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FL92S9-R28
Application Tipe
Revision
Code Version
2017
Application Status
Approved
CONCEALED FASTENERS OR ATrACHMENTS
ARE THE RESPONSIBILITY OF THE
CONTRACTOR OR RECORD
Archived
Product Manufecountir
POLYGLASS USA
Addless/Pliono/Emall
1111 W. Newport Carrier Drive
Deerfield Beach, Fl. 33442
(954) 233-1330 Ext 242
melpowpolyglass,com
0/0 00,V
VOO-
Authorized Signature
Maury Alpert
malpertepolyglass.cmin
Technical Representative
Maury Alpert THESE PLANS AND ALL PROPOSED WORK
Address/Phone/Enuall
till W. Newport center %E SU13JECTTO ANY CORREC-nONS
Deerfleld Such, Fl. 33440EQUIRED BY FIELD INSPECTORS THAT
(912) 429-8610 MAY BE NECESSARY IN ORDER TO
"Pe"Po"'a"'com COMPLY WrrH ALL APPLICABLE CODES.
Quality Assawance Representative
Adel Lender
AddressMone/Emall
all W. Newport Center Drive
Deerfield Beach, FL 33442
(954) 233-1230
ALender@Polygtm.com
Category
Subcat000ry
Rooling
umlerlsyrnerft
Evaluation Report ftm 0 Florida Registered Architect Or a Ucensed Florida
Compliance Method
professionel Engineer
Evaluation Report _ Mardc*y Received
Florida Engineer or ArcWted Name who developed the Robot Kleinman
Evaluation Report
norm ucem
PE-59166
Quality Assurance Entity
UL LLC
Quality Assurance Contract E41fation Date
09113/2021
Validated By
3ohn W. Knesevich, PE
je. vaudation ChKidist - HardooPY Received
of independence
57? 4
F152S9 R28 MI 2018 01 COT MFMNCN.Ddf
standardandlY r ofStandard)
fitallullut
�M�W
2
ST. LU, 6�C994Y �BUILDING N
WFASTM :D22.6a
2009
REVIEWED FOR COMPLIANC
0
ASTM 04798
2011
P EVI E VMY— ) /,0
ASTM D6164
2011
DATE � f . 10
OEMAD-
ASrM D6222
2011
PLANgAND PERMIT MUST BE KE JOE,
FM 4474
2011
SrrEORNOINSPECTION(S.)WIL
Fp-9NM April 2012
2012
%3d%3d 12
liamle Flaricia Bwldft Code OnUM
UL 1897
Equivalence of Product Standards
Certified By
Secthm from the Code
Product Approval Method Method I Option D
Date Subfrdtted
01124/2018
Date Validated
DIM/2018
Date Pending FBC Approval
01PO/2018
Date Approved
G4/10/2018
201.2
FF—L —# I Model, Numba, or name I Description I
5259.1
Rod
Umits of use
On't,
Installation Instruckhm
I INDERI AYMEWS FLS2S9�
Approved ftr use In HVHZ: No
FLS259 R7R TT 20IR Q1 EINAL ffiR.POLYMAq-q
Approved ftr use a a
pp
Impact N/A
R3R.Od
Verified By, Robert Klembien PE-59165
Design Preamm +N/Al-622.S
I
Cmated by IndependentlUrd ParW- Yes
Other. 2.) The design pressure In this
Evahufflon Repoft
rR PDIYGI ASS UNDERLAYMENTS FL5259--
application relates W One Particular
FLM59 R28 AP 201A n1 FINAL
underdlayment sl sW. (over concrete deck) for
e under fbam-,On tile systems (where the
W ut
R78 29
Created by independent Third Party: Yes
ndedayme"t forms Past Of We l*ad-l)8tl1)-
u ee
Rder to ER Section 5.6.4 for Other SYSternS,
other deck toes and associated ma)dmum
design preisures. ?_) Refer to ER Section 5 for
other limits Of use.
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Application Type
Revision NOV 1018
Code Version
2017
Application Status
Approved Permitting 00partmont
St. Lucle COUTity
Comments
Archived
Product Manufacturer
Owens Coming
Address/Phone/Email
One Owens Coming Paekway
'Tbledo, OH 43659
(740) 404-7829
gmg.keeler@owensmmlng.com
Authorized Signature
Greg Keefer 0 0
greg.keeler0oweriscoming.com
Technical Representative
Mel Sanciant
Address/Phone/Emall
I Owens Coming PKWY
Toledo, OH 43659
(419) 376-8360
mel.sancrant@awenscomig.mm
Quality Assurance Representative
Address/Phone/Emall
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a 11censed Florida
Professional Engineer
Evaluation Report - HardcDpy Received
Florida Engineer or Architect Name who developed
Robert IM. Nferninen
the Evaluation Report
Honda License
PE-59166
Quality Assurance Entity
UL LLC:
Quality Assurance Contract Expiration Date
05/16/2020
Validated By
John W. Knezavich, PE
Validation Checklist - Hardcppy Received
Certificate of tridependence
Refinanced Standard and Year (of Standard) Standard
Xur
ASTM 03161
2016
ASTM 03462
2010
AS7M D7158
2011
Equivalence of Product Standards
Certified By
Sections from the Code
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Pmdud Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summa!j of Products
Florida Building Code Online
Method I Option D
10/1012017
10/1112017
10/1512017
12/12/2017
FL*
Model, Number or Name
Descrilption
10674.1
s Coming Asphalt Roofing
zw.z
3-tab, 4-tab, S-tab, laminated, starter and hip & ridge shingles
les and Starters
Limits of Use
Installation Instructions
Approved for use In HVHZ: No
FL10674 Rt3 11 2017 10 FINAL ER OC ASPHALT
Approved for u" outside HVHZ.- Yes
SHINGLES Fll0674-R134W
Impact Resistant: WA
Verified By: Robert J. M. Nlemlnen PE - 59166
Design Prounrum- WA
Created by Independent Third Party: Yes
Other. Refer to ER, Section S.
Evaluation Reports
FLIOSX4 R13 AF 2017 10 FINAL ER OC ASPHALT
SHINGLFr FLIQ674-RI3,pdf
Created by Independent Third Party: Yes
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