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:r. AQk1;A,11 Mtn' + JLu' Dr l r n ray' a &LIIUL, ui Lill I Appnotian Detail
FL Y FL1654-R27
Application Type Revision
Code Version. 202D
Application Status Approved
Comments
Archived
Product ManufacturerPOLYGLASS USA
Address/Phone/Email 1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1330 Ext 242
m a (pert@ po lyglass, com
Authorized Signature Maury A#pert
malpert@polyglass.com
Technical Representative TECH REP
Address/Phone/Email I I I I West Newport Center Drive
Deerfield Beach, FL 33442
(866)902-8017
usDolyg[asstechnicatL@polyglass.com
Quality Assurance Representative QA REP
Address/Phone/Email 1111 West Newport Center Drive
Deerfield Beach, FL 33442
(888)410-1375
uspolyg lasstechn Ical @polyglass.com
Category Roofing
Subcategory ModlRed Bitumen Roof System
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 Robert Nieminen
Evaluation Report
Florida License
PE-59166
Quality Assurance Entity
IJL LLC
Quality Assurance Contract Expiration Date
11/07/2022
Validated By
John W, Knezevich, PE
s Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
StandnLd
Year
ASTM D4601
2012
ASTM D4B97
2009
ASTM D6162
2015
ASTM 06163
2015
ASTM D6164
2D11
ASTM D6222
2011
ASTM D6509
2015
ASTM G155
2013
Equivalence of Product Standards
Certified By
Sections From the Code
Product Approval Method
FM 4470 2016
FM 4474 2011
UL1897 2012
Method 1 Option D
Date Submitted 10/02/2020
Date Validated 10/04/2020
Date Pending FSC Approval 10/12/2020
Date Approved 12/15/2020
Summary of Products
FL d Madel, Number or Name Description
Io54.1 Polyglass Modified Bitumen Roof SBS and APP modified bitumen roof systems
Systems
Limits of Use
Approved for use In HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +N/A/-622 5
Other: 1.) The design 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.
Installation Instructions
FL1654 R27 It 2020 09 30 FINAL Al ER PG MODBST_FL1654--
UL29
Verified By. Robert Nieminen PE-59166
Created by Independent Third Party: Yes
EvaluatFon Reports
S2Ll2df
Created by Independent Third Party: Yes
S2wct lJs 2601 Blair Slone Road, Tal"assee FL 32399 Phone. 650-487 -1824
- nT _tare of Flondu I5 an WEED employer (,MXOQht 2007.2013 State of Florida_ pjfypSy3[atement Accessiblllty Stetemerlt Refund 5lalemenl
under Fbmda law, emall addresses are public records. If you do not want your email address released in respome to a pubic - mrda request, do not send electronic
mall to this entity. Instead, contad the olnce by phone or by traditional mail. Ir you have any quest—s. please contact 850 487.1395. 'Pursuant to 5ectintt 455 27511).
Milde Statu[eS, erfecWe October 1. 2012, We— licensed under Chapter 455, F 5. must provide the Department wtth an emtad address 11 they have one rite email.
p—kied may be used emr official m—nial a. with the Ir_rnsee. However email eddrn es arc public m d if you do not wish to supply a personal addme , please
provide the Department with an email address which can be made available to the public 7o delarmme If you are a licences under Chapter 4$5, r.S . please Ckk bile_
Product approval Aacepes:
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