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<br />FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION <br />FORM ~1 Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6 <br />Sm8l1 Additions, Renovations &. Building Systems <br /> <br />Compliance with Method C of Chaptel6 of \he Rorida Energy Efficieney Code may be demonstrated by \he use of F0!lTl6OOC-01 lor additionS of 600 square feet or less, site- installed componen1S of maoofactured homeS, and <br />reoova1ionS to' and ' , . . AIlemiltive methods are . for ad<ilions use of Form 6006-01 or 6OOA'()I, <br />PROJECT NAME: C: BUILDER: <br />AND ADDRESS: PERMITTING 0 0 0 <br />OFFICE: ZONE: 4 5 6 <br /> <br />OWNER: Co 'It(7/} (,. PERMIT NO.= JURlSDICTIONNO.: c:r=crr::o <br /> <br />SMALL AOOtTICNl TO EXISTING RESIDENCES (600 Square feel or less 01 oord\iOIlIld area), ~ ~iremen\S i1 T aI.lIes 6C-1, 6C-2 and 6C-3 appy C1I'tf tllle COOJ;lOIlllIiS ollie adlition, no! tl the 8lIiD1g buIdng. <br />Space healing, ooofing. and water healing equipmenI efficierCy levels must be met only when equipment is insta8ed specifically to seMl the atldiIion oris ~ installed in conjunction with the additiOO COllSIrOOioo. Co11\JlOIlenIS <br />separating unconditiOned spaces from conditioned spaces must meet the prescrtbed minimum insulation levelS. RENOVATIONS (Residential buildngs uOOe/gOing renovationS costing more than 30% of the assessed value of the <br />building), Prescriptive requirementS in Tables 6C-1 and 6C-2 apply only to the componen1S and equipment being renovated or replaced, MANUFACTURED HOMES AND BUILDINGS, Only sile-installed oomponents and features <br />are covered by ttis form. BUILDING SYSTEMS Comply when complete new system is installed. Plea- Print CK <br /> <br /> <br />1. Renovation. Addition, New system or Manufactured Home <br />2. Single family detached or Multifamily attached <br />3. If Multifamlly-No. of units covered by this submission <br />4. Conditioned floor area (sq. ft.) <br />5. Predominant eave overhang (ft.) <br />6. Glass area and type: <br />a. Clear glass <br />b. Tint, film or solar screen <br />7. Percentage of glass to floor area <br />8. Floor type and Insulation: <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, common (R-value) <br />9. Wall type and insulation: <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-value) <br />c. Marriage Walls of Multiple Units" (Yes/No) <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 unit, package terminal A.C., gas, existing, none) <br /> <br /> <br />12. Heating system": (Types eat pump, elec. strip atural gas, L.P. gas, <br />gas h.p., room or PTAC, existing, none) <br />13. Air Distribution System": <br />a. Backflow damper or single package systems" (Yes/No) <br />b. Ducts on marriage walls adequately sealed" (YesINo) <br />14. Hot water system: <br />(Types: elec., natural gas, other, existing, none) <br />* Pertains to manufactured homes with site installed components. <br /> <br /> <br /> <br />1. <br />2. <br />3. <br />4. <br />5. <br /> <br />/ J'l <br /> <br />6a. <br />6b. <br />7. <br /> <br />Single Pane Double Pane <br />sq. ft.~ sq. ft. <br />sq. ft. 113 sq. ft. <br />0/0 <br /> <br />8a. <br />8b. <br />Be. <br />8d. <br />Be. <br /> <br />R= <br /> <br />R= <br /> <br />R= <br /> <br />R= <br /> <br />R= <br /> <br />__ lin. ft. <br />__ sq. ft. <br />sq. ft. <br />__ sq. ft. <br />__ sq. ft. <br /> <br />9a-1 R=JL sq. ft. <br />9a-2 R= sq. ft. <br />9b-1 R= sq. ft. <br />9b-2 R= sq. ft. <br />9c <br />10a. R= '}O / I./.J'-I sq. ft. <br />10b. R= sq. ft. <br />11. Type: Ce'\f rbl <br /> SEERlEER: 1'- <br />12. Type: eLet.+J'~ ~ ft"R <br /> HSPF/COP/AFUE: <br />13a. !y~ <br />13b. <br />14. ~:;: -pfJeetr,y <br /> <br />Review of plans and ~ covered by this calculation indicates co~ <br />~ \he FlOrida Energy Code. Before c:onstr\iCliOIl is ~, this blikflllQ wiD be <br />inspeeted for cornpIi*1ce in accordance with Seclion 553.908, F .5. <br />BUILDING OFFICIAL: <br />DATE: <br /> <br />-1- <br />