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APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 1100B-08 Residential Component Prescriptive Method B ALL CLIMATE ZONES Compliance with Method B of Chapter 11 of the Florida Building Code, Residential or Subchapter 13-6 of the Florida Building Code, Building may be demonstrated by the use of Form 11008 for single -and mufipie -family residences of three stories or less in height, and additions to existing residential buildings. b comply, a building must meet or exceed all of the energy efficiency requirements on Table 118-1 and all applicable mandatory requirements summarized in Table 118-2 of this form. If a building does not comply with this method, it may still campy under Method A of Chapter 11 or Subchapter 13-6 of the applicable code. PROJECT NAME ' #.. • • A �� //��II BUILDER: S Ur, l � t Ivry . AND ADDRESS: fc1's_► • _ /, [tti`Lll PERMITTING ERI NG C( O e pky rh 5 I (� VI1 kot,i 1 5 '� l I� i OWNER: M 1 la PERMIT No. /ri1VI L'UU JURISDICTION NO.: UELLEIld 1. New construction including additions which incorporate any of the following features cannot comply using this method: steel stud walls, single assembly roof/ceiling construction, or skylights or other nonverticai roof glass. 2. Fill in all the applicable spaces of the "To Be Installed' column on "Table 118 -1 with the information requested. All "To Be Installed" values must be equal to or more efficient than the required levels. 3. Complete page 1 based on the To Be Installed" column information. 4. Read "Minimum Requirements for All Packages ", Table 118 -2 and check each box to indicate your Intent to comply with alt applicable items. 5. 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. Ptesse Print CK 1. New construction or addition 1. - A41�__/"""� - 2. Single- family detached or multiple-funny attached 2. 3. if nwitiple- family-No. of units covered by this submission 3 4. Is this a worst case? (yes/no) 4. • • 5. Conditioned floor area (sq. ft.) S. TM.; 8. Glass type and Brea: / � a. U- factor 8a. l - c. SHGC 86. • � c. Glass area Sc. sq. ft. 7. Percentage of glass to floor area 7 I G2 , % B. Floor type, area or perimeter, and Insulation: C a. Slab -on -grade (R- value) 8a. R= lin.ft. b. Wood, raised(R•value) lib. R= 1 3 -s c. Wood, common (R- value) 8c. R. sq.ft. d. Concrete, raised (R- value) 8d. R= sq.ft. e. Concrete, common (R- value) 8e. R: sq.ft. 9. Wall type, area and insulation: • a. Exterior: 1. Masonry (Insulation R- value) 9a-1. R= sq. ft. 2. Wood frame (Insulation R- value) 9a-2. R. _ _sq, ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b-1. R= sq- ft- 2. Wood frame (Insulation R- value) 9b-2. R= ilsq. ft. 10. Ceiling type, area and Insulation: a. Under attic (Insulation R- value) 10a. Ras_ sq.ft.s 2 J b. Single assembly (Insulation R- value) 10b• R . sq ft. 11. Air distribution system: Duct insulation, location 11a. R = Test report required if duct in unconditioned space 11 b.Test report attic Yes N 12. Cooling system: 12a. Type: A 1 i t--/ - 12b. SEERIEER: (Types: central, room unit, package terminal A.C., gas, none) 12c. - Z • • � (•`�(411 13. Heating system: 13a. Typo: ., I. NIP v • (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC, none) 13b. HSPF/COP /A 13c. Cspacity t !i , 6h 14. Programmable thermostat installed on HVAC systems: 1 Yes _ ,� 4 7- 15. Hot water system: ` ' -- (Types: elec., nat. gas, LP -gas, solar, heat rec., dad. heat pump, other. none) 15b. EF: I bereby eerily that the plans and specdkatbns • by the station are in compliance wdh Review of plans Ind specttlatbns cowered by this calculation Indleates compliance with the Florida the Florida Energy Code. Energy Code. Before ca om budding will be inspected for compliance In Q O accordance with Section 553. !A PREPARED BV /4 110_ Al I I 1 i DATE. JII BUILDING OFFICIAL: i hereby cent � t ' eAll , x fn comp w t Porde Energy Code: a Q .,�7 t OWNER AGENT: DATE: 2007 FLORIDA BUILDING CODE - BUILDING 13:.D.23 Effective 3/1/2009