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HomeMy WebLinkAboutProduct Approval Florida Building Code Online Page 1 of 2
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1 �<t FL# FL5739-R3
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived ❑
Product Manufacturer Elixir Industries
Address/Phone/Email 243 Washington Avenue
Fitzgerald,GA 31750
(954) 782-0951
MrJEMurray@aol.com
Authorized Signature John Murray
MrJEMurray@aol.com
Technical Representative Dennis Boudreau
Address/Phone/Email 243 Washington Avenue
P.O. Box 660
Fitzgerald,GA 31750
(229)423-4311
dboudreau@elixirind.com
Quality Assurance Representative Resources,Applications,Designs&Controls,I
Address/Phone/Email 3220 East 59th Street
Long Beach,CA 90605
bshoolbred@netzero.com
Category Roofing
Subcategory Metal Roofing
Compliance Method Test Report
Testing Lab Certified Testing Laboratories
Quality Assurance Entity TI RADCO LLP dba RADCO A Twining Company
Quality Assurance Contract Expiration Date 07/01/2017
Validated By Thomas C.Williams,P.E.
© Validation Checklist- Hardcopy Received
Certificate of Independence FL5739 R3 COI ELEMENT STATEMENT OF INDEPENDENCE.pdf
Referenced Standard and Year (of Standard) Standard Year
ASCE 7-10 2010
ASTM E 1592-05 2005
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option B
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtJIxHJm6J9s 1 k... 2/21/2017
Florida Building Code Online Page 2 of 2
p'
Date Submitted 06/23/2015
Date Validated 06/29/2015
Date Pending FBC Approval 07/05/2015
Date Approved 08/18/2015
Summary of Products
FL# Model, Number or Name Description
5739.1 Manufactured Home Metal Roof Aluminum roof roll for mobile/manufactured home re-
roofing.
Limits of Use Installation Instructions
Approved for use in HVHZ: Yes FL5739 R3 II ROOF OVER Installation Instruction.pdf
Approved for use outside HVHZ: Yes FL5739 R3 II ROOF OVER UPLIFT CALCULATIONS.pdf
Impact Resistant: No Verified By: James Bushouse 20311
Design Pressure: +58.4/-58.4 Test Reports
Other:To be applied over existing roof system,not to FL5739 R3 TR ELEMENT TEST REPORT 2012.1)df
exceed 15'above grade. Maximum width of Roof Roll not to FL5739 R3 TR EDuivalency.pdf
exceed 14'0". FL5739 R3 TR Test Standards.ocif
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Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send
electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395."Pursuant to
Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if
they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to
supply a personal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under
Chapter 455,F.S.,please click here.
Product Approval Accepts:
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Credit Card
Safe
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgtJIxHJm6J9s 1 k... 2/21/2017
INSTALLATION AGR ' - TIENT AMS. INC cONTI""-,,-,.# AMK701 3
Southeast Southwest DATE 6,kSOURCE Q[�ST C.IZf2�
Florida Division Florida Division PRODUCT
941 S.W. 8th Street 2331 Laurel Lane,
Pompano Beach, FL 33069 N.Ft. Myers,FL 339'17
1-800-226-6677 1-800-522-3134 PHONE # (_Y7f� 7�^ Z�A-a-N
www.AMSOFFLA.com • CG C1505972 •CC C1328662•CC C042787 E-MAIL
OWNER: Mr. ©00 FYI SZ) C- &Mrs. LAST NAME 1�tA sl,S CNE--L I S2
Address 5;' rO ---SaL-r--� City POn7 ST.C.IJc-V�rZip jj�` S of# Community LA QOrJF3- -4 rA
County JOT - L�C-t HOME Own Rent LAND_ Own Rent R/P#
Address (out of Florida): City State Zip Phone #(_)
AMS,Inc.("AMS")proposes to furnish all materials and labor for the job(s)specified below:
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CONTRACT AMOUNT$ DOLLARS$)$
%IC-ONTRACT DOES NOT COVER DAMAGE OR CONDITIONS THAT MAY EXIST AND ARE NOT CC Sales Tax $
VISIBLE, INCLUDING, BUT NOT LIMITED TO, STRUCTURAL DEF WALLS, CEILINGS,
URETHANE COVERINGS AND TARP COVERED ROOFS.(inith CK 0 TOTAL $
0 ELIMINATE GAS VENT(initial)
GAS BURNING UNIT HAS OR WILL BE REMOVED BY CUSTOMER(Initial) CASH Deposit Amt-$ c�
AMS REQUIRES A 30%DEPOSIT, WITH THIS AGREEMENT
AND BALANCE DUE ON COMPLETION. Balance Due on Completion $
IF AMS IS UNABLE TO OBTAIN A PERMIT DUE TO ANY REASON BEYOND ITS CONTROL,THE PERMIT AND ENGINEERING COST WILL BE DEDUCTED-FROM YOUR DEPOSIT.
TOTAL CONTRACT AMOUNT INCLUDES ALL ADVERTISED DISCOUNTS. AMS will furnish all materials and labor required to complete the above job and IIWe agree to pay the
full amount specified in accordance with all terms of this Agreement.
THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ,UNDERSTOOD,AND RECEIVED A COMPLETED,LEGIBLE COPYOF
THIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS,AND AGREES TO BE
BOUND BY ALL THE TERMS THEREOF,INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE.
This Agreement shall be binding upon the Buyer's written acceptance hereof in the space provided below or upon the AMS's commencing performance. Upon such
acceptance or commencement of performance,this Agreement shall constitute the entire contract and be binding upon the parties hereto,there being no covenants,
promises,warranties or agreement,written or oral,express or implied,except as herein set forth or as created by applicable law.
BUYERS RIGHT TO CANCUL
THIS IS A HOME SOLICITATION SALE,AND IF YOU DO NOT WANT THE GOODS OR SERVICES,YOU MAY CANCEL THIS AGREEMENT BY PROVIDING
WRITTEN NOTICE TO THE SELLER IN PERSON,BY TELEGRAM,OR BY MAIL. THIS NOTICE MUST INDICATE THAT YOU DO NOT WANT THE
GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS
AGREEMENT. IF YOU CANCEL THIS AGREEMENT,THE SELLER MAY NOT KEEP ALL OR PART OF ANY CASH DOWN PAYMENT.
NOTICE 7PO BUYER:THE TERMS AND^DITIONS ON THE BACK HEREOF ARE PART OF THIS AGREEMENT.
(INIT.) XX EVERYTIJ PROMISED AS PART OF THIS CONTRACT IS COVERED IN THE ABOVE.
ACCEPTED AND AGREED:
BUYERS SIGNATURE X 1,7
BUYERS SIGNATURE X Date BY AMS REPRESENTATIVE
Southe�� c Southwest
J FloridaD0,)on Florida Division
nm'A -r MS Licensed&Insured 941 S.W. 8th Street 2331 Laurel Lane,
CCC042787 Pompano Beach, FL 33069 N.Ft. Myers,FL 33917
CGC033977 1-800-226-6677 1-800-522-3134
CUSTOMER CONT. NO. Rf-\V- ` 01.E PG.--�_of l
Address:S3c> 4 rod F-- 1—rJ Phone# �k�,4-1 Date
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ROLLS TO ORDER
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X Sp. Buildup 1" Sht. 2" Sht. Heat Ft. Ft.
EVERYTHING PRO SEDASP OFTHISCONTRACT ISCOVE REDINTHE�-tABOVE.
CUSTOMER Signature Date -' (4=7 t
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FL 7 ---R3 Revision!Elixir Industries Thomas C.Williams, P.E.;Approved 1
" Category:Roofing (386)427-8431
History
. Subcategory:Metal Roofing
s ' *Approved by 0OM Approvals by DM shall be rehrierred sect by theMC anWor the Commisslorr Y necessary.
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t-R- ` ` ' }{u Cor4=Us::1940 Horth Monroe Street.Tatahassee FL 32399 P[hurhe;85�-487-1824
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Under FbMa law,enhai addresses are pubic records.If you do not want your e-mai address released it
response to apubic records request do not send
r y electronic not to this en ty.instead,contact the office by phone or by tradi dna!mai./you have any question,please Contact 850.487.1395.-Pursuant to
x + � Sectbn 455,275(1),Florida Statutes,drecae October 1,2012,licensees etged under Chapter 155,F.S.meat prpvge the Department wtlh an emaiaddress r
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they have one.The emat provided may be used for otticai wmmu�atllicensee.et►withtbe Howetrremajaddresses are pubic record.i you do not wish to
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supply a personal address,pSrase provide the oepartnient with an ems address which can be made avaW*to the pufiic.To determine 9you are a ice see aides
Chapter 455,F.S.,plem tick bsr.-
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