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_, . <br /> � •` - <br /> FORMS , <br /> FLORIDA BUILDING C DE,ENERGY CONSERVATI�DN <br /> I FORM 402-2010 Residential Building ermal Envelope Approach ALL CLIMATE ZONES <br /> Ssope;Compliance taith Sectfon 402 of the Florida Bulldfng Code,EnergyConservation,shali be demonstrated hy the use ot Form 402 for singie-and multiple-family residences oi three <br /> stones or less in height,additions to existing residential bufldings,renovatfons to exist� g resfdential buiidings,new heating cooling and water heating systems in existing buildings as <br /> applicable.To comply,a buildfng must meet or exceed all of the energy eff'iciency requir ments on Tabie 402A and all applicable mandatory requirements summarized in Table 4028 0{ihis <br /> form.If a bwiding does not comply with this method or Altemate Form 402,it may stiil omply under Section 405 of the Florida Building Code,EnergyConservation. <br /> PROJECT NAME: LL�S Iti BUILDER: 5 '�a�"e !-� , i nK�w <br /> AND A�DRESS: L.o�l':�-E D l.a.wrcl V�ley �� • , <br /> ���S,F�G p�� � PERMITfING � <br /> OFFICE: L i <br /> OWNER: L t e �- �vQ,n �.SI.� PERMIT NO.: r � � JURIS ICTION NO.: �� <br /> Generai Instruetions <br /> 1.New construction which incorparates any of the tollowing features cannot comply u mg this method:glass areas in excess of 20 pe�ent of conditioned floor area,electric resistance <br /> heat and air handlers located in attics.Additlons<_6U0 sq.tt.,renovatlons and equfp ent ehangeouts may somply hy thts metfiod with exceptions given. <br /> 2.FlII in all the applicable spaces of the'To Be Instalied"column on Tabie 402A with th informatfon 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 intormation. <br /> 4.Read the requirements of Table 4026 and check each 6ox to Indicate your intent to c mply with all appli�able items. <br /> 5.Read,sign and date the"Prepared By"certification statement at the 6ottom of page .The owner or owners agent must also sign and date the form. <br /> Please Print CK <br />' 1. New construction,addition,or existing building 1, �C�i'�1 ow <br /> 2. Single-family detached or multiple-family attached 2, 51��� <br /> 3. If multiple-family-No.of units covered 6y this submission 3, ^ <br /> 4. Is this a worst case7(yes/no) 4, i�0 <br /> 5. Conditioned floor area(sq.ft.) g, /�(� <br /> 6. Glass type and area: <br /> aU-factor 6a. '�S <br /> b.SHGC 6 b. 3O <br /> c.Glass area 6c. ��sq.ft. <br /> 7. Percentage of glass to floor area 7 a q % <br /> 8. Floor type,area or perimeter,and insulation: <br /> a.Slab-on-grade(R-value) 8a.R= I in.ft. <br /> b.Wood,raised(R-value) gb.R=�_ �sq.ft. <br /> c.Wood,common(R-value) 8c.R= sq.ft <br /> d.Concrete,raised(R-value) gd,R= sq.ft. <br /> e.Concrete,common(R value) gg,R= sq.ft. <br /> 9. Wall type,area and insulation: _ <br /> a Exterior: 1. Masonry(Insuladon R-value) ga.i, R- sq.ft. <br /> 2. Wood frame(Insulation R-value) 9a-2. R-._(3_ �sq.ft. <br /> b.Adjacent: 1. Masonry(Insulation R-value) 96-1. R= sq.ft. <br /> 2. Wood frame(Insulation R Value) 9b-2. R=_L3 �7S sq.ft. <br /> I10. Ceiling type,area and insulation: <br /> a.Under atdc(Insulation R-value) 10a.R= sq.ft. <br /> b.Single assembly(Insulation R-value) 1 pa,R- �Q /SCQ sq.ft <br /> 11. Air distribution system:Duct insulation,focation,Qn <br /> a.Duct location,insuladon 11 a. R= � <br /> b.AHUlocation 'iib. -_.' <br />, c.Qn,Test report attached(<0.03;yes/no) i1c.Test report attached? Yes No <br /> 12. Cooling system: <br /> �.�,pe 12a.Type: �'I`ai k�' Cao� <br /> b.Efficiency 12b.SEER/EER• l <br /> 13. Heating system: 13a.Type: l�e�'� �r: <br /> ��,pe 13b.HSPF/COP/AFUE: •7 <br /> b.Efficiency <br /> 14. HVAC sizing calculation:attached 14. Yes � <br /> 15. Hot water system; N/� <br /> a Type 15a.Type: <br /> b.Efficiency 15b.EF• <br /> I hereby certify that the plans and specifirations covered by tha calculation are(n compliance wit ffie Florida Review of plans and specifications cwered 6y thls calculation indicates compfiance with the Florida <br /> Energy Code. Energy Code.Before construction is comp ted,this building wiil be Inspected for compliance In <br /> accordance with Secfion 55 �F. . <br /> PREPARED BY: � DATE; `�9 �s <br /> CODE OFFICIAL• <br /> I hereby certity that i uildi� camplia ' the Florida Energy Code: s �� <br /> OWNERAGENT: ���� (� DATE: �� � DATE: _ <br /> I <br /> C.4 2010 FLORIDA BUILDING CO.DE-ENERGY CONSERVATfON <br />