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FORMS <br /> FLORIDA BUILDING CODE,ENERGY CONSERVATION <br /> FORM 402•2010 Residentlal Building Thermal Envelope Approach ALL CLIMATE ZONES <br /> Scope:Cumpiiance with Section 402 of the florida 8uilding Code,EnergyConseroatlon,shall be demonstrated by the use of Form 402 for single-and multiple-family residences oi three <br /> stories or less in height,additions to existing residential buildings,renovations to existmg residential buildings,new heating cooling and water heating systems in existing buildinps,as <br /> applicable.To comply,a building must.meet or exceed ail o(the energy efticiency requirements on Table 402A and all a plicable mandatory requirements summarized in Ta61e 4028 of this <br /> form.If a buildinp does not comply vnth this method or Alternate Form 402,it may still comply under Section 405 ot tRe Florrda Buildiny Code,Energy Conssrvation. <br /> PROJECT NAME: be�L �C� I DY`. BUILDER: ��j� Wy��- <br /> ANDADDRESS: 3SD9 I�et"�C�D�" �• pERMITTING �( <br /> zephyrl�;tils F�. oFF�cE: ('i L'�C �C � r�� ��S <br /> OWNER: �' � �e` PERMIT NO.: �- ' U JURISD►CTION NO.: (�. � � �(�(� <br /> Generai Instructlons: <br /> 1.New construction which incorporates any oi the following features cannot comply using this method:glass areas in excess of 20 pe�ent of conditioned floor area,electric resistance <br /> heat and air handlers located in attfcs.Additions<_6DD sq.ft.,renovations and eguipment chanpeouts may comply 6y this method with esceptinns given. <br /> 2.Fill in all the applicable spaces of the"To Be Instailed"column on Table 402A with the information requested.Ail"To Be Installed°values must be equal to or more efticient than the <br /> required levels. <br /> 3.Complete page 1 based on the"To Be�nstalled"column information. <br /> 4.Read the requirements of Table 4028 and check each box to indicate your intent to comply with ail applicable Rems. <br /> 5.Read,sign and date the"Prepared By'certification statement at the bottom ot page t The owner or owners agent must aiso sign and date the torm. <br /> Please Print CK <br /> 1. New construction,addition,or existing building 1 A.,t.l.� pw <br /> . �c� <br /> 2. Single-family detached or muitiple-family attached 2 �'� � <br /> 3. If multiple-family-No.of units covered 6y this submission 3 - <br /> 4. Is this a worst case?(yes/no) 4 �, 1� <br /> J\J <br /> 5. Conditioned floor area(sq.ft.) 5,_�-{aD <br /> 6. Glass type and area: <br /> a.U-factor 6a. �.�Jr <br /> b.SHGC 6b. �.3d <br /> c.Glass area <br /> 6c. q 1 sq.ft. <br /> 7. Percentage of glass to fioor area 7 �3 0/ <br /> 8. Floor type,area or perimeter,and insulation: <br /> a.Slab-on-grade(R-value) ga,R= lin.ft. <br /> b.Wood,raised(R-value) Bb R_ �.�- �-Sq ft <br /> c.Wood,mmmon(R-value) g�,R_ sq.n <br /> d.Concretc,raised(R-value) 8d.R= sq.ft. <br /> e.Concrote,common(R-value) ge,p= sq.ft. <br /> 9. Wall type,area and insulation: <br /> a.Exterior: 1 Masonry(Insulation R-value) 9a_� R_ Sq ft <br /> 2. Wood frame(Insulation R-value) 9a-2. R=�� D8 Sq.ft. <br /> b.Adjacent 1. Masonry(InsulationR-value) gb_i, R= sq.ft. <br /> 2. Wood framc(Insulation R-value) gb_Z, R=�_ 3 f 5 sq,tt. <br /> 10. Ceiling type,area and insulation: <br /> a.Under attic(Insulation R-value) <br /> b.Single assembly(Insula[ion R-value) 10a.R= Sq.ft. <br /> 10b.R=� y ao sq.ft. <br /> 11. Air distribution system:Duci insulation,location,Qn <br /> a.Duc[location,insulation 11 a. R= �_ �d�d eG� <br /> b.AHU location 1�b <br /> c.Qn,Test rcport a[tached(<0.�3;yes/no) 11 c.Test report attached? Yes @ <br /> 12. Coofing system: <br /> a.Type 12a.Type:_�Pinf✓'Q.t <br /> b.Efficiency 126.SEER/EER: l 3.p <br /> 13. Heating system: 13a.Type• �"�[�'�" pt,ir•�io <br /> a•�'P� 13b.HSPF/COP/AFUE: 7.7- <br /> b.Efficiency <br /> 14. HVAC sizing calculation:attached 14. Yes � <br /> 15. Hot water system: <br /> a.Type 15a.Type: t�C�-�Y'tC� <br /> b.E�cicncy i 5b.EF: �{D ac I - n.4� <br /> i hereDy ceAify that the f and speciflptions covered 6y the calculation are in compfiance with the Florida Review of plans and specifications covered by this calculation indicates compliance with the Florida <br /> Enerpy Code. Energy Code.Before cronstruction i completed, ui ing wlll be inspected tor compliance In <br /> accordance with Section 553. F.S <br /> PREPAREO BV: ATE:�/�.3 _ <br /> CODE OFFICIAL <br /> I hereby ceN1y that thfs 1' s in com i orida Energy Code: G_,� /�� / <br /> OWNEH AGEN �, ' �ATE:� 6`'V DATE: _ <br /> C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION <br />