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OFFICE USE ONLY: 9 DATE FILED: PERMIT# REVISION FEE: I6 .13 RECEIPT# t s 6 4 6 a PLANNING&DEVELOPMENT SERVICES BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE RECEIVED FORT PIERCE,FL 34982.5652 (772)462-1553 OCT 16 '2'0119 APPLICATION FOR BUILDING PERMIT REV SP§ucie County, Permitting PROJECT INFORMATION LOCATION/SITE ADDRESS: n 1A DETAILED DESCRIPTION OF PROJECT REVISIONS: kf- fiaAYbb-�- CONTRACTOR INFORMATION: STATE of FL REG./CERT.#: ST.LUCIE CO CERT.#: >- BUSINESS NAME: QUALIFIERS NAME: ADDRESS: ® CITY: STATE: ZIP: PHONE(DAYTIME): FAX: V OWNER/BUILDER INFORMATION: Uj NAME: v'\ �b_ 1 ADDRESS: F---4CITY: STATE: ZIP: U PHONE(DAYTIME: FAX: ARCHITECT/ENGINEER INFORMATION: NAME: ADDRESS: CITY: STATE: ZIP: PHONE(DAYTIME): FAX: SLCCC. 9/23/09 Revised 06/30/17 R" EVISION r RECEIVED NEM01 etc. OCT 6 170 .!9 !a Certificate of Authorization#32455 ST. Lucie County, Permitting 353 Christian Street, Unit#13 Oxford,CT 06478 (203)262-9245 ENGINEER EVALUATE TEST CONSULT CERTIFY REPORTEVALUATION Polyglass USA, Inc. Evaluation Report P9290.02.08-R23 1111 West Newport Center Drive FL1654-1125 Deerfield Beach, FL 33442 Date of Issuance:02/11/2008 (954)233-1230 Revision 23:08/12/2019 SCOPE: This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida.The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code. The product described herein has been evaluated for compliance with the 61h Edition(2017)Florida Building Code sections noted herein. DESCRIPTION: Polyglass SBS and APP Modified Bitumen Roof Systems LABELING: Labeling shall be in accordance with the requirements of the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s)changes,the referenced Quality Assurance documentation changes,or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E.of any changes to the product(s),the Quality Assurance or the production facility location(s). MEMO I etc. requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "NEMO I etc. Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed,then it shall be done in its entirety. INSPECTION: Upon request,a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 5, plus a 69-page Appendix. Prepared by: Robert J.M. Nieminen PE °r' oma},•= � . . %,,•E+a. c i.,•�sr, The facsimile seal appearing was authorized by Robert Florida Registration No.59166,Florida DCA ANE1983 ''`-:!�Jy;',�,;;���`'�•'• Nieminen,P.E.on 08/12/2019.This does not serve as an electronically signed document. CERTIFICATION OF INDEPENDENCE: 1. NEMO ETC, LLC does not have,nor does it intend to acquire or will it acquire,a financial interest in any company manufacturing or distributing products it evaluates. 2. NEMO ETC,LLC is not owned,operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen,P.E.does not have nor will acquire,a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen,P.E.does not have,nor will acquire,a financial interest in any other entity involved in the approval process of the product. 5. This is a building code evaluation. Neither NEMO ETC,LLC nor Robert Nieminen,P.E.are,in any way,the Designer of Record for any project on which this Evaluation Report,or previous versions thereof,is/was used for permitting or design guidance unless retained specifically for that purpose. ©2018,NEMO ETC,LLC NEMO etc. ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub-Category: Modified Bitumen Roof Systems Compliance Statement: Polyglass SBS and APP Modified Bitumen Roof Systems,as produced by Polyglass USA, Inc., have demonstrated compliance with the following sections of the 611 Edition (2017) Florida Building Code through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations/Conditions of Use set forth herein. 2. STAND-ARDS: Section Property Standard Year ? 1504.3.1 Wind FM 4474 2011 1504.3.1 Wind UL 1897 2012 1504.7 Impact FM 4470 2012 1507.10.2 Physicals ASTM D4897 2001 1507.11.2 Physicals ASTM D6162 2008 1507.11.2 Physicals ASTM D6163 2008 1507.11.2 Physicals ASTM D6164 2011 1507.11.2 Physicals ASTM D6222 2011 1507.11.2 Physicals ASTM D6509 2009 3. REFERENCES: �EntiM- , _Exam_ Reference _ Date Enti y _Exam ReferenceDate_ ERD(TST6049) Physicals P10490.10.08-2^ 10/30/2008 FM(TST1867) FM 4470! 3006646 v 01/04/206Y ERD(TST6049) FM 4470/4474 P13760.09.09 09/10/2009 FM(TST1867) FM 4470 3001334 01/25/2000 ERD(TST6049) FM 4470/4474 P13770.09.09 09/10/2009 FM(TST1867) FM 4470 3001334 02/15/2000 ERD(TST6049) FM 4470/4474 P30540.11.09-111 11/30/2009 FM(TST1867) FM 4470 3000857 01/12/2000 ERD(TST6049) FM 4470/4474 P30550.12.09 12/02/2009 FM(TST1867) FM 4470 3004091 01/12/2000 ERD(TST6049) Physicals P33960.12.10 12/30/2010 FM(TST1867) FM 4470 3006115 05/02/2001 ERD(TST6049) FM 4470/4474 P33970.03.11 03/15/2011 FM(TST1867) FM 4470 3012321 07/29/2002 ERD(TST6049) Physicals P37590.03.13-3A 03/06/2013 FM(TST1867) FM 4470 3014692 08/05/2003 ERD(TST6049) FM 4470/4474 P39680.03.13 03/04/2013 FM(TST1867) FM 4470 3014751 08/27/2003 ERD(TST6049) Physicals P37590.03.13-1-R1 06/26/2013 FM(TST1867) FM 4470 3007170 01/13/2004 ERD(TST6049) Physicals P37590.03.13-2-R1 07/01/2013 FM(TST1867) FM 4470 3019317 06/30/2004 ERD(TST6049) Physicals P37590.07.13-2 07/01/2013 FM(TST1867) FM 4470 3020703 07/30/2004 ERD(TST6049) Physicals P37590.03.13-5-R1 07/01/2013 FM(TST1867) FM 4470/4474 3018332 01/31/2006 ERD(TST6049) Physicals P37590.07.13-1 07/02/2013 FM(TST1867) FM 4470/4474 3023368 03/20/2006 ERD(TST6049) FM 4470/4474 P41630.08.13 08/06/2013 FM(TST1867) FM 4470/4474 3024594 05/23/2006 ERD(TST6049) Physicals P45940.09.13 09/04/2013 FM(TST1867) FM 4470/4474 3023458 07/18/2006 ERD(TST6049) Physicals P44370.10.13 10/04/2013 FM(TST1867) FM 4470/4474 3030668 09/12/2007 ERD(TST6049) Physicals P39520.09.14-2 09/11/2014 FM(TST1867) FM 4470/4474 3032172 06/12/2009 ERD(TST6049) FM 4470/4474 SC6160.11.14 11/10/2014 FM(TST1867) FM 4470/4474 3049631 04/21/2014 ERD(TST6049) Physicals P45440SC.03.15-1 03/31/2015 FM(TST1867) FM 4470/4474 3057029 02/02/2017 ERD(TST6049) Physicals SC5170.05.15 05/08/2015 NEMO(TST6049) Criticality 4S-PLYG-18-001.06.18 06/23/2018 ERD(TST6049) FM 4474 SC8085.05.15 05/19/2015 NEW(TST6049) FM 4474 4L-PLYG-18-003.08.18 08/21/2018 ERD(TST6049) Physicals SC5170.12.15 12/29/2015 NEW(TST6049) Criticality 4s-PLYG-18-001.10.18 10/03/2018 ERD(TST6049) FM 4470/4474 SC9455.15 04/01/2016 NEMO(TST6049) Physicals 4S-PLYG-19-002.11.18-2 11/16/2018 ERD(TST6049) FM 4470/4474 PLYG-SC8905.05.16-1 05/17/2016 NEMO(TST6049) FM 4474 4L-PLYG-18-003.11.18 11/28/2018 ERD(TST6049) FM 4470/4474 PLYG-SC8905.05.16-2 05/17/2016 NEMO(TST6049) FM 4474 4L-PLYG-18-003.01.19 01/11/2019 ERD(TST6049) FM 4470/4474 PLYG-SC10815.07.16-R1 09/23/2016 NEMO(TST6049) FM 4474 4L-PLYG-18-003.04.19-A 04/08/2019 ERD(TST6049) UL 1897 PLYG-SC12025.30.16 10/12/2016 NEMO(TST6049) Criticality 4S-PLYG-18-001.06.19.A 07/17/2019 ERD(TST6049) FM 4470/4474 PLYG-SC11475.16 11/17/2016 PRI(TSTS878) Physicals PUSA-062-02-01 12/04/2007 ERD(TST6049) FM 4470/4474 PLYG-SC13235.01.17 01/17/2017 PRI(TST5878) Physicals PUSA-061-02-02 01/28/2008 ERD(TST6049) FM 4470/4474 PLYG-SC13920.05.17 05/30/2017 PRI(TST5878) Physicals PUSA-064-02-02 02/27/2008 ERD(TST11294) FM 4470/4474 PLYG-Cri.13945.0S.17-1 05/30/2017 PRI(TST5878) Physicals PUSA-062-02-02 12/04/2008 ERD(TST11294) FM 4470/4474 PLYG-CrL13945.05.17-3 05/30/2017 PRI(TSTS878) TAS 114 PUSA-188-02-01 02/08/2017 ERD(TST6049) FM 4470/4474 PLYG-SC13945.05.17 05/30/2017 PRI(TST5878) TAS 114 PUSA-188-02-02 02/08/2017 ERD(TST6049) FM 4470/4474 PLYG-SC15760.09.17 09/11/2017 PRI(TSTS878) TAS 114 PUSA-188-02-03 02/08/2017 FM(TST1867) FM 4470 2W7A7.AM 08/04/1994 PRI(TST5878) TAS 114 PUSA-202-02-01 05/17/2017 FM(TST1867) FM 4470 OD3A3.AM 04/04/1997 PRI(TSTS878) TAS 114 PUSA-202-02-02 05/17/2017 FM(TST1867) FM 4470 2DOAO.AM 12/23/1998 M-D(CER3592) HVHZ Various NOAs Various FM(TST1867) FM 4470 2DSA9.AM 06/22/1999 M-D(CER1592) Prop.for Rev. 10-0823 10/12/2010 UL(QUA9625) Quality Control Service Confirm 09/13/2018 NEMO ETC,LLC Evaluation Report P9290.02.08-R23 Certificate of Authorization+732455 6T"EDITION(2017)FBC NON-HVHZ EVALUATION FL1654-R25 Polyglass Modified Bitumen Roof Systems;(954)233-1330 Revision 23:08/12/2019 Page 2 of 5 w ONEMOletc. TABLE 11: ...DECKS—NEW CONSTRUCTION OR REROOF(TEAR-OFF) SYSTEM TYPE F:NON-INSULATED,BONDED ROOF COVER System Roof Cover(Note 15) No. Deck(Note 1) Primer Joint Treatment Base Ply Ply Cap Ply MDP(psi) APA rated,7/16 OSB joints are covered with 4-Inch wide strips of Elastoflex SA V,rolled into place to Elastoflex SA V Plus or (Optional)SBS-SA,SBS- SBS-SA,APP-SA,SBS- W-182 CAT,0.418 in., None create continuous bond. Elastoflex SA V Plus FR TA,APP-TA TA,APP-TA -52.5 Exposure 1 OSB Min.15/32-Inch (Optional)SBS-SA,SBS- SBS-SA,APP-SA,SBS- W-183 None None SBS-SA -90.0 plywood TA,APP-TA TA,APP-TA W 184 Min.15/32-inch plywood (Optional)PG100 None Polyflex SA Base (Optional)APP-TA APP-TA -90.0 Min.15/32-inch (Optional)SBS-SA,SBS- SBS-SA,APP-SA,SBS- W-185 PG100 None SBS-SA -97.5 plywood TA,APP-TA TA,APP-TA Min.15/32-inch Plywood joints are covered with 4-inch wide strips of Elastoflex SA V Plus,rolled into Elastoflex SA V or (Optional)SBS-SA,SBS- SBS-SA,APP-SA,SBS- W-186 (Optional)PG100 -97.5 plywood place to create continuous bond. Elastoflex SA V FR TA,APP-TA TA,APP-TA Min.15/32-inch POLYBRITE 745 or (Optional)SBS-SA,SBS- SBS-SA,APP-SA,SBS- W 187 plywood WB3000 None ,SBS-SA -105.0 TA,APP-TA TA,APP-TA W-188 Min.15/32-inch (Optional)PG100 Plywood joints are covered with 4-Inch wide strips of Elastoflex SA V Plus,rolled into Elastoflex SA V Plus or (Optional)SBS-SA,SBS- SBS-SA,APP-SA,SBS- -135.0 plywood place to create continuous bond. Elastoflex SA V Plus FR TA,APP-TA TA,APP-TA W-189 Min.15/32-inch (Optional)PG100 Plywood joints are covered with 4-inch wide strips of Elastoflex SA V Plus,rolled Into polyflex SA Base (Optional)APP-TA APP-TA -135.0 plywood place to create continuous bond. NEMO ETC,LLC Evaluation Report P9290.02.08-R23 for F1.1654-1125 Certificate of Authorization#32455 6'EDITION(2017)FBC NON-HVHZ EVALUATION Revision 23:08/12/2019 ©2018 NEMO ETC,LLC Polyglass Modified Bitumen Roof Systems;(954)233-1330 Appendix 1,Page 29 of 69