HomeMy WebLinkAboutINSULATION INSTALLATION CERTIFICATE3601-A Crossroads Parkway
Fort Pierce, FL 34945
404389429
Gale Insulation
BUILDER: DR Horton SUBDIVISION: Creekside
JOB ADDRESS:3135 Tidewater Cir CITY: Fort Pierce
PERMIT#: 17/ 9L— LOT/BLOCK:7
INSULATION INSTALLATION CERTIFICATE
The undersigned hereby certifies that insulation has been installed in the above property as follows:
1. Exterior CBS walls have been insulated with Reflective Foil to thickness of •75" inches, which
according to Fi-Foil Company will yield an "R" value of 4.1
2. Ceiling Area (flat) has been insulated with Fiberglass Blow to a thickness of 13" inches, which
according to Knauf will yield an "R" value of 38
3. Ceiling Area (vaulted) has been insulated with to a thickness of inches, which
according to will yield an. "R" value of
j.
4. Interior knee walls have been insulated with: to a thickness of inches, which
according to will yield an "R" value of
5.
Garage common walls adjacent to conditioned living space have been insulated with Fiberglass Batt
to a thickness of 3•5 inches, which according to Knauf will yield an "R" value of 13
EC IVE
General Contractor/Builder
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Signature
THE AFFIANT, Jeremy Theisen IS PERSONALLY KNOWN TO ME. -Sworn to and subscribed before me this 26
day of June 2018. ^ n
Notary Public, State of Florida
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Permitting Department
St. Lucie County, FL
3601-A Crossroads Parkway
Fort Pierce, FL 34945
404389429
Gale Insulation
BUILDER: DR Horton SUBDIVISION: Creekside
JOB ADDRESS:3135 Tidewater Cir CITY: Fort Pierce
PERMIT#: `% 7/Z '" �� �,LOT/BLOCK: Y
INSULATION INSTALLATION CERTIFICATE
The undersigned hereby certifies that insulation has been installed in the above property as follows:
1. Exterior CBS walls have been insulated with Reflective Foil to thickness of •75" inches, which
according to. Fi-Foil Company will yield an "R" value of 4.1
2. Ceiling Area (flat) has been insulated with Fiberglass Blow to a thickness of 13" inches, which
according to Knauf will yield an "R" value of 38
Ceiling Area (vaulted) has been insulated with to a thickness of inches, which
according to will yield an "R" value of
4. Interior knee walls have been insulated with
according to
will yield an "R" value of
to a thickness of inches, which
5. Garage common walls adjacent to conditioned living space have been insulated with Fiberglass Batt
to a thickness of 3•5° inches, which according to Knauf will yield an "R" value of 13
General Contractor/Builder
Sig natu e
Insulation Contractors Signature
License # CGC1512179
THE AFFIANT, Jeremy Theisen IS. PERSONALLY KNOWN TO ME. Sworn to and subscribed before me this 26
day of June 2018 .
Notary Public, State of Florida
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Commission u GG 50011
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New Construction Subterranean Termite Service Record OMB Approval p.,65/ 0/0525
2018)
,This -form Is completed -by the licensed Pest Control Company
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information., This Information Is required to
obtain benefits. HUD may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number;
Section 24 CFR 200.926d(b)(3) requires that the sites for HUD Insured structures must be free of termite hazards,, This information collected requires the builder
to certify that an authorized Pest Control company performed all required treatment for termites, and that the builder guarantees the treated area against
infestation for one year.. Builders, pest control companies, mortgage lenders, homebuyers, and HUD as a record of treatment for specific homes will use the
Information collected. The information Is not considered confidential, therefore, no assurance of confidentiality Is provided. -
This report is submitted for information purposes to the builder on proposed (new) construction cases when treatment for prevention of subterranean termite
infestation is specified by the builder, architect, or required by the lender, achitect. FHA, or VA,
All contracts for services are between the Pest Control Company and builder, unless stated otherwise.
Section 1: General Information (Pest Control Company Information)
Company Name: Massey, Services, Inc.
Company Address: 3210 Clay Avenue, Ste. C City: Orlando State: FL Zip: 32804
Company Business License No,: 3117-0025179 Company Phone No,.800-854-5586
FHA/VA Case No. (if any):
Section 2: Builder'lnformation
Company Name: DR Horton Phone No.'
Section3:"Property Information —� --"
Location of Structure(s) Treated (Street Address of Legal Description, City, State, Zip): 3135-Tidewater Cir
Fort Pierce, -'FL 34946 -
Section 4: Service Information -
Date(s) of Service(s);: 05/23118 ---_ -_-
Type of Construction (More than one box may be checked) LXjSlab Basement Crawl Other
Check all that apply,
Q A. Soil Applied Liquid Temiticide
Brand Name of Termiticide: EPA Registration No,-
Approx. Dilution (%): Approx. Total Gallons Mix Applied:_. Treatment completed on exterior __... Yes _ ' No.
B. Wood Applied Liquid Termiticide
Brand Name of Termiticide: Boracare EPA Re
Approx. Dilution; (%);. 23 Approx. Total Gallons Mix Applied:2
C. Bait System,lnslalled
1. Name of System:
❑;D. Physical Barrier System Installed
Name of Svstem:
EPA Registration No;:
Attach Installation Information (required)
Service Agreement Available? es X_ No'
Note: Some state laws require service agreements tolb—e issued. This form does not preempt state lal I
w�
Attachments (List): pV,
Comments: _
Name of Applicator(s): Massey Services, Inc. Certification No. (if required by State Law):3536
The applicator has used a product in accordance with the product label and state requirements. All materials and methods used comply with
state and federal regulations.
Authorized Signature:-:
Date: 07/02/18
Warning: HUD will prosecute false claims and statements, Conviction may result in criminal and/or civil penalties. (18 U.S,C. 1001, 1010,
1012; 31 U,S.C, 3729, 3802)
Form HUD-NPMA-99-B (08/2008)