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FLORIDA ENERGY CONSERVATIQN CODE <br /> Mandatory Duct Inspection Certification for HVAC change-out <br /> F'or use when part of the duct and/or HVAC system has been replaced(Section 101.4.7.1.1 &FS�53.912) <br /> Owner: Q��,Y1e J BQ .�^_{A �v�Contractor name: KElth A. W@StbfOOk <br /> ` ' J� 1 <br /> S[reet address: l�V'L$ ��S��C�� �r lurisdiction: _��j O� � /'^' � <br /> City: �.t.�hu��\\S f F L Permit No.: <br /> Zip: �j3S1.�2.. Final inspec[iondate: <br /> I certify that I have inspected the duct work associated witt� the HVAC unit referenced by the permit listed <br /> above and found it complies with the requirements of Section 101.4.7.I.l as indica[ed below: <br /> �Where needed, the existing ducts have been sealed using reinforced mastic or code-approved <br /> equivalent. <br /> L� Ducts are located witl�in conditioned space. (Section 101.4.7.1.1 exception I) <br /> ❑ The joints or seams are already sealed with fabric and mastic(Section 101.4.7.l.l exception 2) <br /> ❑ System was test d (s below) and repairs were made as necessary—(Section 101.4.'7.1.1 exception 3) <br /> Signature: <br /> � Date: � <br /> Printed Name: �v <br /> Contractor License #: CAC058774 <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 />