yeslnaj q, Y1+3-� <br /> 5. Coedltloned floor erea(sq.ft.) 5,���,�'T <br /> 6. Glasc iype and area: �� <br /> a.Udaator ��- � <br /> b.SHGC 8b. <br /> c.Glass srea fic. Co sp,ft. <br /> 7. Percentage of glass ta fioor area 7, ,� � <br /> 8. Floar type.area or perlmeter,and insulation: <br /> a.Slab-on-grade(R value? 80.Ra lin.ft <br /> b.'4Vaod,raised(R-value) Bb.�I= sq.1t. <br /> c.Wood,cammon{R value) g�,R�_ yq,�. <br /> d.Concrete.raised(R-vslue) gd-R=� �R.ft. <br /> e.Concreee,cammon(R-value) 8e.R= j����stl.fi. <br /> 9. weU type,area and irisniatian: <br /> a.Ezreriar. I. Masomy(7nautetion R-value} 9a-1.R- Ea l�i� sq.}G <br /> 2. Waad frame tlnsulation R-value} g$.2,A= 1�_ 5(} sq.f� <br /> b.Adjacent: I. Masonry{Insuladon R-vetue� ' g�.�, ���_ �(p� �,(t, <br /> 2. Wood hame(lnsulation lt-ualue) gb.2,�� 1'�j �sq,i#, <br /> y0. Ce!ling type,area and lnsuteiion: <br /> s.Under auic{Insuiation R-va�ue} y pa,p_ '�'jb _�,n,��� <br /> � b Susgte assembiy(insulstion R-value} �qy p� �.� <br /> 11, Air distrlbut#un system:Duct Insulat�an,loc,atton,On <br /> �, a.Duct lacation,insuladon 11&. R� �. +�._„ , „l,� <br /> b.AHU location 'lfi�. {���iG <br /> � <br /> c.Qn,Test reporc attached(<0.03;yeslno) 1 t+C.Test repali a#taehed? YtS� <br /> ,2. c�o«Rg s�fi: e�au c� <br /> &.�,� 12a.Type:�e�,�� d�. <br /> b.ESiciency 12b.SF.�iiCEER: <br /> i3. Heating syatem: i3a.'f�+pe:,,,��vti'�AS�e{ �� <br /> a.� 13b.HSPFlCOFtA� <br /> b.Efiiciency <br /> 3A. HVAG sizing caicufatton:attached , .�q y� � <br /> 15. iiot water systam: � <br /> a.'iype 15e.1'ype: <br /> b.Efticiency <br /> 1bb.EF: <br /> I 3�ereby ceRify ihai the plans anq apecitiwtion�covered 6y the cekulation ere In complfanee wrih the Rorlda Aeview ol pfars end spectticetioas covered Dy lhis ca1¢ulatlon indiratrs eamyllanr,�rrim ihe Florida <br /> faerpy Code. fn0rgy Code.8sfor8 eonstructioa is eo 6. b n 71 be inbpected 1nr eompl�nce In <br /> PAEPARED 9Y:�,��.'UfA'� ��''�'�.�' �{ ��Z SccorGanca w[th Section ff53.�8. . <br /> DA7E: ' Y1$. d'(�� �� <br /> COOE OFFICIAL' <br /> !herEby Cert'r!y thatthis buildleD'ts In comp�ante with the�loriGa Enerey Godc �� �.. <br /> (YWNER AGEPIT: QAiE: QAiE: <br /> C.4 2010 FLt}RIDA BUILDiNG Ct1DE--BNERGY CONS�RVATI4N <br />