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�— __ <br /> � 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 101.4.7.1.1 &FS 553.912) <br /> Owner: � �1��2S LQ._.GG� Contractor name: <br /> Keith A. Westbrook <br /> Street address: S�y3Z ] p++�— S�- Jurisdiction: f-7F � O '�� �/s • <br /> City: �2.���.,�r h��\s Permit No.: <br /> . Zip: 33S 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 1) <br /> ❑ The joints or seams are already sealed with fabric and mastic(Section 101.4.7.1.1 exception 2) <br /> ❑ System was tested( e belo and r a' we e as necessary—(Section 101.4.7.1.1 exception 3) <br /> Signature: � Date: <br /> � �� � G� �� <br /> : _ Printed Name: � <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 /> Si gnature: Date: <br /> Printed Name: <br /> Form revision date:March 18,2011 <br />