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Product AppraWl Mepa > pmduct or Application Search > Application List> Application Deteil
LRECEIVED
FL # FL3654-R22
Application Type Revision
Code Version 2017 'P 14 2018
Application Status Approved
County, Perm1kkin9
Comments
Archived ❑
Product Manufacturer POLYGLASS USA
Address/Phone/Email 150 Lyon Driv
Fernley, NV 8 8 1
(570) 384-1 -'461"h t PY
Eaki@LE
-
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Emall
Category
Subcategory
Compliance Method
James Akins
lakins@polyglass.com
MauryAlpert
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(912)429-8510
MAlpert@polygiass.com
Arlel Lender
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1230
ALender@polyglass.com
Roofing
Modified Bitumen Roof System
• SCANNED
B1
St Lucie County
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 Nieminen
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
0 Validation Checklist - Hardcopy Received.
Certificate of Independence
F] y654 R22 Coil 2017 01 COI Nleminen.0df
Referenced Standard and Year (of Standard)
standard
year
ASTM-D6162
2008
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
2011
ASTM D6509
2609
FM 4470
2012
FM 4474
2011
U L 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
F 1AS4 R22 II 2017 09 FINAL Al ER POLYGLASS MODBIT FL1654-
R22.odf
Verified By: Robert Nleminen PE-59266
Created by Independent Third Party: Yes
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
Evaluation Reports
E 1a54 R22 AE 2017 09 FINAL ER POLYGLASS MODBIT FU654-
R22.odf
other systems and deck types. 2.) Refer to ER,
Created by Independent Third Party: Yes
Section 5 for other Urnits of Use.
Sack Nex
Contact Us :. 7801 Blair Stone Read. Tallahassee FL 32399 Phone: 850-487-1824
The State of Fiorlda Is an AA/EEO emplayer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida taw; 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 850.487.1395. •Pursuant to Section 455.275
(1), Florida Statutes, effective October I, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address ffthey have one. The
emalls provided may be used for official communication with the licensee. However small addresses are public record. If you do not wish to supply a personal address,
please provide the Department with an emall address which can be made avellable to the public. To determine If you are a licensee under chapter 455, F.S., please
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