FORM 300-2008

Effective ____________

 

 

                           CHANGE REQUEST FORM

Building Energy Rating System

Rule 9B-60

 

                 Florida Department of Community Affairs

                         2555 Shumard Oak Blvd.

                     Tallahassee, Florida 32399‑2100

                              (850)487-1824

 

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ITEM No.        SHEET      of         IMPACTED SUBSECTION __________   __________

 

Date        

 

NAME   _____________      __________________ __PHONE____________________

 

ADDRESS            ____________________     ZIP                  ____

 

 

   Line Through Material to be Deleted     Underline Material to be Added

 

Check One:        Revise subsection to read as follows:

      Add a new subsection to read as follows:

      Delete subsection without substitution:

      Delete subsection and substitute the following:

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

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REASON  (Attach complete documentation to this form):