Fillable Board of Rules & Appeals Policy 19-02 Effective (Broward County)

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Board of Rules & Appeals Policy 19-02 Effective (Broward County)

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g:\shared\2019 br&a\board agenda\5. may 9\ac replacements policy 19-02.doc
Board of Rules & Appeals Policy 19-02
Effective October 1, 2019
Revised November 12, 2019
Subject: “Broward County Uniform Data Form for Residential and Light Commercial Air
Conditioning Replacements”
POLICY
Each permit application for a residential and light commercial air conditioning replacements,
shall be submitted to all jurisdictions in Broward County using the attached “Broward County
Uniform Data Form for Residential and Light Commercial Air Conditioning Replacements”.
This form does not relieve the permit holder, building owner or contractor from complying with
all and any applicable local regulations or ordinances related to zoning, flood prevention, fire
prevention, etc.; or prohibits a Broward County jurisdiction from requiring additional information
to be provided in relation to applicable local regulations or ordinances related to zoning, flood
prevention, fire prevention, etc.
Use of the “Broward County Uniform Data Form for Residential and Light Commercial Air
Conditioning Replacements” is mandatory countywide starting October 1, 2019.
See attached form.
Page 1 of 2
5.200
Editor's note: This form was updated by vote of the Board of Rules and Appeals on November
14, 2019 and remains mandatory county-wide.
Board of Rules and Appeals Policy 19-02
Effective October 1, 2019
Revised November 14, 2019
Broward County Uniform Data Form for Residential and Light Commercial Air Conditioning Replacements
(All others, including cooling towers, chillers, refrigeration units, etc. must provide plans.)
EACH SYSTEM REQUIRES A FORM
Job Name
Address
Unit #
City
Zip Code
FILL IN APPLICABLE INFORMATION
Data
Existing Unit (1)
New Unit
Manufacturer
Package/Heat Pump Model #
Condensing Unit Model #
AHU Model #
Model #
KW Strip Heat
Minimum Circuit Amp
c/u
ahu/pkg
c/u
ahu/pkg
Maximum Overcurrent Protection
c/u
ahu/pkg
c/u
ahu/pkg
Size of Disconnect
c/u
ahu/pkg
c/u
ahu/pkg
(1) Provide equipment sizing calculations if existing unit data is not available (ACCA Manual N, J, etc.)
(2) Provide AHRI Certificate
Will a new stand, curb or curb adapter be installed?
YES
NO
Will a duct smoke detector be installed or reconnected?
YES
NO
Is the duct s/d connected to an Fire Alarm Panel?
YES
NO
Will the A/C location be the same?
YES
NO
Company Name
FL State or Co. License #
Qualifier’s Signature
FOR BUILDING DEPARTMENT USE ONLY
Process or Permit #
Jurisdiction
Approved by
Date
Disclaimer:
1. This form does not relieve the applicant from compliance with all applicable sections of the Florida Building Codes.
2. Additional local regulations might be applicable, i.e. zoning, flood and fire prevention, etc.
G:\SHARED\2019 BR&A\Board Agenda\11. Nov 14\PDFs
5.201
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Board of Rules & Appeals Policy 19-02 Effective (Broward County)

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Completed 27 August 2020

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