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Design Professional Name A/E: • QAV� Vet�LGµ I �` Job Site Location: PC N#.35T0a2124009400.4
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Rule 9 B-72 requires the following information as promulgated by the Florida Building Commission.In the event that information regOired for product•;.
approval has been incorporated in to the plans,specifications or general notes,simply indicate page number on the affidavit.
Product Model Number Manufacturer Evaluation Agency Product Approval# Expiration Date
FL/NOA
Windows
Exit Doors r�
Ciarage Doors.
Off-Ridge Vents/Ridge'gent
Soffits
Skylights
Shutters
Roo iugMaterials G3Z A1. C1.161t islZ1 toe G by t,�R.'q PLC It7�1.2• RZ !2 3t ZorS
Panel Walls
Structural Components&Cladding
New/Alternative Mat®rials, •.
In accordance with. a Florid&Architects and Engineers product.approval system,this affidavit certifies that I have performed the building envelope
evaluation as requir by the Florida Building Code.
Architect/Sngineer's SignAturo•&Se'al'' . ';ti FL Cart./Reg,Number
-Rav;10/17/1-1
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Product Approval Menu>Product or Application Search>Application List>Application Detail Ul"!
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FL# FL11751-R4
LIS
Application Type. Revision
Code Version 2014
Application Status Approved
Comments
Archived ❑
Product Manufacturer Englert Inc.
Address/Phone/Email 1200 Amboy Ave.
Perth Amboy, NJ 08861
(732) 826-8614 Ext3909
j.tripod@englertinc.com
Authorized Signature James Buckner
jimmy@cbuckinc.net
Technical Representative Joseph F.Tripod
Address/Phone/Email 1200 Amboy Avenue
Perth Amboy,NJ 08862
(732)826-8614
jftripod@aol.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Metal Roofing
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
❑ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed the James L. Buckner, P.E @ C-Buck, Inc.
Evaluation Report
Florida License PE-31242
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date 12/31/2019
Validated By Steven M. Urich,PE
2 Validation Checklist- Hardcopy Received
Certificate of Independence FL11751 R4 COI CertOfIndeo.Ddf
Referenced Standard and Year(of Standard) Standard Year
TAS 125 2003
UL1897 2004
UL 580 2006
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL11751 R4 Equiv Test Standard Equiv.odf
Sections from the Code
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?p aram=wGEVXQwtD quzHEnN4XJwex... 3/8/2017
Florida Building Code Online,� Page 2 of 3
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Product Approval Method Method 1 Option D
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Date Submitted 04/15/2016
r Date Validated 04/27/2016
Date Pending FBC Approval 04/28/2016
Date Approved 06/08/2016
Summary of Products
FL# Model,Number or Name Description
11751.1 1-Englert"Series 2000"(R4) Roof Panel-24 Gauge Steel, 18" Width,Attached to Plywood Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11751 R4 II 1 S2000 24gaWo odDeck EVALREPORT NewR4 odf
Approved for use outside HVHZ: Yes Verified By:James L. Buckner, P.E P.E. #31242
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +N/A/-165max Evaluation Reports
_ Other: Refer to Evaluation Report for Limitations FL11751 R4 AE 1 S2000 24gaWo odDeck EVALREPORT NewR4.i)df
and Conditions of Use. Refer to manufacturer's Created by Independent Third Party: Yes
installation instructions as a supplemental guide
for attachment.
11751.2 2-Englert"Series 2000"(R3) Roof Panel-0.032"Aluminum, 18"Width,Attached to Wood Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11751 R4 II 2 S2000 032Alum WoodDeck EVALREPORT.odf
Approved for use outside HVHZ: Yes Verified By:James L. Buckner, P.E P.E. #31242
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +N/A/-180 max. Evaluation Reports
Other: Refer to Evaluation Report for Limitations FL11751 R4 AE 2 S2000 032A lum WoodDeck EVALREPORT.odf
and Conditions of Use. Refer to manufacturer's Created by Independent Third Party:Yes
installation instructions as a supplemental guide
for attachment.
11751.3 3-Englert"Series 2000" (R 3) Roof Panel-24 Gauge Steel, 18" Width or 14"Width,Attached to
Steel Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11751 R4 II 3 S2000 24ga SteelDeck EVALREPORT.odf
Approved for use outside HVHZ: Yes Verified By:James L. Buckner, P.E P.E. #59166
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +N/A/-144 max. Evaluation Reports
Other: Refer to Evaluation Report for Limitations FL11751 R4 AE 3 S2000 24ga SteelDeck EVALREPORT.odf
and Conditions of Use. Refer to manufacturer's Created by Independent Third Party:Yes
installation instructions as a supplemental guide
for attachment.
11751.4 4-Englert"Series 2000" (R4) Roof Panel -0.040"Aluminum, 18"Width,Attached to Wood Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11751 R4 II 4 S2000 040A lum WoodDeck EVALREPORT R4.odf
Approved for use outside HVHZ: Yes Verified By:James L. Buckner, P.E P.E. #31242
Impact Resistant: No Created by Independent Third Party:Yes
Design Pressure: +N/A/-150 max. Evaluation Reports
Other:Refer to Evaluation Report for Limitations FL11751 R4 AE 4 S2000 040Alum WoodDeck EVALREPORT R4.odf
and Conditions of Use. Refer to manufacturer's Created by Independent Third Party:Yes
installation instructions as a supplemental guide
for attachment.
11751.5 5-"Englert"Series 2000" (R3) Roof Panel-0.032"Aluminum, 18"Width,Attached to Steel Deck
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11751 R4 II 5 S2000 032Alum SteelDeck EVALREPORT.gdf
Approved for use outside HVHZ: Yes Verified By: James L. Buckner, P.E. @ CBUCK Engineering P.E.
Impact Resistant: No #31242
Design Pressure: +N/A/-157.5max Created by Independent Third Party: Yes
Other:Refer to Evaluation Report for Limitations Evaluation Reports
and Conditions of Use. Refer to manufacturer's FL11751 R4 AE 5 S2000 032A1um SteelDeck EVALREPORT.odf
installation instructions as a supplemental guide Created by Independent Third Party:Yes
for attachment.
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