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PRODUCT APPROVAL - MODIFIED BITUMEN
BCIS Home I Log In I User Registration I Hot Topics I Submit Surcharge I Stats & Facts Publications I Contact Us BCIS Site Map Links Search ` Product Approval USER: Public userFI L COPY Product Approval Menu > Ernductarch> Application List Application De© I © RECEIVED FL # FL16027-R2 O C T 12018 Application Type Revision �. LUCle Count � Code Version 2017 S`Ty, Permitting Application Status Approved CONCEAUD FASTENERS OR ATTACHMENTS Comments ARETHERESPONSIBIUTYOFTHE M Archived CONTRACTOR OR RECORD SCANNED r BY Product Manufacturer Tri-Built Materials Group, LLC St Lucie County Address/Phone/Email PO Box 70 Rutherford, NJ 07070 (te) 516-1485 david.ruiz@tribuiltmg.com Authorized Signature David Ruiz david.ruiz@tribuiltmg.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email ``Category Subcategory 5 i 41tj^ Compliance Method "- Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity d; Quality Assurance Contract Expiration Date ..,f Validated By Certificate of Independence Referenced Standard and Year (of Standard) 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 i Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer 0 Evaluation Report - Hardcopy Received Robert Nieminen PE-59166 UL LLC 10/06/2018 John W. Knezevich, PE 0 Validation Checklist - Hardcopy Received FL16027 82 COI 2017 U COI Nieminen.odf Standard ASTM D6163 ASTM D6164 ASTM D6222 Year 2008 2011 2011 https://www.floridbuilding.org/pr/pr_app_dti.aspx?param=wGE...tFPmdYiNDWrxtft9YUwv%2fLXRbpak6f2jJGiyowhtbu4Q%3d%3d 10/31/18, 12:46 PM Page 1 of 2 FM 4470 FM 4474 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 2012 2011 .777.. _ _ 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 11 2017 09 FINAL Al ER_TRL- Approved for use outside HVHZ: Yes BUILT MODBIT FL16027-112.12-df 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 BUILT MODBIT FL16027-R2.Ddf Limits of Use. Created by Independent Third Party: Yes ext The State of Florida is an WEED employer. Coovriaht 2007-2013 State of Florida.:: Privacy Statement :: 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 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), 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 emails 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 ynder Chapter 455, F.S., please click here . Product Approval Accepts: Credit Card Safe I https://www.florid.abuilding.org/pr/pr_app_dtl.aspx?param=wGE...tFPmdYiN DWrxtft9YUwv%2fLXRbpak6f2jJGiyowhtbu4Q%3d%3d 10/31/18, 12:46 PM Page 2 of 2