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FL # FL1654-R22 St Lucie County
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived L7
Product Manufacturer POLYGLASS USA
Address/Phone/Email 150 Lyon Drive
Fernley, NV 89408
(570)384-1230 Ext242
jakins@polyglass.com
Authorized Signature
James Akins
jakins@polyglass.com
Technical Representative
Maury Alpert
Address/Phone/Email
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(912) 429-8610
MAlpert@ po lyglass.com
Quality Assurance Representative
Arlel Lender
Address/Phone/Emall
1111 W. Newport Center Drive
Deerfield Beach, FL 33442.
(954) 233-1230
Alen der@polyg lass. com
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 Robert Nleminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 10/06/2018
Validated By John W. Knezevich, PE
LI Validation Checklist - Hardcopy Received.
Certificate of Independence
Referenced Standard and year (of Standard)
Q,.1654 R22 COI 2017
-01- C01 Meminen.odf
Standard
Year
ASTM-D6162
2008
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
2011
ASTM D6509
2009
FM 4470
2012
FM 4474
2011
UL 1897
2012
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted
09/14/2017
Date Validated
09/15/2017
Date Pending FBC Approval
09/22/2017
Date Approved
12/12/2017
Summary of Products
FL #
Model, Number or Name
Description
1654.1
Polyglass SBS and APP
SBS and APP modified bitumen roof systems
Modified Bitumen Roof
Systems
Limits of Use
Approved for use in HVHZ: No
Installation Instructions
FL1654 R22 11 2017 09 FINAL -Al ER POLYGLASS MODBIT FL1654-
R22;odf
Verified By: Robert Nieminen PE-59166
Created by Independent Third Party: Yes
Evaluation Reports
FL,16S4 R22 AE 017 09 FINAL FR POLYGLASS MODBIT F1-1654-
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,
R22.odf
Created by Independent Third Party: Yes
Section 5 for other Umits of Use.
Contact Us:-. 7.601 nlair Stone Road, Tallahassee FL 32399 Phone: 890-487-1824
The state of Florida Is an AAJEEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. It 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 mall. If you have any questions, please contact 850.4137.1395. -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 small address ifthey have one. The
smalls provided may be used for offidal communhation 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, FS., please
click hare .
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