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FL ! FL1654-R27 c
fff Application Type Revision
Code Version s 2020
Application Status Approved
Comments
Archived
Product Manufacturer, POLYGLASS USA,
Address/Phone/Email 1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1330 Ext242
malpert@ polyglass.com
Authorized Signature Maury Alpert
malpert@polyglass.com
Technical Representative TECH REP
Address/Phone/Email 1111 West Newport Center Drive
Deerfield Beach, FL 33442
(866)802-8017
uspolyglasstechnicalppolyglass.com
Quality Assurance Representative QA REP
Address/Phone/Email 1111 West Newport Center Drive
Deerfield Beach, FL 33442
(888)410-1375
uspolyglasstechnlcal@polyglass. rom
Category Roofing
Subcategory Modified 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 Fntlty UL LLC
Quality Assurance Contract Expiration Date 11/07/2022
Validated By John W. Knezevich, PE
i Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
FL1654 R27 COI 2020 01 CQ,I.ryj.EMINEN,2df
ASTM D4601
2012
ASTM D4897
2009
ASTM D6162
20I5
ASTM D6163
2015
ASTM D6164
2011
ASTM D6222
2011
ASTM D6509
2015
ASTM G155
2013
Equivalence of Product Standards
CertrSed By
SMiWK from the Code
Produd Approval Method
Date Submitted
Date Validated
Rate Pending FBC Approval
Date Approved
Summary of Products
FL 0
i
1654.1
Model. NumberOrNarne
F" 4470 2016
FW 4474 ZIh11
tIL 1e97 2012
Method I Option D
10Jt12j2020
10AK12t120
10/12/2020
12%15/2020
Pc,i) goss Modified Bitumen Roof
Systems
Description
SRS and APP mod<rred b4wriefl roof systems
Limits of use
lnstaUatton Instructions
Approved for use in HVHZ: No
FL1654 R27 11 2020 09 30 FINAL Al ER PG MEIi?M_FU654
Approved for use outside KVMZ: Yes
Impact Resistant: h A
Verified By. Robert Natminen PE-59166
Design Pressure: +WA1-622 5
Created by independent Third Party- Yes
Other I_) The design pressure in this appkation relates
Evaluation Reports
to one particular a>sernbty over concrete deck. Refer to the
FL16S4 R27 AE 2020 09 30 FINAL ER PG MODt FU&5!4-
ER Appendix For other systems and deck types- 2.) Refer to
. R27.
ER. Section 5 for other Urnits of use. 3.) Refer to FL16717
, Created by Independent Third Party: Yes
for HVHZ )urtsddwns.
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