HomeMy WebLinkAboutInsulation CertPLANNING & DEVELOPMENT SERVICES, BUILDING & CODE REGULATION DIVISION
-�� 2300 Virginia Ave, Fort Pierce, FL 349$2 772-462-1553 Fax 7724621578
INSULATION INSTALLATION CERTIFICATION
Building Permit # (QSite Address: i) 0 a DL xsrn t-, t if" z ,,
Street City State Zip
The undersigned hereby certifies that insulation has been installed in the above-described property to meet
the minimum requirements for R -Value of the Florida Energy Efficiency Code in accordance with the approved
plans and specifications, as follows:
1. Exterior walls have been insulated with (check one from list) to a
thickness of� inches, which thickness, accordingto the J�fIS
manufacturer will yield an 'R' value of at 14, (�
per square feet
2. Ceilings have been insulated with (check one from list) to a
Thickness of _0&inches, which thickness, according to the
manufacturer will yield an 'R' value of 30 ;at bags
per square feet hh
Manufacturer:�--
3. Interior/Adjacent Tenant Walls have been insulated with
Spray on cellulose
Fiberglass baits
Rock Wool Batts
Aluminum Foil
Polyurethane
Polystyrene
Other ! --I' F�)I'�
Fiberglass blankets
Fiberglass loose Fill
Rock Wool blankets
Rock Wool loose fill
Cellulose loose fill
Other
to
a thickness of inches which, accordingto the manufacturer, will yield an 'R' value
Of . Manufacturer:
4. Garage partition walls of conditioned living area have been insulated with to
A thickness of inches which, accordingto the manufacturer, will yield an 'R' value
Of . Manufacturer:
The following areas have not been insulated:
Insulation Contractor
Company Name CCnumber
Contractor's Name License #
6 zo
Contractor's Signature Dale
General Contractor/Builders
Company Name CC number
Contractor's Name License #
Contractor's Signature Date