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Residential Prescriptive, Performance or ERI Method Compliance
2017 Florida Building Code, Energy Conservation, 6th Edition
1—jurisdiction: Permit #:
Job Information
Builder: C Community: Lot:
Address: 3� ��.` ���� r Unit:
City: � C ,T P� e !'� State: FL Zip: 3
Duct Leakage Test Results
System 1
cfm25
System 2
cfm25
System 3
cfm25
Sum of any
additional systems
cfm25
Total of all
systems
cfm25
OPrescriptive Method cfm25 (Total)
To qualify as "substantially leak free" Qn must be less than or equal to
0.04 if air handler unit is installed. If air handler unit is not installed,
Qn Total must be less than or equal to 0.03. This testing method
meets the requirements in accordance with Section R403.3.3.
OPerformance / ERI Method cfm25 (out or Total)
To qualify using this method, Qn must not be greater than the
j proposed duct leakage Qn specified on Form R405-2017 or R40b-2017.
0
Qn Leakage Type selected on Form Total of all Tota Conditioned g Yp Qn specified on Form R405-2014
systems Square Footage R405-2017 (Energy Calc) or R406-2077 (Energy Calc) or 406-2017
ry—]PASS [—]FAIL Leakage to outdoors Lb. 070
Duct tightness shall be verified by testing in accordance with ANSI/RESNET/ICC380 by either individuals as defined in Section
553.993(5) or (7), Florida Statutes, or individuals licensed as set forth in Section 489.105(3)(f), (g) or (i), Florida Statutes.
Testing Company
Company Name: Universal Engineering Sciences Phone: 772-924-3575
1 hereby verify that the above duct leakage testing results are in accordance with the 2017 6th Edition Florida Building Code Energy
Conservation requirements according to the compliance method selected above.
Signature of Tester: -- Date of Test:
Printed Name of Tester: Jason Smith