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FORMS ' ' FLORIDA BUILDING CODE,ENERGY CONSERVATI�ON FORM 402-2010 Residential Building Thermal Envelope Approach ALL C�IMATE ZONES Scape:Compliance with Section 402 of the florida Building Code,Enerpy Conservatioq shall be demonstrated by the use oi Form 402 for single-and multiple-family residences of three stories or less in height,additions to existing residential buildings,renovations to existing residential buildings,new heating cooling and water heatinp systems in existing Euildings as applicable.To comply,a building must.meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summanzed in Table 402B of this form.If a building does not comply with this method or Alternate Form 402,it may still comply under Section 405 of the Florida Building Code,EnergyConservation. PROJECT NAME: A�-D� VCIZG/FI� BUILDER: Q Wvtp_!- ANDADDRESS: ,3�"7Z4 ME�OW� �� pERMITTING ��. J.. (" ZEPNyRH-IU-S�FL 335y OFFICE: L� �� J OWNER:�(„pD V�� PERMIT NO.: 'J ,�� `y JURIS ICTION NO.: �p �� General Instructi ons: 1 New construction which inoorporates any oi the following features cannot comply using this method:glass areas in excess of 20 pe�ent of conditioned floor area,electric resistance heat and air handlers located in attics.Additions<_600 sq.ft.,renovaifons and equipment changeouts may comply 6y this method with exceptions given. 2.Fill in all the applicable spaces of the'To Be Installed"column on Tabie 402A with the iniormation requested.All"To Be Instailed"values must be equal to or more efficient than the required leveis. 3.Complete page 1 based on the"To Be Instalied"column information. 4.Read the requirements of Table 4026 and check each box to indicate your intent to comply with all applicable items. 5.Read,sign and date the"Prepared By"certiflcation statement at the bottom of page 1 The owner or owners agent must also sign and date the form. Please Print CK 1. New construction,addition,or existing buiiding 1, j (pt-., 2. Single-tamily detached or multiple-famiiy attached 2,�� 3. If multiple-family-No.of units covered by this submission 3, -- 4. Is this a worst case?(yes/no) q, t.10 5. Conditfoned floor area(sq.ft.) 5, �� + 6. Glass type and area: a.U-factor 6a. �� b.SHGC 6b. •.Sd c.Glass azea 6C. f 7 _sq.ft. 7. Percentage of glass to floor area � , 2� ,�a 8. Floor type,area or perimeter,and insulation: � a.Slab-on-grade(R-value) $a.R= $ 7g kn.ft. b.Wood,raised(R-value) 8b.R= sq.ft. c.Wood,common(R-value) 8c.R= sq.ft. d.Concrete,raised(R-value) Sd.R= sq.ft. e.Concrete,common(R-value) 8e.R= s ft. Q• 9. Wall type,area and insuiatton: a.Exterior: 1. Masonry(Insulalion R-value) 9d-1. R= �O �� sq.ft. 2. Wood frame(Hisulation 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. 10. Ceiling type,area and insulation: a.Under attic(Insulation R-value) 10a.R= �� sq.ft. �� b.Single assembly(Insuladon R-value) 10b.R= Sq.ft. 11. Air distribution system:Duct insulation,location,Qn a.Duct locazion,insulation 11 a. R= 8 � b.AHLT location l i b. Ou-'S'S� -� c.Qn,Test report attached(<0.03;yes/no) 11 c.Test report ettaChed? Yes � 12. Cooling system: C°`"'+'x'� �.�,pe 12a.Type: S"�'Y�i�1�.�G vo( b.Efficiency 12b.SEER/EER• �3 13. Heating system: 13a.Type:= «^-��' a.Type 13b.HSPF/COP/AFUE: 7.� b.Efficiency 14. HVAC sizing calculation:attached 14. Yes Jo 15. Hot water system: � a.Type 15a.Type: b.Efficiency 15b.EF• I hereby certiry that theq and specifications cavered hy the calculation are in compliance with the Florida Review of plans and speciflcations covered by this IaUon hMjcates compliance with the Florida Energy Code. I Enerpy Code.Before co�lctionis complefed, is building w�ilbe Inspected for compliance in accordance wiih Sectian b53.908,F.S.,,F '� PREPARED BY� � DATE. lv-�O��2 �� f;:% CODE OFFICIAL. I hereby cert' at h' 'Id In co 'n e wi he orida Energy Gode: �O_`��lpL, -, OWNER AGE �ATE• DATE: ,/�_��" l C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION