HOME ENERGY IMPROVEMENT PROGRAMPROGRESS ENERGY FLORIDA, INC.

HOME ENERGY IMPROVEMENT HVAC INCENTIVES

04/07 FORM # 921318HEIWHITE-PROGRESS ENERGY YELLOW-CONTRACTOR PINK-CUSTOMER

CUSTOMER NAME ACCOUNT NUMBER (COMPLETED BY PE) TA AREA (COMPLETED BY PE)

SERVICE ADDRESS PROGRESS ENERGY REPRESENTATIVE

CITY STATE ZIP CODE ENERGY MANAGEMENT (COMPLETED BY PE) INPUT DATE (COMPLETED BY PE)

PRIMARY PHONE NUMBER DATE INSTALLED AUDIT DATE

SQUARE FOOTAGE (CONDITIONED AREA) PERMIT NUMBER (REQUIRED FOR ALL INCENTIVES)

CONTRACTOR NAME CONTRACTOR PHONE NUMBER

❑ YES ❑ NO

TYPE OF AUDIT(Completed by Progress Energy)

❑ WALK THRU

❑ PHONE ASSISTED

❑ 10% INSPECTION

TYPE OF HEATINGEQUIPMENTREMOVED ❑ Heat Pump ❑ Straight Cool ❑ Gas/Oil

***NOTE: IF OIL OR GAS HEAT WAS THE PRIOR FUEL, THE CUSTOMERIS NOT ELIGIBLE FOR A HEAT PUMP REBATE

CUSTOMER INCENTIVE FOR THE INSTALLATION OF NEW HVAC EQUIPMENT

INCENTIVE FORM IS VOID SIX MONTHSAFTER DATE ISSUED

Please mail this form and appropriatedocumentation to Progress Energy at:

Progress Energy FloridaHVAC Incentive

3300 Exchange Place, NP2ALake Mary, FL 32746

OR

Progress Energy FloridaHVAC Incentive

4121 St. Lawrence DriveNew Port Richey, FL 34653

FIRST UNIT INSTALLED SECOND UNIT INSTALLED

SEER HSPF

SEER ≥ 14 AND HSPF ≥ 7.8 SEER ≥ 15 AND HSPF ≥ 8.0

❑ $100 ❑ $150

❑ $250 ❑ $350

SEER HSPF

SEER ≥ 14 AND HSPF ≥ 7.8 SEER ≥ 15 AND HSPF ≥ 8.0

❑ $100 ❑ $150

❑ $250 ❑ $350

MANUFACTURERNAME

OUTDOOR MODELNUMBER

INDOOR MODELNUMBER

CAPACITY (BTUH)

SEER & HSPF

EFFICIENCY

HEAT PUMP TOHEAT PUMPINCENTIVE

RESISTANCE HEATTO HEAT PUMPINCENTIVE

EVAPORATOR COILMODEL NUMBER

EFFICIENCY

NON-ELECTRIC TO NON-ELECTRICHEATING INCENTIVE

SEER ≥ 14 SEER ≥ 14

❑ $50❑ $50

CONTRACTOR INCENTIVES APPLY ONLY WHEN A NEW HVAC SYSTEM IS BEING INSTALLED THAT MEETS EFFICIENCY REQUIREMENTS

Permit number and all equipment information located above is required. Efficiency rating of ≥ 14 SEER is required with a matching evaporator coil

WHEN APPLYING FOR CUSTOMER AND CONTRACTOR INCENTIVES: A COPY OF ARI FORM AND CUSTOMER INVOICE MUST ACCOMPANY THIS INCENTIVE FORM

To qualify for an incentive follow the requirements for the appropriate program presented in the Heat Pump Incentive Checklist or the Electric A/C with Non-Electric Heat checklist.

❑ INCENTIVE: $25

❑ INCENTIVE: $10

❑ INCENTIVE: $50

❑ INCENTIVE: $75

❑ INCENTIVE: $50

❑ PASS

❑ FAIL

❑ PASS

❑ FAIL

❑ PASS

❑ FAIL

Progress EnergyInspection Section

Mastic isused

Equipmentinstalledmatches

ARIdocument

Equipmentinstalledmatches

ARIdocument

PE REPRESENTATIVE NAME DATE

Submittal and completion of Heat Pump incentive paperwork

Submittal and completion Non-Electric Heating incentive paperwork

SUPPLY & RETURN PLENUM SEAL Only electric heating systems are allowed for incentive participation

Only mastic and fiber cloth with embedded fiber (mixed) may be used to seal the supply and return plenum system.Mastic must meet UL 181 specifications for the material that the mastic is being applied to.

PROPER SIZING OF HIGH EFFICIENCY HVAC

All heating fuels allowed for incentive participation HVAC COMMISSIONING

All heating fuels allowed, attach sizing software analysis,unit’s tonnage must be within 1/2 ton of size from that analysis

MANUFACTURER OF SIZING SOFTWARE:

SIZING SOFTWARE RECOMMENDATION TOTAL BTUH: BTUH OF INSTALLED EQUIPMENT:

MANUFACTURER OF HVAC COMMISSIONING SOFTWARE:

Copy of analysis printout from software showing:

BTU rating before and after improvements are madeSystem performs at + or - 15% of manufacturer’s

specified BTU’s after improvements

The contractor and customer must follow Progress Energy’s requirements as stated on the appropriate checklist to receive incentive. The contractor certifies that the air flow meets themanufacturer’s requirements and specifications for the system installed. Also, that the refrigerant charge and type are according to manufacturer’s specifications and recommendations forthe unit installed. I certify that the unit is tested and is leak free. I further certify that the hard start kit has been installed on any scroll compressor 36.001 BTU’s or larger.

CONTRACTOR SIGNATURE DATE

HOME ENERGY IMPROVEMENT PROGRAMPROGRESS ENERGY FLORIDA, INC.

HOME ENERGY IMPROVEMENT HVAC INCENTIVESCUSTOMER NAME ACCOUNT NUMBER (COMPLETED BY PE) TA AREA (COMPLETED BY PE)

SERVICE ADDRESS PROGRESS ENERGY REPRESENTATIVE

CITY STATE ZIP CODE ENERGY MANAGEMENT (COMPLETED BY PE) INPUT DATE (COMPLETED BY PE)

PRIMARY PHONE NUMBER DATE INSTALLED AUDIT DATE

SQUARE FOOTAGE (CONDITIONED AREA) PERMIT NUMBER (REQUIRED FOR ALL INCENTIVES)

CONTRACTOR NAME CONTRACTOR PHONE NUMBER

❑ YES ❑ NO

TYPE OF AUDIT(Completed by Progress Energy)

❑ WALK THRU

❑ PHONE ASSISTED

❑ 10% INSPECTION

TYPE OF HEATINGEQUIPMENTREMOVED ❑ Heat Pump ❑ Straight Cool ❑ Gas/Oil

***NOTE: IF OIL OR GAS HEAT WAS THE PRIOR FUEL, THE CUSTOMERIS NOT ELIGIBLE FOR A HEAT PUMP REBATE

CUSTOMER INCENTIVE FOR THE INSTALLATION OF NEW HVAC EQUIPMENT

INCENTIVE FORM IS VOID SIX MONTHSAFTER DATE ISSUED

Please mail this form and appropriatedocumentation to Progress Energy at:

Progress Energy FloridaHVAC Incentive

3300 Exchange Place, NP2ALake Mary, FL 32746

OR

Progress Energy FloridaHVAC Incentive

4121 St. Lawrence DriveNew Port Richey, FL 34653

FIRST UNIT INSTALLED SECOND UNIT INSTALLED

SEER HSPF

SEER ≥ 14 AND HSPF ≥ 7.8 SEER ≥ 15 AND HSPF ≥ 8.0

❑ $100 ❑ $150

❑ $250 ❑ $350

SEER HSPF

SEER ≥ 14 AND HSPF ≥ 7.8 SEER ≥ 15 AND HSPF ≥ 8.0

❑ $100 ❑ $150

❑ $250 ❑ $350

MANUFACTURERNAME

OUTDOOR MODELNUMBER

INDOOR MODELNUMBER

CAPACITY (BTUH)

SEER & HSPF

EFFICIENCY

HEAT PUMP TOHEAT PUMPINCENTIVE

RESISTANCE HEATTO HEAT PUMPINCENTIVE

EVAPORATOR COILMODEL NUMBER

EFFICIENCY

NON-ELECTRIC TO NON-ELECTRICHEATING INCENTIVE

SEER ≥ 14 SEER ≥ 14

❑ $50❑ $50

The contractor and customer must follow Progress Energy’s requirements as stated on the appropriate checklist to receive incentive. The contractor certifies that the air flow meets themanufacturer’s requirements and specifications for the system installed. Also, that the refrigerant charge and type are according to manufacturer’s specifications and recommendations forthe unit installed. I certify that the unit is tested and is leak free. I further certify that the hard start kit has been installed on any scroll compressor 36.001 BTU’s or larger.

CONTRACTOR SIGNATURE DATE

04/07 FORM # 921318HEIWHITE-PROGRESS ENERGY YELLOW-CONTRACTOR PINK-CUSTOMER