HomeMy WebLinkAboutPRODUCT APPROVALwi-
woin I UscragUtraarn aot Tnplo I, Sudna.antha co.ndU i aQSSna Map Unl' Sma
X"wo
t>roduot Appal
USER: Pub1z U%r
O i
Reeuct•oomrai Mmv>>7oEua or neoumwnsaa,a>�evn<eaen txt> pnonm oaon CguntYt PBrmlttln9 SCANNED
1.uQe
BY
FL # . �. F124 _ 11 aAy
Application
Type Revision' . Lucie County
Code Version 2017 �Y
Application Status - Approved .
•Apprmnad by DBPR. Approvals by DBPR shall be reviewed and rati0ed by
the POC and/or the Commission if necessary.
Comments
Archived ❑
Product Manufacturer Maxim Industries, Inc
AddrewiPhone/Emall 1630 Terre Colony Court
Dallas, TX 75212.6221
(214) 905-2021
Info@maxlmskylights.com
Authorized Signature David Thornton
Info@maxlmskyllghts.com
Technical Representative
Address/Phone/Emall
Quality Assurance Representative
AddMSS/Phone/Emali
Category
Sky Lights
Subcategory
Skylight
Compliance Method
Certification Mark or listing
Certification Agency
National Accreditation & Management Institute
Validated By
National Accreditation & Management Institute
Referenced Standard and Year (of Standard) .Standard
y'ear
TAS 201
1994
TAS 202
1994
TAS 203
1994
Equivalence of Product Standards
Cartifled By Florida Licensed Professional Engineer or Architect
F12418 RIl EOUIV EER2000 RC 2 418-0102 MAX0001-DSF MAX0002-
DCM s<sdf
Product Approval Method Method 1 Option A
Date Submitted 03/05/2018
Date Validated 03/06/2018
Date Pending FBC Approval
Date Approved 03/09/2018
Summary of Products
FL R
Model, Number or Name
Description
2418T3
rids`.D`6'P4'�B ##$ uLti
Polyoarbonabe Glazed Aluminum Skylight
�5}Ighfs�
Limits of use
CertNlration Agency Certificate
..Approved for use In NVNZ: Yes
Approved for use outside NVNZ: Yes
F 2418 R11 C CAC N1009198.01-RS DCM.ndf
Quality Assurance Compact Expiration Date
Impact Resistant: Yes
Design Pressure: +60/-60
12/31/2021
Installation Instructions
Other;
Fl2418 RII 71 MAX0002 Reva DCM ss.odf '
Verified By: Robert 1. Amoruso, PE FL PE No. 49752
Created by Independent Third Parry: Yes
Evaluation Reports
2418 1111 AE PER2000 Rev2 418-0102 MAX0001-
DSF MAX0002-DCM ss.odf
Created by Independent Third Party: Yes
2418.2
Sedes'DSF Datla Self Flashing
Polytarbonate Gland Aluminum Skylight
Skylight
Limits of use
Certification Agency Certificate
Approved for use In NVNZ: Yes
Approved for use outside HVIR: Yes
Impact Resistant: Yes
Design Pressure: +60/-60
Other:
F12418 RI1 C CAC N7009198-RS DSF.odf
Quaitty Assurance Contract Expiratlon Date
12/31/2021
Installation Instructions
FL2418 RII 11 MAX0001 R vC DSF sr - if
Verified By: Robert J. Amoruso, PE'FL PE No. 49752
Created by Independent Third Party: Yes
Evaluation Reports
FL2418 R11 AE PER2000 R V2 418-0102 MAX0001-
DSF MAX0002-DCM ss:odf
Created by Independent Third Party: Yes
Nmd
r e us :: so 1 n a - as an�n�1•tez^
ilia State of BodEaaan Aa/EEO employer. o - of :: anvawstaRment::Amessm�satement:e Re "SWant
Florida law, ema0 zdtlrtsses art pua0e retards nyw do rat wantyouro-mar aEtltess rtleased N topoirse to a pWlio-remtao request' ob not send tie
P,aduRApPraeat AReepb:
w 5MFE
Credit Card
Safe
Product Conformance to 6th Edition (2017) Florida Building Code
Rule 61G20-3 F.A.C. I Project No. 418-0102 1 1/8118 1 Page 1 of 2
Product Manufacturer
Maxim Industries, Inc.
1630 Terre Colony Court
Dallas, TX 75212
Florida Product Approval No.: FL2418
Code: 6v' Edition (2017) Florida Building Code
Compliance Method:
Product Name, Model and/or Description
Dade Curb Mount Skylight Polycarbonate Glazed Aluminum Skylight
Dade Self Flashing Skylight Polycarbonate Glazed Aluminum Skylight
• Product Approval Rule 61G20-3.007(1)(f) —Self-Affirmation
• Product Approval Rule 61G20-3.005(1)(d)—Product Evaluation Report by a Licensed Professional Engineer
• Product Approval Rule 61G20-3.015(4)(d)— Equivalency of Standards
• Product Approval Rule 61G2D-3.005(1)(e)—project specific approval by the local authorities having jurisdiction in
accordance with alternate methods and materials authorized in the Code (Section 104.11)
Code Conformance Review: The undersigned has reviewed the above referenced Florida Product Approval and associated
documents and found all drawings, reports, referenced test standards, and testing as noted in the approved documents to be
incompliance with the 6t^ Edition (2017) Florida Building Code.
It has been concluded that no revisions or changes to the referenced standards have occurred between the following (where
applicable) that affect the results of design, testing or engineering of the approved product(s).
Chapter 35 of the 51h Edition (2014) Florida Building Code compared to Chapter 35 of the 6' Edition (2017) Florida
Building Code
Chapter 46, of the So' Edition (2014)Florida Residential Code compared to Chapter 46 of the 611 Edition (2017) Florida
Residential Code
Test Protocols for HVHZ/5'^ Edition (2014) Florida Building Code compared to Test Protocols for HVHZ/6tl Edition
(2017) Florida Building Code, specifically the following where applicable.
o TAS 201-94, TAS 202-94 and TAS 203-94
Conformance Review of skylight glazing material Manufacturer(s) and Component Approval per Miami -Dade NOA:
• The currently issued Miami -Dade NOA for component approval to the Florida Building Code for Covestro, LLC
Makrolon Polycarbonate Sheets was reviewed and found to be in compliance with the 6`^ Edition (2017) Florida
Building Code. Covestro, LLC Miami -Dade NOAs can be found here.
Therefore, all test standards used in testing and all design standards used in design and engineering of the currently approved
product(s) remain valid for compliance to the a Edition (2017) of the Florida Building Code.
Certification Agency Certificate (attached)
• N1009198-115 Expiration 12/31/21 forDade Self Flashing Skylight
�de�.M+ou+sttSkylight
Installation Instructions (available from Product Manufacturer)
Drawing No. DSF3507, Dated 7/10115, signed & sealed by T. Berman, P.E.
Drawing No. DCM3507, Dated 7/10/15, signed & sealed by T. Berman, P.E.
J11111111,0111111111�A� PTC Product Design Group, LLC I PO Box 520775 1 Longwood, FL 32752-0775
r/L 321-690-1788 1 FBPE Certification of Authorization No. 25935
'Product Conformance to Gth Edition (201
Rule 61G20-3 F.A.C. I Project No. 41
Certificate of Independence per Product Approval
Rule 61G20-3.009
-PTC Product Design Group, LLCand Roberti. Amoruso, P.E.
does not have, norwill acquire, anyfinancial interest in the
company manufacturing or distributing product(s) covered
by this Product Evaluation Report
PTC Product Design Group, LLC and Roberti. Amoruso, P.E.
do not have, nor will acquire any financial interest in any
other entity involved in the approval process ortesting of
the product(s) covered by this Product Evaluation Report.
Florida Building Code
1/8/18 1 Page 2 of 2
Digitally signed
by Robert J
Amoruso
Date: 2018.01.08
16:55:50-05'00'
Evaluated by:
RobertJ. Amoruso, P.E.
FL P.E. License No. 49752
PTC Product Design Group, LLC I PO Box 520775 1 Longwood, FL 32752-0775
i'/L 1 321.690-1788 1 FBPE Certification of Authorization No. 25935
NOTICE OF PRODUCT CERTIFICATION
CERTIFICATION NO:
DATE:
CERTIFICATION PROGRAM:
COMPANY:
CODE:
REVISION DATE:
NI009198.01-R5
12/30/2007
Structural
Maxim
M-1256-1
08/21/2017
To verify that the "Notice of Product Certification" is valid, please visit www.NAMICertification.com to assure that
the product is active and currently listed. This certification represents product conformity to the applicable
specification and that certification criteria has been satisfied. A NAMI approved certification label must be applied
to the product to claim certification status. Please review and advise NAMI if any corrections are required to this
document.
COMPANY NAME AND ADDRESS
PRODUCT DESCRIPTION
Maxim Industries, Inc.
Se es>M` as^P rhmarr I P
1630 Terre Colony Court
Polycarbonate Glazed Aluminum Skylight
Dallas, Texas 75212
Configuration: O
Glazing: Exterior Dome-0.118" Hyzod Polycarbonate
w/8" rise/Interior Dome-0.118" Hyzod Polycarbonate
w/4" rise
Overall: W-4'4" DLO: W-4'0"
H-8'4" H-8'0"
SPECIFICATION
PRODUCT RATING
TAS 201/202/203-94
Design Pressure: +601-60 psf
Large Missile Impact Rated
Product Tested By:
Report No:
Expiration Date:
Architectural Testing, Inc.
ATI-01-43381.01
December 31.2021
Administrator's Signature:
NATIONAL ACCREDITATION AND
MANAGEMENT INSTITUTE, INC.
4794 George Washington Memorial Highway
Hayes, VA 23072
Tel: (804) 684-5124
Fax: (804) 684-5122
NOTICE OF PRODUCT CERTIFICATION
CERTIFICATION NO:
DATE:
CERTIFICATION PROGRAM:
COMPANY:
CODE:
REVISION DATE:
NI009198-R5
12/30/2007
Structural
Maxim
M-1256-1
08/21/2017
To verify that the "Notice of Product Certification" is valid,please visit wwwNAMICertification.com to assure that
the product is active and currently listed. This certification represents product conformity to the applicable
specification and that certification criteria has been satisfied. A NANII approved certification label must be applied
to the product to claim certification status. Please review and advise NAM if any corrections are required to this
document.
COMPANY NAME AND ADDRESS
PRODUCT DESCRIPTION
Maxim Industries, Inc.
Series "Dade Self -Flashing"
1630 Terre Colony Court
Polycarbonate Glazed Aluminum Skylight
Dallas, Texas 75212
Configuration: O
Glazing: Exterior Dome-0.118" Hywd Polycarbonate
w/8" rise/Interior Dome-0.118" Hywd Polycarbonate
w/4" rise
Overall: W-4'6" DLO: W-39"
H-816"
SPECIFICATION
PRODUCT RATING
TAS 201/202/203-94
Design Pressure: +601-60 psf
Large Missile Impact Rated
Product Tested By:
Report No:
Expiration Date:
Administrator's
Architectural Testing, Inc.
ATI-01-43381.01
TPnn.nF.Pr Al 7M.t
NATIONAL ACCREDITATION AND
MANAGEMENT INSTITUTE, INC.
4794 George Washington Memorial Highway
Hayes, VA 23072
Tel: (804) 684-5124
Fax: (804) 684-5122
Business & Professional Regulation
acisLain I uu,"Wa i MT -Pus I su"It exrmame I emo ah¢s I Pxmiczo= i rm W I ms so MP I anti aeaair
0rkba
ProductApCroval RECEIVEDSCANNED
.rim.nI.m. ...Waoa.ns..�>.�m,>nLn,>APp —MAY 0 0 2019 BY -
St. Lucie County
FLO F1.165 R22 permlttln9
Application Type Revise ST. Lucie GounCyr
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer
POLYGLASS USA
AddreWPhone/Email
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
. (954)233-1330 Ext 242
malpert®po"lass.com
Authorized SlgnatUM
Maury Alpert
malpert@1101y9lass.mm
Technical Representative
Maury Alpert
Address/Phone/Emall
1111 W. Newport center Drive
Deerfield Beach, FL 33442
(9221429-8610
MAIPert0poly9taSsmm
Quality Assurance Representative
Ariel'Lender
Addrew/PhoMJEmall
1112 W. Newport Center Drive
Deerfield Beach, FL 33442
(954)233-1230
Alsnder0polygleesmm
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Ucensed Florida
Professional Engineer _
❑ Evaluation Report- MardmPY Recewed
Florida Engineer or Architect Name whodeveloped Robert Nieminen
the Evaluation Report
Florida Ucense
PE-59155
Quality Assurance Entity
UL L(L
Quality Assurance Contract Expiration Date
09/13/2021
Validated By
John W. Kneiewch, PE
0 Validation Checldist - Nardcopy Received
Certificate of Independence
M1694 R27 Cpj 2017 n1, Coy Niernmen.edf
Referenced Standard and Year (of Standard)
Standard
Year
ASTM D6162
2008
ASTM D6163
2008
ASTM 06164
2011
ASTM D6222
2011
ASTM D6509
2009
FM 4470
2012
FM gg74
2011
UL 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
09/15/2D17
Date Pending FBC Approval
09/22/2027
Date Approved
12/12/2017
Date Revised
10/09/2018
Summary of Products
FL A
Model, Number or Name
Description
1654.1
aolyglass Se5 and APP Madi0ed
SSS and APP modified bitumen roof systems
Bitumen Roof Systems
Llrnit9 of use
Installation IRstructiona
Approved for use In NVNL2 NO
ELUL4J9aJL2M7 Ile FINAL At ER POLYGLASS MODBII FLI654-
R22,Rdf
Verified By: Robert Nleminen PE-59166
Created by Independent Third Party: Yes
Evaluation Reports
EL1654 R22 AE 2017 09 FINAL ER POLYCL SS MODW FL1654-
Approved for use outside NVN2: Yes
Impact Resistant N/A
Design Prlessure: +N/A/-622.5
Other. 1.) The design pressure In this appllmNan
relates to one particular assembly ever concrete
R22.od1
Created by Independent Third Parry: Yes
deck Refer to the ER Appendbt for other systems
and derk types. 2.) Refer to ER. Section 5 for other
Llmlts of Use.
ER
�aUS!:]aa1Vale SMkoe,a. TCCCCnftt R97399 M,, 8ne- .21324
T aot1edr1LNG Ism Ak Eta CMPbW. LbOM 1=17013 m13I"Mb xi.Btg AW==I1:! SIMmv Raftmmt 1: Re " .—ft
�:lllrlt\ \l l•'t It I t 11
TRINITY `ERA
/JEW gNStRUCfIO�F.RERDOF,(fFAB
- SYSTENITYPEE.NofNNSULATED,MECHAMCAILVATTAC11E08ASE tOistows&PwTF3')jB0NDEDRCpFC0VER
System
Base Shnt
RaafCOverMm¢IS)
P01P
N0.
DedtlNote l)
Type
Fatten
AMCII
Rase Ply
cap
-Oeldest
Min. 19/32-
Elastobae,ElastobaseP
Hex(ake, Deldast PLT-W2-7/e)with Dekfast(114
12-Inch o.c. N 44nch lap and 12-Inch o,c In two
SEIS-SA
Sr SA,APP-SASBi
515
W-136
Inch plywood
(poly-flimtop)
orTmfast 3' Metal Insulation Plate withWast HO
(2), equally.spamd, staggered center rows
TA APP-TA
Min. 19/32-
Flastobase, Elastobae P
DeldastHex(oke, Deldast PLT-H-2-7/8)with Dekfastgl4
it -Inds plc- In 44nch lap and 12-Inch 0. In two
PoWaSAeae
APP-TA
S2.5s
V1437
Inch plywood
(Poly -film top)
orTmfast3' Metal Insulation Plate with TmfastHD
(2), equally spared, staggered cantermws
w 738
Min. 19/32-
Etastohae, ElastobaseP
OMGFtatBotiomPlatas (square) with Rootgrlpgl2
12-inch orb 44nch lap and 124nch or.Intwo
SBS-SA
SBSSAAPP-SASBS-
APP-TA
-'a
inchply'a'ood
(pofy-fibn top)
(2), equally spaxxl, staggered cente rows
TA
W139
Min. 19/32-
Elastobase, Dastobase P
OMG Rat Bottom Plates (square) with Roofffp,412
124nch=tn44ndr lapand I2-Indso.c-intwo
POWNSAease
APP-TA
-
WO -Inch plywood
(poly -film top)
(2), equaWspaced, staggered center sws
:. .'_; - ,.: TABLE1GiW00DDECIIS'.NEWCpN.}TRI1Cil0N0gRER0OF(iGR). -.
-•; :.-,, c0
,,
::.. ... -
-.SYSTEM_ TYPEF:NQf�EINSUu1TE0;BONDEDROOFCOVEf('.:_ _. .::...
Systzm
Roofcover(Not025)
MOp(psi)
No.
Deck(Nata 3)
Primer
IointTrcatment
Baseply,
Ply
Fop Ply
. -
_
35/32i
....-._._^� ;.:...,
.�.y .-.-_-�.^-^----.� -» :w. _ - �,.,,1 - .Y4r
SBS-SA
`(0p11unaQ SBS-SA,SBS-
SBS SA APP-SA-SBY,•
y.1
f. 1N-140
�M�i�nl.
'uw\P A.
;None - i-
Yam.
None ,,.��.w.,-_..,,,-_�_ _� .t
�..1-� V
_^ __
TA APPTA --•-TA
APP TA-„
W-141
MN-IS/32
(Optlonarj PGIW��
Now
PolyflctSAaane
_
(Optional)APP-TA
APP-TA
-900
Inch plywood
Min. 15/32-
SBS-SA
(Optional) SMA, SBS-
SBS-SA, APPSA, SSS-
-975
W-142
Inch plywood
PGIW
None
TAAPP-TA
TA APP-TA
Min. 15/32-
Plywood Joins are covered with 44ach wide strips ofElastoflexSAV Plan, wiled Into
RatoMTSAVSafeaf
(Op9onal)SBS-SASSS-
SBS-SA APPSA SBS
-97.S
W143
Inch plywood
O wQPG100
(. PRc
place to seate continuous bond.
ElnwfiaSAVFRBme
TAAPP-TA
TA APP-TA
Min. 15/32-
SBti% A
(Optional)
SRS-SA ADP -SA, SBS-
-1OSD
W-144
Inch plyw
None
TA APP-TA
Min. 15/32-
Plywood joints are covered with 4-Inch wide sWps of ElamflenSAV Plus, rolled Into
FSastofles5AVP1V3 or
(DP90MI)$(1S-$A,SBS-
SBS-SA, APP-SA SBS
135.O
W-145
Inch plywPG100
place to creawwntinuous bond.
DastoflesSAV lus FR
TA APP-TA
TA APP-TA
Min. 15/3PGIW
plywoodjoints arc covered with 4-Inch wide strips of BastofieaSAV Pius, wiled into
PolyflenSABase
(Optional)APPTA
APPTA
-135.0
W-146
indrplywplace
to create continuous bond.
Extndar Research and OeslM LLC.d/b/a TdnRVIERD Evaluation Report P9290.02.OMGfor F1.1654122
Certificate of Authorization 09S03 61X EDITION (2017) FBC N0W-HVH2 EVALUATION Revision 20:09/12R017
Prepared by: Robert Nieminen, PES9166 Potygless Modified Bitumen Root Systems; (570) W4-1230 ,Appendix 1, Page 21of59
The following rotes aanN to the systems omllned hemin:
The roof system evaluation herein pertains to abowe deck roof components Reef decks and structural members shay be In accordance with FBC requirements to the sattsfadlon of the Authority Having Jurisdiction.
Lead resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation.
Z. Insulation /base sheet fasteners shall be of sufficient length for the following deck engagement:
D Wood: Minimum 0.754nch penetration.
D Steele Minimum 0.75-Inch penetration and engage thetop Bute of the steel deck.
D Structural concrete: Minimum l-Inch embedment Into pilot hole In accordance with fastener manufacturer's published Installation instructions.
3. Unless otherwise noted, Insulation may be any one layer or combination of potylsocyanumte, polystyrene, wood fiberboard, perfite, gypsum -based roof board or minen4wool roof board that meets the CIA
requirements of F.AC Rule 61G20.9 and Is documented as meeting FBC 1SO51 and, for foam plastic, FBC Chaplet 26, when installed with the roof cow.
Evertor Researdt and Design, U.C. d/b/a Trinity I ERD Evaluation Report P9290D2JI8-R20 for FL1654RZZ
Certificate of AuUwrhadon e9503 Bt" EDITION (2017) FBC NONaNHZEVALUATION Revision 20:09122/2017
Prepared by: RobertNleminen, PE-59166 Polyglass Modified Bitumen RoatSystem$(570)3Bq-1230 Append41, Page 1 of58
15.
\J TRINITY I Etta
.nA , �.f..w,Fnrnlln...l n.w w.J.. wn..wnw anw FnnAnA Mwn n1.. nw n.n eFnM
v ...- .... ..-.
,: . .._•..._-Tadi[1.PotYGtiilSNoosCOvsns'.'. ..._ ..
Reference
Layer
Material
Application
BP -AA
BasePly
One ormore plies PolyglassG2 Base, FBCAp roved ASTM 04601, ell
Hgt tatdO
ZOquare
(Base and Ply Sheets,Asphait-
P
One or more Iles Pol ass PlyIV, PoI lassP VI, FBCA roved ASTM O2178, Nor VI
Ihs/square
Applied)
Nate:
A halts BedsheeUminsUlaltoo Shanotbee Yedto d - anm icedmemhmnes
One ply Elastobam(sand/sand), ElasteflexV. ElastoOex S6, EiastogexS6 Type1I, Polyglass HT Base 65O
Sam Ply
PG350 at 1.5-2.0
SBS-CAS
ElastofluVG, Elastofla VG FR, ElastonexS6, Elastoflex S6 Typel6 ElastoflexS6 G, Elastoflex S6 G Fit, Oastoshleld TS-G, Elastashleld
gal/square
Cap Ply
T5-G FR, Po resko G SBS (sand -backed), Potyfresko G SBS FR san"acked
Base Ply
One ply Vastobase sand and, ElastoflexV, ElastollexS6 Elastoflex56 Typell
Polyplus 35 at19-2A
SBS-CA2
Elastaflea VG, ElartoflexVG FR, Elastofl"S6, Elastoll"S6Type 9, Uasmflex56 G, Elastallea S6G FR, EhstshieldTS-G, Elastashleld
Cap Ply
TSG FR. P esko G SBS and-baclre ,Pol resko G MS FR amt-ha
One or more plies Eiastobase (sand/sand or poly/sand), Mastobate P. (sand/and or poly/and), Elastoflex V. Elastoflex 56, Elastoflex
SBSAA
Base Ply car Ply
56 Tree II, Po Tess HT Base 65O -
Hot Asphalt at 2O-40
ElastafleUV, Elastoflex VG, Elastoflex VG FR, Elastolin S6, EiastolIMS6 Type 11, Elastoflex56G, E135taflexS6 G FR, Elastashleld 75-G,
Ibs/square
(SBS AsphaBAPPBed)
Cap Ply
Elastashleld TSG FR. PGIYfMkO 058S 5and4mcked), Poiyfreska GSBS FR sand -backs
NOW
Asph Iledsheets OrInvoutionsMynotbe appUedto pan, nuflovedmembranes.
On or mom piles Elastobase(sand/poly), Elastobase(poly/poly), ElasedexV, Elastallex S6, Elastoflex56Type 11, Polyglass HT Base
SBS-TA
Base Ply or Ply
6
Torch-Applied
(SBS, Torch -Applied)
Elastoflex V, Elastaflex VG, Elastoflex VG FR, Elas[afluS5, ElastoBexS6Type II, Elastoflex S6 G, Uastoflex56 G FR, Elastashletd TSG,
Cap Ply
Elastoshleld TSG FR Polyfresko GSBS I film bade resko O SBS FR(poly-film backed)
Base Ply
One or more POW ElastofiexSA V Base, ElastoflexSAV FR Base, Elastoflex SRV PIas, Elastoflex SAV Plus FR
SBSSA
Cap Ply
Elastoflex SAP ElastoRex SA P FR PoI reflect
Self -Adhering
(SBS, Self -Adhering)
Untess otherwbenoted,permissWla membronesubwonesforS"oreBmfkedtotheSSSSA Bose Piyopflons hemlry
Note:
Elustobme(po /sand) orElostobasel oly/ al 1.
PG35O at SSdO
APP-W
Cap Ply
Pdyflex G FR
oaflsquare
APP-TA
Sam Ply or Ply
One or more piles Po lass APP Base, Polyflex. Pol bond
Torch-Applled
(APP,Torch-A plied)
Cap Ply
PcdyfIM Polyflu G, Pa exG FR, PoI bond, Po bond G, Pal recto G. Padyfresko G FR
" .Qa PI -.-PoI-'xSA;P,
Polvflex SAP'FR,,PblyfresW G SA;. Polkool
APPSAi+,,
UdessoMerwlrenoted,permissUfememNonesubs`tiatesjorAPF4fAamBmAedrothe58iLFBaseplyapUaruhrnby
Sel_f;AdAe�ifng11
.k(APP-SeIRAJM1rxing)
--•'—.:-w
Nose:
Elasfobme al son of Vostobom of
16. Any of the fallowing FRC Approved coatings maybe applied to the top roof membrane without adverse effect an the system wind load perfarmanca Refer to current Rmflng Materials Oaectoryfor fire ratings
associated with coaling usage.
D PG200 Non Fibced Roof Coating
D PG300 Rbered Rooftbataa:
D PG600 Nonibe dAlwnO nr Roof Coating;
D PG650 RberedAluminum Roof Coating;
D PG700 HRh Oeiry Etmkomedc Roof CoaarRa or IN Acryl 23,
D PG700Q5(gWck Set)mgh car"Hastomerle RoofCAatke or IM AcrVI 25.M(for 6ranula,ludaced APP or Sea only);
D PGa00 Asphalt Emulslaa Roof Coat -col;
D Polyplus 60 Premium NOn-Rbored Aluninum Roof Covina:
D Polyp1us 65 Premum Nbered Ahmwwn Roof Ceara;
D Poa/hrite 7O Premium Grade Flarbrredc RoofCcaang or IN Acyl IS;
D Polybrim7OQS(Quick Set) Premium Grade Bastamedc Roof Users or KM Acryl lS-M(for grmuleaurfaced APP or SBS only);
D PoWte 90 With Sands Silicone Roof Coating or Polybrim 95 akone Roof Coaang.
Exterior Research and Design, LLC d/b/aTrlNtylFlm Evaluation Report P929U.02A8•R20for FL16504122
Certificate of Authorization #95O3 6'H EDMON (2017) FBCNOWMIZEVAWATION Reu(slan 20:09/12/2017
Preparedby: RobertNleminen,PES9166 Polyglass Modified Bitumen RoolSysmn;(5M 384-I 0 Append'u2,Page3of5B
=xama I ugar I uwnap5uaaw 1 Raw. I sutmasor4wea I sma awan I pvbnvrmar m Wau+ eass�wp I oats I sman I
'vrodrrRApproval SCANNED
Tv-c RECEIVED BY
Omaueleamal menu a Repettar Aooaoaan sea,ca > Awaanen Irst a Appnmion p®n
t. Lucie County
FL9 Fts259-Rze MAY 0 S 2019
- Application Type Revision
Code Version 2017
Application Status Appmved ST. Lucie County, Parmltting
Comments
Archlved El
Product Manufacturer
POLYGLASS USA
Address/Phone/Emall
1111 W. Newport Center Drive
Deerfield Reach, FL 33442
(954) 233-1330 Ext 242
malpert@polyglass.com
Authorized Signature
Maury Alpert
malpert®polyglass.com
Technical Representative
Maury Alpert
Address/Phone/Emall
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(912)429-8610
MAlpert@polyglass.com
Quality Assurance Representative
Adel Lender
Address/Phone/Emall
Sill W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1730
ALender@polyglass.com
Category Roofing
Subcategory Underlaymesta
Compliance Method Evaluation Report from a Florida Registered Archltect or a Licensed Florida
Professional Engineer
❑ Evaluation Report - Hardcepy Received
Florida Engineer orArchloect Name who developed
Robert Nleminen
the Evaluation Report
Florida License
PE-59166
Quality Assurance Entity
UL LLC
Quality Assurance Contract EzplratlonDate
09/13/2021
Validated By
John W. Knes lch, PE
L7 Validation Checldlst- Hardtopy Received
Certificate of Independence FL52S9 R28 COr 2018 nt COT NIEMINEN
ndf
Referenced Standard and Year (of Standard) Standard
Year
ASTM D1970
2015
ASTM D226
2009
ASTM D4798
2011
ASTM D6164
2011
ASTM D6222
7011
IFM 4474
2011
FRSAJTW Apol 2012
2012
UL 1897
2012
i
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method I Option D
Date Submitted
01/24/2018
Date Validated
02/29/2018
Date Pending FBC Approval
01130/2018
Date Approved
04/10/2018
Summa of Products
FL *
Model, Number or Name
Description
5259.1
PAlygias Roof
Roofing underlaymenM
Undedaymen6
LImke of Use
Installation Instructions
Approved for use in H1rl12: No
F"59 ^^ .. ....e ^• FI•'A, co e^ _ _ FMAce IINDER_AYMS E5259-
Appruvedforuseoutside BVHZ:Yes
Impact Resistant: N/A
R28.ud
Verified By: Robert Nleminen PE-59166
Design Pressure: +N/A/-622.5
treated by Independent Third Parry: Yes
Othe,1.) The design pressmre in this
Evaluation Reports
ELS259 R28 AE 2018 01 FINAI ER POLYGLAO UNDERLAYMEMS FL5259-
application relates to one particular
R28.edf
underlayment system (over concrete deck)
for use under foam -on the systems (where
Created by Independent Third Party: Yes
the undedayment forms part of the load -
path). Refer to ER Section 5.6.4 for other
'
systems, other dedc types and associated
maximum design pressures 2.) Refer to ER
Section 5 for other limits of use.
99 M.
r. xso-Aal-]ma
t auuA OMM2{All AlyeEp CmplR .Cg. aAt2R02-2019 o..e MFIdIER. Ll VTmm :eleTOlt liAM We[emeM li 0.CM1md $dteTCnt
�il_I ��il
. 1115/20AS Florida Building Code Online
Business & Professional Regulation
ra�lrr
easH°me I Login I useraegis uon I Ha-lopim I s.wtsuniiarge I smm&P I Pumnmuons I c<nmaus I sassom.p I unks I search I
_I nda
(,UaProduct Appr
oval
Pr*--
use�Pmdua Approval Menu > Pmdua or AOPllmtb• Search >
FL #
Application Type
Code Version
Appllcatlan Status
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Emall
Category
Subcategory
Compliance Method
k.
SCANNED
BY
Lucie County
FL28328
New
2017 MAY 0 S 2019
Approved
ST. Lucie County, Permitting
Boral Roofing LLC
7575 Irvine Center Drive
Irvine, CA 92618
(801)38D-6091
robinanderson@boral.com
Robin Anderson
robinanderson@boral.com
Roofing
Roofing Tiles
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
J Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the Zachary R. Priest
Evaluation Report
Florida License
PE-74021
Quality Assurance Entity
PRI Construction Materials Technologies, LLC
Quality Assurance Contract Expiration Date
11/03/2020
Validated By
Locke Bowden P.E.
'+! Validation Checklist - HardcopyReceived
Certificate of Independence
FL28328 RO COI BORISO03 2017 FBC Eval Boral Tiles Final.
Referenced Standard and Year (of Standard) • Standard
Year
ASIM C 1492
2003
TAS 100
1995
TAS 101
1995
TAS 102
1995
TAS 102(A)
1995
TAS 112
1995
Equivalence of Product Standards
Certified By
Sections from the Code
httpsJANww.floddabullding.org/prlpr app d0.aspxQparam=wGEVXQwiDqujObYx6FhH711LsyavMMET98zvZOgRbeQ75kgVkWLg°%3d%3d 113
1/15/2019
Florida Building Code Online
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Method 1 Option D
10/15/2018
10/16/2018
10/24/2018
12/11/2018
SummarV of Products
FL #
Model, Number or Name
Description
28328.1
Barcelona 900 (fake Wales)
ASTM C 149Z/TAS 112 type Is, high profile concrete the
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL28328 RO IT BOR18003 2017 FBC Eval Boral Tiles Final.odf
Verified By: Zachary R. Priest PE-74021
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Created by Independent Third Party: Yes
Design Pressure: N/A
Evaluation Reports
Other: See evaluation report for limits of use.
FL28328 RO AE BOR18003 2017 FBC Eval Boral Tiles
Finarpil
Created by Independent Third Party: Yes
28328.2
Bermuda (Okeechobee)
ASiM C 1492/TAS 112, type 3a, flat concrete file
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
F 28328 RO if BORISO03 2017 FBC Eval Boral Tiles Fin I P
Verified By: Zachary R. Priest PE-74021
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Created by Independent Third Party: Yes
Design Pressure: N/A
Other. See evaluation report for limits of use.
Evaluation Reports
FL28328 RO AE BOR18003 2017 FBC Eval Boral Tiles
Final.ir
Created by Independent Third Party: Yes
28328.3
Estate "S" (Okeechobee)
ASTM C 1492/TAS 112 type It, low profile concrete tile
Limits of Use
Approved for use in HVHZ: Yes
Installation Instructions
FL28328 RO B BORIS003 2017 FBC Eval Boral Tiles Final.Odf
Verified By: Zadiary R. Priest PE-74021
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Created by Independent Third Party: Yes
Design Pressure: N/A
Evaluation Reports
Other:See evaluation report for limits of use.
FL28328 RO AE BOR18003 2017 FBC Eval Boral Tiles
F a pgf
Created by Independent Third Party: Yes
28328.4
Galena Spanish "S" (Okeechobee)
ASTM C 1492/TAS 112 type 2a, high profile concrete file
Limits of Use
Installation Instructions
Approved for use In HVHZ: Yes
FL28328 RO II BORISO03 2017 FBC Eva[ Boral Tiles Fnal pdf
Approved for use outside HVHZ: Yes
Impart Resistant: N/A
Verified By: Zachary R. Priest PE-74021
Created by Independent Third Party: Yes
Design Pressure: N/A
Other: See evaluation report for limits of use.
Evaluation Reports
FL28328 RO AE BORIS003 2017 FBC Eval Boml Tiles
Final.pil
Created by Independent Third Party: Yes
28328.5
Plantation (Okeechobee)
ASTM C 1492/TAS 112 type 3a, flat concrete tile
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: WA
Installation Instructions
F 28328 - RO II BOR18003 2017 FBC Eva] Boral Tiles Final off
Verified By: Zachary R. Priest PE-74021
Created by Independent Third Party: Yes
Design Pressure: N/A
other.. See evaluation report for limits of use.
Evaluation Reports
FL28328 RO AE BORIBB03 2017 FBC Eval Boml Tiles
Fiinal.odf
Created by Independent Third Party: Yes
,428 ��SI tices,Shakean -Spl7
eaS
ASTM C 14wrAS 112, type 3a, flat concrete the
Limits of Use
Approved for use In HVHZ: Yes
Approved for rue outside HVHZ: Yes
Impact Resistant: N/A
Installation Instructions
F128328 RO fI BORISO03 2017 FBC Eval Boral Tiles Final p t
Verified By: Zachary R. Priest PE-74021
Created by Independent Third Party: Yes
Design Pressure: N/A
Other: See evaluation report for limits of use.
Evaluation Reports
FI28328 RO AE BOR18003 2017 FBC Eval Boral Tiles
Final.pd
Created by Independent Third Party: Yes
https:twwtv.floddabullding.orglpr/pr app_d8.aspx7param=wGEVXQwtDqujObYx8FhH711 LsySvf2fOET98zvZOgRbeQ78kgVkWLg%3d%3d 2l3
1/161201.9
Florida Building Code Online
28328.7 Spanish "S" Nuevo (lake Wales)
ASTM C 1492/TAS 112 type 2a, high profile concrete tile
Limits of Use
Installation Instructions
Approved for use in HVHZ: Yes
F128328 RO II BORIS003 2017 FBC Eval Boral Tiles Flnal.odf
Verified By: Zachary R. Priest PE-74021
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Created by Independent Third Party: Yes
Design Pressure: N/A
Evaluation Reports
Other. See evaluation report for limits of use.
FL28328 RO AE BORIS003 2017 FBC Eval Boral Tiles
Final.Ddf
Created by Independent Third Party: Yes
28328.8
Villa 900 (Lake Wales)
ASTM C 1492/TAS 112 type III, low profile concrete tile
.Limits of Use
Installation Instructions
Approved for use In HVHZ- Yes
FL28328 RO II BORISO03 2017 FBC Eval BOtal Tiles Rnal Ddf
Verified By: Zachary R. Priest PE-74021
Approved for use outside HVHZ! Yes
Impact Resistant: N/A
Created. by Independent Third Party: Yes
Design Pressure: N/A
Other: See evaluation report for limits of use.
Evaluation Reports
FL28328 RO AE BORIB903 2017 FBC Eval Boml Tiles
Flnal.pdf
Created by Independent Third Party: Yes
eara nca
rantactU3:; 2601 Stair Stone Road, Tallahassee M32399 Phone: 850-487-1824
The state of Flodda Is an AAIMO employer. Coovdaht 2007-2013 State of Florida.:: Pdvaty Statement :: Accesibalty Statement :: HeNnd Statement
Under Hodda law, email eddreses are pub0c,ecords. If you do not want your e-mail address released In response to a publicremrds request, do not send elettronic
mail n this entity. Instead, contact the of0® by phone or by traditional mall. If you have any questions, please contact 850.987.1395. "Pursuant to section 455.275(1),
nadda Statutes, effective October 1, 2012, Iloan. Ilmnumd under chapter 455, F.S. must prwlde Me Department with an ema8 addles If they have one. The emalls
Provided may be used for official communication with the Iloamee. However ema0 addmsses are public moved. If you do not wish to mpply a personal address, phase
provide the Department with an email address wNrh can be made avallable to the pub8n Tp determine if you are a licensee under Chapter 455, F.S., ideate dick hem .
PinductApproralAmeptn
=®®OR®
Credit Card
Safe
httpslAvww.floddabuilding.orglprlpr app d8.aspx?param=wGEVXQwtDqujObYx8FhH711 LsybvP2(OEf98zvZOgRbeQ78kgVkWLg%3d%3d 313