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���INSULATION INSTALLATION CERTIFICATE
TO-�^^���-r��-'���`jj^�� � �� LOT BLOCK: SECTION:
JOB4102 ,�, Z JOB NAM fi _ H o n
JOB ADDRESS:L���-}
The undersigned hereby certifies that insulation has .been installed at the above described property as
follows:
1. Exterior CBS walls have been insulated with ............................Check one ( ) Spray on cellulose
to a thickness of N/A inches, which thickness,according to the ( ) Fiberglassblankets
manufacturer, � (�) Aluminum Foil
Density WA w yield an "R" value of ebW-Fi I
Exterior Frame walls have been insulated with ............................Check one ( ) Spray tJonnccellullose
to a thickness of inches, which thickness,according to the ( ) Fiberglass blankets
manufacturer. () Aluminum Foil
Density WA will yield an "R" value of ( ) Other spray Foam
2. Main Ceilings have 1 been insulated with .........................Check one () Fiberglass blankets
to athirkness otl� iy in whVit'l
es ding to the () Fiberglass loose fill
trtemufacturcr, `j Q AluminumFoil
DensiNIA Wr d an of the ��YO
Ceaings Cethedrai have been insulated with ......................:..Check one ( ) Fiberglass blankids
to a thickness of inches, which thickness, according to the ( ) Fiberglass loose fill
manufacturer, ( )Aluminum Foil
Density N/A will yield an "R" value of ( ) Other cerawe
3. Interior knee walls have ban insulated with.................................Check one ( ) Fiberglass blankets
to it thickness of inches, which thickness, according to the ( }Polyurethane
manufacturer, () Spray on cellulose
Density N/A will yield an "R" value of () Other Spray Foam
4. Garage partition walls of conditioned living areas have been
insulated with..................._......................Check one ( ) Fiberglass blankets
to a thickness of inches, which ihickness,.according to the ( ) Spray on cellulose
manufacturer, ( ) Polyurethane
Density N/A will yield an "R"'value of ( ) Other Aluminum Foil
MULTI FAMILY RESIDENTIAL CONSTRUCTION ONLY: The common (party) walls separating
different tenants shall be insulated as follows - Frame/Metal.stud walls R-11(Min.); CBS or Concrete walls
R-3 (Min.); by Energy Code:requirements. See Energy Code Rev.1/87, paragraph 903.2(b), on page 9.17,
latest edition. These "minimums levels of insulation" are not included in the Energy Calculations, but shall
be installed in the field.
NOTE: Densities of sprayed on, loose fill, or any other composed -on site insulation shall be the P.C.F.
(Ib/ft3).average ofthree (3) "DRY SAMPLES" of actual juWlatiln.
Michelle Richards
Insulation Contractor Insulation Contractor Signature
1"11Q'S1
Insulation Contractor's CC# Date of Certification
Buildees Nana - Builder's CCU
1 A E0
�' � Ell
KELLY L YOUNG
=� Notary Publie • State 01 Florida
�y My Comm. Expires Jul 1. 201
Commission M FF 13810+
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