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FL #

FL48213

Application Type

New

Code Version

2023

Application Status

Approved

*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary.

Comments

Archived

Product Manufacturer

Pensmore Building Solutions, Inc

Address/Phone/Email

PO Box 4688
Lake Charles, LA 70606
(608) 829-6720
fpa@qualtim.com

Authorized Signature

Chris Scoville
fpa@qualtim.com

Technical Representative

Address/Phone/Email

Quality Assurance Representative

Address/Phone/Email

Category

Structural Components

Subcategory

Insulation Form Systems

Compliance Method

Certification Mark or Listing

Certification Agency

DrJ Engineering LLC

Validated By

Justin M Lanier, P.E.

Validation Checklist - Hardcopy Received

Referenced Standard and Year (of Standard)

Standard	Year
ACI 318	2019
ASTM C578	2018
ASTM D1622	2020
ASTM D1761	2006
ASTM D1929	2016
ASTM D635	2014
ASTM D638	2003
ASTM E119	2018
ASTM E2634	2018
ASTM E84	2018
ASTM E90	2009
NFPA 286	2019

Equivalence of Product Standards
Certified By

Product Approval Method

Method 1 Option A

Date Submitted

05/27/2026

Date Validated

06/12/2026

Date Pending FBC Approval

Date Approved

06/13/2026

Summary of Products


FL #	Model, Number or Name	Description
48213.1	Vertical Insulated Concrete Form (ICF) System	Insulating concrete form system that will act as permanent formwork for cast-in-place reinforced or non-reinforced concrete.
Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: Yes Design Pressure: N/A Other:		Certification Agency Certificate FL48213_R0_C_CAC_260610_FL_CAC_Pensmore.pdf Quality Assurance Contract Expiration Date 07/01/2027 Installation Instructions FL48213_R0_II_Installation Instructions.pdf Verified By: DrJ Engineering LLC Created by Independent Third Party: Evaluation Reports FL48213_R0_AE_260518_TER2511-111_FPA Sealed.pdf Created by Independent Third Party: Yes

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