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FLORIDA ENERGY CONSERVATION CODE <br /> Mandatory Duct inspection Certification for HVAC change-out <br /> For use when part of the duct and/or HVAC system has been replaced(Section 101.4.7.1.1 &FS 553.912) <br /> Owner: Courtney Was&Olemi Galvez Contractor Name: Dennis Zacek <br /> Street Address: 5028 18th St Jurisdiction: City of Zephyrhills <br /> City: Zephyrhills Permit No: <br /> Zip: 33542-2152 Final inspection Date: <br /> I certify that I have inspected the duct work associated with the HVAC unit referenced by the permit listed <br /> above and found it complies with the requirements of Section 101.4.7.1.1 as indicated below: <br /> Where needed, the existing ducts have been sealed using reinforced mastic or code-approved <br /> ❑ equivalent. <br /> ❑ Ducts are located within conditioned space. (Section 101.4.7.1.1 exception 1) <br /> ❑The joints or seams are already sealed with fabric and mastic (Section 101.4.7.1.1 exception 2) <br /> stem was tested (see below) and repairs were made as necessary-- (Section 101.4.7.1.1 exception 3) <br /> 1 <br /> Signature Field: <br /> Date: <br /> 1 <br /> Printed Name: <br /> Contractor License#: C M C 1250555 <br /> 1 certify I have tested the replaced air distribution system(s) reference by the permit listed above at a pressure <br /> differential of 25 Pascals (0.10 in.w.c.). <br /> Signature Field: Date: <br /> Printed Name: <br /> Form revision date:March 18,2011 <br /> 1258445 <br />