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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 and/or HVAC system has been replaced(Section 101.4J.1.1&FS 553.912) <br /> Owner: J_ p.�.��� �/J���--� Contractor name: � � /yj � ` <br /> Street address: _�2�_,�i�j,e����/ZJurisdiction: <br /> � Sb!� <br /> City: Z���S � — _ Permit No.: <br /> " Z� � �� � Z, � Final inspection date: <br /> I certify that I have inspected the duct work associated with the HVAC unit referenced by the permit listed <br /> above and found 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 /> equivalent. <br /> ❑ Ducts are located within conditioned space. (Section 101.4.7.1.1 exception l) <br /> ❑ The joints or seams are already sealed with fabric and mastic(Section 101.4.7.1.1 exception 2) <br /> ❑ System was tested(see below)and repairs were made as necessary—(Section 101.4.7.1.1 exception 3) <br /> Signature: ��2��_ <br /> �-- Date: <br /> Printed Name: �,15 4�C�� / �"r"��'Y�il <br /> Contractor License#: _ �!4(�� '/ `Z��� <br /> ------------------------------------------------------------------------------------ <br /> I certified I have tested the replaced air distribution system(s)referenced by the permit listed above at a <br /> pressure differential of 25 Pascals(0.10 in.w.c.). <br /> Signature: Date: <br /> Printed Name: <br /> Form revision date:March 18,2011 <br />