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<br /> , ` FOR�9S
<br /> 1=�.�3A'J�A�t3fL.t�l�f�'a�C���'�����'�����f����!'�!7'l�t� �
<br /> �es�d�s��6����a�lc��rag'�e���t ������pe#��pera��h r� �
<br /> �i���{!��C?2�d�'8� ��ir�ra������L�-� �
<br /> Scopa:Compiiance with�ecilaa R�01.2(9}of tt�e Ftorida Suifding Coda,Energy Conssrratiorr,shall b$demonstrated by t�e use o#Farm �
<br /> R4Q2 far single-anr!rnu(tiple-famsiy resir3ences of ihree stories or less in hsight,a�di#ions to existing resi�entiak bui4dings,a�teratians, �
<br /> renovations and building systems in existing buildings,as app{icab(e.l'o camply,a building musi rtteet or exc8ed atE o�t31e ehergy efficisncy �
<br /> req�irements an Tabte�ta02A and ati appticafi�te mandaiory ret3u"ssements summarized in Table Fi402B ofi this form.lfi a building aoes rcot
<br /> compty with this rttett�ad,ar by tt;e F3A A(Terr.s#ive msthcd,it may sts[!compSy�.�rsd�r S�ciion R4a�af fhe�'tarid3 Bur7ding Cade,crrergy c
<br /> Cansarvation. �
<br /> PFiOJ�CT MAME�p�p s f-��1 �� CGtt'�✓`���� I�'l.I�� liIIEii: i/'C�--G� ,�3t¢f�� �'. � �
<br /> d1N13 ADS�RESS: C.Lllt� � n-t(, � p r
<br /> C#4�t�lER: '�J��?�I �.:`�t�L.CJ� �� FE�i�tii'�1Rt€�flF�#CE: �-�"�� azi-�l��il l � Q
<br /> �,.�d�r�r�tl�� �l_ �-.��"�:�, au�ss�t�c€s����s�R: Co�l.(�ai? �
<br /> ����rr r�c�n�$��; �2�� �
<br /> G4R8731!tl$tRIG'��Oti9: �
<br /> 1.Ei(!in aii the appllcaFsle speess a�ths"7o Be Instattad"catarrtn on T3b9e R40s^A uriih tfse trtfarmaSon reques2ed.Att"Ta Be Inst2!!ed"valttes mus2 f.tte
<br /> equa!ta or more eiftcisnfi thers fhe required leveis. �
<br /> 2 Comglete page f bases3 aa the"To Be tns&eSlsd"columa Inlorsnst3ott. �
<br /> 3.Read ttse reqrstrt+merrts of Yabte i32028 and c(�ck�ch @sox to 3ndIcata your iflierri io compiy wifh af!appticable f2esns. �
<br /> 4.Read,sign and dafe fhs"Pte�ared Sy"certiftcatian statesnent 2i the battom of pags 9.ihe o�rner ar ob�rter"s agen4 rn�s#afso slg�aad 8ate itte form.
<br /> s �
<br /> 1, t�e�v coastrttctfen,addii?an,or ez[sttng tt�slldtrtg 3. � r` f.�'3 �
<br /> 2. Singte-iamtiy @eYached or resctiUgSe-fam!!y attaahed 2 '�'-7'e�� �,��� �
<br /> 3. (f mulYtple-tam�y,nismber of unIYs eavared by tttis su4missfan 3.
<br /> �. Is titts a warst case?(yeslnaj 4. �� -..._._. �
<br /> 5. Canci[2taned fioar asea(sq ft.} 5. ��'�"'� �
<br /> 6. �`dindavls,type and area
<br /> n
<br /> a} U�factoc �• ��� �
<br /> b} Sc�3ar Heaf�as�CaefFcisnf(SE{�Cj 66. �i.�..'� �
<br /> G� AC88 f�. �jG"�` '�"�
<br /> 7. Sky{ights � �
<br /> aj Uaac2or. ��- �
<br /> !�} Sotat ti�:a#i".,ain C:ce3fsc.ar.t(SHGCj 7E�. �
<br /> &. Flaor Yyge,area ar p�rtmeter,and tnsulatiocs:
<br /> a) Siab�on-c,rade(R-vaiue? 8a. �""'f.� �>�� �
<br /> b} if4�4Cd.T"diSEd(R-V2Iti@} 80. '~` Ff
<br /> C� �r`OCiE�,v4FS:E3t6S2{f��f2�li$} $C. '�
<br /> d) Concrete.raised(R-va�.:e} 8rf. . �
<br /> e} Cnncreie,comMcn{F�vsiva} �e. �_ ""' _.._� �
<br /> 9. ii�ati ty�and insulattan: �
<br /> aa Exteslor: i. 1rVeod isacne{tnsu!atian R-vatue) 9a2. "" .� _._Y ,
<br /> 2 PvSBSOD�}/(3fISU18ts'pt1 R•V2lct6) °�'• _,. t�'" '"� _ �'�� �
<br /> b} Ad'�acent: i. Wood irama(Irtsuk38on R.value} 3b3. �
<br /> 2 !,hascnry(lr�sutaticn FHvah:e} 3ts2. .,,_� �
<br /> ,asc �
<br /> i0. Ceifit�gtyp�sasttiinsuta4lan ,��
<br /> a) At�c(lnsutation R-v2tua) #�. _�_.csn._ �'� �
<br /> b} Singte assem6�y jlrssutaEon F�u�'.ue} 'SGb. �
<br /> 1t. Alt distn'htsQiCn system: (;,�� j.,f„�� � ry �
<br /> aj Ductiac�Gcn,i�sutaUon t1a. �.: C33C'TG�I _ :t5
<br /> b} ANUlocaUon rt�b• -�'�"�n�'� �
<br /> a) To=af c��ct t�aicage.Tes:repart attzched. 'lac. ctjrllcto s.i. Yas Cl �o� �
<br /> 12. CcofSttgsgstem; 2}!YPs i22. �r't`lGi
<br /> b)affioierscy y�. l��- _ �
<br /> i3. �teating system: ai tyAe �3z. �„ r��i i`�� �
<br /> �}af�^iency 48b. �'S•''z �
<br /> 14. HVAC sIzing caicula?ian:att�aChed 14. Yes l3 SNa�
<br /> 25, Water freating sysiem: a}type #Sb. - �, L"-� �
<br /> b}e�:cierscy �
<br /> I hereby aertify tfsaY the #a an8 sp ifi kicr.s cavered by 3.#is fcrm as� E?evisw ot pFans an�sgectfscations sauated Dy fhis farm istdicate �
<br /> In cumpliarsce wSth t arldz 3ztit�r,� ,F�rergy C�r.sp�U �:. compiiar.ce�rittt the Ffarida Snifdfag Cac�Energy`orrs�.nra�az Befessa
<br /> PREPAR�£!BY: DaYe /� � tnnsYrE!ction is compiete,t9its t�uileling wifi tss ins�see4se3:o�compl6ance i� a
<br /> 1 hereby cetf�fy thai ihis huitd'sns3 i in ccmpitane�vaith itse F:�sr1 a BuiJ�tng acoarsfaace�a`�itt�e�g:e�,2�����388,g.S. �
<br /> Cacte,ERergy Co a' n. COOE CfF�I tAL: �� �
<br /> Ot'lKfWA�ENT� ftaie� t�3�t �c�. t7ate• ,"'' •
<br /> �l.t#l�tOA�[l1LC31 �G{3DE-�RtERt'iY Ct?S�SERV��'iflY�S,6tit�€'ft�'2t3R1(2�3't7} f?-S�
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