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FORMS FLORIDA BUILDING CODE,ENERGY CONSERVATI�DN FORM 402-2010 Residential Building Thermal Envefope Approach ALL CLIMATE ZONES Scope:Compliance with Section 402 of the Florida Building Code,Energy Conseivation,shail be demonstrategd by the use oi Form 402 for single-and multfple-family residences of three applicable To comply st�bu�ld ngnmust meet or exc ed a I of the energy ff clency requvements on Tableu40�2A and a i aepp,eable ma ndatorywequirhemenrt�s sammariiedXn Table 402�8 oi this form.If a building does not comply with this method or/Utemate Form 402,it may stiil oomply under Section 405 ot theFlorida Bui7ding Code,EnergyConservation. PROJECTNAME: GIOVaCGI�(vtp BUILDER: ANDADDRESS: ,35D5 ua�rinGG�y. w �un� POik{� PERMITTING Z ►'I r /l�//S / OFFICE: { OWNER: (.IJQ�'{-G• � 7 V� iOVG[[�-��n� PERMITNO.: J RISDICTIONNO.: �` ��(� General instruetions: 1.New construction which incorporates any oi the foliowing features cannot comply using this method:glass areas in excess of 20 pe�ent of conditioned floor area,electric resistance 2eFf11 n all the applicable spa es of the'To�Be InstalGled"c lumn on Table 402A wi�th�the niormation uequested.Aip!To Behlinstailed�v alu s musPttbe eqgal to or more efficient than the required leveis. 3.Complete page 1 6ased on the"To Be Installed"column information. 4.Read the requirements of Table 4D2B and�heck 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 owners agent must also sign and date the form. 1. New construction,addition,or existing building Please Print CK 2. Single-family detached or multiple-family attached i� w 3. If muitiple-famify-No.of units covered by this submission 2• s 1�t G 4. Is this a worst case� 3• . (yes/no) 5. Conditioned floor area(sq,ft.) 4._(�i0 6. Glass type and area: 5•-3 7 � � a.U-factor b.SHGC 6a. c.Glass azea 6 b. 7. Percentage of glass to floor area 6a _ 107�_sq.ft. 8. Floor type,area or perimeter,and insuiation: 7'�°� a.Slab-on-grade(R-value) b.Wood,raised(R-value) 8a.R= Iin.ft. c.Wood,common(R-value) Bb.R-�_ . 7 I sq.ft. d.Concrete,raised(R-value) 8e.R= Sq� e.Concretq conunon(R-value) 8d.R- Sq,ft. 9. Wafl 8e.R= sq.ft. type,area and insulation: a.Exte_rior: 1. Masonry(Insulation R-value) 2. �T�ood frame(Insulation R-value) 9a"1• R= sq,ft. b.Adjacenr 1. Maso 9a-2' R° /3 ��- L� sq.ft. nry(Insuladon R-value) 2. Woodframe(Hisu]ationR=value) 9b'1• R= Sq,ft, 10. Ceilin 9b-2. R=�_ 00 sq.ft. g type,area and insulation: a.Under atlic(Insulation R-value) b.Single assembly(Insulation R-value) 70a.R-_ ►q sq.ft. J�7� 11. Air dfstribution system:Duct insulation,Iocation,Qn 10b.R= SQ ft a Duct location,insulation b.AHUlocation iia. R= (p ky�r�por c.Qn,Test report attached(<0.03;yes/no) ��b• 11aTest report attached? Yes (1�� 12. Cooling system: EK�sT �'Type 12a.T e: ��2 v�tY'st., b.Efficiency YP � 72b.SEER/EER• l 3 13. Heating system: a.Type 13a.Type: C�w'�fa.� b.Efliciency 13b.HSPF/COP/AFUE: 7.7 _ 14. HVAC s[zing calculation:attached 15. Hot water system: 14. Yes � b.Efficien 75a.Type: ��G�I �'Y C� � 15b.EF:_. �92 I hereby certity that the pt s end specificatians covered by the calculation an in compliance with the Florida Aeview of plans and specifications covered by this caiculaUon Indicates compiiance w(th the Rorida Enerqy Code. PREPARED BY; ��,�^"L accoMance with Section 5 3 908,�F�'�P�eted,this bundinp wili be inspected for compliance in DATE: �'IS I�. � I hereby ceAy thatthis bufl g is in compiiance with the Florlda Enerpy Code: CODE OPFICIAL• ��C � �� OWNEH AGENT DATE: DATE: �� l�? C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION