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FORMS <br /> FLORIDA ,BUILDING;CODE, ENERGY CONSERVATION o <br /> Residential Building Thermal--Envelope Approach 8 <br /> FORM R402-2017 Climate Zone ❑ <br /> Scope:Compliance with Section R401.2(1)of the Florida Building Code,Energy Conservation,shall be demonstrated by the use of Form 11 <br /> R402 for single-and multiple-family residences of three stories or less in height,additions to existing residential buildings,alterations, <br /> renovations and building systems in existing buildings,as applicable.To comply,a building must meet or exceed all of the energy efficiency <br /> requirements on Table R402A and all applicable mandatory requirements summarized in Table R402B of this form. If a building does not <br /> comply with this method,or by the UA Alternative method,it may still comply under Section R405 of the Florida Building Code,Energy <br /> Conservation. t 0 <br /> PROJECT NAME C�SNE,2bS TzDD/j'J ADDJTIDN BUILDER: �SU/V57-/V7� 60L-PeW-5 /NG <br /> AND ADDRESS: <br /> 3`f 33 PERtDOT [.N• �_J[.�- 'c <br /> OWNER: EME�RLl� A07NT _ PERMITTING OFFICE: G� c V ��eIII"' •r/�I i'S Q <br /> Z�pyyR411 Le,, C4 23-SVI JURISDICTION NUMBER: lllP <br /> PERMIT NUMBER: <br /> General Instructions: <br /> 1.Fill in all the applicable spaces of the"To Be Installed"column on Table R402A with the information requested.All"To Be Installed"values must be <br /> equal to or more efficient than the required levels. (I <br /> 2.Complete page 1 based on the"To Be Installed"column information, 8 <br /> 3.Read the requirements of Table R402B and check each box to indicate your intent to comply with all applicable items. <br /> 4.Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or owner's agent must also sign and date the form. <br /> (I <br /> 1. New construction,addition,or existing building 1. 11 <br /> 2. Single-family detached or multiple-family attached 2. _s l Y1Gi I e- <br /> �G wti c( <br /> 3. If multiple-family,number of units covered by this submission 3. <br /> 4. Is this a worst case?(yes/no) 4. NO 0 <br /> 5. Conditioned floor area(sq.ft.) 5. - ($•7.r] <br /> 6. Windows,type and area <br /> a) ULfactor: Ba. 0 <br /> b) Solar Heat Gain Coefficient(SHGC) fib. aZJr <br /> c) Area 6c. F�• 8 <br /> 7. Skylights <br /> a) U-factor: 7a. <br /> b) Solar Heat Gain Coefficient(SHGC) 7b. A <br /> 8. Floor type,area or perimeter,and insulation: <br /> a) Slab-on-grade(R-value) 8a. <br /> b) Wood,raised(R-value) 8b. R-13 <br /> c) Wood,common(R-value) 8c. <br /> d) Concrete,raised(R-value) 8d. <br /> e) Concrete,common(R-value) 8e. Q <br /> 9. Wall type and insulation: <br /> a) Exterior: 1. Wood frame(Insulation R-value) 9a1. R-1 3 <br /> 2. Masonry(Insulation R-value) 9a2. <br /> b) Adjacent: 1. Wood frame(Insulation R-value) 9bl. IZ-13 <br /> 2. Masonry(Insulation R-value) 9b2. <br /> 10. Ceiling type and insulation <br /> a) Attic(Insulation R-value) 10a. (] <br /> b) Single assembly(Insulation R-value) lob. L 8 <br /> 11. Air distribution system: <br /> a) Duct location,insulation 11 a. <br /> b) AHU location iib. <br /> c) Total duct leakage.Test report attached. 11 c. ofm/100 s.f. Yes❑ No❑ <br /> 12. Cooling system: a)type 12a. FX I DTI lUC- <br /> b)efficiency 12b. Q <br /> 13. Heating system: a)type 132. X I $TI 1J Co, <br /> b)efficiency 13b. <br /> 14. HVAC sizing calculation:attached 14. Yes❑ No f5' 8 <br /> 15. Water heating system: a)type 15a. I� <br /> b)efficiency 15b. <br /> I hereby certify that the plans and specifications covered by this form are Review of plans and specifications covered by this form indicate <br /> in compliance with a Florida Buildin e, ergy C�o�ns�eo2va�t'o�n, compliance with the Florida Building Code,Energy Conservation.Before <br /> PREPARED BY: Date�� � construction is complete,t is building will be inspected for compliance in <br /> I hereby certify hat thi ilding is in compliance with the Florda Building accordance with Sectio% B F.S. <br /> Code,Energy Conservation. CODE OFFICIAL: <br /> OWNER/AGENT: Date: Date:6 a ^P 0 <br /> ��r 11 <br /> 6 o <br /> FLORIDA BUILDING CODE-ENERGY CONSERVATION,6th EDITION(2017) R-55 <br />