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FROM (TUE)MRR 24 2009 10: 03 !ST . 1O: O3 'No . 7521554501 P 1 APPENDIX G FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1100B-07 Residential Component Prescrlptdve Method B CENTRAL 4 5 6 Compliance with Method 0 Chapter 11 of the Florida Building Code, Residential may be demonstrated by the use of Form 11006 for single- and multiple -famiy residences of three stories or less In height. and additions to existing residential buildings. To comply, a buikfirrg must meet or exceed all of the energy efficiency prescripltves In any one of the prescriptive component packages and comply with the prescRfives listed in this form. An alternative method Is provided for additions of 600 square feet or less by use of Form 1100C. N a building does not comply with this method, It may still comply under other actions in Chapter 11 al the code. PROJECT NAME: Rinaldo A4414 'on. BUILDER: D wnear. AND ADDRESS: 54 37 11 St PERMrTT IN Cl--, r CLIMATE Z eFhyrh; 11,,F1. 3354A OFFICE: t t 4 L rFt .� l ZONE: 4 5 6 • OWNER: Toe T• 1•r) edel0 PERMIT NO.: loA r 0 121 11 1 1 JURISDICTION NO.: 1. NewmratructIon Including additions which incorperate any of the following features moot comply using this method: steel stud walls, single assembly rooViceirng construction, or skylights or other nolvedcal rod glass. 2. Choose one of the component packages "A' through 'C' from Table 11B-1 by which you Intend to comply with the code. Circle the column of the package you have choosen. 3. Fill in all the applicable spaces of the - To Be Installed" column on Table 118 -1 with Use information requested. All 'To Be Installed' values must be equal to or more efficient than the required levels. 4. Complete page 1 based an the °To Be Installed" column information. 5. Read "Minimum Requiremems far All Packages ", Table 118.2 and check each box to Indicate your Intent to comply with at applicable items. 6. Read, sign and date the 'Prepared By' certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. • Please Print CK 1. New construction or addition 1. • lb 2. Single - family detached or multiple - family attached 2. I l5 3. If multiple - family -No. of units covered by this submission 3. - 4. Is this a worst case? (yes/no) 4' Cl n 5. Conditioned floor area (sq. ft) 5. 1 6. Glass type and area: 6a. " 75- a. U- factor (or DEFAULT) 6b. • t-10 b. SHGC (or DEFAULT) 6c. 12 sq ft c. Glass area 7. Percentage of glass to floor area 7. 1 % 8. Floor type, area or perimeter, and insulation: 8a R = -P,- 170 lin ft. a. Slab -on -grade (R- value) 8b. R =- sq. ft. b. Wood, raised (R- value) 8c. R = sq. ft. c. Wood, common (R- value) 8d. R = sq. ft d. Concrete, raised (R• value) 8e. R = sq. ft. e. Concrete, common (R- value) _ 9. Wall type, area and Insulation: a. Exterior: 1. Masonry 9a-1 R = sq. ft. NY(Insulation R- value) 9a-2 R = 11 cQ I!Q sq.ft• 2. Wood frame (Insulation R- value) b: Adjacent: 1. Masonry (Insulation R- value) 9b-1 R = 5 a 1[p sq. h. 2. Wood frame (Insulation R- value) 9b-2 R = sq. ft 10. Ceiling type, area and Insulation: a. Under attic (Insulation R- value) 10a. R = .0 sq. It 17 0 b. Single assembly (Insulation R- value) 10b. R = sq. ft. 11. Air distribution system: Duct insulation, location 11. R = Test report (attach if required) -- 12a. Type: Cehci.1 12. Cooling system: 12b. SEER/EER: 3 (Types: central, room unit, package terminal A.C., gas, none) 12c. Capacity: 13. Heating system: 13a. Type: 11CCv-4" Romp (Types: heat pump, elec. strip, nat. gas, LP-Gas, gas h.p., room or PTAC, none) 13b. HSPF /COP /AFUE: 7' 13c. Capacity: 14. Hot water system: 14e. Type: 1 r4- (Types: elec., nat. gas, LP -gas, solar, heat rec., ded. heat pump, other, none) 14b. EF: / - 1 hereby certify that the plat and specifications covered by the calculation are in compliance with Review of plans and specifications ..:r . by , Is calculation Indicates compliance with the Florida the Florida Energy Code. or Ec Ccee. Before 55 on , this ■ Ildirg will be Inspected for compliance in accordance wills ith Section 553. . • • r ', F. S PREPARED BY: . , 4' DATE: - /O - D? BUILDING D // . +� y I hereby certify i s inh‘ktlie Florida Energy Code: aJof_c I • i OWNER AGENT: DATE: DATE: I