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FORMS <br /> 1 � <br /> ' ' FLORIDA BUILDING CODE,ENERGY CONSERVATION <br /> FORM 402-2010 Residentiel Building Thermal Envelope Approach ALL CLIMATE ZONES <br /> Scope:Compliance with Section 402 of the Flonda Building Code,Energy Conservation,shall be demonstrated by the use of Form 402 for single-and multiple-family residences ot three <br /> stories or less in height,additions to existing residential buildings,renovations to existing residential buildings,new heating cooling and water heating systems in existing buildings as <br /> applicable.To comply,a building must,meet or exceed all of the energy efficiency requirements on Tabie 402A and all applicable mandatory requirements summanzed in Table 4026 0(this <br /> form.If a building does not comply wrth this method or Alternate Form 402,it may still comply under Section 405 of the florida Buildrng Code,Energy Conservation. <br /> PROJECT NAME: ���' ���a �+ BUILDER: S � '�,�'1 (� <br /> ANpADDRESS: �Zr�'n'��(►Z'1'�'Ll- � C-1"" f.,,� � � C" <br /> PERMITTING ( �_ <br /> 3��y�. OFFICE: �i (�, <br /> OWNER: �,►a�� '71����,+✓°�,�� PERMIT NO.: �� g, d �� JURISDICTION NO.: �p'(�j <br /> Geoeral Instructions: <br /> 1 New construction which incorporates any of the foliowing features cannot comply using this method:plass areas in excess of 20 pecent of conditioned floor area,electric resistance <br /> heat and air handlers located in attics. Additions 5 600 sq.it.,renovations and equipment chanyeouts may comply by this method with exceptions ylven. <br /> 2.Fill in all the applicable spaces of the"To Be Instailed"column on Table 402A with the information requested.All"To Be Installed"values must be equal to or more efficient than the <br /> required lavels. <br /> 3.Complete page 1 based on the°To Be Installed"column information. <br /> 4 Read the requirements of Ta01e 4026 and check each box to indicate your intent to comply with all applicable items. <br /> 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. <br /> Please Print CK <br /> 1. New construction,addition,or existing bullding 1 y�D� <br /> 2. Single-family detached o�multiple-family attacH§d 2 ��� <br /> 3. If multiple-family-No.of units covered by this submission 3, i <br /> 4. Is this a worst case?(yes/no) 4 �� <br /> 5. Conditioned floor area(sq,ft,) 5 ��� <br /> 6. Glass type and area: ° <br /> a.U-factor <br /> b.SHGC 6a. <br /> c.Glass azea 6b. <br /> 6C. �- Sq.ft. <br /> 7. Percentage of glass to floor area <br /> 7. �� % <br /> 8. Floor type,area or perimeter,and insuiation: <br /> a.Slab-on-grade(R-value) ge.R= C3 _ ''�L _�in.ft. <br /> b.Wood,raised�R-value) gb,p- sq.ft. <br /> c.Wood,common(R-value) 8� R_ Sq ft <br /> d.Concrete,raised(R-value) Sd R_ Sq � <br /> e.Concrete,common(R-value) 8e R_ - Sq ft <br /> 9. Wall type,area and insulation: <br /> a.Exterior 1 Masonry(Insulation R-value) 9a-7. R- V� �� <br /> 2. Wood frame(Insulation R-value) $q•n• <br /> 9a-2. R= sq.ft. <br /> b.Adjacent 1 Masoary(Insulation R-value) 9b-1. R- Sq.}t. <br /> 2. Wood frame(Insulation R-value) 9b_2 R_ - $q n <br /> 10. Ceiling type,area and insulation: <br /> a.Uuder attic(Insulation R-value) �gq ft . ��- <br /> b.Single assembly(Insulation R-value) 10a.R= � <br /> 10b.R= sq.ft. <br /> 11. Air distribution system:Duct insulation,location,�n <br /> a.Duct]ocation,insulation 71 a. R= LG <br /> b.AI�IU loca6on ��b <br /> c.Qn,Test report attached(<0.03,yes/no) 11 C.Test report ettaChed? Yes � <br /> 12. Cooling system: <br /> a.�'Pe 128.Type: �x��J�P'`��j <br /> b.Efficiency 12b.SEER/EER: <br /> 13. Heating system: 13a.Type: E-X�S��"��� <br /> a �'� 13b.HSPF/COP/AFUE: <br /> b.Efficiency <br /> 14. HVAC sizing calculation:attached � <br /> 14. Yes <br /> 15. Hot water system: <br /> a.�'Pe 1Sa.Type: �..X 1`�J i`1��7 <br /> b.Efficiency 15b.EF: <br /> I hereby certiry that the plans and specifications covered by the calculation are in compliance with the Florida Review of plans and specifications covered by thi alculation indicates compliance with the Florida <br /> Enerpy Code. ���.�,�..� �� ���s��= Enerpy Code.Before construction is compJated, �s buildmp will be inspected tor compliance in <br /> PREPARED BY �'�''��;""° �,�!' �,���b J` r ti accordance with Section 553.908,f.S. ( <br /> DATE: 1 Z-3D"12 7 <br /> I hereby certiry that this dmq is in omplianc Florida ergy Code: ^ CODE OFFIC L. <br /> OWNER AGENT DATE:�z_J�'" �� DAT ' <br /> C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION <br />