HomeMy WebLinkAboutENERGY EFFICIENCY CODE- r
,T FLORIDA ENERGY EFFICIENCY CODE,,.
µ j'` FOR BUILDING CONSTRUCTION
�FORI 900-B-89 By SECTION 9 — RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
I'! a DEPARTMENT OF COMMUNITY AFFAIRS CENTRAL 4 5 6
PROJECT NA
AND ADDRE
E
LDER:
MITTING
&*F
CLIMATE 4 ❑ 5 ❑ 6
ICE:
ZONE:OWNER:
PER
JURISDICTION
Y 1ec*f2 NO.:
NO.:
NEW CONSTRUCTION
ADDITION
❑
IF MULTIFAMILY, NUMBER OF
UNITS COVERED BY
THIS SUBMITTAL:
CONDITIONED
FLOOR AREAEO;EN
SQ.,
FT.
GLASS AREA
AND TYPE'
CLEAR
TINT,FILM,SOLAR SCREEN
PREDOMINANT
EAVE OVERHANG ER 9 FT
LENGTH
SINGE � SQ,
SIP NE- � SQ:.
o FT.
MULTIFAMILY gTTACHED ❑
SINGLE-FAMILY;DETACHED
CHECK IF THIS SUBMITTAL
REPRESENTS A WORST CASE CASE
CONDITION.
PORCH NG 'LENGTH
��.11 FT.
�'�!
D PANES % A FT
D PANES F.
!� NET WALL AREA AND
INSULATION
EXTERIOR MASONRY
R =
EXTERIOR FRAME
R =
EXTERIOR STEEL
R =
EXTERIOR LOG
R =
I SFT.T.
FT.
FT
❑
so.
❑
ADJACENT MA6ONRY
R =
ADJACENT FRAME
R =
ADJACENT STEEL
R =
ADJACENT LOG
R =
I
SQ.so
FT
❑
.
2
FT'
I
FQ
❑
1 = FT
❑
CEILING AREA AND INSULATION
FLOOR TYPE AND INSULATION
UNDER
#IC
R =
SGL ASSEMBLY
R =
SLAB PERIMETER
R =
RAISED: WD ❑ CON ❑
R =
2
ro
W C FQ.
FT
❑
1-4 $ FT.
FF m
DUCTS
COOLING SYSTEM
HEATINGSYSTEM
HVAC CREDITS
HOT WATER SYSTEM
HOT WATER CREDITS
IN
UNCONDITIONED
'� CENTRAL
,I�l ELECTRIC STRIP El HEAT
❑ CEILING FANS
ELECTRIC
SOLAR
❑
❑
SPACE R =
❑ ROOM
❑NATURAL GAS PUMP
❑ CROSS VENTILATION
❑ NATURAL GAS
S.F.=
.
❑
�,
❑,.PACKAGE TERMINAL
❑ OTHER
❑ROOM UNIT OR FUELS
❑WHOLE HOUSE FAN
❑OTHER FUELS
HEAT RECOVERY
DEDICATED
ICAUM
tceEcd
K`l CONDITIC�,NNED
AIR CONDITIONER
PACKAGE TERMINAL
HEAT PUMP ❑ NONE
❑ATTIC RADIANT
El NONE
HEAT PUMP:
�
SPACE R l=
❑. L�
❑ NONE
SEER/EER =
AFOUEHSPFI �. j
BARRIER
❑ MULTIZONE
EF =
E.F.
BEDROOMSNUMBER
Ld
J,
=
INFILTRATION
PRAC1 ICE USED
❑
2 _ 4- 4- q 1 X 100 = (�
� -z �. ❑
TOTAL AS -BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
El #1 #2 3
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
In accordance with Section 5 :907 F.S., I hereby certify that the plans
and specifications cover y t is caul 'on are in com fiance with the
Florida Energy Code.
OWNERJ�GENT: - r
DATE: I�2 SAS—i
Review of the plans and specifications covered by this calculation indicates
compliance with the Florida Energy Code. Before construction is completed, this
building will be inspected for compliance in accordance with Section 553.908 F.S.
BUILDING OFFICIAL:
DATE:
Applicant
Septic tank or
aerobic un.itA_
Septic tank or
aerobic unit_
Graywater
tank
Laundry
waste tank
Other Require
STATE OF FLORIDA
At DEPARTMENT OF HEALTH.AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
I
Authority: Chapter 381, FS
Chapter 1 OD-6, FAC
I� Permit Number
I -SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL---------------
Treatment. Tank Minimum Draintrench OR Minimum Absorption
Size Bed Size
1 '
Grease
7 gallons interceptor gallons`.' Square Feet Square Square Feet
-.,—gallons Dosingtank . gallons Square Feet Square Feet
gallons
Square
Feet
-Square
Feet
gallons
Square
Feet
Square
Feet
(a) Installation "'ust be in accord with requirements of chapter 1 OD-6, FAC.
(b) A system co� struction permit is valid for a period of one calendar year from date of issue.
(c) Final install tion inspection and approval is required before the system is covered.
(d) Invert of stu -out for f �0 f to be // � a r`� f - benchmark.
Invert of stu -out for to be benchmark.
Invert of stu =out for to be benchmark.
Invert of stu -out for to \be benchmark.
r' r
(e) Fill quality a I', d quantity: A �-� Y,
EXCAVATION MUST BE CHECKED
BY THIS DEPARTMENT PRIOR TO
I� DRAINFIELD INSTALLATION.
liji
(f) Other' Ti�' AR -FA OF .DRATNFIELD IS SUBJECT TO SATURATION FROIZ ROOF DRAINAGE,
RC OF MUST BE GUTTERED PRIOR TO FINAL APPROVAL.
System design eInd specifications by: Title
A
Construction au horized by: -- µ Date'
0, t v_ ,, n County/Public Health Unit
Note:
AUDIT CONTR
copies of this form will be provided to the applicant, installer and the building department.
NO. 3 7 3 SQUARE MILE
—
Q o� /__.
HRS-H Form 4016, Feb 851'Obsoletes previous editions which may not be used)'
(Stock Number. 5744-001- 16-0)
Page 1 of 2