HomeMy WebLinkAboutAPPROVED, REVISION, Modified Bituman prod approvalu
OFFICE USE ONLY:
DATE FILED:
REVISION FEE:
PERMIT # 2102-0228
RECEIPT #
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462.4553
APPLICATION FOR BUILDING PERMIT REVISIONS
PROJECT INFORMATION
LOCATION/SITE
ADDRESS:
1506 JUANITA AVE, FORT FIERCE FL 34946
DETAILED DESCRIPTION OF PROJECT
REVISIONS:
ADDING POLYGLASS ail-209 (FLOI654,1) MODIFIED BITUMEN TO CRICKET.
CONTRACTOR INFORMATION:
STATE of FL REG./CERT. #: 1326895
BUSINESS NAME: J.A. TAYLOR ROOFM INC
QUALIFIERS NAME: KYLE WHITE
ADDRESS; 302 MELTON DR
CITY: FORT PIERCE STATE: FL.
PHONE (DAYTIME): 772-466-4D40
OWNER/BUILDER INFORMATION:
NAME: NIA
ADDRESS:
CITY:
PHONE (DAYTIME:
STATE:
ARCHITECT/ENGINEER INFORMATION:
NAME: WA
ADDRESS:
CITY:
PHONE (DAYTIME):
SLCCC.• 9123109
Revised 06130117
STATE:
ST. LUCIE CO CERT. #: 23018
ZIP: 34982
.FAX: 442-468.8397
FAX:
FAX:
ZIP.
No
Business & ■
Professional Regulation
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FL # FL1654-R27
Application Type Revision
Code Version 2020
Application Status Approved
Comments
Archived
Product Manufacturer PDLYGLASS USA
Address/Phone/Email 1111 W. Newport Center Drive
Deertleld Beach, FL 33442
(954) 233-1330 Ext 242
m a I pe rt@ polygl ass . cam
Authorized Signature Maury Alpert
maIPert@ polyg Iass .corn
Technical Representative TECH REP
Address/Phone/ Email 1111 West Newport Center Drive
Deerfield &each, FL 33442
(866)802-8017
u sp o f yg I asstech n ica l ot)olyg €ass. com
Quality Assurance Representabye QA REP
Address/Phone/Email 1111 West Newport Center Drive
Deerfield Beach, FL 33442
(888) 410-1375
u sp o I ygl as stech n icai 0 pol yglass. co m
Category RooFing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Repor: from a Florlda Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the Robert NiemInen
Evaluation Report
Florida License
PE-59166
Quality Assurance Entity
UL LLC
Quality Assurance Contract Expiration Date
11/07/2022
Validated By
John W. Knezevich, PE
Certificate of independence
Referenced Standard and Year (of Standard)
Validation Checklist - Hardcopy RecAved
Standard
Year
ASTM D4601
2412
ASTM D4397
2009
ASTM D6162
2015
ASTM D6163
2015
ASTM D6164
2011
ASTM D6222
2011
ASTM 06509
2015
Equivalence of Product Standards
Certified By
Sections from the Cade
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
ASTM Gi55
2013
FM 4470
20145
FM 4474
2011
UL 1897
2012
Method 1 Option D
10/02/2020
10/04/2020
10/12/2020
12/15M20
Sti nfparx of Products
FL # Model, Number or Herne
1b54,1 Pofyglass Modtfl+d eitunwn Roof
Systems
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Oesign Pressure: •i•N/A/-622.5
Other. 1.) The deslgn pressure in this application relates
to one particular assembly over concrete deck. Refer to the
ER Appendix for other systems and deck types, 2.) Refer to
ER, Section 5 for other Limits of Use, 3.) Refer to FL16717
for HVHZ jurisdictions.
be:scrlp#ion
SIBS and APP modified bitumen roof systems
Installation Instructions
7 F
BuZzp-df
j Verified By: Robert NiemInen PE-59155
Created by Independent Third Party: Yes
Evaluation Reports
7 AE ZM. 02 30 FINA R P MODBIT F f,r,4-
;gam
Created by Independent Third Party- Yes
® -AD
Fgntact Cls :: 3)}lair 5mne itnad. Fa31,dh��,gl,� FL 3] s99 p :_050-4A]-Jul
The State or Florida is an WEED employer. S�P.pY.L19hC 2D07-Z01j,5tata of rlerida.:.': ZdydKy-jW=C k : i �i� :: SISUad Staterncnt
Under Florida law, email addresses are pvbk remW if you do not want your a -snail address released In r"nse to a "bilc-records request, do not fiend Cectranic
mall to this entity, instead, contact the erflce by phone or by tradilional maW, If you have any qucsdan&, pease canted 85OA87.13n, *Pursuant to Secvon 455.275(1),
F10da Statutes, effectWei Oftber 1, 2012, licenseex IkAnsW under Chapter 455, KS. must provide the Department with an emwi address if Mey have ane_ The em"
Pn ided may he urea for official mmmunicatkan with the ll censaa. However emasE addresses are puhllc —rd. If yov do not wlsn to 54 pGty a perstnoa dddmma please
provlHe the Department with an email adore" lvh lch ran he made avai tahie t[s the pubiit. TO oaterhn ine if you are a 11Cef:6ee under Chapter 455, F.S., please dick fF2
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