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FORMS <br /> FLORIDA BUILDING CODE,ENERGY CONSERVATI�ON <br /> FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES <br /> Scope:Compliance with Section 402 of the Rorida Building Code,fnergy Conservation,shall be demonstratetl by the use of Form 402 for single-and multiple-Tamily residences oi three <br /> stories or less in height,additions to existing residential buildings,renovations to existing residential buildings,new heafing cooling and water heating systems in ex'isCin9 buildings,as <br /> applicable.To comply,a building must,meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 4028 of this <br /> torm.Ii a bmlding does not comply with this method or Alternate Form 402,it may still comply under Section 405 oi the florida Building Code,Energy Conservaiion. <br /> PROJECT NAME: SG�G�TL� BUILDER: �j -r'Q-�{ �` �.µ� �,�,� <br /> ANDADDRESS: �jq'j2H Go9 I"�<<< Loo� pERMITTING ( � <br /> Z h rh;lfs F(. OFFICE: �( � �Q �l {• I S <br /> OWNER: �i O�•- (�e. C�FF�( PERMIT NO.: 'Sz j � J RISDICTION NO.: ����p(�j� <br /> � Generallnstruetions: <br /> 1.New construction which incorporates any oi the following features cannot comply using this method:glass areas in excess oi 20 pe�cent oi conditioned iloor area,electric resistance <br /> heat and air handlers located in attics.Addilions<_600 sq.ft.,renovations and equipment�hangeouts may comply 6y this method with exseptions given. <br /> 2.RII in all the applicabie spaces of the"To Be Installed"column on Table 402A with the iniormation requested.All"To Be Installed"values must be equal to or more efficient than the <br /> required levels. <br /> 3.Complete page 1 based on the"To Be Installed"column iniormation. <br /> 4.Read the requirements of Table 402B and check each hox to indicate your intent to comply with ali applicable items. <br /> 5.Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or ownets agent must also sign and date the form. <br /> Please Print CK <br /> 1. New construction,addition,or existing building 1, � lpw <br /> 2. Single-family detached or multiple-family attached 2 Sj�'l e, <br /> 3. If multiple-family-No,of units covered by this submission 3. - <br /> 4. Is this a worst case?(yes/no) q, �J D <br /> 5. Conditioned floor area(sq.ft.) 5, a 7$ <br /> 6. Glass type and area: /- �. <br /> a.U-factor 6 a. •�P� <br /> b.SHGC 6b. �� <br /> c.Glass area 6C. �.°I sq.ft. <br /> 7. Percentage of giass to floor area 7, a b % <br /> 8. Fioor type,area or perimeter,and insulation: <br /> a.Slab-on-grade(R-value) 8a.R= lin.ft. <br /> b.Wood,raised(R-value) _ 8b.R=�� a�A sq.ft. <br /> c.Wood,common(R-value) 8c.R- sq.ft. <br /> d.Concrete,raised(R-value) 8d.R= sq,ft. <br /> e.Concrete,common(R-value) 8e.R c sq.ft. <br /> 9. Wall type,area and insulation: <br /> a.Exterior. 1. Masonry(Insulation R-value) 9a-1. R= sq.ft. <br /> 2. Wood frame(Insulation R-value) 9a-2. R=� ��sq.ft. <br /> b.Adjacent: 1. Masonry(Insulation R-value) 9b-1. R= sq.ft. <br /> 2. Wood frame(Insulation R=value) 9b-2. R= 1�'i �D sq.ft. <br /> 10. Ceiling type,area and insulation: <br /> a.Under attic(Insulation R-value) 10a.R= sq.ft. <br /> b.Single assembly(Insulation R-value) 10b.R=�� �7 R sq.ft. <br /> 11. Air distribution system:Duct insulation,location,Qn <br /> a.Duct location,insulation 11 a. R- �_ <br /> b.AHiJ location ii b. U�-�-"F5�c{e <br /> c.Qn,Test report attached(<0.03;yes/no) 11 c.Test report attached? Yes No <br /> 12. Cooling system: <br /> ��,pe 12a.Type: C2+,-'f�"ti-� <br /> b.Efficiency 12b.SEER/EER: � 3 <br /> '13. Heatingsystem: i3a.Type: �'-}�c.�' ��ct�+,�� <br /> a.Type 13b.HSPF/COP/AFUE: 7-� <br /> b.Efficiency <br /> 14. HVAC sizing calculation:attached 14. Yes ol� <br /> 15. Hot water system: . <br /> a.Type 15a.Type: P�P[�+►^�G <br /> b.Ef6ciency 15b.EF• 2. <br /> �I hereby certity that the plans and specitications covered by the calculatlon are in compliance vaith the Florida Review of plans and specifications covered hy this calcuiation indicates compliance with the Florida <br /> Energy Code. Energy Code.Before construction is o (ted Rhi�xiill be inspected tor compliance in <br /> accordance with Seciion 553.06��.� l <br /> PREPAHEDBY: �'� DATE: o�tS��� �/ <br /> COOE OFPICIAL: X� <br /> I hereby cediry that is Iding fsln c 'ance vith the Florida Energy Code: i/� �� ✓ `���, J-7 F) <br /> OWNER AGENT: DATE:r f DATE: ( J� , /� ( <br /> C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION , <br />