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<br />I <br />! <br /> <br /> <br />1"".lIfr... b...........................GIIlIIllII8*lIf-. .............. <br /> <br />OFfICE: <br />OWtER: ~~ <br /> <br />SWtLADIIIDSlOEJSI1lJIEiIIII&...__.......~- .............iIITIIIIIsIC-t.l&2...IC3......,.."'d ~lIf.......ID..lIIiIIv....... <br />SpaIlllllflr.l,~........IIIIIIIiag........,......III.....,..........iI............ID.........IsIlllilD......iIt..............ClII\IlIldlIA. ~ <br />......IlM......SIIIlIIS_~spas-..............iIlIMII.... 11117M1DtS(IIlIIidBnIII~................_.._lIf..lISISIIIIl..lIf.. <br />..... ~.......iItT....IC-1...a_...,ID.....- I . ..__~..............IIIIIFICItHDIDEUIl)UDlGS.Odr.............-.... <br />nCllllellldbylis IomL IIWlI<<2SYS1B1SCcIIW....QlI1Ml...lli11111ed. P..... PrInt CK <br /> <br />-It-or> I~ <br />Sw.: 1.c <br /> <br />1. Renovation, Addition, New System or llanufactured Home <br />2. Single faI'IIlly de1ached or IIuIIifaIIIIy atIBChed <br />3. If Multlfamily-No. of units covered by this submission <br />4. Condtlioned floor area (sq. ft.) <br />5. Predomlnent esve overhIIng (ft.) <br />6. Glass area and type: <br />a. Clear glass <br />b. Tmt. film or solar SCI88I1 <br />7. Percentage of glass to floor area <br />8. Floor type and InsuI8tion: <br />a. Slab-on-grade (R-value) <br />b. Wood, raised (R-value) <br />c. Wood, common (R-value) <br />d. Concrete, raised (R-value) <br />e. Concrete, corrmon (R-value) <br />9. Wall type and 1nsu18lion: <br />a. Exterior. <br />1. Masonry (Insulation R-value) <br />2. Wood frame (Insulation R-value) <br />b. Adjacent: <br />1. Masonry (Insulation R-value) <br />2. Wood frame (Insulation R-vaIue) <br />c. Marriage Walls of Multiple Units. (VeslNo) <br />10. Ceiling type and Insulation: <br />a Under attic (Insulation R-value) <br />b. Single assembly (Insulation R-value) <br />11. Cooling system- <br />(Types: central. room t.nt. pacbge terminal A.C.. gas, existing, none) 11. <br /> <br />--' <br /> <br />12. Heating system-: (Types: heat ~ elec. SIrip. natural gas, LP. gas, <br />gas h.p., room or PTAC. ~ none) <br />13. Air Distribution System-: <br />a Backflow damper or single package sysIemS- (VesJNo) <br />b. Ducts on marriage waIs adequately sealed. (VesINo) <br />14. Hot water system: <br />(Types: eIec.. naIuraI gas. oIher. exisIing. rme) <br />* Pertains to manufactured with site insIaIIed componenlS. <br /> <br />--' <br /> <br /> <br />IMTE: <br />EneIgy <br />IMlE. <br /> <br />covered by Ihe ca <br /> <br /> <br />in R8wieII............ .......'6a11l118d by"CllclMDnhlcales~ <br />..... FIi:IIdIl EneQ Code. Blbec:Gllllllli:lla is ~ lis tIIiIding wit be <br />inspecIBd farOOlliplllllce in ~... Sdon !m9ll8. F.S. <br />aJLIIHJ ClFI'ICIIlL: _ _ <br />IMTE: <br /> <br />I hereby certify ltat <br />compIlance wiIfIlhe <br />PRI!I'AREO BY: <br />IIler8by certIy that <br />OWNER AGENT: <br /> <br />FLORIDA BUILDING CODE - BUILDING <br /> <br />1. <br />2. <br />3. <br />4. <br />5. <br /> <br />I~ l.- <br />/1'1<:.{1' <br />S~ Pane Double Pane <br />n- sq. ft. . sq. ft <br />sq.ft. sq.ft <br />.z.~, r % <br /> <br />sa. <br />8b. <br />7. <br /> <br />Sa. R=L 5~ In. It. <br />Bb. R= sq. ft. <br />Sc. R= sq. ft. <br />&d. R= sq. ft. <br />Be. A:: sq. ft. <br />98-1 A:: ~ Zt:i4 sq. ft. <br />98-2 R= sq. ft. <br />9b-1 R= ~ ill sq. ft. <br />9b-2 A:: sq.ft. <br />9c <br />108. A:: ';0 I 'i 1/ sq. ft. <br />1Gb. R= sq. ft. <br /> <br />Type: J;:; <br />SEERIEER: t- )'l-J~ <br />12. Type: 1+....,0 <br />HSPFICOPf~~ <br /> <br />138- <br />13b. <br />14. <br /> <br />~;: ~v&- <br /> <br />13.203 <br />