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INSULATION INSTALLATION CERTIFICATE
Gale Insulation
BUILDER: S—hudad
13 3a-�j
JOB ADDRESS:.. � �� -L
PERMIT #: CJ1/ ..0
LOTfBLOCK: 3a
The undersigned hereby certifies that insulation has beeen; installed in the above described property as follows:
1. Exterior CBS walls has been insulated with C4i✓0. to a thickness of • �` inches, which
according to (e). will yield an "R" value of ,
Exterior frame walls has been insulated with to a thickness of inches,
which according to will yield an "R" value of
2. Ceilings (flat) has been insulated withto a thickness of %o inches, which
according to r will yield an "R" value of 38_.
Ceilings (vaulted) has been 'insulated with to a thickness of inches, which
according to will yield an "R" value of
3. interior knee walls has been insulated with
according to
to a thickness of ' inches, which
will yield an "R" value of
4. Garage Partition walls adjacent to conditioned living space., has been insulated with to a
thickness of c 3 . inches, which according to z,6 (" ki will yield an "R" value of ( _.
General Contractor/Builder
Signature
Insulation Contractors Signature
License # CGC1512179
THE AFFIANT, a'LQ,.IS PERSONALLY KNOWN TO ME Sworn to and'subscribed before me this 7 day
Notary Public, State of Florida,
3601-A CROSSROADS PARKWAY ♦ FT. PIERCE, FL 34945
FT. PIERCE (772) 465-9191 • VERO BEACH (772) 589.1514 + STUART (772) 283-3151
TOLL FREE (866) 619.8456 0 FAX (772) 489-67SS
MELISSA S. SAW
Notary Public - State of Florida
My, Comm. Expires Aup 1. 2017
Commissloo * F 41364