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SAM
PLANNING&DEVELOPMENT SERVICES, BUILDING&CODE REGULATION Df1%ISiON.
2300 Virginia Ave, Fort Pierce,FL 34982 772-462-1553 Fax 7,72462151$
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INSULATION INSTALLATION CERTIFICATION
Building_Permit . —; �' Sife Aiidiess: �
-street City State Zip
TFte undersigned.hereby certifies that inst:ilation has:b.een installed in the at�ove-described property.to.meet
the niinimurrt requirements for R-Value of the Florida Energy Efficiency Code in accordan.ce.with the approved
plans and:spgbfieations,as follows:
1. Exterior walls have been insulated with (check one frarn list)to..a spray on cellulose
thickness of I f\ _ inches;which thickness,according to the --:,Y Fiberglass Batts
manufacturer Will yield an 'R'value of ;at_ baps. Rock tool Batts
per square feet Aluminum Foil
Polyurethane
Polystyrene
Other_
2. Ceilings have been;insulated with(check one from list) to a
Thickness.of a_ inches;which..thickness,.according to.the Fiberglass blankets
manufacturer will yield an'R' value of
;at bags %k Fiberglass loose Fill.
per square feLA --���� � Rock Wool blankets
Mariuf�.turer: �r:k' �4'1k?�'.S; Rotk Wool loose fill
Celluloseaoose fill
Other.
3. interior/AdjacentTena.nt Walls have been insulated With 1 5 to_
a thickness of. : . inches which,according to the manufacturer;will yield,an`ff value
Of , i I Manufacturer;^ j -z
4. Garage:partition walls of conditioned living,area have been insulated with ��(��'.� to
A thickness of lz S Inches which; accord' l J to the manufacturer,will yield'an `R'value
Of f - Manufacturer;
The following areas have not been insulated:
Insulation Contractor renerof Contractor/Builders
Corr p ry Nome CC number Company Nome CCnumber
Controctor's Nafiie License ft Contractor's Norne License;
fto-111t1X
'ructor's5ignature Date Controcror`sSjq' nature Date