HomeMy WebLinkAboutPRODUCT APPROVALiit( -
7 Bu"srrress & Pr0%1stl�n i Re�ulaFia o
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- - Application Type
Code Version
Appacaten Status
Comments
Amhlved
Product Manufacturer
Address/Phane/Emag
Aatherhied Signature
Techni®I Representall"
Addnxs/Phme/Email
Quality. Assurance Representative
Address/Phone/Emall
category
Subcategory
Compllance .Method
Florida Engineer or Archltact Name who developed the Evaluation Report
Florida 1.106a5e'
Quality Assuranm Entity
Quality Assurence Centred Expiration Date,
Validated. By-
Cenlfitete oflndependenc9'
Reverenced standard and Year (of Standard)
Equivalence of Product Standards
Certified By
Sections from me Code
FL17022-R7
Reyisioh
2011
Approved
00/18j2017ur date reapply 00/21/17
r.
Exheme Metal Fabricators,.LLC
2160 SW Penn Ddve
Palm City, FL 34990
(772).872-8034
fivatidation0yahoo.c0m
Piltltem McKuhen
Avalidation0yahoo.cam
Richard McKuhen
2166 SW Vpma Drive
Palm City, FL 34990
(772) 872-8034
ddtardendab.n ® et
Roofing:
Metal Roofing
Evaluation Repent from a Florida Registered Architect or a Licensed Florida. Professkmal Engineer
Vr Evaluation Report -' Hardcopy Received.
LOCKE BOWDEN
PE-49704
Keystone Certlflcatlons� IAc.
04/2V2'024
Zachary,P. Priest,. PIE.
(d ValWadon. Checklist:- Handcopy Received
'rrroe o7 COI FL S V CRIMP ssr adt
120221
Stands m
Im
TAS 125
2003
UL 1897
2012
uL 580
2006
Product approval Method McMod;I Option D
Date Submltbld 08/18/2017
Date Validated 08/25(280
Data Pending FBC Approval 08/26/2DL7
Date Approved 10/10/2017
-2160 SW oma Drive .
u Palm City, OL` 34990
:.. , .. _. . tiy2)Bz24103a
-r
-Compliant with Florida ;Building,Code.2017 (6`. ,ed.)
"'Compliant with Florida' Product' pprovat We,# 61G20-3
Compliant: Keystone Certifications, ,
Product S V Crimp,26GA Steel.Roof'Panel FBC Sec.1507.4.2
..p - .. - - .. ^"
Yield'strengi: 50 k"si min - Attached;to min:15/32" plywood or Wood,
Deckw/ min. 0 42 specific gravity with, screws: 24" Coverage
x
Rlb: eight 1/9"
Corrosion Resistant Umplian't - FBC Sec.1507 4.3
Fastener.l (Method-1 Attachrtient): #9`x 1-1J2" Hex -Washer Headxwond'screw* topenetrate ,
3/1W min thru deck or 5/8" embedmdint into wood plank. (*or sufficient length to "meet {
requirements),,
Fastener, 2 (Method-20% & 4Attachmer4 no x vi/2" Hex -Washer Headwood screw. to,, -
penetrate 3/16" min. thru deck orS/0, embedment.into wood plank: (*or sufficient,lengtitf
to meet requirements):
LJnderlayment: To be`compliant"with FBC Sec:>Chart 1507:11
Scope Shall be'in compliance with FBC 5ec:1907
N See fa eraita mentspedAcationiabove
3
t
xf
Install Details: Table A ,, _'Ail6w- able Loads'
E
` METHOD Y
,. ETHOO 2
` METHOD 3
METHOD 4
'OE51GN`PRESSURE*
�_ °A pSE
-93.4 PSF'
401 PSF
418 p5F
ROW;SPAdNG ,,
'. 16" o..r
i6" o.c. - .
8" o.c
6" O.C.
:FASTENER SPAar4d ALONG, Panel width)'
° 12°' o c: ` 12" ox; I
Ar 04
12"
USTENER SIZE ;;
r -- - 49 #10
010 - . ` ..
-._•,#10
Reference Data: ARCHITECfURALTESTING INC.'TST.ID#:1 T
UL b80-06 & 1897 OAi Test, Report EM893. 05iA2/14
is
TesE,, ReportF33b6.01-4
TAS 125-W Test Report .; D05893 02-24,50-18 07/22/14
*EQUIV.ILEJVCY-Ui 3891=04 is a�quJva/ent to tsle»dard,lJL Y99]-��r *Destpn pressure margin ofspfety 2:1
21
Locke s wden, P.L does nothave, not will acquire a #i�iancial t ytQl s lit eyr 0� { y 16itudny or dbtrlbutinii products '
under this evaluation. . -- . f • �. � � ' �r , ' i • ` ° -
Locke So widen, P.E., is not owned; operated, or controlled by a� emnpadllDmYtlafadturod
o'r buting products under this
report ' .
r
�C'k'I �f
S, JSTc
rLl fuLZ.I 'OV mP (LOOA.7IVVl),"L9 YVIUU RVV [vial - WW%Qlta '
-imitations:
1. Underlayment,to,be compliance with current Florida Building Code (FBC)2017.61i, ad..
2. Minimum slope to be compliantwith Florida Building; Code 2017 6th ad., and per with Manufacturer's installation'reference.
3.: Products are compliant for State of Florida product approval per Rule 61,G20-3. Compliance Method: 1-D
4. Engineering -analysis for "project specific approval by local authorities wfjuriediction is allowed by other registered engineers..
5. Fire classification is not part'of this acceptance. Sheardiaphragm values are outside this report.
6. Support framing in compliance w/FBC 2017 61t, ed., Chapter22 for Steel, Chapter 23 for Wood and Chapter 16 for
Structural Loading.
7: This report does not imply warranty, installation, recommended product use outside of this, report.
-:15W or grealor Rywood. a
Woodplank
Panel
Overlap
Fars-
g9x1AWMin. or
#10+1-1lr Min, per TA A•rorRow SV Crimp Roof
SpauMg &W Doslpa Pmmu+es
Hex Washer Head Wood Screws
7
Panel Pmflte
Nominal 12"
- Fasten
k§_x_f-_`I72":Min. or #10 x 1-1/2" Min. per
7able "A"• Hex Washer Head Screw
Spaced 12"'o.c.,across the Panel Width
Refer to Table "A" for Spacing Along Panel
Length
Deck- 15132",orgreater
Plywood; or
M . plank
Flnrtdti Bill Wing l otte-Unttne n_
sets";,I,wain t uurne9@.w" Y
acsea� I eassmH+o 1.unks i se:iai i
PraduatcUw, i ILE,gStRt PubllG Uwr {)
��o3�y
c`1i^+i5y)t'm �, D AoomJat Pt z• + •.. n -
..tfA.Kl crosM 9` A.°^arch� (�4P�ta1L71a. �P6n MbNNi .
.. FL S ,. FL1654 R22
'Application Type . , ReVrsio4.
'Code Version 2017
Application -Status = , Approved
Y Crmenta,
Pratluct ManufattUrer POLyc tnss USA-',
" Addrnss/Phone/Email „ ISO Lyon Drive - ` -
.. Fernley, NV 89408 -
r - .. (570),384-1230 Eat 242`'
- --.taylns�Potyglass.com .- _
Y- ,=AUttrorlietl Signature r .. dames Akins .t,:..
»Jakins®palYglass.wm
Technical Representative : Maury Alpert - -
-Address/Phoife7Email { 4111 W, Newport Cantar.U�ive e
I ` ex'•+ -"� Deerfield Beach: FL 33442.
(912 429.661 s
- MAlport�tpWYg,ss eoM, - -
v,Ruality.Assprance Representative ArJel Lender
t,'Atldress/Phone/Email 'SS1i W. Newport Center Drive
cc - tOedrrield Beach,Fi..33442 .
'(954) 233-1230-
Atender®poiy9lessznm
:.Category r. .Roofing w,
Subcate9Y;, ± ;ModlRed'BI[umen Raof_SYent -
-x. .. -
t ' ,-Compilance'Ajethod °, t Eyatiiadon Report from a•FldrWa Registered,?Architect or a Licensed
< i .•, , ; , -,Florida pmhae siphal Engineer
P-I Evaluation-Report».Hardcopy Received
Florida Engineer or Architect Name who developed Robert .Molinar ,
the Evaluation Report
Florida Ocilmse. Pe 59166
Quality Assurance Entity r. ULLLC -`•- ,
Quality Assuranco,Contract Expiration' Da 10/06/2018 , ,
Validated'.. By -' John W. Kneiewch PEr- .. - ..
' 5 VelWahan'ChkWist'- Hardcopy, Received -
a e CerLRcaie Of Independence -, -I''LS,tt`5ay .. - - •,
• 8efererr�ed- Standard and 'Year {of5tandertl�- Bytp�pt}j.,,�= �` "•Y.�i
- .. "A5TM M162, 2000 '
_ 2008-
-s •i'- •ASTM 06164 2011 - •.
�.. 'ASTMD6222' - _r :. • 2011 , -y
_ -ASYM U6509 2009
FM 4470 . ., 2612 i11
y. • . ... - ' ^ - FM 4474 .. 2611. ... •.r
3012
s
.. ar .
htt //Ww,6florldabgiJdin or `l r! r �dtl as h'7 aram virt�.rEUXQAIDyvgqu2w"/o2bn . 12/11 ,
p' $ , S P PP> P " P - /2017
„F- FfesridyBwj g Cof;e online
I Equivafence of prodadStandards
Certified BY
'Sacilotis,frofn the Code • -
F -
pioduet Approval Mafhdd ., '*,tg -P^”, --46hodlOpbom6 _
.. ^bate Submitted. = -'09j14/2017 ' ..
` Date Veildated �:. I 109/15/2017
-- - �' Date pending FBC.Approval r„_ " 09/22/2017 -
.a
'Date Approved -_ 12/1272017, '
& -Summa ti.PrOdUC:yY f u..�, ,`e
r a
a u
a c -FL # „�,: Motioh Number el¢tama nesot n '
' F365b 1-' ° PalY91a_sS SBS and 1gP, 885"epd AI mutiifled biYunianiiaef SysCemg
Modred Bitdmen Rodfr., 'tt.- ,
RetMn na
"-LtmRa of Use Insta n Flf�al AL i=RIn
�POLVC[S �MODn17 FL1654-
Approved for use in HVHZ. No ` 'r, l z _ _ _
Approved for use outside HVHZt Yes, 82'�RalC
f ', Impact Ratsistantt N/A - Verified BY: Robert Nieminan pE 59166 ,
ptsasure: +N/A/-622 5 Created by independent Third Party: Yes _ f
Othen 1:);1Te design pressure in it}, Evaluation Report ` A R'PO v a s MODBIT FL1b54 '
application relates to one particular assembty . t,c*asa p71 AE�.2oiZ?
' over concrete deck. Refer to the ER APPOW tot
,t. other, Systems Ono deck typos 2) Refer to ER -created by Ind ependent,*h1rd'Party. Yes" ,
Section 5 forfittiet tJmifs'df Lisa t, -
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-n "�`" wWry apernorutaddre59, Wea9o,b,avWa Cln�ochawmant nnl, an small address wha, an W meaaaNlbda to tha puldfc Te determlM It you snaUnwss under £
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1A
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Wood
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Wood- -
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t� 1E
-Wood'..'
1F1
'•Wood•
Wood:
Wood
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Steel or Syocturalconimte
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2fv
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7TYPe
Desawom
N¢iv4r Remaf lTear-(lhi ;'' • -
'M"1; , .�
Bonded asulatioh Bonded Prof Crner
59
'Neur'or Reroof (Tear•Off}
A-2 _
Meth. Attached Anchor Sheet Bdndedlnsulation. Bonded Roo? Cover
.-
New, iteroo? (Tear-Oftj or Recover
'.-A-2;
Mach. Attached AnChcr Sheet. Bonded insufat�n.Smded Roof Cover
TOP fnsufa4mn, Borlded Roof Cover a- ..
• SI
New, RemoE(Tear-6N}or ReCwer
g•;"�t:.
�-McU:Attacbed Base lnsuladon. Bonded
i;^
�12-13
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Mkh.AttaChadinsolatmn; Bonded RooPCover -
New, Remof(Tmf-OM Or RCOMW
Prawn. lnsitladon,Mach.Attadtesf Base$heet son ded.RoofGover I '+
14-Ss
-•,;:yt6-18
New, RemoffTear-b((jor Aacove"r
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- -E.
Attached
�Nondnsulatec,Mad. Attached Base Sheet(neAS),•8anded Roof
New or Beranf(Teaf-Ofli
-
- Noinis med, Me ,. Attached Bate Sheet (screfns & piatesi. Bonded Root Cover.'
19 21
s9
New. Rerobf (Tear-Oflj ar Recover _
E
21
Reroof(Tear-0nj;i •
-'r
Nevfnsu'ated, 8endedRoofCover'
.Newer
Insulawn;:Bonded top iasd4"tion, Bonded Roof Covet
ue.:: o..,.,,Flrmr-rtttt nrRnmver =_
B
mech:A2tacnedBase .-
25-29
`
- - - ' .' - -.-
:Steel orSvdCurat concrete, `„New: Reroof (Taar-tlffj or Re€a+er D 7___t:�ntcarneamswaha �.c•,.......o
Bonded RoofCovar
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'3A""'Sfructuratconcrete _-�- --°--•for Reroofji'ear�Off3'—.—......� _.�A I`._:.:. Bondeittnsuffiiioit, ..
Banded Roof Cover. • -
_
-----
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Cover
_. 41.42
-.
aSAA
LCWWIJC„- Newdr Rerooftfar-Off; `., -I j- Bonded Roof
Adeched Anchdr5heet. 9adetl iasulafbn. Bopded Roof Cover,. _
46,,-, LWIC Newer Rerwf(Teer-0ff( A-2 Mich
t ,, E Non•InsndMecjiittachetl eaSeSheet. Bonded Roaf,Coiarcn .
-46
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u
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CvfF ,-°: New, fieroof(Tear-Ofn r A-2. _ .,
Mech:Atfarhed Base insu(at»n, eandedToPlnsuEatfon Bonded Roof Cover..
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Bonded lnsu3atioh%aonded Roof Cover '...
i
BA
..-- - ..: EuReroof (Tea off)
' Gypsum- -.
-' K?ect4 AttacredAni(toiSheet; Bonded �M15u4atPdh'Bortded•Roof Cover;`
.c -'66
• RemuT(Te3f-offj Recover A-2
GYPSWn. _. _ -
'. Remof Rear-0ffj or8ecovar , ...-<-.. C .tvteth:.Attached insblatlon;8oiufed ftootCover:"_
_ ,.
-.., : S3
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. ' • ,"'fill
Gypsum'•
. ' Re!oof Qear-0f$ or Recover E Nurrtmuha Mech.-Atfa<hed Base Sheet, Handed Roof Caner-
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..
Gyf>�tn "" A-1 - Bonded insdatidn; Bonded Roof Cover ..
- ; Recover '
58
Various • - n flondea Base Sheet... Bonded Roof Cover ,
- F J•kPrt u4&ted,
..
.
' 78
- •. Recover
Various. • R -. , ,_ .
Tlm toiowirat rotcc aPlrtY_t_4 tlieMtem OufPn t ^`
ranf components. Rool decks and strucmnl memheem shall be In With FBC reOtdsements to the satisfaction df theAuth0"
IHIamr19 UnsdicGon
TM1e roof,system"edafuationhereln pertainsto abifvrdeck
toad'jeiutanrSdithe roofikck shall be documerted ttuaerjr PrPper mdtBed and/or FBCAPProval daamentatrpn.
• °-h..
i
shaUbe ofSoffiildent fengthtor the following decketWgement
Inzulanort/base sheetfasteners y
i
,. _
NCmimum D.iS-hhchh penetratMn.
0.754nch penetration and angage the top Rote of the steel deck ,.,, - - •.
._�, ...+ ,
.
Y Steel;minfinum n•
l-hith embedment into ptfot bola atmrdancew6h fastener manufac rls, publishedlastattatimn Instructions ..' -, ...
> STrucmral concrete. CuPNmum
polystyrene, wood fiber Perifte: gypsum -based roof board of minmtH r of Yon? board LtraY meets the OA
r`
" t3:-,
Nnless'ottherwise ihoted hitsuFatroA may be arty one IaYer' or combination. of pofytsocyanumte,
Aule 61620 -and is documented as irieetingFBG l505Aard,forfoam plastic FBC[ttaptes 26, vARm kistafkdwRth the toofcaier: _ •
.:'
ttCtuirements ofFAG
Evak+ation Repo
,
for FL1654-R22.
pesgn;•tLGdfb/aTrtivsyj('i� ..
..
Rcvi^ion M. tY! 1
Revision
,. FsnerimReseair]harei I �• 6 M ATNIN ,,..
'",
ELjodre2Du�
AppeM'ot 1,PageY of SB
�.. Cert to of Authoruatbn 64503 ` s 91L17 • .. v=,
,•� ,...PotYllvNbturten RpotSystcm¢turl0)
waist rni;(S . - •-
.
` p�paredtry:
tmeMNianumM1Pt3SlfiS • h .
-
1p
0
"T"
d
inlomitiling concrete may be 4d Insulation had tor V
4 list
inirilm 2rincti thick Oftweg -�onPira -
�j
_SubidbltEd f6f
4, NTM ZCCkPS*,'-
rover) 4
sor"Wral steel or concrete dick. ThiIstrdtdiwal deck ihiq 'cof or,
Sheet fastener's WE Instilled th�� the -Luc: to engigi the� the
red th h per,
*M'Jufi
aM
sdiction, r"Warace
jothe Sa6 of the Aul�&4
Appmvirdqe com
- -1 I I I - , -, 1
I I I iess otherwise - I 1 11 �3 DEEM III PieventiowData, Shed j-29 (Janitarif 20
erwissat noted, rehIPSOPUCKY2,2.16
narit -SU4110 hj*achs shall OxPanfai no red
th ON, , , % � I I & �
4masliblows, flilbboner bead width 15 attire - Makin adhesb
Dolls Unless Otherwise pot 411, �V
ago -
a,; koi asphat eid,
Condinuousill.75 to'l-inch enbbois,12, 0,0,,
J��,bmv IMT A STikt bulk Sat hKIII&IlOn
- CDMjn,musU.2SooOS-jn
In, O'neStep Fastreable Adheshij JMWSFAJ.
P6PmP&ajp Admsive '6nommus 025 to 05-incfi.ri rbbons. I 2-inchoc
�Olygond Gieen may
rIiftcoveragea I
03115,quare-
I' MRAdhesiveiE
M4
;0 Akre,, ne, acing
IC
30 Saint: The moomitin edge the mut - be y subWtoted
W A—th] thickness fix"Im, clan
note ulauw6ya—M-fuuM&
kith
>
t
-,;;�:,omaaYROM SM 10
iCP AdMsiveS& Seat
a.
9 anitched
Z preneirtion Data Sheet I -
ash.
11 Far r"nRailly attache
min I Oman reriilnem
12, Fdee)dsIm8st"rAosh`
�Slene (fat reCqvel
- roof
23, For Recover
ImAllatim a
Pic& *ct I APP I rovaliorIsw
For l.glf6Gvt!r strudxi�#
0
of Airthadzir ftA,#Os(
Pro nedtiv,
1� 4 - 1�eIi -imauaW, toeMliP IdEpOlAthe tao a
Kno calashru these- e�rwonedto_
I _,d to t 11_� lit 4tat a;,: ttf
MDP -1975W (fArV
EN
'M
_ogr.5 Pif Jklin-0 hadhIhAtkAO
thick)
-2 MDR 1-117.5 pit (KIM. i(I-10JI
—&led In "C
am or pirtWbitrohded Insulation. the miromum rften& Com",
one I cledlr
dtisiiipil e6dtha:Z
compor�o thezeavated priessai�-c
and intill employ an attachment der qualified design-prafesiskaW to I I of FM LOST
s -set fortt.,
29j Lid, With � -:ahnIsk.,6jmI the tarratwon
A :an
-"X
9
`16,, dad
tsign ;,ros,�sure determined In a�rdzimewllh
ljlto jhe
Prollesional $hill review
'be can, -I deck, fasteners shall tested In the existing deck A-'94afifted design
POnemi, over M 9 Standard TAS i0i�
f the Wstem. 'Talting and arialisfis be,kiaciotrilainm With ANSV" fX,j or TestagAtiplIC3110 Istat 9
" I I or I jIglity bd�d'piftmar.= w- the ad jdKI end the ex
tth 0I
a bonded' dc
Whig
*,dictirm, as dilcumentedthmilli field UPI t
ectdiesignpre aeSOn I M oft Having
shall be -ssu its
4PASW
V,
V
'neere6elo tier to Offle �nt Orin:
0 FGC SecI6,1417 to the satisfaction a I I the Part bekity I "aft lurisdictitm, For, �soe4
_r. specific LVIC is
shalike cast In eacordarma V
CMM xvk where q)gdft LWI rehireoped, the miniahnn-dista lie 300 psi- in all cases the erflmrm"P�,Wat thkinness is 2,mche<
c deck coL.& m ardlimitations. Fdr�titsltems
concrete refena"hi'mide tdik Section 29141, P(And.
3
FijW R22
Evaluation 9
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on
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re
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is live� for iire mfings
t
'r: I wind load performance. Refer to c4ff n,
m be a to d* M roof membrane without a&em effect on the system
Mater
An-j6ifAhelQIJl�wh`9F8C,A,,p Proved amftlnfl� piled
associated with Wst"USW
PGW0 Man libeed goofCoatift&
Cda*Z PC60ONOn -6 btiiadAlun�--p
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-Eloation Reportfoi FLIfiS44U2
ftj;Won 20:09/12/2017
Fxhj;jr;ttseareh 3 7'� TV 4 (MV) FRCNou4maEVAIaI)AMH
Appendix t,02ie Of SO
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Q ra4otca fallowing mw4muin'Deop
is.- vew 6�t�s for uqa� aver imsaml concrete deck by ba6don
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r
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ipaad.st2�4rIni center rows
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plywood
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min: 45132-
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6astopex SAVFRBase
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Ph/iw�la#nts are mveradwRh.44mb widestYP"pfElastotlexSA VPhrs, rolled also
-
ElasWWxSAVP�or
`(Optbnalj 5fl5-SA; SBS'
585-5A.'APP-SA 565-
135U
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usch P•Hwoad
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piaceta years continuous bond -
E1asm(uiSAVP Fit
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r.
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':-' �
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(OPnona llAPF-TA ":
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BCIS Nmne � tagU � aiKRepaVapM
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� p1rod11ctApvrovel
FILE
COPY
.
pygyB,Bppyypj, f�gy>WMWai.Aaakenon
ZX7
5exrta>Py��sr>�FIKNIm petal �
I
+ FLY
Fl3259-R2B^
App cenp 7y a
Code Version
Swale" ST. LUCIE COLrNTY BUILDING D ION
26n
Application Status
'Approved.. REVIEWED FOR COMPLIANC
REVI D,
DATE .
Comments
Archived
. PLAN AND PER T MUST SE KEPT JOB
SITE OR NO INSPECTION(S) WILL
E MADE
Product Manufacturer
PDLYGLASSUSA
Address/Phone/Email
1111 W. Newport Center Udve
'
Deerfield Beach, FL 33442
(954) 233-1330 Eat 242 -
.mafpert®polyglass.mm
Authorized Signature
Technical Representative
Addreas/1Mtane)Emali
Maury Alpert.
malper sopolyslass.com
`Mabryftcrt
1111 W. Newport Center Ddye
Deerfield Beach, FL 33442
(912)429-8630
MAlpeit*polyglzMiom
SC YN80
Sp 4uCie C,Ou l
Quality Assurance Representative
Adel tandar
'Address/Phone/Eman
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954)233-1230
Atender®polyglass.mm
Categaly
Rooang'
`Subcategory
Undedayments
Compliance Method >
Evaluation Rosen front a Florida. Registered Architect or a Licensed Florida Profes uomf Engineer
^
Ca' Evaluation Report -.Mardcopy. Received
Florida Engineer or Architect Name who developed the Evaluation. Report
Robert Nleminen
Florida License
PE-59166 '
Quality Assurance Entity
UL LLC
Quality, Assurance Contract Expiration Date
10/05/2018
Validated By
John W. Knezevich, PE
w Validation Checklist- Hardcopy Received
CettlOcLtt of independence '
FIS759 R28 COS 2018 01 COI NIEMINEN odf
Referenced Standard and Year (of Standard)
Standard
.Y6AC
ASTM Dim
2015
ASTM 0226
20D9
ASTM D4798
2011
ASTM 06164
2011
ASTM 06222
2011
FM 4474
2011
ERSA,ITRI Apd12012
2012
°
UL1897
2012
'Equivalence of product Standards
Certified By
Sections; Rom the Cade.
Product Approval Method Method 1Optlon D
Data Submitted 01/24/2018
Data Validated 01129/2018
Date Pending FBC Approval '01/3012018
Date Approved 04/10/2018
Impact Reototant N/A. t CrPZMd by Reports �t
del :Party: Yes
Design Preasuret+WA/-622 5 \ � Evalurallan HopoH,
OtM1er. 1.) The tleslpn pressure In th(s appntatpn mlatesto one pprtlmlar, n 9 Rag A 01B 1Al A ' PO Y Acc NOR PN15 c3c R26.odt
• I untlerleyment6ystem (over concrete dctik).(at use under foam -on Nle systems (where Created by IndependentThlyd Parry: Yes.
use.
eaa n••t
� jgaCfS1N::,1let WN.44= a RnOE. T+Rn`BPd tt ]ll'° plan' RSMQI•BeSR
� TneSW orNoaEek en AAjECOan(iaylR. ^^niI1M 10ah S•+ mmmflak�. ;s pCbgatjtptt0tpt ��q{ykt{y.5ryttmgpt' ^��
:4�
acts Home I Log In I User Registration ( Hot Topics I Submit Surcharge
�� FILE COPY
Product Approval
Prod Public User
8.
Product AQDMUI Menu > Product or Application Search > AApakgtion Ust > Application Detail
FL # FL16048-R f62'J, . �� C-a r� '3 Q
Application Type Revision V T�
Code Version 2017 ST. LUCIE COUNTY BUILDING DI O
Application Status ApprovedREVIEWED FOR COMPLIANCE Z j"w
Comments PLANS AND PWMIT MUST BE KEPT ONJ
Archived 13 SITE OR NO INSPECTION(S) WILL
Product Manufacturer Tri-Built Materials Group, LLC
Address/Phone/Email PO Box 70
CONCEALED FASTENERS OR ATTACHMENTS Rutherford, NJ 07070
ARE THE RESPONSIBILITYOFTHE (800) 516-1485 i.°,q�
CONTRACTOR OR RECORD david.ruiz@tribuiltmg.com l% aIVAV
Lucie C
Authorized Signature David Ruiz OUn
david.ruiz@tribuiltmg.com Nr
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
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
THESE PLANS AND ALL PROPOSED WORK
REQUIRED BY FIELD INSPECTORS THAT
Roofing MAY BE NECESSARY IN ORDER TO
Undedayments CMAPLY WITH ALL APPLICABLE CODES.
Evaluation Report from Florida Registered Architect or a Licensed Florida
Professional Engineer
D) Evaluation Report - Hardcopy Received
Robert Nieminen
PE-59166
UL LLC
07/18/2020
John W. Knezevich, PE
JS Validation Checklist
Hardcopy Received
Standard
ASTM D1970
ASTM G155
FM 4474
FRSA/TRI April 2012 (04-12)
UL 1897
Year
2015
2005
2011
2012
2012
Equivalence of Product Standa..
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/25/2017
Date Validated 10/01/2017
Date Pending FBC Approval 10/03/2017
Date Approved 12/12/2017
2 Y •y6 A #1
'k ". Y x"i '". - i
k fr.i t A M
Qesoriplian
16048.1
TRI-BUILT Roof Underlayments
Self -adhering, modified bitumen roof underlayments
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
FL16048 R6 II_2017_00_ IF NAI,_ES_IRL-
Approvedforuse outside HVHZ: Yes
BUILT UNDERLAYMENTS_FL16048-R6.pdf
Impact Resistant: N/A
Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-150
Created by Independent Third Party: Yes
Other: 1.) The design pressure noted herein pertains to use
Evaluation Reports
of foam -on tile systems overtop the self -adhering
FL16048 R6_AE 202??�QRFS.NAL_ER_TRI-
underlayment for one particular application. See ER Section
BUILT UNDERLAYMENTS FL16048-R6.pdf
5.6.4 for details. 2.) Refer to ER Section 5 for other Limits of
Created by Independent Third Party: Yes
Use.
Ba'clsr, Neict•
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 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
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 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 commu nlcation with the Ilcensee. 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:
®ER