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APPENDIX C [CE] FORMS FLORIDA BUILDING CODE,ENERGY CONSERVATION CHAPTER C4—COMMERCIAL ENERGY EFFICIENCY Form C402-2014ALTERATIONS,RENOVATED BUILDING and BUILDING SYSTEMS Climate Zone: ZA Project Name: CY L JC Occupancy type: Address: 3!, U_ k - Alteration Renovated Building,o Building System m City,Zip Code: Building Pennit No.: Builder. JAIkk T \J f✓ Permitting Office: Owner L- rRuw M&i BUILDING ENVELOPE INFORMATION(Where changed) Envelope Component Description Requirement Efficiency t1,� Location Unit Required Installed Roof type �Ci L eL"� 2 or c U-factor or Table C402.2 I I '' ?R-value Roof reflectance/Emittance >Solarreflectance, �� (low slope roofs) Table C402.2.1.1 >_Thermal emittance Wall type;above grade kkc-Ak(- tLoo IR413 Wail,below grade pc Table C402.1.2 or Table C402.2 `U-factor or >R-value Floor type SILAV, W - tbl Vertical fenestrations DOV$I !U-factor 5 0,5— CqlkWO <_SHGC 2S 0.2s- � \\ Table C402.3 <_U-factor Skylights ,V <SHGC N �. BUILDING SYSTEMS INFORMATION for HVAC service hot water or pool heating,lig1htina systems,and replacement fenestration C101.4.7 System Type(describe system) Requirement Efficiency Location Unit Required Installed Air-conditioning system Tables C403.2.3(1-3.6-8, 10-11) SEER or EER,IEER Heating system Tables C403.2.3(2-6) HSPF or COP AFUE,Et or Ec a.2 Ventilation/air handling system Tables C403.210.1(1-2) Fan paver(cfm): VON K, it Ducts Location: Table C403.2.7.1 R-value Piping Fluid design operating temp: Table C403.2.8 Inches nJ A N Hot water Ok Table C404.2 EF,Eb COP Lighting Space types:(append list) Table C405.5.2(1 or 2) Lighting power density 1 .137- 1 .8 Z Fenestrations:Enter information in BUILDING ENVELOPE INFORMATION box above. Other. COMPLIANCE IS BYANSI/ASHRAE//ESNA 90.1 m (Subm)t alternate form or append documents as needed) i hereby certify that t !a nd specificati n covered by the calculation are in compliance with Review of plans and specifications covered by this the calculation indicates compliance with the Florida Florida Building Code nervation Building PREPARE BY. Code;Energy Conservation.Before construction is DATE: S completed,this building will be inspected for I hereby certify that this building is in compliance with the Florida Building Code,Energy compliance Conservation: in accordance swith tion .908,F.S. OWNERIAGENT.- BUILDING DATE: FFICIAL: DATE: