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product Approval
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FL #
FL1654-R22
Application Type
Revision
Code Version
2017
Application Status
Approved
Comments
Archived
Product Manufacturer
POLYGLASS USA
Address/Phone/Emall
.1111 W. Newport Center Drive
Deerfield Beach, FIL 33442
(954) 233-1378 Ext 242
alender@polyglass.com
Authorized Signature
Arlel Lender
alender@polyglass.com
Technical Representative
Maury Alpert
Address/Phone/Emall
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(912) 429-8610
MAlpert(Dpolyglass.com
Quality Assurance Representative
Arlel Lender
Address/Phone/Emall
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1230
ALender@polyglass,.com
SCANNEL)
BY
St. . Lucie County
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
0 Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed
Robert Nleminen
the Evaluation Report
Florida License
PE-59166
Quality Assurance Entity
UL LLC
Quality Assurance Contract Expiration Date
10/06/2018
Validated By
John W. Knezevich, PE
2 Validation Checklist' Handcopy Re�elved
Certificate of Independence
FL1654 R22 C01 2017 01 COT Niemlnen.pdf
Referenoad Standard and Year (of Standard) Standard Yf.RE
ASTM D6162 2008
ASTM D6163 2008
ASTIVI D6164 2011
ASTM D6222 2011
ASTM D6509 2009
FM 4470 2012
FM 4474 2011
JL 1897 211k
C10-P-W
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Florida Building Code Online ,
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/14/2017
Date Validated 09115/2017
Date Pending FBC Approval 09/2212017
Date Approved 12/12/2017
ummary of Products
FIL #
Modelt Number or Name
Description
1654.1
Polyglass SBS and APP
SBS and APP modified bitumen roof systeins
Modified Bitumen Roof
Systems
Limits of Use
Installation Instructions
Approved for use In HVHZ: No
FL1654 R22 Il 2017 09 FINAL Al ER POLYGLASS MODBIT FL1654-
R22,od
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Verified By: Robert Nieminen PE-S9166
Design Pressure: +N/A/-622.5
Created by Independent Third Party: Yes
Other: 1.) The design pressure In this application
Evaluation Reports
relates to one particular assembly over concrete
FL1654 R22 AE 2017 09 FINAL ER POLYGLASS MODBIT FL1654-
R22,od
deck. Refer to the EIR Appendix for other systems
and deck types. 2.) Refer to ER, Section 5 for
Created by Independent Third Party: Yes
other Limits of Use.
I I
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concert Us :: 2601 heir Stone Road. Tallahassee K 32399 None: 850,487-1824
The state of Florida Is an ANEM ..Player. C,,Hcht 2007-2013 State of Ronda. :: Prihmev, Statement :: Acessolbilfty, Statement :: Refund Statement
Under Remain low, email addresses am public records. If you do not want your e-mail address releassed In response an a public-recends request, do not send electronic
mall to this army. Instead, contact she office by phone or by traditional malt. If you haws any quemans, please comact 850.487.1395. 01surchart to section 455.275
(1), Plants statutes, effective October 1, 2012, licensees licensed under chapter 455, F.S. must provide the Deprament with an email address if they have me. The
emalls limited may be used far ofinchal communication with Me thansee. However email addresses am public record. If you do not wish to supply a aamonal address,
please proWde Me Department with an email address which can tho made awallable to Me pubflc� To determine ff you am a licensee under chapter 455, F.S., please
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product Approval Accepts:
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