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FaRMS � FLORIDA BUILDING CODE,ENERGY CONSERVATION FORM 402-2010 Residentlal 8utiding Thermal Envetope Approach ALL CLIMATE ZONES Scope:Compliance wfth Section 402 of the florida Building Code,EnergyConservation,shail be demonstrated by the use of Form 402 tor single-and multiple-tamify residences of three 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 applicable.To comply,a buiiding must.meet or exceed all of the energy etficiency requirements on Table 402A and all applica�le mandatory requirements summarized in Table 402B of this torm.If a building does not comply with this method or Alternate Form 402,it may still compiy under Section 405 0l the Florida Building Code,fnergy Conservation. PROJECT NAME: �IG�I`f"� BUILDER: AND ADDRESS: �� V� $Z(p PERMITTING � � ` ��` L � OFFICE: C( h OWNER:� PERMIT NO.: JURISDICTION NO.: � (�y G eneral Instruations: 1.New�onstruction which incorporates any of the following features cannot comply using this method:giass areas in excess of 20 pecent oi conditioned floor area,electric resistance heat and air handlers located in attics. Addltlons<600 sq.tt.,renovatlons and eguipment�hangeouts may comply by this method with exceptions gtvan. 2.Fill in ali the appiicable 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 required levels. 3.Complete page 1 based on the"To 8e Installed"column information. 4.Read the requfrements ot Table 4028 and check each box to indicate your intent to comply wfth all applica6le items. 5.Read,sign and date the"Prepared By"certification statement at the bottom ot page 1 The owner or ownets agent must also sign and date the form. Please Print CK 1. New construction,addition,or existing building � � 2. Single-family detached or multiple-family attached 2 _�� 3. If multiple-family-No.oi units covered by this submission 3 4. Is thfs a worst case?(yes/no) 4 5. Conditioned floor area(sq.ft.) 5 1�d`+=�- 6. Glass type and area: !a a.U-fac[or 6a. „�� 6.SHGC 6b. c.Glass area 6c. �O _sq.ft. 7. Percentage of glass to floor area 7 �� 8. Floor t �° ype,area or perimeter,and insulation: a.Stab-on-grade(R-value) ga,R= lin.ft. b.Wood,raised(R-value) 8b.R=� �Sp,ft, c.Wood,common(R-value) 8c.R= d.Concrote,raised(R-value) S4•K• 8d.R= sq,ft. e.Concrete,common(R-value) 8e R_ Sq ft 9. Watl type,area and Insulation: a.Exterior 1 Masonry(Insulation R-vxlue) 2. Wood frame(Insulation R-value) 9a-�' R° SQ•n• 9a-2. R=� sq.ft. b.Adjacent: 1 Masonry(Insulation R-value) 9b-1. R= Sq.ft. 2. Wood frame(Insulation R-value) gb_2, R=� sq.ft. 70. Ceiling type,area and insulation: a.Under attic(Insulation R-value) b.Sing]e assembly(Insulation R-v�lue) 10a.R= sq.it. 10b.R=� �C�_sq.ft. 11. Air distribution system:Duct insulation,location,Qn a.Duct location,insulation 11a. R= �C, b.AHU location 1�b c.Qn,Test repon attached(<0.03;yes/no) 11 c.Test report attached? Yes (1�, 12. Cooling system: J \J a.�'P� 12a.TYPe:�P�'J V(M L/[�S I - b.E�ciency 126.SEER/EER:J 3 13. Heating system: 13a.Type. 1 u ✓ a.Type 13b.HSPF/COP/Ap E: b.Efficiency 14. HVAC sizing calculation:attached 14. Yes No 15. Hot water system: b.Efficienc 15a.Type: �,��(�� Y 15b.EF: I hereby certity that ihe plans and specifications covered 6y the calculation are in compliance with the Florida Review af plans and specificatio�s covered by this calculation indicates compiiance with the Florida Energy Code. Energy Code.Before construcfion is completed,this Duilding will be inspected tor compliance in PREPARED BY��,��,I��y�-- DATE: Z� �3 accordance with Section 53.908,F. � �" � CODE OFFICIAL. I hereby certlfy t t 'ng is in compJia c wi h e Floritla Energy Code: � .�p ,A OWNER AGENT � DATE� ��0� /�.! DATE. '� C.4 2010 FLORI A BUILDING CODE-ENERGY CONSERVATION