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The Florida HVAC Efficiency Card form is an essential document required for the replacement of mechanical equipment in air conditioning systems. This form must be displayed at the job site and is necessary to ensure compliance with local regulations. It requires the submission of two copies, which include vital technical information about both the new and existing systems. Key details such as the Seasonal Energy Efficiency Ratio (SEER) and Energy Efficiency Ratio (EER) are crucial for evaluating the efficiency of the air conditioning system. Additionally, the form collects information about the manufacturer, model numbers, voltage specifications, and circuit ampacity for both the air handler and condenser unit. If the air handler is equipped with evaporator coils, further details must be provided. The applicant is required to certify the accuracy of the information provided, ensuring that all specifications align with the Department for Community Sustainability's standards. This form plays a significant role in promoting energy efficiency and maintaining safety standards within the HVAC industry in Florida.
Form Example
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,
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
Document Breakdown
| Fact Name | Description |
|---|---|
| Purpose | The Florida HVAC Efficiency Card form is required for the replacement of mechanical equipment. |
| Job Site Requirement | This information must be posted on the job site during the installation process. |
| Copies Required | Two copies of the form are required for submission. |
| System Type | The form applies to DOE covered products, specifically central, air-source, one-phase systems under 65,000 BTUH. |
| Technical Information | Details about the replacement system, including model numbers and electrical specifications, must be filled out. |
| Existing System Information | Information about the existing system is also required, ensuring a complete overview of the installation. |
| Certification | The applicant must certify that the information provided is accurate by signing the form. |
| Governing Law | This form is governed by local regulations in the City of Lake Worth, Florida. |
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