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FL1654-R22
Application Type
Revision
Code Version
2017
Application Status
Approved
Comments
Archived
0
Product Manufacturer
POLYGLASS USA
Address/Phone/Email
150 Lyon Drive
Fernley, NV 89408
(570) 384-1230 Ext 242
jak'ins@polyglass.com
Authorized Signature
James Akins
jakins@polyglass.com
f" -4C>6-Z3
F ST. LUCIE COUNTY
BUILDING DIVISION
REVIEWED
FOR COMPIL N
REVIEW D
P MIT
By
DATE
PLANS AND P MIT
MUSTBEKEPTO JOBOR
NO INSPECTION WILL BE MADE
THESE PLANS AND ALL PROPOSED WORJ�
ARE SUBJECT TO ANY CORRECTIONS
CQUIRED BYFIEU IMPECTORS THAT
MAY BE NECESSARY IN ORDER To
CO IMPLY WITH ALL APPLICAKE CODES.
Technical Representative Maury Alpert
Address/Phone/Email 1111 W. Newport Center Drive
Deerfield Beach, Fl. 33442 -`-)i`1CaLFD FASTENERS OR ATTACHM�M
(912) 429-8610
MAJpert@polyglass.com 417E THE RESPONSIBIM OF TH�
Quality Assurance Representative Arlell Lender CONTRACTOR OF RECORD
Address/Phone/Email 1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1230
ALender@polygla�.com '01 L C
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 orArchitect Name who developed the Robert Nleminen
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
�-6 Validation Checklist - Handcopy Received
Certificate of Independence
Referenced Standard and Year (of Standard)
11112101-00M .11
Y-elK
ASTM D6162
2008
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
2011
ASTM D6509
2009
FM 4470
2012
FM 4474
2011
UL 1897
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 09/22/2017
Date Approved 12/12/2017
2012
Sinful of Products
FIL
edge bey or
Model, Number or Name
'0 NUM r
Description
1654.1
JB
Poly I S an
Polyglass SBS and APP Modified
SBS and APP modified bitumen roof systems
Bitumen Roof Systems
'Limits of Use
Installation Instructions
Approved for use In HVHZ: No
Approved for use outside HVHZz Yes
FL1654 R22 T1 2017 09 FINAL Al ER POI,YGLASS MODBIT FI_1654�
R22.pd
Impact Resistant: N/A
Verified By: Robert Nteminen PE-59166
Design pressure: +N/Af-622.5
Other: 1.) The design pressure In this application
relates to one particular assembly over concrete
Created by Independent Third Party: Yes
Evaluation Reports
PL1654 R22 AE 2017 09 FINAL ER POLYGLASS MODSIT FL1654-
deck. Refer to the ER Appendix for other systems and
deck types. 2.) Refer to ER, Section 5 for other Limits
of Use.
R22.0
Created by Independent Third Party: Yes
Contact Us :: 2601 Stair Store Read, Tallahassee FL 32399 Phone- 850-487-1874
'The State of Florida Is an AVEW Malayan, Comiflobt 2007-ZQ13 State of Flo,= :: "ecv Sinn.. :: Acm�iilpilrry Statement :� Saturn Statement
Under noiri law, email aodresses are public records. If you do not wart your e-mail address, released In responsai to a public,ratiands request, do not send electronic
Mad to ti entry. Instead, contact the siffice by phone or by traditional mall. If you hown any questions, please cantact 850.487.1395. *Fumant to SeWon
45S.275(l), Rodde, Statutes, effiectfire colossi It 2012, licari leenead under chapter 455, li years provide the Deportment with an amad add. if they he"
one, 111he aread, provided may be used for official caummunication with Me licensee. However email addresses am public record. If you do hot wish W supply a personal
address, please provide Me Deq,.Adroi with an email address which can ho made available to the public. To determine If your are a licamsee under chapter 455, F.S.,
pleasia click jigis,.
products Approval acceptin
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