Florida Hvac Efficiency Card Form PDF Details

The Florida Hvac Efficiency Card Form, or E-941, is a state-mandated form used to report the energy efficiency of your commercial HVAC equipment. The form must be completed and returned to the state every year by March 1st. Completing and submitting this form is essential for ensuring that your business is in compliance with Florida state law. Failing to submit this form can result in fines and other penalties. If you're unsure how to complete the E-941 or need help getting started, our team at Allied Air can assist you. We're experts in HVAC system maintenance and repair, and we'll make sure that your business is compliant with all Florida state laws relating to HVAC efficiency. Contact us today to learn more!

QuestionAnswer
Form NameFlorida Hvac Efficiency Card Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesflorida 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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