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FL# FL16027-R2 MAR 14 2019
Application Type Revision
Code Version 2017
Application Status Approved ST. Lucie Count - Perrtllffl(1°3
Comments SCANNED
Archived ,_i BY
St. Lucie County
Product Manufacturer Tri-Built Materials Group, LLC
Address/Phone/Email PO Box 70
CONCEALED FASTENERS OR ATTACHMENTS Rutherford, N] 07070. (�
ARETHERESPONSIBIL(TYOFTHE
CONt�iOAORRECORD david.ruiz@tribuiltmg.co(800) 516-1485 �R
T� �
ST. LUCIE CO NTV EUILbING ISI
Authorized Signature David Ruiz REVIEWED FOR PLIANC
david.ruiz@tribuiltmg.�BVI E Y
DAT
Technical Representative David Ruiz PLANS A D P RMI MUST BE K T ON ]OB
Address/Phone/Email 250 Route 17 North SITE OR NO INSPECTION(S) W L BE MADE
East Rutherford, N] 07073
(201) 842-2449
david.miz@tribuiltmaterlalsgroup.com
Quality Assurance Representative C Richard Schurman
Address/Phone/Email 9050 Louisiana Street
Merrillville, IN 46410
rich.schurman@alliedbuilding.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 the Robert Nieminen PROPOSEDWORK
EvaFloridation Report
Licens
PE-59166 �E$EP �CT?.ODANYCORREMO�
ARESUBJ INSPECTORS�T
Quality Assurance Entity
Quality Assurance Contract Expiration Date
UL LLC REQUIRED BY Fl AIRY IN ORDERTO S
CODE
10/06/2018 BE NECTM ALL
MAY APPOCABLE
COMPLY W►
Validated By
John W. Knezevich, PE
fiJ Validation Checklist - Hardcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
.a • 1 t • . -n t't .
Standard
ASTM D6163
ASTM D6164
ASTM D6222
FM 4470
FM 4474
Year
2008
2011
2011
2012
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 7t
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 Niernmen PE-59166
Design Pressure: +N/A/-622.5
Created by Independent Third Party: Yes
Other: 1.) The Design Pressure noted in this application refers
Evaluation Reports
to one system. Refer to ER Appendix for all systems and max.
FL16027 R2 AE 2017 09 FINAL ER TRI-
design pressures. 2.) Refer to ER Section 5 for Limits of Use.
BUILT MODBIT FL16027-R2.pQ
Created by Independent Third Party: Yes
The State of Florida is an AA/EEO employer. _ro ht 2007-2013 State of Florida.:: Prvecy 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 455.215(1),
nonce 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 under Chapter 455, F.S., please dick here .
product Approval Accepts:
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