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3601-A Crossroads Parkway
Fort Pierce, FL 34945 INSULATION INSTALLATION CERTIFICATE
License # CGC1512179
Gale Insulation
BUILDER: SUBDIVISION:
JOB ADDRESS: CITY:
PERMIT#: LOT/BLOCK:
The undersigned hereby certifies that insulation has been installed in the above property as follows:
1. Exterior CBS walls have been insulated with to thickness of inches, which
according to will yield an “R” value of .
2. Exterior frame wall has been insulated with to a thickness of inches, which
according to will yield an “R” value of .
3. Ceiling Area (flat) has been insulated with to a thickness of inches, which
according to will yield an “R” value of .
4. Ceiling Area (vaulted) has been insulated with to a thickness of inches, which
according to will yield an “R” value of .
5. Interior knee walls have been insulated with to a thickness of inches, which
according to will yield an “R” value of .
6. Garage common walls adjacent to conditioned living space have been insulated with
to a thickness of inches, which according to will yield an “R” value of .
_______________________________ ___________________________
General Contractor/Builder Signature Insulation Contractors Signature
THE AFFIANT IS PERSONALLY KNOWN TO ME. Sworn to and subscribed before me this
day of 20___.
Notary Public, State of Florida