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FL #
FL16027-112
RECEIVED
Application Type
Revision
Code Version
2017
.Application Status
Approved
S E P 2 4 2018
Comments
ST. Lucie County, Permitting
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Tri-Built Materials Group, LLC
PO Box 70
Rutherford, NJ 07070
(800) 516-1485
david.ruiz@tribuiltmg.com
David Ruiz
david.ruiz@tribuiltmg.com
David Ruiz
250 Route 17 North
East Rutherford, NJ 07073
(201)842-2449
david.ruiz@tribuiltmaterialsgroup.com
C Richard Schurman
9050 Louisiana Street
Merrillville, IN 46410
rich.schurman@alliedbuilding.com
Roofing
Modified Bitumen Roof System
Evaluation Report from a Florida Registered Architect or, a Licensed Florida
Professional Engineer'
171 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
1O/06/2018
Validated By
John W. Knezevich, PE
P1 Validation Checklist - Hardcopy Received
Certificate of Independence
FL16027 R2 COI 2017 01 COI Nieminen pdf
Referenced Standard and Year (of Standard)
Standard
Year
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
2011
FM 4470
2012
FM 4474
2011
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/25/2017 .
Date Validated 09/30/2017
Date Pending FBC Approval 10/08/2017
Date Approved 12/12/2017
Summary of Products
FL #
Model, Number or Name
Description
16027.1
TRI-BUILT Modified Bitumen Roof
SBS and APP modified bitumen roof systems
Systems
Limits of Use
Installation Instructions
Approved.for use in HVHZ: No
FL16027 R2 II 2017 09 FINAL Al ER TRI-
Approved for use outside HVHZ: Yes
BUILT MODBIT FL16027-R2 Ddf
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 noted in this application
Evaluation Reports
refers to one system. Refer to ER Appendix for all systems
FL16027 R2 AE 2017 09 FINAL ER TRI-
and max. design pressures. 2.) Refer to ER Section 5 for
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Limits of Use.
Created by Independent Third Party: Yes
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Contact Us :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824
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mail 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),
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Product Approval Accepts:
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