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• FL# F.L1654-1127
Application Type Revision
Code Version 2020 y��� � FOR
Application Status Approved7 2 ,,, O��P L 0A
Comments SIT. L Ji Ccj� C,,o
Archived [] S O C(�.^
Product Manufacturer POLYGLASS USA
Address/Phone/Email 1111 W.Newport Center Dsi �
Deerfield Beach,FL 3344
(954)233-1330 Ext24
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
uspolyglasstechnical@polyglass.com
Quality Assurance Representative QA REP
Address/Phone/Email 1111 West Newport Center Drive
Deerfield Beach,FL 33442
(888)410-1375
uspolyglasstechnical@polyglass.com
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
D 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
13 Validation Checklist-Hardcopy Received
Certificate of Independence FL1654 R27 COI 2020 01 COI NIEMINEN.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D4601 2012
ASTM D4897 2009
ASTM D6162 2015
ASTM D6163 2015
ASTM D6164 2011
ASTM D6222 2011
ASTM D6509 2015
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ASTM G155 2013
FM 4470 2016
FM 4474 2011
UL1897 2012
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/02/2020
Date Validated 10/04/2020
Date Pending FBC Approval 10/12/2020
Date Approved 12/15/2020
SummarV of Products
FL# Model,Number or Name Description
1654.1 Polyglass Modified Bitumen Roof SBS and APP modified bitumen roof systems
Systems
Limits of Use Installation Instructions
Approved for use In HVHZ: No FL1654 R27 II 2020 09 30 FINAL Al ER PG MODBIT FL1654-
Approved for use outside HVHZ:Yes 1127.pdf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-622.5 Created by Independent Third Party:Yes
Other: 1.)The design pressure in this application relates Evaluation Reports
to one particular assembly over concrete deck. Refer to the FL1654 R27 AE 2020 09 30 FINAL ER PG MODBIT FL1654-
ER Appendix for other systems and deck types. 2.)Refer to R27.pdf
ER,Section 5 for other Limits of Use. 3.)Refer to FL16717 Created by Independent Third Party:Yes
for HVHZ jurisdictions.
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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 ement::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
mall 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 emalls
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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Design Pressure:N/A Created by Independent Third Party: Yes
Other: Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.7 Espana/Barcelona High Profile-Henderson,NV
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant: N/A 6th Edition.pdf
Design Pressure:N/A Verified By:Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13'AE UES ER-412.pdf .
7849.8 Espana 600/Barcelona 600 High Profile-Rialto,CA -
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant: N/A 6th Edition.pdf
Design Pressure:N/A Verified By:Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.9 Estate"S" Low Profile-Okeechobee,FL
Limits of Use Installatioh instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installation pdf
Approved for use'outside HVHZ:Yes FL7849 R13 II Florida High Wirid Tile Installation Manual-
Impact Resistant: N/A 6th Edition.pdf
Design Pressure:N/A Verified By:ICC Evaluation Service,LLC
Other: Created by Independent Third Party:
Evaluation Reports
FL7849 R13 'AE UES ER-412.pdf
7849.10 Galena Spanish"S" High Profile-Okeechobee,FL
Limits of Use Installatloii Instructions
Approved for use in HVHZ:No FL7849"R13 II.EBS-Installation.odf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile.Installation Manual-
Impact Resistant:N/A 6th Edition.pdf
Design Pressure:N/A Verified By:IAPMO Uniform Evaluation Services LLC.
Other: Created by Independent Third Party:
Evaluation Reports
FL7849 R13 AE M5-ER-412.pdf
7849.11 Madera-700&900 Flat Profile-Stockton,CA
Limits of Use Installation Instructions
Approved for use In HVHZ:No FL7849 Ri3'II Cedarlite Madera-Initallation.pdf
Approved for use outside HVHZ:Yes FL7849'R13'II EBS-Installtion.pdf
Impact Resistant:,N/A FL7849 R13 II Flori High Wind Tile In dastallation Manual-
Design Pressure:N/A 6th Edition.pdf
Other: Verified By: Gary W.Walker 40455
Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.12 Mission S/Barcelona High Profile-Phoenix,AZ
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849'Ri3 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13"II Florida High Wind Tile Installation Manual-
Impact Resistant: N/A 6th Edition.pdf
Design Pressure:N/A Verified By: Gary W.Walker 40455
Other: Created by Independent Third Party:Yes'
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.13 Plantation Flat Profile-Okeechobee,FL
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13-.II_EBS-Instziliation.pd'
Approved for use outside HVHZ:Yes FL7849 R13 II"Florida High Wind Tile Installation Manual-
Impact Resistant:N/A 6th Edition.Pdf'
Design Pressure:N/A Verified By: IAPMO Uniform Evaluation Services LLC.
Other: Created by Independent Third Party:
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.14 Saxony-Country Shake,Country Flat Profile-Katy,TX
Slate,Country Split Shake,English
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Thatch,Impact,Shake&Slate
Limits of Use Installation Instructions
Approved for use In HVHZ:No FL7849 R13 II EBS-Installtion pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant: N/A 6th Edition.pdf o
Design Pressure: N/A Verified By: ICC Evaluation Service,LLC
Other: Created by Independent Third Party:
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.15 Saxony-Shake&Slate Flat Profile-Phoenix,AZ
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installationpdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant: N/A 6th Edition.pdf
Design Pressure:N/A Verified By: IAPMO Uniform Evaluation Services LLC.
Other: Created by Independent Third Party:
Evaluation Reports
FL7849 R13 AE UES ER-412 pdf
7849.16 Saxony-Shake,Slate,Country Flat Profile-Denver,CO
Slate,Split Old English Thatch&
Impact
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida Hiah Wind Tile Installation Manual-
Impact Resistant:N/A 6th Edition.pdf
Design Pressure:N/A Verified By: Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.17 Saxony 600-Slate,Shake&Split Flat Profile-Stockton,CA
Shake
Limits of Use Installation Instructions
Approved for use In HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant:N/A 6th Edition.pdf
Design Pressure:N/A Verified By: Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pd�
7849.18 Saxony 600-Slate,Shake&Split Flat Profile-Rialto,CA
Shake
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant:N/A 6th Edition.pdf
Design Pressure:N/A Verified By: Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.19 Saxony 700-Shake,Slate&Split Flat Profile-Stockton,CA
Shake
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant:N/A 6th Edition.pdf
Design Pressure:N/A Verified By: Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
7849.20 Saxony 700-Shake,Slate&Split Flat Profile-Rialto,CA
Shake
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7849 R13 II EBS-Installtion.pdf
Approved for use outside HVHZ:Yes FL7849 R13 II Florida High Wind Tile Installation Manual-
Impact Resistant:N/A 6th Edition.pdf
Design Pressure:.N/A Verified By: Gary W.Walker 40455
Other: Created by Independent Third Party:Yes
Evaluation Reports
FL7849 R13 AE UES ER-412.pdf
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