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APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 110013-08 Residential Component Prescriptive Method B ALL CUMATE ZONES Compliance with Method 8 of Chapter 11 of the Florida Building Cade, Residential; or Subchapter 13-6 of the Florida Building Code, Building may be demonstrated by the use of Form 11008 for single -and multiple -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 11 8 -2 of this form. If a building does not comply with this method, it may ma still comply under Method A of Chapter 11 or Subchapter 13-6 of the applicable code. K PROJECT NAME: x lb Ail BUILDER: 0N(t■4 AND ADDRESS: b . - _ , P G C4: ! J 1 1 inyrJn Sills OFFICE: 0 V�,4 0,S l OWNER : -NOM 1 I ri IC, PERMIT NO- nlillf�j : P11111 JuFusoiCTtON No.: I 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 nonvertical roof glass. 2. Fill in all the applicable spaces of the "To Be installed" column on "Table 11B-1 with the information requested. All "To Be installed" values must be equal to or more eNtcient than the required levels. 3. Complete page 1 based onfthd'To Be Installed" column information. 4. Read "Minimum Requirements for Alf Packages ", Table 118 -2 and check each box to indicate your Intent to comply with all 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. Md .frf 1 b4 2. Single - family detached or multiplefamity attached 2. , r 3. If multiple - family -No. of units covered by this submission 3. Ca J. Al 4. Is this a worst case? (yes/no) 4. 5. Conditioned boor area (sq. ft.) 5. 335 8. Glass type and area: t05 a. U -factor 6a• b. SHGC 8b. 2 c. Glass area Bc. sq. ft. 7. Percentage of glass to floor area 7 140 % B. Floor type, area or perimeter, and insulation: �� a. Slab -on -grade (R- value) 8a. R = '$ 3 3 . J Yiht„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, area and insulation: a. Exterior: I. Masonry (Insulation R- value) 9a-1. R = sq. ft. 2. Wood frame (Insulation R- value) 9a-2. R. 13 7 2. - 3 sq.ft. b. Adjacent 1. Masonry (Insulation R -value) 9b-1. R= e!' sq.ft. 2. Wood frame (Insulation R -value) 9b-2. R = sq. ft. 10. Ceiling type, area and insulation: 2 a. Under attic (Insulation R- value) 10a. R.3_ sq.ft., 3 35 b. Single assembly (Insulation R- value) 10b. R = sq.ft. 11. Air distribution system: Duct Insulation, location 11a. R c t (1 l 1 Test report required if duct in unconditioned space 11 b.Test report attached? Yes Ire 12. Cooling system: 12s. Type: Cat (Types: central, room unit, package terminal A.C., gas, none) 126. SEER/EER: 3 12c. Capacftx: avi- „t 'U 1 t_ 13. Heating system: 13e (Type pump. p• g gas p.. 13b. HSPF/COP /AFUE: s heat m elec. sari nat. as, LP -Gas, as h. room or PTAC. none) 13e. C ity: '21:1 l ADO 14. Programmable thermostat installed on HVAC systems: 14. Yea 6X ) / 15. Hot water system: 15a. Typal Wiz` (Types: elec.. nat. gas, LP -gas, solar. heat rec., ded. heat pump, other. none) 15b. EF: 1 hereby certify that the plans and specifications covered by the calculation are in compliance with Review of plans and specifications cowed by Is calculation Indicates comptnnce with the Florida the Florida Energy Code. Energy Code. Before construction • . building will be inspected for compliance in J . 1 1 � accordance with Section .90e, 'i . MI PREPARED By: . t Al .. , r Al t_ . A , .11 DATE: l ./ BUILDING OFFICIAL: rNI I I hereby certify this • 1 • m m co a plgnce w i t v • • A ;t Code: ,,,,t �a OWNER AGENT I .. n �. .�!�r* DATE:7/ DATE 11.' It 4 1 , 2007 FLORIDA BUILDING CODE - BUILDING 13 .23 Effective 3/1/2009