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o4uM°" Construction Services Division <br /> 1400 N.Boulevard Approved <br /> Tampa,FL 33607 - <br /> Phone:(813)274-3100 Blower Door Test Form <br /> � y Fax:(813)259-1712 <br /> www.titmpagov.net/perrmits <br /> Builder: (}7 4 Project No. <br /> ' Address: 3C%J O 9 Tue k e y Rd Unit#: <br /> City,state,zip: Gl;l(s FL -3 3�'4'-- <br /> Air Infiltration Test Results <br /> "c CFM(50)= t j Volume= <br /> ACH 50=CFM 50 X 60/Volume= Ct! <br /> ❑Fail Passing results must be 7ACH(50)or less <br /> Buildings with less than 3 air changes per hour will require a whole house ventilation system in <br /> a° accordance with M1507.3 <br /> Certification of Test Results <br /> R402.4.1.2 Testing. The building or dwelling unit shaft be tested and verified as having an air leakage rate not <br /> exceeding 7 air changes per hour in Climate Zones 1 and 2,3 air changes per house in Climate Zone 3 through 8. <br /> Testing shall be conducted with a blower door at a pressure or 0.2 inches w.g.(50 Pascals). Testing shall be <br /> conducted by either individuals as defined in Section 553.993(5)or(7),RS or individuals licensed as set forth in <br /> Section 489.105(3){f),(g),or(h)or approved third party. A written report of the results of the test shall be signed by <br /> the party conducting the,test and provided to the code official. Testing shall be performed at any time after creation <br /> of all penetrations of the building thermal envelope. <br /> `r Authorized Third Party <br /> oy " <br /> r`- sh ,�• Class A or B Air Conditioning Contractor or Mechanical Contractor License No. ram( '- 71j <br /> Energy Auditor Certification No. ()(ty 1 l(6t <br /> Energy Rater <br /> Printed Name: 1_ y(G. tp_ Date: <br /> Signature: <br />