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PLANNING & DEVELOPMENT SERVICES, BUILDING & CODE REGULATION DIVISION
2300 Virginia Ave, Fort Pierce, FL 34982 772‐462‐1553 Fax 7724621578
INSULATION INSTALLATION CERTIFICATION
Building Permit # Site Address:
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 Spray on cellulose
thickness of inches, which thickness, according to the Fiberglass batts
manufacturer will yield an ‘R’ value of ; at bags Rock Wool Batts
per square feet Aluminum Foil
Polyurethane
Polystyrene
Other
2. Ceilings have been insulated with (check one from list) to a
Thickness of inches, which thickness, according to the Fiberglass blankets
manufacturer will yield an ‘R’ value of ; at bags Fiberglass loose Fill
per square feet Rock Wool blankets
Manufacturer: Rock Wool loose fill
Cellulose loose fill
Other
3. Interior/Adjacent Tenant Walls have been insulated with to
a thickness of inches which, according to 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, according to the manufacturer, will yield an ‘R’ value
Of . Manufacturer:
The following areas have not been insulated: _____
_
_.
Insulation Contractor General Contractor/Builders
Company Name CC number Company Name CC number
Contractor’s Name License # Contractor’s Name License #
Contractor’s Signature Date Contractor’s Signature Date