<br />De"~rtme~t of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
<br />l' FO:1M 500i\-rI3 Residential Whole Building Performance Method A CENTRAL 4 5 6
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<br />OFFICE: ZONE: 4 LJ 5 6
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<br />PERMIT N. t:, ( JURISDICTION NO.: ~
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<br /> Pease Tvoe
<br />ew construction or addition 1. .././ I ~",../
<br />111'(1'-:: fun ;!~ c!~;1tacht~.j cr MultHaIT'~!Y attached 2.
<br />Ml.i:':f.W',Uy._!)o. (}f units covered b" this submission 3.
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<br />r:i~ t.;l ;,~fn:;ni~~1j , i~ this a worst ca~;'" (yes / no) 4. ----
<br />')[.';';;Uc..1ed f~. 'O/"i'eCl (,q, It, ) 5. Jqrg-- sq. ft.
<br />.i?(~O".~,,;~.~';~t r;.1'V"2 ~::'vcr~1ar:,] (ft) 6. /13.3__ ft. -----
<br />'-D ~~,,:~ .. r{':"':"}~'..~' ~~~ lcr")':t (f') 7. r- ft. ---
<br />1..;1::;;, J.y'};;;, 2nd are3: Single Pane Double Pane
<br /> a. Cic:ar 91ass 8a. sq. ft. sq. ft. ,
<br /> Tilt. film or solar screen 8b. } 79 sq. ft. ft. "
<br /> b. sq. ---
<br />Oir typc: '!nd ins~!lalior: )0
<br /> a. Siab on gmce (f\.value .1 perimelc r) 9a. R= (2J , i - I. ft. ---
<br /> b. Wood, rai30d (P-valuc + sq. ft.) 9b. R: , sq. ft. --.-
<br /> c. Concrele, rais,;:d :;-;.vaiue) 9c. R= , sq. ft.
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<br /> a. E)(+~ricr: 1. Concre!E,~ blxk,: ;lsulation R-value) 10a-1 R= __sq. ft. ---
<br /> 2. Wood frC'r.l€ (Insuration R-value) 10a-2 R= n ~)- sq. ft.
<br /> 3. Steel fran:e (Insulation R-value) 10a-3 R= sq. ft.
<br /> 4. Log (!nsulation R-value) 1 Oa-4 R= sq. ft.
<br /> .. '!'iCfnt: 1. CO!lCrete block (Insulation R-value) 1 Ob-1 R= -- sq. ft.
<br /> n Wood frame (Insulation R-value) 10b-2 R= J) l3.r sq. ft.
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<br /> 3. St,}ellrame (lm;ul,:tion R-value) 10b-3 R= sq. ft. ---
<br /> 4. Log (Insu!ation R-value) 10b-4 R= sq. ft.
<br />eiling tvpe, area and :nsulat~0n: /'J3'1sq.
<br /> a. Under attic (lnsula~ion R-va!:J8) 11a. R= Z,'Z- ft.
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<br /> b. Single aEsembly (!ns:,'ation :1..value) 11b. . R= sq. ft. -~---
<br />'I' dishiol1tinn ~\y"tcm: & (COnd.l~'
<br /> a. Dl~ .ts (h;c,uI2!ion + ~_cls(.)t:url) 12a. R= ,--
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<br /> b. Air Hand!or( fnsulat:on + Lc'cation) 12b. R= , ~__ (cond.luncond.) -------
<br />001""\9 :'3ystem: 13a. Type: {} f-~' I-^-A I
<br />)irc": centr<ll-split, certr('1lshg'e rk:~., rocn un:t, PTAC" none) 13b. SEERlEERlCOP: /c) (h'
<br /> 13c. Capacity: 31.- . t,.) ·
<br /> ~'\ 'ern: 14a. Type: -E'/'''A-I P J.....p --
<br /> ""fI, :+.'c. strili, rat gR~), L.P. g8S, room or PTAC, none) " 14b. HSPF/COP/AFUE: A ;-
<br />,';"#" '....~a7:G,. SY$iJof~ ..11: 14c. Capacity: 3hvo
<br />YPCS: olcc., natuia: gas, solar, L.P. gas, none) 15a. Type: c./(~.
<br />ot Water Cmdii:J.: 15b. EF: j I
<br /> a. Heat Recovery (HR) 16a.
<br /> b. Dedicated Heat Pump(DHP) 16b.
<br />filtration practice: 1, " ;)r 3 17. 1-
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<br />V AC Credits (Type in Letter designaUon: CF-Ceiling Fan, CV-Cross vent, 18. L~ / (V
<br /> HF-Wl1c!e house !aR, RB-Attic radiant barrier, Ml-Multizone) '19. ~ I
<br />Pi (must not exceed 100 points)
<br /> a. T atal As.Built poirJs fEr: :;TotaIAs-Builtpoints X 100 I 19a. I ;;. ~I , I,.}
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<br /> b. Total Base points Total Base points 19b. I 30'1.
<br />:~rt;;, ':,at tile plans and spe~"dions covered oJ the calw:ation are in compliance with the Review of plans and speci'ications covered by this calculation indicates compliance wrth
<br />Energy C~dZ' 'j (; / )lAd the Floride Energy CO<:Je, Before construction is completed, this building will be inspected
<br />R[I)BV, ~{"'':'"'~;;fiL:L./:.M.-:''' ,"'-____ DATE _ / ~ <~ for compliance in accordance with Section 553.908, FS.
<br />certify th".th;s 1:!I.,!,ll'\{) is in' . ... .;-';"'100 ,vnh the F1or,'!a E:1ergy Code, M . 81JILDING OFFICIAL:
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<br />AGENi' <;. Lc..,~l.t..~=_: .. DATE: .'./;./. DATE:
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