Fillable Simplified Energy Synopsis Form PDF (City of Hialeah)

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Simplified Energy Synopsis Form PDF (City of Hialeah)

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MIAMI-DADE COUNTY
BOARD OF RULES
AND APPEALS
SIMPLIFIED ENERGY SYNOPSIS FORM
FOR
THE GLAZING AND ROOFING PERMITS*
*This form shall be filled out and validated by the Plans Examiner reviewing
energy; the form must then
be
made available to the Structural Plans Examiner
and the Roofing Plans Examiner. This form must be included as part
of
the both
the glazing permit package and the roofing permit package.
The
Building and
Roofing Inspector shall utilize this form to confirm energy code compliance.
Project or Owners Name:
Project Address:
Process Number:
Building Element**
U-Factor
R-Value SHGC Reflectance
Glazed Fenestration
Skylight
Above Deck Roof Insulation
Roof Reflectance
** Mark
NA
for any mformatlon
wh1ch
1s
not
applicable
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Simplified Energy Synopsis Form PDF (City of Hialeah)

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Completed 15 July 2020

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