Florida HVAC Efficiency Card Form PDF Details

In an effort to maintain high standards of energy efficiency and sustainability, the City of Lake Worth Building Division Department for Community Sustainability has implemented a requirement for the Florida HVAC Efficiency Card Form, specifically designed for the replacement of mechanical equipment. This mandate necessitates that the form be vividly displayed on the job site, with a prerequisite of submitting two copies. The form requires detailed technical information on both the replacement and existing air conditioning systems, covering aspects such as the Seasonal Energy Efficiency Ratio (SEER), Energy Efficiency Ratio (EER), system capacities, manufacturer details, model numbers, voltage, heat strips, minimum circuit ampacity, and wire size among other specifications. Additionally, for air handlers equipped with one or more evaporator coils, further information is necessary. By mandating this form, the department ensures that all replaced HVAC systems meet specific energy efficiency standards, demonstrating a commitment to environmental sustainability. This careful documentation process not only facilitates regulatory compliance but also encourages the installation of more efficient HVAC systems, contributing to energy conservation efforts within the community.

QuestionAnswer
Form Name Florida HVAC Efficiency Card Form
Form Length 1 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 15 sec
Other names florida hvac efficiency, florida hvac efficiency card new construction, hvac efficiency card, florida hvac efficiency card form seminole county

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BUILDING DIVISION

DEPARTMENT FOR COMMUNITY SUSTAINABILITY

CITY OF LAKE WORTH

1900 2ND AVENUE NORTH

LAKE WORTH, FL 33461 561.586.1647

Florida HVAC Efficiency Card Form

Required for REPLACEMENT of mechanical equipment. This information must be posted on job site. Two (2) copies are required.

 

AIR CONDITIONING SYSTEM

SEER: ___________________________

EER: ________________________________

DOE covered products are central, air-source, one-phase systems having capacities under 65,000 BTUH

REPLACEMENT SYSTEM TECHINICAL INFORMATION

Manufacturer __________________________________________________________________________

Air Handler Model No.___________________

Condenser Unit Model No._________________________

Voltage _______________________________

Voltage ________________________________________

Heat Strip _____________________________

Size tons _______________________________________

Min. Circuit Ampacity ___________________

Min. Circuit Ampacity ____________________________

HACR Breaker / Fuse Size

HACR Breaker / Fuse Size

Min._________ Max __________

Min._____________ Max ____________________

Wire Size ________________ A.W.G.

Wire Size _________________ A.W.G.

Additional information is required if the Air Handler is equipped with one or more evaporator coil.

Evaporator Coil Unit Model Number ________________________________________

EXISTING SYSTEM TECHINICAL INFORMATION

Manufacturer __________________________________________________________________________

Air Handler Model No.___________________

Condenser Unit Model No._________________________

Voltage _______________________________

Voltage ________________________________________

Heat Strip _____________________________

Size tons _______________________________________

Min. Circuit Ampacity ___________________

Min. Circuit Ampacity ____________________________

HACR Breaker / Fuse Size

HACR Breaker / Fuse Size

Min._________ Max __________

Min._____________ Max ____________________

Wire Size ________________ AW.G.

Wire Size _________________ AW.G.

Additional information is required if the Air Handler is equipped with one or more evaporator coil.

Evaporator Coil Unit Model Number _______________________________________________________

I, hereby certify that information entered on this form is the accurate representation of the systems installed.

Signature of Applicant ___________________________________ Date ___________________________

Building Division | Department for Community Sustainability

City of Lake Worth | 1900 2nd Avenue North | Lake Worth, FL 33461

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Step no. 1 in filling out florida energy efficiency code display card for hvac

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