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FORMS FLORIDA BUILDING CODE,ENERGY CONSERVATION FORM 402-2010 Residential Buliding Thermal Envelope Approach ALL CLIMATE ZONES Scope:Compliance with Section 402 of the florida Building Code,Energy Conservation,shall be demonstrated by the use ol Form 402 for single-and multiple-family residences of three stories or less in height,additions to existing residential buildings,renovations to existmg residential buildings,new heating cooling,and water heating systems in existing buildings,as applicable.To comply,a building must.meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 402B of this form.It a building does not comply with this method or Aiternate Form 402,it may stiil comply under Section 405 of the Florida B�ilding Code.Energy Conservation. PROJECT NAME: �j't'�QY� BUILDER: Q� � J AND ADDRESS: 3�sI I.O�V��Vf��Z3 PERMITTING � h OFFICE: �(iy ��/ OWNER: � �C PERMIT NO: 3 URISD ION NO.: G eneral Instructlons: 1.New construction which incorporates any of the foliowing features cannot comply using this method:glass areas in excess o120 pe�ent oi conditioned floor area,electric resistance heat and air handlers iocated in attics. Additlons<600 sq.ft.,renovatlons 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 Table 402A with the iniormation requested.All"To Be Installed"values must be equal to or more efficient than the required levels. 3.Complete page 1 based on the"To Be Installed"column information. 4.Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items. 5.Read,sign and date the"Prepared By"certitication 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 building 1 i�d�'�E� 2. Single-family detached or multiple-family attached 2 • 3. If multiple-family-No.of units covered by this submission 3 ,.._ 4. Is this a worst case?(yes/no) 4 �� 5. Conditioned floor area(sq.ft.) 5 �� 6. Glass type and area: a.U-fac[or ,�GJ 6a. b.SHGC 6b. c.Glass area 6c. � Sq.ft. 7. Percentage of glass to floor area 7 �O 8. Floor type,area or perimeter,and insulation: °/a a.Slab-on-grade(R-value) 8a.R= lin.ft. b.Wood,raised(R-value) 8b R_�- �S ft c.Wood,common(R-value) q• d.Concrete,raised(R-value) 8�•R= sq.ft 8d.R= sq.ft. e.Concrete,common(R-value) �,R= Sq.n. 9. Wall type,area and insulation: a.Exterior 1 Masonry(Insulation R-value) 9a-1. R= 2. Wood frame(Insulation R-value) T�- 3�i�-S9•h• 9a-2. R=-1-=z-_ .�r✓i_sq.ft. b.AdjacenL• 1. Masonry(Insulation R-value) 96-1. 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) b.Single assembly(Insulation R-value) 10a.R= Sq.ft. 10b.R=�� j(G sq.ft. 11. Air distribution system:Duct insulation,location,Qn a.Duct location,insulation 11a. R= CL b.AHUlocation �1b 1�-�"X�g,r c.Qn,Test report attached(<0.03,yes/no) 11 C.TeSt report ettaChed? Yes � 12. Cooling system: � a.TYPe 12a.Type: L.T�VU V b.Efficiency 12b.SEER/EER• /,'� 13. Heating system: 13a.Type: a.Type 13b.HSPF/COP/AFUE: b.Efficiency 14. HVAC sizing calculation:attached 14. Yes N� 15. Hot water system: a.�YPe 15a.TYPe�- b.Efficiency 15b.EF• � I hereby certify that the plans and spedfications covered by the calculation are in compliance wfth the Florida Review of plans and sp ' cations covered b his culation indicates compliance with the Florida Enerqy Code. '�` / Energy Code.Before co ction is com uilding will be inspected for compliance in IN ,�C�� accordance with Secti 3.908, . PREPARED BY��!" � L�yl�� DATE: O Z9 ` CODE OFFICIAL. I here certi at 5 1'n is in com li 'h ri�a�nerqy Code: /O .�Q !'_ OWN R AGEN • ��►�1 P 1 DATE: O��"r DATE: i C.4 2010 FLORIDA BUILDiNG CODE-ENERGY CONSERVATION