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<br />
<br />PROJECT NAME: ~f 33
<br />AND'ADDRE_~S~ 3 7'1 it'3 Btlk/JJ~
<br />
<br />().- (L,J ' /) I ..J ~f
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<br />I'~""U""...,_, .....-.- --..----:;J . _. ._..__.__.._ _ .
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<br />
<br />OWNER:
<br />
<br />PERMIT NO.
<br />
<br />1 . New construction or addition
<br />2. Single family detached or Multifamily attached
<br />3. If Multifamily-No. of units covered by this submission
<br />4. If Multifamily, is this a worst case (yes / no)
<br />5. Conditioned floor area (sq. ft.)
<br />6. Predominant eave overhang (ft.)
<br />7. Porch overhang length (ft.)
<br />8. Glass type and area:
<br />a. Clear glass
<br />b. Tint, film or solar screen
<br />9. Floor type and insulati~n:
<br />a. Slab on grade (A-value + perimeter)
<br />b. Wood, raised (R-value + sq. ft.)
<br />c. Concrete, raised (A-value)
<br />10. Net Wall type, area and insulation:
<br />a. Exterior: 1. Concrete block (Insulation A-value)
<br />2. Wood frame (Insulation A-value)
<br />3. Steel frame (Insulation A-value)
<br />4. Log (Insulation A-value)
<br />
<br />b. Adjacent: 1. Concrete block (Insulation R-value)
<br />2. Wood frame (Insulation A-value)
<br />3. Steel frame (Insulation R-value)
<br />4. Log (Insulation A-value)
<br />11. Ceiling type, area and Insulation:
<br />a. Under attic (Insulation A-value)
<br />b. Single assembly (Insulation R-value>.
<br />12. Air distribution system:
<br />a. Ducts (Insulation + Location)
<br />b. Air Handler( Insulation + Location)
<br />13. Cooling system:
<br />(Types central.spill, central-Single pkg., room unit, PTAC., none)
<br />
<br />14. Heating system:
<br />(Types: heat pump, elec. strip, nat. gas, L.P. gas, room or PTAC, none)
<br />15. Hot water system:
<br />(Types: elec., natural gas, solar, L.P. gas, none)
<br />16. Hot Water Credits:
<br />a. Heat Aecovery (HA)
<br />b. Dedicated Heat Pump(DHP)
<br />17. Infiltration practice: 1, 2 or 3
<br />18. HV AC Credits (Type In Letter designation: CF-Ceiling Fan, CV-Cross vent,
<br />HF.Whole house lan, AB-Attic radiant barrier, MZ-Multizone)
<br />19. EPI (must not exceed 100 points)
<br />
<br />a. Total As-Built points
<br />b. Total Base points
<br />
<br />EPI = Talal As-BUill pOints X 100
<br />T alai Base poonl8
<br />
<br />I, IH':((Jby ~vnl'Y IflO,jt. the ~a os an. ~5P.. .1,,::,,*llon5 C over.a b)' Ih... calculiflllon are to comphance With lhtil
<br />Ilu"",, b,u.yy Co<.lu' } (l
<br />
<br />PREPAHED BY: Z_1... m'/--'. _ ~,_ _ DATE: -
<br />I h..,..by c..n,fy .hal .h,s buddong IS on campllanctl wIlh the FIoncIII ~nergy Cocle.
<br />
<br />OWNER AGENT: . '_._ __ ______ DATE' .__
<br />
<br />
<br />-1-
<br />
<br />12a.
<br />12b.
<br />13a.
<br />13b.
<br />13c.
<br />14a.
<br />14b.
<br />14c.
<br />15a.
<br />15b.
<br />16a.
<br />16b.
<br />17.
<br />18.
<br />
<br />J19.
<br />
<br />19a.
<br />19b.
<br />
<br />,-.). oJ L.,.... ,-/
<br />CLIMATE r:::::J 'J 1-.-
<br />ZONE: 4 L.--.J 5 L__ 6 L
<br />
<br />I JURISDICTION NO.: ~! ()
<br />
<br />Please Type
<br />
<br />c
<br />
<br />A-In...;;
<br />1.
<br />2. ~j ''V) / tr-
<br />3.
<br />4.
<br />5.
<br />6.
<br />7.
<br />
<br />8a.
<br />8b.
<br />
<br />/ 1,2 _~-
<br />J.3]
<br />5,-1
<br />Single Pane
<br />.sq. ft.
<br />sq. ft.
<br />
<br />sq. ft.
<br />ft.
<br />ft.
<br />Double Pane
<br />sq. ft.
<br />Z..3~1 i sq. ft.
<br />
<br />9a. R= CJ
<br />9b. R=
<br />9c. R=
<br />
<br />/ J'z.- I. ft.
<br />sq. ft.
<br />sq. ft.
<br />
<br />10a-1
<br />10a-2
<br />10a-3
<br />10a-4
<br />
<br />R=
<br />R=
<br />R=
<br />R=
<br />
<br />./../--
<br />
<br />sq. ft.
<br />~ )'~ sq. ft.
<br />sq. ft.
<br />sq. ft.
<br />
<br />1 Ob-'
<br />10b-2
<br />10b-3
<br />10b-4
<br />
<br />R=
<br />R=
<br />R=
<br />R=
<br />
<br />4--
<br />
<br />sq. ft.
<br />308" sq. ft.
<br />sq. ft.
<br />sq. ft.
<br />
<br />I'" L..,sq. ft.
<br />sq. ft.
<br />
<br />11a. R= Z"\...
<br />11b. R=
<br />
<br />R= ~ (cond"e~ ---
<br />R= , (condJun..
<br />Type: --.Ct'...,f- l-"",,, I
<br />SEERlEERlCOP: II). U '.
<br />Capacity: _
<br />Type: j-/r04--J Pu _It)
<br />HSPF/COP/AFUE: 7.'--
<br />C 't ~
<br />apael y:
<br />Type:
<br />EF:
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<br />ReView of plans and specdicabons cover8a b)' Ihls calculallon InolcaCes cornplictncll ...
<br />Ihe Florida Ene,yy Code. ae.or onsrrucbon IS compMir8d. Ihls budCtlng wwdl bti In::'~VJlI
<br />tor campi"""'" in accard..nc II :lt~.9Oll. F.S.
<br />
<br />BUILDING OFFICIAL: /'S~
<br />
<br />DATE:.___..._ ..':: ~ (-9~____ .
<br />
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