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FORMS ,
<br /> ' FLQRIDA BUILDING GdIIE,E ERGY CONSERVA7it}N
<br /> FORM 402•2�t 0 Resldential Bullding Therma Envelope Approach ALL CLIMA7E ZONES
<br /> Seope:Compliance with SeGtion 402 of fhe flo�ida Building Code,EnetgyConservation,shall be demonstrated by ihe use ot form 942 for single-and multiple-tarnily residences of thtee
<br /> stanes or less in height,additions ta existing residential bulldings,rar�ovaiions to exisfing resid ntial buildings,new heati�g coaling and water heatfig systems in existing bu'ildings,as
<br /> appiicable.To compiy,a building must,meet or exceed aii ot the energy efficiency requirements Tab(e 402A and aii apptica�ie man�atory requirements summarized in Tabie 4028 of ttiis
<br /> form.if a building does not comply with this method or Alternate Form 4D2,it may still comply nder Se�tion 405 oi the fiorida Building Cods,Energy Conservation.
<br /> PRQJECT NAME: v�J�i a�y.�I�, BUt�DER: �j �t„/�
<br /> A p ADDRESS:L/ PERMITTING � >
<br /> ��a � /7 5< < OFF3CE: ��L � �e�:�1 -...5
<br /> OWNER: � � � �4, £ PEflMIT NO.: " �� JURISDICTION NO.: ��l�(�
<br /> 6eneral insiructinas:
<br /> 1.New coasfruc#ion which ficorparates ar�y ot tha follawing featares canna#cornpty using this ethod:giass areas in excess of 20 pe�cent of conditioned floor area,electric resisiance
<br /> heat and air ha�dlers locaied fn attics.Additfons 5 600 sq.tt.,renovatinns and egu(pment eha geouts may comply by this method with exoeptions given.
<br /> 2.Fill in all the applicable spaces of the"To Be Instailed"column on Table 402A with the intorma ion requested.All'To Be Installed"values must be equal to or more efficient than the
<br /> requfred leveis.
<br /> 3.Complete page 1 based an the`To Be Instaiied"column intormatian. "
<br /> 4.Read the requiraments ot 7able 4029 and check each bnx to indicate your intent to comply wi h all applioable items.
<br /> 5.Read,sign antl date the"Prepared By"certi(ication statement at the bottom of page 1.7he o er or owner's agent musi also sign and tlate the torm.
<br /> Please Print CK
<br /> 1. New construction,additian,or exisEing bui[d(ng Z_ ��t(j�j pn
<br /> 2. Single-famity detached or multiple-family attached �, S j y-�q��,
<br /> ---�--
<br /> 3. If muitipte-famity-Na.of un'sts covered by this suhmission g, -
<br /> 4. Is this a worstcase7(yes/no) a. Na
<br /> 5. Conditioned floar area(sq,ft.} g, 37$ L�3
<br /> s. Glass type and erea:
<br /> a.U-Factor 8a. ��5
<br /> h.SI3GC 6b. • 3d
<br /> c.Glass area 6c. 3�0 sq,ft
<br /> 7. PercenYage af gfass to floor area 7. C'�•'J� °lo
<br /> 8. Floor type,area or perimeter,and insulatian:
<br /> a.Slab-on-grade(R-value) � 8a.R= -�"" lin.fL
<br /> b.Wood,raised(Ft-vatue) g6.R- sq.tt.
<br /> c.Wo�d,cornraon(R-value) 8c.R= sq.ft.
<br /> d.Concrete,raised(R-value) gd.R= sq.ft.
<br /> e.Conercte,cornmon{R value) Be.R- sq.ft.
<br /> 9. Waii type,area and insulation:
<br /> a.Ezterior: i. Masonry(Insv2ation R-vaiue}
<br /> 2. Wood frame(tnsulatian tt-vaiue) 9a-I. R= sq.ft.
<br /> 9a-2. R� t9 �}�-{D sq.ft.
<br /> b.Adjacent: 1. Masonry(Insulation R-value) 9b-1. R= 5q.it.
<br /> 2. Woad frame(Insulatian R-valne) $�-p, R��___ .�tto sq,ft.
<br /> 10. Ceiling type,area and insulation:
<br /> a.Under aztic(Tnsulation R-value) 10a.R� sq.Et. 3 7$
<br /> b.SingIe assembiy(InsuIation R-value} ^� y Ob.R� �rl sq.ft.
<br /> 11. Air distribution system:Duct insulation,Iocation,Qn �� '
<br /> a.Duct locatian,insulatian 14 a. R.�� � . . .
<br /> b.AHU]ocation � 11 b. f��
<br /> c.Qn,Test report attachec!(<0.03,yes/no) "�� l i c.Test report attached? Yes �
<br /> 12. Gooiing system:
<br /> a.Typc 12a.Type:
<br /> b.Efficiency � �12b.SEER/EER: �.3
<br /> 13. Heating system: � 13a.Type:
<br /> a,Typa � 13b.HSPPlCOPlAFUE:
<br /> b.Efficiency �
<br /> 14. HVAC.sizing calculation:ettacfied ja. Y� �
<br /> 15. Hot water system: � , J '
<br /> a.Type 15a.Type: N�_
<br /> b.Efficiency 15b.EF�
<br /> I hereby cerlity that t and specif ns covered by ihe calculatian are in compliance with the Florida Revlew of plans aod specifications covered by th(s calculation indicates compliance with fhe Florida
<br /> Energy C�de. Enetgy C,�de.Before construcilon is compieted,th bulfding wili be 3nspected(or campltance In
<br /> ,. 1 rj � / � accardance with Section 553.908,,.5. "
<br /> IhereDRcettBY that ihis b Is In��..- .,,_�ATE: 73 � .
<br /> CODE�fFICIAL '
<br /> y fy g p ce wi#h the Fiqrida Energy Gade: !
<br /> dWNER AGENT {)ATE:� DATE: �. '" ` �
<br /> l
<br /> C.4 2010 FLORIDA BU[LDING COpE-ENERGY CONSERVATt4N
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