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<br />1. New construction ,=" 'Iddith>n
<br />2. Single family detachf!d or Multifamily attached
<br />3. If Multlfamlly-.No. (If units covered by this submission
<br />4. Is this 8 worst easer (YH: I no) .
<br />5. Conditioned floor ltrel! (:q. ft.)
<br />6. Predominant el)"~ -: vl!'rl nng (ft.)
<br />7. Glass type nnd Ell"':':
<br />a. Clem fll<lT~
<br />b. Tint. fihn or ~:'l:)r :Cf(~en
<br />8. Floor type Hnrt hl'H"~1ilJr :
<br />rt ~;hh-onpr:'df' (n 'ml'IO + perimeter)
<br />lJ W/)orl. rillf" , 'n.1 'Ilun I- sq. ft.)
<br />r.. (;nncl'>lf~ [Ii,;' 'd ':1'/;31I1e)
<br />9. Net W1')lItypl?, <lH';! ,1II<dHc;ul;~tlon:
<br />a, Exterl()~: ( . )fll~rpte block (Insulation R-value) 9.-1' "Rct I .
<br />'. i()~K' frame (Insulation R.vallw) 91-2 ::~R. ;;;.~Jl "
<br />~"I '~l!f frame (Insulation R-value) 98-3; Rill ~:. , :.. '!. ; ;
<br />1.1"9 (Irmulatlon R-value) 98-4'. R.~. " ,..:', :..
<br />(l'h~lI: _____.-..... .. i
<br />b. 1\c1J~'~e'll: (')I\crf"~e block (Insulation n"n"lo:. 9b-1 ." R. .~.
<br />. I"/()~)(! fr'ame (Insulation R-v<lIIJH) 9b-2 i R..;4.tL.L;,
<br />~ fp-!!I hlme (Insulation R-.value) 9b-3!: R*:;,.\,;~',t:.. ·
<br />I. c'9 (Irl!mlatlon R-value) 9b-4lh:A-j ~ 'i " .
<br />1 O. Celllnl~ type, al'ea fmd h'I'lulaUon: I .It' ";
<br />a. Under attic (In!,ublion A-value) 'I 10...'JR.'
<br />b. Single assf.:'rnbly (Insulation A-value) "";1 ; :{',.: '10~:
<br />c. Radiant barrier Installed (yes I no) i~';ljh ;100;.;:
<br />11. Air dlfltrlbutlon system: . . '; i. )1 <'(;;~i
<br />a. Duets (Insulation + location) : ,! ~fi";t' '11
<br />b. Air Handler (Location)' .' ; ~.f) ~It:;'~ ~11
<br />12. Cooling system: ; "\}:~l'~~" :'
<br />(Types: cen.tral.splll. cenlral.slnnle pkg., room unit, PTAC., gas, non~>. . ': ,:;;:w
<br />. ; j .{
<br />t3. Heathlg system: :.
<br />(Typel':: heat purnp E'k1"\ st"lp, nat. ges. LP. gas, gas h.p., room or PlAC, nOne)
<br />14. Hot WAter system: . . . ,j::
<br />(Typel':: alec., niltural g;~n, folar, LP, gas, none) . .
<br />15. Hot Water Credits:
<br />a. Heat Recovery fHFI\
<br />b. Dedicated H"I:\I PUPlp(DHP)
<br />c. Solar
<br />16. HVAC Credits
<br />(Use: Ci:-C'eillng Fnn. n: (ros; VE'lt, PT'Pi'ogrammable thermostat,
<br />HF-Whole house fflr:t, M;~.M"ltb'ne)
<br />17. COMPLIANCE STAll'S: (PASS if As-Built PIs. are less than Base F'ts.)
<br />
<br />a. Total As-Built points' b. Total Base points J!
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<br />1.',,4.. i ',,' .
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<br />8. '.. . '\' . ft.
<br />. /: Sltlgle~ . ;; ; Oouble Pane
<br />7.1. "'f9 7ifti sq. ft.~_~_ sq. ft.
<br />7b.. . sq. ft. ____._.___ sq. ft.
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<br />OWNER 4C,ENT:
<br />
<br />by the calculation are In
<br />
<br />DATE: I() -\~() V'
<br />with tho Florida Energy Codi..
<br />
<br />DATE:
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<br />A."t..d 1998
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