CODES

ADOPTS WITH AMENDMENTS:

International Energy Conservation Code 2012 (IECC 2012)

FLORIDA BUILDING CODE, ENERGY CONSERVATION
CHAPTER C4—COMMERCIAL ENERGY EFFICIENCY
Form C402-2014 ALTERATIONS, RENOVATED BUILDING and BUILDING SYSTEMS
Climate Zone:
Project Name:Occupancy type:
Address:Alteration Renovated Building Building System
City, Zip Code:Building Permit No.:
Builder:Permitting Office:
Owner:
BUILDING ENVELOPE INFORMATION (Where changed)
Envelope ComponentDescriptionRequirementEfficiency
LocationUnitRequired Installed
Roof typeTable C402.1.2 or
Table C402.2
U-factor or
R-value
Roof reflectance/Emittance
(low slope roofs)
Table C402.2.1.1Solar reflectance,
Thermal emittance
Wall type, above gradeTable C402.1.2 or Table C402.2U-factor or
R-value
Wall, below grade
Floor type
Vertical fenestrationsTable C402.3U-factor
SHGC
SkylightsU-factor
SHGC
BUILDING SYSTEMS INFORMATION [for HVAC, service hot water or pool heating, lighting systems, and replacement fenestration (C101 .4.7)]
SystemType (describe system)RequirementEfficiency
LocationUnitRequiredInstalled
Air-conditioning systemTables C403.2.3 (1-3, 6-8, 10-11)SEER or EER, IEER
Heating systemTables C403.2.3 (2-6)HSPF or COP AFUE, Et or Ec
Ventilation/air handling systemTables C403.2.10.1(1-2)Fan power (cfm):
DuctsLocation:Table C403.2.7.1 R-value
PipingFluid design operating temp:Table C403.2.8Inches
Hot waterTable C404.2EF, Et, COP
LightingSpace types: (append list)Table C405.5.2 (1 or 2)Lighting power density
Fenestrations: Enter information in BUILDING ENVELOPE INFORMATION box above.
Other:
COMPLIANCE IS BY ANSI/ASHRAE/IESNA 90.1
(Submit alternate form or append documents as needed)
I hereby certify that the plans and specifications covered by the calculation are in compliance with the
Florida Building Code, Energy Conservation.
PREPARED BY:___________________________
DATE:___________
I hereby certify that this building is in compliance with the Florida Building Code, Energy Conservation:
OWNER/AGENT:___________________________
DATE:___________
Review of plans and specifications covered by this
calculation indicates compliance with the Florida Building
Code, Energy Conservation. Before construction is
completed, this building will be inspected for compliance
in accordance with Section 553.908, F.S.
BUILDING OFFICIAL:___________________________
DATE:___________
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