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y 654-Ft26
A:PRfqr,.ation Type Revision
Application Statu!; Approved
Corn me n is
Archilved
Pradu ct Manufacturer POLYI.AS USA
AddresP#rone/Emall 1,1 it W. Newport Center Drive
Dee rfield Beach, FL 3344 2
(954) 233-1330 Ext 242
malrtpoiyg1ass.carn
Authorized Slq;natu re Ma uny AIpert
ma-1pe rtD'allyglass. corn
Tech n1I Re p reseq tat live TECH CEP
Address/Phone/Ernall I I I West Newport tenter Drive
Deerfield �ac h j F L 3 344 2
(866) 802-*8017
uspolyglasstechnIcalpaly9la-55.com
Quality Assurance Representative QA RED
Address/Phone/Email 1 I 11 West Newport Center Drive
Deerfield Beach. F4 33442
(888) 410-1375
us polyg lati!itechnicalpoll Vg lass.ciom
Category Roo fkrrg
SUbcategorV Modifled Bitu men Rwf System
Compllance Meted Evaluation Report from a Florida Registered ArchilteCt or a Licensed Florida
Pmfessianal Engineer
Eva luatio n Re port - Hardco py ReceIved
Florida Engineer or Architect Name who developed the Robert Ni-8rnwrren
Eva lu atfOn Re port
Fla rIda U c:ens e
Quality Assurance Entity
Quallty Assurance Contract Expiration Date
11aIIdat+ed By
Ce rtif I cate of Independence
Referenced Stanclard and Year Hof Standard)
PE-59366
UL LLC
1110712 02 2
3ohn W. Knexeylch, PE
0' Validation CheckHst - Hardcopy Reoeived
Standard Ye�r
ASTM D4897 2001
ASTM D6162 2008
ASTM a6 163 2008
ASTM D6164 2011
A M D6222 2011
ASTM D6509 2009
FM 4470 2012
FM 4474 2011
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III
uL 1897
Equdvalenee of Product Sts
Certl fled By
S-ections from the Code
Product Approval Method
date SubmItted
Date Ila 11 da ked
Date Pending FBC Approval
Cia[e Approved
Sumr?iaty of Produeft
FL 0
1654A
Method 1 Option a
Kodal., Number or Name
PolygMass SSS and DPP Modkfied
Bitumen Roof Systems
Umits of Use
Approwed fof use Mn liliHZ: No
Approved for use outside HVHZ,., Yes
Impact Resistant: NSA
Design Pressure: +N/A/.&622.5
Other: L) The design pressure In this appllcation relates to
one particutar assembly over concrete dick. Refer to the ER
Appendix for ot-her systems and deck types. 2.) Ref*r to EFL,
Sectio n 5 fog other Urnft# of Use.
Descripdon
S135 and APP modified bitumen roof systems
I n eta Hation In struction s
R2-6,Lpdf
Verified By.- Robert WeiTMFr1en PE=59166
Created by Independent Third Party: Yes
Eval u aM n ItepoMs
PX
Created
11 locirl I 1963'!
ump il It 11'';. 1 (.jF*l 110 PL;roTp F
by Independent Third Parky� Yes
under F'imDrid a Wwo an-wO Wdres3es dry pub!. k rec '4#- Ff you do not wart your -a - ma fl n+4-dr*d lin feciponm to * Pu records Fequest♦ do rmo# send 4ekwtrurjc
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pFavkk Ow Departme-nt with &n enug addrmis whkh can be mak av-AlI i Isle to the pu bIk. To detecprWne If you are a kermAw und4FCha ptw 4S 50 F+S .
Product AppravaI' Ateepft11
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