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APPENDIX 13 -D • FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C -04R Residential Limited Applications Prescriptive Method C SOUTH 7 8 9 Small Additions, Renovations & Building Systems Compliance with Method C of Sub - Chapter 6 of the Florida Energy Etliclency Code may be demonstrated by the use of Form 600C -04 for additions of 600 square feet or less, site - installed components of manufactured homes, and renovations to single- and multiple - family residences. Alternative methods are provided for additions by use of Form 6006 -04 or 600A -04. PROJECT NAME: 'rH pr LL. ( BUILDER: AND ADDRESS: PERMITTING CLIMATE OFFICE: ZONE: 7 I 1 8 I I 9 'I OWNER: y f' ( _ ( y2.ty.,f PERMIT NO.: I JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES (600 square feet or less of conditioned area). Prescriptive requirements in Tables 6C -1, 6C -2, and 6C -3 apply only to the components of the addiction, not to the existng building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to salve the addtlon or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. REN0INTIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C -1 and 6C -2 apply only to the components and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site - installed components and features are covered by this form. BUILDING SYSTEMS Comply when complete new system Is installed. Please Print CK 1. Renovation, Addition, New System or Manufactured Home 1. TV 1 T'► (1r3 • 2. Single- family detached or Multiple - family attached 2. i y G E. ( `� � It i 3. If Multiple - family -No. of units covered by this submission 3 ' 4. f`�4r e 4. Conditioned floor area (sq. ft.) 5 5. Predominant eave overhang (ft.) 6. Glass type and area: Single Pane Double Pane a. Clear glass sq. 7 b. Tint, film or solar screen 6b. sq. ft. sq. ft. 7. Percentage of glass to floor area 7. 8. Floor type and insulation: a. Slab -on -grade (R- value) 8a R = lin. ft. b. Wood, raised (R- value) 8b. R = sq. ft. 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 and insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a -1 R = -7 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 = sq. ft. c. Marriage Walls of Multiple Units* (Yes /No) 9c. 10. Ceiling type and insulation: • a. Under attic (Insulation R- value) 10a. R = ,30 44y(0 sq. ft. b. Single assembly (Insulation R- value) 10b. R = sq. ft. 11. Cooling system* (Types: central, room unit, package terminal A.C., gas, existing, none) 11. Type: 12. Heating system* SEER/EER: (Types: heat pump, elec. strip, natural gas, LP -gas, gas h.p., room or PTAC, 12. Type: existing, none) HSPF /CUP /AFUE: 13. Air distribution system* a. Backflow damper or single package systems* (Yes /No) 13a. b. Ducts on marriage walls adequately sealed* (Yes /No) 13b. 14. Hot water system: 14. Type: (Types: elec., natural gas, other, existing, none) EF: * Pertains to manufactured homes with site - installed components. JOB SITE I hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Florida the Florida Energy Code. Energy Code. Before construction is completed, this building will be inspected tor compliance in PREPARED BY: ( n �-' a f� ` � :' ¢� r . ; / > >,,pp accordance with Section 553.908, F.S. � ( Y I DATE: c!�e�..;t BUILDING OFFICIAL: I hereby certify that this budding compliance. the Florida Energy Code: `, OWNER AGENT: f /J f DATE: 3/ ,,. DATE: FLORIDA BUILDING CODE - BUILDING 13 -D.37R