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v� , <br /> � � � <br /> ���,� <br /> ��� � � Department Qf <br /> ;�a .� ..���� <br /> -�� �.�" s �;rowth Manag►ement <br /> _�..� <br /> Duct Certiflcatio� Inspection <br /> rx�s�oRn��z�,s�r B�aeco�rn.�t�tr�n xv�ou�z«B��s sco��o�woxx-�srnEx�rlaL. <br /> 1'IECH�ICAL CHANGE Ot3T"AT TiME t�F FI?�iAL TN�p�:CTIQ�* <br /> FLORIDA ENER4#�4' COtiSERVATION C�BE <br /> Mandatory Duct lnspectian Far HV�1C change-out <br /> (7�tinee. �?✓'c��i /`1�rle: _� � � ��� <br /> � Contractor narne; ���''� <br /> I Street Addres�•�x !�3/ s iurisdictivn: 5�'�fG �s/ c� ���Y <br /> , cst`�: 7�e'�h,//3 Aern,iE v�: �3s ii <br /> � Zip: �3S�i' F inal Inspect'san date:____________,�� <br /> I cert�f} that I have inspected the duct�vork associated�z•ith the HVAC'unit refereneed by the�erm�t <br /> iisted above a�td fouzzd it compiies�vith the require�nents af Section 101.� 7 !.l as incffcazed beta�ti: <br /> �'C�ere needed. the e��szi��,�duLts have been sea(ed using reinforced mastic or code-apF�roved <br /> equi�-alent. . <br /> Ducts are l�catec��vithin coxsditianed space, �Section t 01.4.7.1.1 exceptian 1} <br /> ., <br /> The jaints or seams are alrea�}y sealed with fabric and mastic(SectFOn 101.�.7.i.1 exceptinn 2) <br /> �S;°stem ��as tested(see belo«} d�airs�ti�ere rriade as nece�sar� —(Sectian 1 D l,:� 7.;.1 exception 3) <br /> Sisnature: _ --°'� ' �{ <br /> Date:_ �c /,,2 C�l ^ <br /> Printed Name: /��r'ic Z�f� <br /> C'ontracror License�#: C�C/&���2-`7 <br /> 1 certifv 1 have tes�ed�he replaced atr dist�°ibutia��system(s)referenced b}•tlte pet7r�rt listet!aboa°e at x <br /> pressure differentia! of2S Pascats(O,10 Fn,u,c.). <br /> . a <br /> Signatur�:_ _ ��/�i � <br /> llate: s�, > - / <br /> � J �—' ���``�._ <br /> Pr�r�ted�Tame: v <br /> Duct Inspecfion-$F67 (Created b.2.12) �$�e� �f,� <br />