HomeMy WebLinkAboutInsulation Installation CertificateINSULATION INSTALLATION CERTIFICATE
TO:C �r Ul AP L_W[ . LOT BLOCK: 'SECTION:
JOB#:iC�JOB NAME: 1 � i SC kS 'Imo$'
JOB ADDRESS:6kL-I V5
The undersigned; hereby certifies that insulation has. been installed at the above described property 'as
follows:
I. Exterior CBS walls have been insulated with.............................Check.one ( ) Spray on cellulose
to a thickness of N/A inches, which thickness, according to the ( ) Fiberglass. blankets
manufacturer, }}��((�� 4 Aluminum. Foil
Density N/A will Wdtad `R I value of (� I (:) Riaid
Exterior Frame walls have been insulated with....................:........Check one
( ) Spray on cellulose
to a thickness of inches, which thickness, according to the
( ) Fiberglass blankets
manufacturer,
( ) Aluminum Foil
Density N/A will yield an "R" value of
( ) Other Spray Foam
2. Main Ceilings have , I been insulated with .........................Check one
to a thickness of�'tl 2 inches, which thickness, acc00ing to the
Fiberglass blankets
() Fiberglass loose fill
manufacturer, � j
( ) Aluminum Foil.
Density N/A wr y�e an � v ue of
Oi 4" ��
)Other I Cellubae
Ceilings Cathedral have been insulated with ......:.................:Check one
Fiberglass blankets
o a tthickness ofQ inches which thickness, accordingto the
manufacturer, Cor
OFiberglass loose, fill
Foil
n ��
O Aluminum
Density N/A will yield an "R" value o&
Other Cellulose
3. Interiorknee walls have been insulated with..............................Check one KFiberglass blankets
to a thickness of( ;1(„ inches, which thickness, according to the () Polyurethane
manufacturer, �1 L g � Jai" ( ) Spray on cellulose
Density N/A w, yield an'. " . ue of )Other Spray Foam
4. Garage partition walls of conditioned living areas have been
.insulated with ... :. ......... ...... ...... ...........Check one ,Fiberglass blankets
to a thickness .of I (2 inches, which thickness, according to the /( ) Spray on cellulose
manufacturer, J ar(1� f () Polyurethane
Density NIA wi yield an R v o In 2 " 1 (j .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-1 l (Min.); CBS or Concrete. walls.
R-3 (Min.); by Energy Code requirements. See Energy Code Rev. I/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.
(lb//ft3) average of three-(3) "DRY SAMPLES" of actual installat, n.
_1 DE
Insulation Contractor Insulation Contractor Signature
�`-1 e�M q l � I�0_ 5ILA
Insulation Contractor's CC# Date o Certification
C-17 W0 L->xbY.awsy- I i 'Plzlu�
12,o,-rod CO X0y cy) b
Builder's Name - Builder's CC# T No PubliU
Ce,C, 1�11,5orM-7
,•`o�'ay °jai% KELLY L YOUNG
Notary Public'- State of Florida
o� My Comm. Expires Jul 1, 2018
Commission * FF 138101
�./1111N
INSULATION INSTALLATION CERTIFICATE
TO(a)t (3tryl aM4 - - LOT BLOCK: SECTION:
%OB#1:: )JOB NAME- .II1�C-;n 2S j t+D� �SZ.
JOB ADDRESS-aL V5 1 Q�1� iC'. Ch 1.1�Q2 i-t ►Q r C� I�
The uoders"gn ed; .hereby uectifies that insulation has. been installed at the. above described property as
follows:
I. Exterior CB5 walls:have heenansulated with.............................Check.one ( ) Spray on cellulose
to a thickness of NIA inches, which thickness, according to the (.) Fiberglass blankets
manufacturer, e� , Aluminurn.Foil
Density N/A will aldearfi`'R" value of O Riaid
Exterior:Frame walls have been .insulated with.........................:...Check one ( ) Spray on cellulose
to'a thickness of niches; which thickness, :according to the ( ) Fiberglass blankets
manufacturer, ( ) Aluminum Foil
Density N/A will yield an "R" value of ( ) Other Spray Foam
2. Main Ceilings have _ I been insulated with... ................Check one Fiberglass blankets
to a.thckness of G Z inches, which thickness, according to the () Fiberglass loose fill
manufacturer, �/� I 1" ��' ,�VL-
,y ( )Aluminum Foil.
DensiNIA wi .. "ie`I an v e oOother j Cellulose
Cellings Cathedral have been insulated with ... ....:......;Check one ��.Fiberglass blankets
toa thickness ofil U inches whichithickness, according to the
l , g OFib erglass loose:fil(.
manufacturer, ��jr �� ( ).Aluminum Foil
Density N/A willrvill y'R' ,value OOther Cellulose
3. Interior knee walls:have been insulated with ........ .............Check oneFiberglass blankets
to a thickness of Q+ inches, which
�Pt
thlck4ess, a4cordmg to, the O Polyurethane
maaUfacturer, n S ra:Densi N1A wi n� ) O p. y oh cellulose
ty yield an', " of� O Other Spray Foam
4. 'Garagepartitt{ion walls of conditioned living areas have Been
Insulated w1th_4. Y" .:...... .:Y....(iYi
.CfiecTi oneXfil;
'i4erglass blankets
to a thickness of 110 inches, which thickness, according to. the pray on :cellulose
manufacturer; ,� 11(�}� ( () Polyurethane
Density N1A wil yield an R. v o 1 �j" ! O.Other Aluminum Foil
MULTI 1:AMILY RESIDENTIAL CONSTRUCTION ONLY: The common (party) walls separating
different tenants shall be insulated -as follows - frame/Metalstud walls.R-1:1 (Min:). CBS .or Concrete. walls:
R 3 (Miti.) by Energy Code.requirements. fee Energy Code Rev. I187, Tparagraph 903.2(b), on page- 9-1 7,,
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.
(lp{b(//�ft33))1-yaverage-of three (3)Qn"DR
—U_Y SAMPLES" of actual installati n,
Insulation Contractor insulation. Contractor Signature
Insulation Contractor's CC#
Builder's Name. - Builder's CC#
RECEIVED OCT-212014
„11111 /,..
•`'o",'�` P& KELLY L YOUNG
r* Notary Public -State of Florida
Nyr cc My Comm. Expires Jul 1, 2018
Commission #" FF 138101
/j/111/11�