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INSULATION INSTALLATION CERTIFICATE 90
TO. (boR
LOT_ BLOCK: SECTION.,
J013#: JORNAME
JOB ADDRESS:
The undersigned. hereby certifies that. insulation- has-been installtd.:at-S& above dacir-bed
'propert - y
follows.
Exterior CO.$ %Wls'.havt been, insulated'with ............................ Check,ofte
to a thickness of 'N/A-
inch
Wa -hipkness� aced(Ongto the
manufactuVb�lDensityZ�coil Z"R vatue,of (_ 1 1 —1 11
Exterior FtAme walls ave been,ins6latedwith ....... ......... __-.,Ch&qk,vnd
to a1hickness ofj(LA rding to the
manufacturer,
Density N/A
2. Main,CiAlidgs have
to a.thickness of 1b,
,manufacturer,
Density NIA
Ceilings Catheidral,
to a " thickness -of
manufacturer,
Density N/A
Cj been insulatedwith.........................Check one
thickness 9 ing to the
��an kl'_V:�al�ueo
�w 12
hava bten.'irisUlated with. ...... j'Check one
inches, which thickness, according to the
will y1eld;an,'V' value of:
Spray on cellulose
Fiberglass blankets
r 11ol -*-
Spray on cellulose
fiberglas
s
blankets
C)Ajurninuin Foil.
)Other spay Foam
).Fiberglass rglass blankets
),Fiberilassloose'till:
C, 5xjtubinum Foil
Fiberglass blankets
')T-,jberglas§ loose ilin
);Aluminum Foil
)-Other Cellulose
I Interior knee walls, have been insulated With .................................Check, one Fiberglass blankets
to,a thickness.of C7�_ inches, w4i0thick,nd' di t th ?a or ing o e )Tolyurethano
manufacturer, Spray On cellulose
Density N/A
I ge Q Spiray, Foam
4. Cyarage. partition walls of conditioned living arjashave, been
insulated with..... ....... ............ I ........... ............. Check one Fiberglass blankets
es whjc Tjckrnes9,.'c40tdihg�t�4hc Spray'� on cellulose
to.athicknesso!?�( inficip, .,h. -
manufacturer;. 1 essj'' 1?61mothane:
Wi I viell
Density an NIA VVI I
� pol. value of l 1 OOther Nurninum Foil,
MOLT] FAMILY RESIDENTIAL CONSTRUCTION ONLY: The: common (party) 'wills. -
different tenantssbal as follows.separating.
- Frarne/MotaLstud whHs�,R-11 7(Min.),, C8S0r,,Cot1cr6tevall:s,
11=3 (Min.), by Energy Code requirements. See Energy Code Rev, 1/87, paragraph,9032(b), on page On 1,7,,,
latest edition. Those "minimuffis 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,coinposed-on site insulation; sh11, be the PX.F.
i
(ib/ft3):ay.ergge�pfihree-(3�j'i)P,YS..AMPLES"of actualStallati 'n.
Michelle Richardzi,
Insulation Contractor n
Insuiatio Contractor Signaturi'
Insulation Con pes tC#
4-f 46 6 lit. U0,
Bqildqr`g;NaM,e -, Builder's cc# �N�otu lic- U
YOUNG
KELLY L YOUNG
Notary Public -State of Florida
My Comm. Expires Jul 1. 2016
30101
FF Al
commission FF 130101
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