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� FLORIDA ENERGY CONSERVATION CODE <br /> Mandatory Duct Inspection Certification for HVAC change-out <br /> For use when part of the duct andlor HVAC system has been replaced(Section 101 4 7 I 1 &FS 553 912) <br /> ,J` � < <br /> - .. �X :l�C�� <br /> --•,.--- - . <br /> Owner� - Contractor name: / c� �i <br /> , � ----- -� - - --- _ <br /> � Street acldress � � _ ^�_ Jurisdiction: __ ` <br /> � C�:y � _ ___..._ . __ PermitNo.• <br /> �.�!�_._.___,______�_ = Final iospection date: ^� <br /> 1 c�rt,fy that ! have inspected the duct work associated with the HVAC unit referenced'uy the permit listed <br /> abc�ve �und it complies with the requirements of Section 101.4.7.1.1 as indicated below: <br /> � Where needed,the existing ducts have been sealed using reinforced mastic or code-approved <br /> eqi��dalent. <br /> D x�ucts are located within conditioned space. (Section 101.4.7.1.1 exception 1) <br /> The joints or seams are already sealed with fabric and mastic(Section 101.4.7.1.1 exception 2) <br /> 5ysten� was tested ee I w) repairs were made as necessary—(Section 101.4.7.1.1 exception 3) <br /> Signature• �� � Date: ` _.____ _i <br /> -__ _ ' �_�___�� _ <br /> PrRnted Name. �-��-�`'Z� � <br /> � <br /> �;��ntractar l,icense#: .____�����f ��3 � -� <br /> .___--------------------------------------------------------------------------------------------------------------_..----------= <br /> 1 certified I have tested the replaced air distribution system(s)referenced by the permit(isted above at a <br /> pressure differcntia! of 25 Pascals(0,10 in. w.c.). - <br /> S i gr�aw re� ______ � � � Date: _ <br /> Printed Name. � �_ <br /> t arm revismn date:March 18,2011 <br />