167 Magnolia St RES23-0149 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SCHUSTER GRANT 167 MAGNOLIA ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
PELLA WINDOW AND
DOOR 4306 Shader Road Ste 100 Orlando FL 32808
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170625 0500 SALTAIR SEC 03
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
167 MAGNOLIA ST RESIDENTIAL
WINDOWS/DOORS
Replacing 8 non-impact
windows $17000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $140.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 BUILDING IN-PROGRESS INSPECTION REQUIRED INFORMATIONAL
Notes:
IN-PROGRESS INSPECTIONS ARE REQUIRED FOR EXTERIOR SIDING, WINDOW, AND DOOR INSPECTIONS, AND SHOULD BE SCHEDULED FOR THE FIRST
DAY OF WORK.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 8/1/2023
PERMIT NUMBER
RES23-0149
ISSUED: 8/1/2023
EXPIRES: 1/28/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
BUILDING PLAN CHECK 455-0000-322-1001 0 $70.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.15
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.10
TOTAL: $215.25
2 of 2Issued Date: 8/1/2023
PERMIT NUMBER
RES23-0149
ISSUED: 8/1/2023
EXPIRES: 1/28/2024
RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Final Plumbing
Final Electrical
Final HVAC
CC Final
Final Building*
Swimming Pool Steel
Swimming Pool Safety
Electrical Grounding & Bonding
Swimming Pool Final (Bldg)
Swimming Pool Final (PW)
Formed Columns/ Beams*
Masonry Cell Fill
Structural Steel*
OTHER:
OTHER:
OTHER:
OTHER:
OTHER:
Power Pole
Silt Fence
Piers/ Stem Walls
Underground Plumbing
Underground Electric
Foundation/ Footing
Slab**
Retaining Wall Footing
Driveway
Sewer (Building Dept)
Sewer Tap (Utilities Dept)
Rough Electric*
Rough Plumbing/ Top Out*
Rough Mechanical*
House Wrap
Wall Sheathing
Roof Sheathing
Tie-down Framing Connections
Rough Framing
Roofing In Progress
Window/Door In-Progress
Insulation Ceiling
Insulation Wall
Exterior Lath
Stucco Scratch Coat
Exterior Siding In-Progress
Brick Flashing & Ties
Early Power
Gas Rough
Gas Final*
* When all rough electric, plumbing, mechanical are complete but before any work is
covered up.
* When all gas piping is complete and wallboard is installed but before gas is
attached to any appliance. All outlets must be capped and pipe pressurized at a
minimum of 15 lbs.
* For new living space: When all construction work including electrical, plumbing,
mechanical, exterior finish, grading, required paving and landscaping is complete
and the building is ready for occupancy, but before being occupied
Additional inspections may apply to your project if your project
contains these elements:
INSPECTIONS REQUIRED FOR BUILDING PERMITS
To verify compliance with building codes, inspections of the work authorized are required at various points of the construction.
The following inspections are typically required for residential projects:
Date: Initial: Date: Initial:
_____________________________________________________
Permit Type
____________________________________________________
Permit No.
__________________________________________________________
Job Address
____________________________________________________
Contractor
POST THIS CARD WITH PERMITS AND PERMIT
DOCUMENTATION IN FRONT OF BUILDING
Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends
Building Department Public Works/Utilities Fire Department
Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789
Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203
* When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all
electrical, plumbing and mechanical work is in place, but before concrete is poured.
* When all structural steel members are in place and all connections are complete,
but before such work is covered or concealed.
** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION
Replacing 8 non-impact windows
167 MAGNOLIA ST
PELLA WINDOW AND DOOR
RES23-0149
Building Permit Application
City of Atlantic Beach Building Department
'SQQ Seminole Road, Atlantic Beacri;FL;32233
Vii.dated 10/9/18
-Ptu~ne: [904) 247~SS26 Fax: (904) 24775845 Em~il: Building~Dept@c_o:r;i~.us
*"'All INFORMATION .
HlGHUGHTED IN GRAY'
~ REO.UJRED.
Job Address: 167 Ma1inolia st Permit Nul')"lbei':__.. _________ _
Legal Description , Saltair Sec 3 Lot 657 REff 170625-0500
Valuation of Work (Replacement ~st} ·$_1_7 ._oo_o ____ Heated/Cool.ed SF, ____ Non~ Heated/Cooled...._ __ ,,___
• Class of.Work: e'.!New DAddition ,IXIAl~ra~ion ,ORepair OMove: ODemo OPool DWin~ow/Ooor
• Use of ~idstlng/propostldi structure(s}: [}}:ommercial g}esldenti8 l'
• If an existing structure, is a fire sprlnkier system installed?: l'Zlves 0No ·-
• Will tree s be remoW?d in association w h ro ose ro ect? ~ es 0 <
Describe In d~tallth(! type Of IJIOY~fa be performed: Replacing 8 Non-Impact Windows Size for Size
Fiorlda ProducMpproval n_F_L_16_8_12_._1._F_L 1_6_8_09_.8_.1_2_..,._ _____ ___,,.. __ .for multlple p~oducts use pro'duct approval form
~ropertv Owner Information
Name Grant Schuster
Cit't Atlantic Beach
Address 167 Magnolia St
, , State _FL __ Zip 32233 Phone _4_0_4_-4_2_1-_80_4_3 _______ _
E-Mail ____________________________ _,_ ______ _
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required) _nf_a ________ -___, ______ ____
Contraetor Information
Name of Company Pella Windows and Doors
Address 4306 Shader Rd Ste .~ oo
:office Phone . 407-937-2848
State Certification/Registration t# CBC046712
Qualifying Agent James Rowland
· City Orlando ~te _F_L __ Zip 32808
Job Site contact Number ______________ _
,E-Mail tanya.roberts@expeditepermitcom
Architect Name·& Phone ff.._., ____ ...._ _________________________ _
Engineer's Name.& Phone#_. ________________ .,...... _______________ _
Workers Compensation Insurer Sentry Ins OR Exempt o Expiration Date-------
Application is hereby made to obtain a permit to do the work and Installations as Indicated. I certify that no work or lns~llatlon ,has
commenced prior to the·issuance of a permit and that all work will be performed to m_eet the standards of all the laws regulating
construction In this 'jurisdiction. I understand that a·separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements ofthls
permit, there may be additional restrictions applicable to this property that may be. found In the public records. of this county, and
there may be additional permits required from other governmental entities such as water mana,sement districts, $tate agencies, or
federal agencies.
OWNER'S AFFIDAVIT: I c:ei:tify that a Uthe foregolng'lnformation Is ~ccurate and that'all work will be don.e ir:i comP,liance with all
applicable laws regulating construction a11d zoning.
l ]Personally Kttovin OR
(.l'4 Produced tdentlflca~lon
Type of ldenttfltation:--.7>_L __________ _
[ ~llyKnowhOR
U Produced ldcntificntlon
Typ~ of ldentifica~ion:
r:;~;~~ TANY.'A ROBERTS l /<i:·· " ·-c-~ ~~~,;{ ~ };g MYCOMMISSION#HH 184260 ~i ~;;~~~--· EXPIRES: October 10, 2025 ~.L ..... :)l BoiiCIOO lhru Notary Public Underwriters
RES23-0149
Doc # 2023151779, OR BK 20754 Page 1968, Number Pages: 1,
Recorded 07/24/2023 03:31 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
&. l.endet:
1. Nam• and addrtu:
b. Phone number:
1. Pert0nlwltil\1he-·QJ Flatlda de&lgn~byOwnlruponv.tlom nollceaotottlerdoclll1llnla lllllY be Mfvld u
prc\4clld by Slctlan 113.13(1)(•)7., FJortda Sllllllll: ·
•. Name and lllldrwu: ·
b. PlloM mrnber9 cl dealp\ed peraone;
a. ln addition to harMlflhlmeelf, Otwllr desranates the folowlng pnon(s) IO receive a copy of the Uonoc's NolQ " pnMdod In
Seo11on 713.1~1Xb>. Flc!dda Stllulee:
a. Name and llddma:
b. PhoM number of 119-«ofdydelfGnafad by °""'91:
9. Explrallon dated notlm d commencement (tho eicplrallon date will bt1 year from tho dattt of~ uni.a. a dihrMl dsle 11 lpllCllled): ____ _
WARNINQ TO OWNER: Nl'i PAYMENTS ~ BY "CHE OWNER AFTER THE EXPIRATION OF 'THE NOTICE OF
C0MMENeEUeNT ARE CONS\DeRED IMPROPER PAYMENTS lJNDER ~ 113. PART I, SECTION 113.1~ FLOAIDA
STATUTES, AND ·CAN RESULT ~YOUR PAYING 1WICE FOR NPROVEMeNTS TO YOUR PROPERTY. A NOTICE OF
COMt.ENCEMENT MUST Bi RECORDED AND POSTED ON lHE JOB SITE BEFORE lHE 1'1RST INSPECTION. IF YOU INTEND
TO OBTAIN FINANCINO, CONSULT Wt1H VOUR LENOER OR AN ATTORNEY BEFORE COMMENCING WORK OR ~G
YOUR NOTICE OF OOMMEN.CEMENT. ,/";' .-,
~-~··/?. SlglllluNo!OWnw~Lw ....
Alillladud ~IPlrtMf/Merlager
Slgnatoty'a TlllWOllOI ~± S c..h. ul +t_ .,,-.
. '
'·
:j
··· 1
:yi1~;4~h(\:J~s~i,rs · ~
''
PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH, FLORIDA (*REQUIRED)
*ProjectAddress: 167 Magnolia St
*Owner/Project Name: Grant Schuster
As required by Florida Statute 553.842 and Florida Administrative Code Rule 61G20-3, please provide the information and product approval number(s)
for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact
your product supplier if you do not know the product approval number for any of the applicable listed products. Information regarding statewide
product approval may be obtained at: www.floridabuilding.org.
·.· .... Cat~gory/SLibcategori · · . ·1viam,.1facturer ' ,.
. Product Description · · umitat.ion of Use ., .· .. : " ... : .. 'Local# .. ·. · .. ,::''' .·~~ate# .. '' r":' ~ •'
A. EXTERIOR DOORS . · ''
' '
1. Swinging
2. Sliding
3. Sectional
4. Garage Roll-Up
5. Automatic
6. Other
.B.WINDOWS
1. Single hung Pella 250 Series FL16812.1
2. Horizontal slider Pella 250 Series FL 16809.8.12
3. Casement
4. Double hung
5. Fixed
6.Awning '·
7. Pass-through
8. Projected
9. Mullion
10. Wind breaker -·
11. Dual action
12. Other
Page 1of4 Updated 06/21/21
· ·'Category/Subcategory · Manufacturer. '·' ·. Procluct Description . . Lil'.llitation of Use · ; .,'.State# . local.#~ ." ..
C. PANEL WALL
1. Siding
2. Soffits
3. EIFS
4. Storefronts
5. Curtain walls
6. Wall louvers
7. Glass block
8. Membrane
9. Greenhouse
10. Synthetic stucco
11.0ther
:o. ROQFING PRODUCTS ·,' '' '
1. Asphalt shingles
2. Underlayments
3. Roofing fasteners
4. Nonstructural metal
roof
5. Built-up roofing
6. Modified bitumen
7. Single ply roofing
8. Roofing tiles
9. Roofing insulation
10. Waterproofing
11. Wood shingles/shakes
12. Roofing slate
13. Liquid applied roofing
14. Cement-adhesive
coats
15. Roof tile adhesive
16. Spray applied
polyurethane roof
17. Other
Page 2 of 4 Updated 05/21/21
.... Category/Subcategory , · : Manufacturer · '•
'
. Product Description ... · · Limi~ation Of-Us~ St~te f! .. · ·;,. '' ''· ·.,. . Local#·
E.SHUTTERS
1. Accordion
2. Bahama
3. Storm panels
4. Colonial
5. Roll-up
6. Equipment
7. Other
f; STRUCTURAL '' " ' ,, ,, ','
COMPONENTS · "
1.Wood
connector/anchor
2. Truss plates
3. Engineered lumber
4. Railing
5. Coolers-freezers
6. Concrete admixtures
7. Material
8. Insulation forms
9. Plastics
10. Deck-roof
11. Wall
12.Sheds
13. Other
G. SKYLIGHTS·
1.Skylight
2.0ther
H. NEW EXTERIOR
ENVELOPE PRODUCTS
1.
2.
Page 3 of 4 Updated 06/21/21
In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the
Contractor shall maintain on the job site and available to the Inspector, a legible copy of each manufacturer's printed specifications and installation
instructions along with this Product Approval Sheet.
I certify that this product approval list is true and correct to the best of my knowledge. I further certify that use of different components other than the
ones listed in this document must be approved by the Building Official.
*Contractor Name (Print Name): James Rowland
*Company Name: Pella Windows and Doors
*Mailing Address: 4306 Shader Rd Ste 100
*city: Orlando
*Contractor Signature:_,~,___,,,,_____~------------
*State: FL *Zip Code: _3_2_8_0_8 _______ _
*Telephone Number: _4_0_7_-_9_3_7_-:_2_8_4_8 _____ *E-mail Address: tanya.roberts@expeditepermit.com
Cell Phone Number: Fax Number: -------------------------------------~
Page 4 of 4 Updated 06/21/21
Custqmer: Sc.hu§ter Grant'
j:i1ne#: ...
None AssiQhed -· ··
· Qovitntai~ FF'" 1.67
: '~·
·' .. _. P15~
2135
Project Name: SChusterGrant -169 Magnqii;:i.SJ, Atl~ntic Beach, Order Number: 7183JSN4L Quote Number. 16797874
. Attribute~k · --, -
ADDPRRMCQR020009 • Ni:-FL 'Permitting .ceq.04~712-
. -~ .
:_ .· ] .. ; _ ___:~----·..:.::.~ · .. ·
1;,~p~~f~rji:f~@'§i~~N,9J:t~~.rid~~ si~e ye~t.Ri~llti FikeCli\ient l.eti~tiip1e,s1'icler-
Frari're-s1;ze:, 92 .1f4:x;s,o.112 . ··. . . . . . . .· ..•
. Generill'i~io~a~6r, .:sfarid~rd;\llnyl, Bloci<;·FC>cim lij~\ilatei;t; 3-lJ4~·;_'3-1!li-'X;;;~JllcJ~cj~~~~t.il:t~ludedo HeM. Expander 1nducieai
~rfor•Col<;irlFinish::Vll~i_te · -· ·
-~--·
1
1
,;t?fi~/ i'~ it
lnteiii:)rfCC)lor l:Firil~h:: White i~tl~~::::~::~::~:::::!~::.,P~-·~ciO~R. eh~.;Cii~l~~·~»P
.R~ti~g~2p;.,calcu_la~~~-JjJegatil{e ~~~Ratin~r2s;. F,PASf~168.Q~i.Ye~r~~!~d:,()~j.11 .•. GJec:ir,Qp~iling·Wi.Clt~ 29,,~49§; C.le~rJJpening}:ieig.ht.46;25~,clearOpening
,t\~.§1 &:.~Q~7~{!. J?gr~!?~ M~~~ Typici;ll 5" 7;sqft (E;) (Umted ~tate,s <;lnly): ·· ;
W~~~i~71~(~~~Jeil~.P~JlaJ~~4<ir;ri.w~ri~~d·~l~~r~.~~iJ~~rf.m~!er·leqg!i\'.~'286~;
VeiJtii:'t.~'Vlfldth!?1l~kXfenr
:~-
gjJoiift.ATNicoM02o&so,~'exftri~.;Whlte·windqw DfWlfattR~'fumtil~f!l11:<t•m ·
. INSTARJAXR02bzii3'.:~~NilnWood'Wlnd~w.D~iJR~t~tlJ lriStilll ~~f),~~
!NSTARJAAR9001.4o'.~.istucco Exterfor:(LF),jAJ(,
auo~ATNic6Nio1osso:•1nf:eiiorti-iin Wfndow'Drywan R~fom in§fali·(LF): , .... , ... ·' . . . . ' .. . ",. ,,. '·
:Q.t}f; ·i4
Qty :24
Qty. ;2~~
:Qty. ;g.4
For more'infbrmation regarding the 'finishing, .mai.ntenance, ser\/ic~ an.q warranty qf all.P(:i!laffi' product);, visitthe Pella® website at www~peUa.com
I
. .. ~r
o.:,.'+,,.~ nn 71111'.in?~ Contract -Detailed P.ag~ 2 of 18
Qu!)torrier: Schuster Grant
j Line # · Location:
-.-,u;.···· .;.;._;,,_;.., PK#.
-~l~~
View~ ffor1r:i;xfenor
· :30-bowntairaFF .:169
--
/;~. . YO-~ In...._ . · ~~I' 1-r " -~ · ,. . .·
~o~gJt Opening: .92 "3/4" XW
Project Narrie: Schuster .Gr.a.nt-169 Magnolia~t; :AUantic Beacn, OrderNumber:· 7.183JSN4L QUote Number: 1679787 4
· Attributes
Pelia 25(l$eries,.Slidin9·w1o:cfow;Nel'!( Right/ Fix~cJ J v~nt Left,-gz:x 51-, ·W~ite-
1: Non-Standard SizeNon;,Standard S.izeV!lot Rigi:!t /fix.ad /'.V!lo~ L!!~ Triple ~lider
Fraiiie Size: 92X:51 _ . . . .· _ _ ._. _ . _ . . .. _ _ .. _. -· . ._ .. ·· .·. . . . . _
,~en~ta,l lrifoilriatlon: Startdarcl. VinyJ, _Block,.Foam.lllSulated,.3 .. 114'\,31/£', SiJ!j\ditp~Eir.lilc;:!l!cl.E;l~c l;i~.i;lCI F?Ci>ar.!;l~f li;i~lll_qeq·
~~rl9r Gi:>Ior/ j:in!sll: .\-Om~e ---· · ·
Interior Color /finish: White. _ . __ .... .·
• ~tass: _ lnsula,t~~ DiialL,ow:_; ·• l?!Jribe~~1ie™--. t,,ow~E:I ti~ulatirig, G.la~s p;rgor'i'Non Hign Altitude
Haidware Options: Cam~Action. Lpck; (Loc;:k:, Whit~. No pmi~ed Op~ning ttaroware ·
1
;21-o/~~~-
s.~reen: Half-$cteen, lnView™ . . _ _ . _ . . . . . . _ . .
Perte>rmaoc.~ lnJ<>mfati~o: u:~~ctor> 9~2?: SHGC_ it22;\i~r 0:51, cRD..Pi=l.~N-210-ocf126"o_60Q6; P~rfqrn:rance.,Clal;s 8. PG ?$.£~a1cu1ated P!l~filve g,i:i·.
~ating 2.5.-Calc_1,11i~ted (\lega!i\/i:i.pP~ating g5,.FPA~ ft;16809, '!'.~.~[ R,atei<f081J1, c1_earppenin9Wicltti 20:187,Clear.Openirig Height4.6. 75, Cl~a_(OPeli[ng
A,rea·S.55476_6; EgtessJ1!1~et~rTypicl:!l;~;Tl:lgtt:{i;) (Uri_itedS\ate~·only) · ·· · · · . _ · -· · --·· '
Grille: .No Grille;· · . . · .
Wr~~J>lng lriJ~pn~uo.~: .'Peilla:Reeommended:_clearimce; Perimeter Length = :286';. ·
\l1:1nt;_119 .Wl~tli: .1!~ -Veni
· .qup~Y'TM~9M92pss9, •• :~iT~lfu-W~ite·Wii_idow-·biywa11 Retum·'1nstail"(LF)
IN.STAlµA)(_~P2Q203 -Nort\/Voo<1_·Wir@>\j.j•Dfy.Wall Return Install (LF)JAX
IN.~! A~~R9QQ140 ,. stuccQ ~~l'i~r (LE))AX
'Ql.J,OnnAT""~ONIQ_1 os~o • lnterl~riiim \Afin<low ~~all Return lnstail (LF)
1: Non.Stanil~l'.d-sizelilon..Sfundard sizeVent.'Rigtli::/ Fixedf ;ii'ent4e~ l'.rip1~:$!idef
Frame Size: ·92 f/4 X 50 1/2 . · ·
Oty '24
Qfy: ._24
Qty 24
Qfy g4:
.c;enerai 1ri'fqlJT!ation:. ~t~rig~r!:!. \(i11y!. !31Q~ ft>a.oo' 10,:sulat~a.,;,3-1/4'.'. -3·114"; sui ~dapter lnclud~it; Heac:Fe~ander lnCtuded·:
Exterior .Color.I Finish: Wl:lite'
lntenor~olo(/ Finish: White .. _ ... , _ . . . . .__ -· . _ _ . .
·q1a~S,::: !ris~l.a~ Dual.Low-E:,.SunDef~nsE:f™ olf>W~~·.l!:fsulating ·Glc;i,Ss A!°9()!"!;!\IQ,n-High. ,L\lljt1,1c:le
. HardWare '.()'pti~ns_: q5'1ni-:Ai:ti()ri Lo9~i t~9~; V,Vh_i~;No Lirriiteci:Opening Hardware
Screen: Half.Screen; lilView™
Perfori"l)ance 1niormat1on: u~~actor 0~27,; $1-J~.t; o.22;VLr o.51·; -cpo i:>EL~N-21Q-0012~~~ooos; per:fOqriaf!ce;·q~ss R, P(3_25,.ca1e:ii1at~d P.o_sitiv13 OP .
Rating 25, Calculated Negative PP R?ting 2~·-f PA$.F_L 1~80Q; Yea~ 13at!=td P.8.111, Cl~ar'Op~nirig~Widt~,20i?4~§. :ClearQpening He!ght46'.25; Clear .Opening
Area 6,503746; Egrt3ss Meets Typical 5, 7sqft(E} (United States:Only) · · -
Grille: 'i\fo-G(ll!~. . _-, _ . .
Wrapping lnforinatlori:.·Pel!a Rec6'mn'lend_ed~~leafan9e; Rer:lrru~ter Length =286".
VentingWidth: 114 Vent · -· · · · -· · ·
~
-iNSTARJAXR9iitii40-Stucco Ex~rior (LF) JM
QUOMATMCOM0'.10550 ~Interior Trfrn.\Ni11clow OfYVo!all Retui'rt lns~ll (lf)
'Qty 2~
9!5'. .24.
For more infcinncition reg~rding t~f:l finishing, maintenance, service i;:ind warranty-of all Pella® produCts-, visit the Pella® website at llliww.pella.com
_ I
Drintorl nn 7 /11 J?nn Contract -Detailed-Page 3 of 18
C_ustorner: Scht.Jster Grant
PK#
2135
Rough Oi>eQing;,9.Z-112' ~;51 -17?"
·:r.•« •· ·,.,,J,
J
--
Wiewed From Exterior
Ci>K#
:a~-~
Proje:CtJ'lam_~:. Schuster Grant:-169 Magnolia St, Atlantic Beach.;. 'Order Number: 7183JSN4L
-lf)l~TARJAXR020203" ~ Ni:>f1Wo'od Window Dry\val_I Re~rn Install (LF) jA)( -
Q~QMATMCOJU102iJ!;50 -· ~tTrim White Windt)W Dryvvall Return-Install (l~);
Qt}t 24
_Qty -24'
Quote Numben. 16797874
--· -_--. Attributes· ,,.--; -:1
,1 :--Non•Stiinttard:siieNon-Stan'clarci· sizeverit:R1 ·11tn=1xedfWntLettrri-IEi s1ii:ter ,_ .. -· __ .-,_ _______ -. __ -. -----"----·-"' ------------. _, __ ,, ____ --________ ,._9,,,_,_ - -__ _ -_,--__ .P .-_-, ----
Fram~,S.ize: 92X--51 _ _ · _ __ _ . _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . __
~!'ln_er<!' 1i;iform<1tioQ;/ ~t8_n9a@, VinyJ, Block; f_o~rfi'Jn'siJlaJf!d,-~ _1 J4'';'3JJ4;•,:§!ll'}\(!apt~r ltjCluc1$q. t-tea,~ i;:xp~naer l~clijded
=~~rgo~~:/~~~~h~:*~~e -
;Qty-.
1
ig~;U:a~~!~~rd~~~-~~~~i~ff~~J~~-~~~~k~~~:fi~g1~~~~~1¢5;~~[~~~~~~J~Q A1uwde
· .Sci:eei'i:· H~lf$<_:re~n;ln'\(iewiM · _ - _ _ _ _ _ _ __ " ' --_ _ _ _ _ _ _ _ _ _ __ __ .
·Pefformance Information: U~i=actor-0:21. SHGC 0.22: Vt_f:o.&1. CPD PEL~N~2io~oo1·2s-00006. P.ertoirriance' class·R\ l:)G 25, Calculated i?ositiv!3 oi:;-
_R,ating 25; calculated Nega~ve DP Rating 25, F-PAs,i=l:.1t869, .Year Rated 08111, .clear 'Opening Width 2o.187J~lear Opening Height-~6:-zs. ·c:1~ar pi:)_eniiJg;
;Aiea~.553?66,Eg£e~s;~~~~1y~igal5.7sqft(E)(Uni_te~qtates-.Only) ---· ------· -· -·--
;~:~~itj~~!~;~~!!or,i:)~jiJ!~'~G\'.lmrl:ie~cled ¢1~~t~rjge, P~iirnef¢tL¢ng!fjii::'?~~·'.;
Vef'!tin~ Width: 1l4Verit
'QU.bNiATMCOIVloio~~Q".'.EXtfrftnVVhi~. WindQ~J)i-ywaJl-Ret!Jrri-l~~~lt(i;;fl:
]NST ARJAAab~o2ij3;~ f..lpn\IJl~Q~ WindowQ~llllRetiim!ri$~1l(LF)~4~i ,, -
' 1~$T ARJAJ{R9~0·014,tf~.~tu«;(:().EXterior (LF) ..!AJ(
QU0llilATNi¢Qll/I01Q~SQ .:igte°t19r. Trim WindQW;PrywaU Retµm lri!!>~lr((:,fS)
-t: Non,:,Stanili;m::i ~iZ,eNon~tanc:le1rd Size-Vent 8i9htl l=i~eCI [j9ubleSlicier,·
Qty
Qty
Qfy_
qty
24·
·24
?4
2~.:
FrameSize:,i46:-X:s1 _ _ _ _ _ _ _ _ ___ _ _ _ ___ _ _ _ _ _ _ _ --G~fl~ni1 lhformatipn: _ :s'tanclarci, Vinyl;-i31ocR; f:.'6-am-h_isulated, 3-1/4"; ':Ff14·'~ 8ilAda~forrt1duaed ;Head E)q;aridet 1n61Ude:d: Eileriorcoioi'i Flnisli: Vl/hite --. --, · ---·--- - - ---
Jritei-ior.:colC?rii=!~l~il:1w~lte,. -" . ---,,_ -· - ----- - -,, ' -"· r
---. Jlty"--' j' -
~lass: lr:isulaWd Dual:·LowtE:· Si.mDeren~.e"'' _L,ovH; Insulating _Glass_.l:\rgon;Nc;ir:i f'.lighA!titu!:fE;l
Hardware'Optlons: Caffi.:!Acticm.Lock, 1 ,Lock; White; No Limited Opening Harchn1are -
~~reeri:tl!il_t~c~~:ii.\~yiew~ _ - _ ---_____ -·--· __ _ ___ -__ _ ___ ._. __ . _
.Perfc>rmance lnfonnatlc)ll; ;IJ~Fagc;ir: 0:27; ~!:IGC'0:22;VL T 0.51, (;PO·f>E;L'-N~2t~9~~Ml00(),1,P~rfQri'l'ia11J:e ClassR, PG 3o,:catculated RositiVe DP
:Rating 3o,· Calculatecf N.l:!gative QP Rating. 30, F~AS FLt~SC)9, Year ~at~cl P~l1 t.::qt~~(Gii.!i~ing Wi~tti '1t'Q42,, Cleat"G>t>~ning·H~igh~ M-'°?5!_ Clea(Qpeti ing
Area 5.8573&5; Egi:ess 0 Does not.meet typical !.,!mt~ States.egress, butmay,qgruply with __ local code r.equm~rrie,nts,
Grille: No Grille;
·wrapphig Information: Pell~ Recommended.Clearance, Perimeter Length =;-1-94°\
v_~nting\Nldill: Ec:lu~t -·
~
. _I
For f119re inforni~tion regarding th.;! fil'lishir:ig, maintenance, service and warranty of allPella®products, visit the·Pella®website at.www.pella.com
Printed on 7/11/2023 Contract-Detailed _Page 4 of 18.
· Ctistbrner: $chusterGranr
1.·-, . .
: 'e::..·· · .. • . iiS
] I• ..
··-~-··
.'.P~JH
21.35'
Pn>j(;}ct Neime: SchusterGrant-., 169 M8Qf1()lia$t;.Atia,ntic Beach, .Order Number: 7l83JSN4t
'QIJOMA "IJ'4-1C::C>M01 osso -Interior Trim Win~ow or:ywa·n Retur1HnsiaiULF)
n-isTA~-'~o~o2o3 -!'lon~~f:>d_Window,orywait R~tutil install (LF) J~
;~uQMAIMC.9~o2o~s~.,. E}cf'Jfi¥;W!Jite;W.nc1c>w.o~ll~turi1lnsfail (LF)·
.•N$TA~M~99_014_~ -stilc~p·EXi!ri~r (i.FtJAX ..
.... , .-.;•,. -
,"=c-: -.. ,,..·
... · ., -
:\~-..'.~~:__."_:·,_; ·~".:..·-~·;;-_;:-._~~~ -:)......~-_,:1--
IN$tM~AXR~io~o3 ~0 N9nVV9!#l:Wti.\~.~W PfyV/~llJl~!\ifri'J.if~1811 (LflJAX
•.IN$tl\~:t~~$.Q()1~Q •'.~t.1,1#:¢9 ~~ri~f(bf)•j~; ·
·:~g:~:~~~:~::::·~-~!~:~:~:~~~~=~~~::·~:~=~~~~f)·
·. -~·
OtX· ;17
.Qty 1't'
OtY. · lt·
·tli,y·• . ti•
:qty: 1:Z
J~!Y 1.7
9W 1;r:
•qty. 1~
·Quote:Number: 16797874
For inore:informationregardihg 1heflnishing, maintenance, service and. warranty. ofall Pella® products;,visifthe Pella® websffe;at www.pella.com·
Printed on 7 /11 /2023 Contract-Detailed· page, 5 of 18
Customer: Schuster G(ant
J ~Line~. ~ocation:
Baihroom "167
I
Viewed.Frbr:ii ~~ior
PK#t 0
:2}35'
' -j.lfb} ~1t , .. ~<J .
j_·Line#: .Location: _
-~5· -J<itC:h_eji--;167
r
ti
:1· ---_,_.' - -
--
':~-:~, :~.o
pi(#;
~ ~135;
Project Name: Schuster{?rant-169 Magnolia.St, Atlanijc 8'each, Order Number:· 7183JSN4L Quote Number: 1679787 4
_ Attributes -
1
,lt~4,/--~' -z.· 1; l\lon"~lc!nc!ai'd ·s1~~T11on~t.an.C;t~rd ~lz:~ $Ingle Hung, Eq~al
Frame<sl~I!= ·i1'112){'.3,3'1/4 _ _ _ _ . - _ - - _ _ _ _ _ _ _ _ _
.GeneraUnformation: S.~n~a,i:Q;-vtn_yl; ·~!9\':ls;,f g~ro lnsµl~te,d, 3 fi.4~~;-~~1~4·~'c$illAQ~pter.1nc:l.!i,d_E)~,Jile@ . .§xp_a,itger.tnclud,E!q
Exterior ColoriFinisll: White -- - -- - -
lnterioi co1or1 Flnistl:~ Wtiite _ __ _ _ __ _
-Gfass: lnsiilate:d Dllal tempe,red Obscure i::ow~E Obscure SunDe'fens·a -rM Low~E::1nsuiating Giass Aooon.Non High Altitude
Hardware 9!>tions:'}.c~m-:Aclicin;t.:¢c~;:WN!e,,'f\JoLim.ited o-pi;ining H@!wal'e · --· -
'Screen: Half_$_creeri,;lnYiew™· _ -
Perfom·iiuice Information: U-Factpr 0.27, ,sj-jGc' b.22; VL T o;51, :cpo-f)El-N~2l:lS-Oti2!W-00003, Per(oJ'ITlance :c1ass R, RG :35. qalcUlated Posithi~ pp:
~a.~n!f3§, IJB\c:ulated Negative OP RatiJfg:35, _f=pJ\s't=u 6a12; Year Ratecfoa1r1 ;'.Ciear~dPE:lfling\fuidlh:j1,2s,,ciearop-ening H~igfit 11L089; -¢iea(:Qp_enio9
Area-1,3283'?; Egr~~sDP:es.notmeetfypi¢alUnited states egress, but m$y comply with local cooe r:equireme-nts'. -· -_ ---------Gr:1l1e:c No Gri1J~. - - - - -· - -- _ .. - - -------.. ---
WrapP,ing Information: Pella_ Recommended Cle:ai:ance. Perimeter; ~~ngffi = :11 o:\.
Obscure Gla~~,;~!-)'le,:~ '.Patfern62(siandard)
-INS'TARJAXR9.0o1:4o' ~'stucco Exterior'(LF)' jAX•
QUOMATMCOM021i65o _~Ext Trim ViliiJte Window Orywail Retur11-lns_talf(LF~
INSTARJAxR020203••}.ionWoo:d WindoW:J>rywall .Return lnstall'JLE).JJ()(
QUOMA Trinc(>Nio'fo55o ~ Jrlterior~TrlmWindow Drywall Return lnsb,ll((LF)
Attn6ute5,
1: Non:Standa~d Sizet.ion4~tandarctSi~ ~Ingle i:iung, Equai.
Frame--Size: 341i2:X:33 1i2 -
Qt}'. Hi
Qty_ 1Q
:qty to
Qfy --:IQ
General lnfOiniatiOr'w Standard, Vinyl,-:Blobk; Foam Insulated, 3114''>3 1i4", SilfAdapter lnciude((.f.iead .Expandedntluded
·~!~~:rrioC:~'!Y~~~ti~:=~1t~6
, _ .--._ . _ _ _ __ , , _ _ _ -_ • . ·-' . ·-
Glass: :tnsulat~d Dual ·Low~_E ~u!JDE!f~ps~~ --t,o~~ lnsut~tihg-:G!a~s;:_j\rg<m Ni:m High ~ltitu4e'.
Hardware .Options: CamcAction Lock; White-, No Limited Opening Hardware
nL1_,.-l~.t'1/'{ ·~ ~ ; . . . . .
·screen: Half Sdreen. lnVlewTM -· · • _
Perionnapce,lnfol'nlatiQn: l)~f1,1(;t9r -Q:.27,."~HGC ~:22; \!LT Ct~l. CPp PEL~~-2os;.po2M-OOOOh'Pi;irfor'ITiance pl~ss R; PG 35; Calculated J'ositii1¢·0P
.~ating 35, Gal.c:ulate~ Negative OP. Rating·~_5\ FpA~ FL16~12, Year, Rateg 08111, Cl,eal',OpeningWidtli'30:25i,Clear Openi~g ~¢ignr11,214, ClearQpenin~g
Area 2.355719, Egress Does _notmeet fypical,:United States egt~ss; bufroay com-plyw'jth loc:al co~e teciufrern~ras·.------
Grille: Nci"Grille --, --· · ---------
\ilirai>l>ing tnfQ~a~oiJf Pe_na R~coiiirii~ridea c1eiaran¢e. Perimti/_ter Leii9Ih = 13_6",
INSTAR.J.AAB~00140 -~ Stli~C() t::xteriOt (LF) . .,J~
INSTARJ~RQ2020_3, -NoriWood-\!llin,~o~ Dryjivall Re~lirn ln_stall (LF).J~
O!:Y' ·12
Qty ·12
For more information regardi'19 the finishing, maintenance, service and war:ranfy of all Pella® products,visit·the.Pella®website atww_w.pella:com
Printed.on 7/11/2023 Contract-Detailed Page 6 of 18
...
,4!
' .... bl
·.!cf.~Pf.4.l~!.1 iJ~,si,P'i'~!
·9~*~9· j~!~~'+-cii!iDO.e;, ~.
A~ •. ~s~,,,~~~~IJ~~ti:iica~i#
· Dea1inwmdSpc.dc1011' zoo~plik ··~e'iiii!li!Ol!f~IQ!i~W;iii>!ii~.!311'.•lri#•
~re'CiiieJio#cir,c'Dr.~>··
.. : ,..:.. · ....... ,, .... · . ...;;; ~~::;,..;;;..··~ ..... ,,;,1~
'.<', ,' •• •
..... ',
'•J;
c
enos
ones
.. ·,•i·'·.~. . '""°·" ; ...... ::u ..
, •:.i4'"· •.~•---· --~•~.-·,.,...,.,u.,
1.•. ...... ·\-it,,1 ;·:,1· · ·.,: ·--~:a ... :.· ·:._.1, ~.u ... ·
•• ,~ "fc:J,"' :~ 1,b;;J •
•• '_.4fl· ..... .... ....
41..3.-.· 1 .-.i to";J"'' •
:•'
•· ...
...... ... ;:
. -·-·
· P•r Usu By P•U• Penonnel Only . , Tii1s0c01Cllb~n~ 11~-~0llle~(~ a.Prc.'~~1.~~n.·~· u~,e.. a r>tseii sia"ll' IS present.
,, '
·"
,''".·
·~· •.
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map
Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL16809-R6
Application Type Revision
Code Version 2020
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed an
POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641) 621-6096
pellaproductapproval@pella.com
Authorized Signature TROY FARR
tbfarr@pella.com
Technical Representative TROY FARR
Address/Phone/Email 18600 NE WILKES ROAD
PORTLAND, OR 97230
(503) 405-9176
tbfarr@pella.com
Quality Assurance Representative Pat Bortscheller
Address/Phone/Email 102 Main Street
Pella, IA 50219
(641) 621-1000
PJBortscheller@pella.com
Category Windows
Subcategory Horizontal Slider
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturer Association
Validated By T.E. Lunn, PE, LLC
Validation Checklist - Hardcopy Received
Referenced Standard and Year (of Standard)Standard
AAMA/WDMA/CSA 101/I.S.2/A440-08
AAMA/WDMA/CSA 101/I.S.2/A440-11
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 10/30/2020
Date Validated 11/03/2020
Date Pending FBC Approval
Date Approved 11/10/2020
Summary of Products
FL #Model, Number or Name Description
16809.1 250 Series Sliding Window 72" x 44" vinyl non-impact XO/OX sliding window
reinforcement
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.78-79.pdf
FL16809_R6_C_CAC_CCL 411-H-1463.80-81.pdf
Quality Assurance Contract Expiration Date
05/24/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.2 250 Series Sliding Window 72" x 44" vinyl non-impact XO/OX sliding window
meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.82-83.pdf
Quality Assurance Contract Expiration Date
05/24/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer P.E.44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.3 250 Series Sliding Window 108" x 44" 1/4 vent vinyl non-impact XOX sliding
stile reinforcement.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.64-65.pdf
Quality Assurance Contract Expiration Date
08/06/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer P.E.44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.4 250 Series Sliding Window 108" x 44" 1/4 vent vinyl non-impact XOX sliding
and meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.66-67.pdf
Quality Assurance Contract Expiration Date
08/06/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.5 250 Series Sliding Window 108" x 44" 1/3 vent vinyl non-impact XOX sliding
stile reinforcement.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.68-69.pdf
Quality Assurance Contract Expiration Date
08/06/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer P.E.44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.6 250 Series Sliding Window 108" x 44" 1/3 vent vinyl non-impact XOX sliding
and meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.70-71.pdf
Quality Assurance Contract Expiration Date
08/06/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.7 250 Series Sliding Window 52.25" x 62" vinyl non-impact XO/OX sliding wind
meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.58.pdf
Quality Assurance Contract Expiration Date
10/12/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.8 250 Series Sliding Window 96" x 62" vinyl non-impact XO/OX sliding window
meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.50.pdf
Quality Assurance Contract Expiration Date
10/19/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.9 250 Series Sliding Window 78" x 84.5" overall size vinyl non-impact XO/OX s
with integral transom.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +25/-25
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL 411-H-1463.84-85.pdf
Quality Assurance Contract Expiration Date
08/29/2023
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.10 250 Series Sliding Window 120" x 62" vinyl non-impact XOX 1/4 vent sliding
and meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.34.pdf
Quality Assurance Contract Expiration Date
Impact Resistant: No
Design Pressure: +25/-25
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
10/15/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.11 250 Series Sliding Window 120" x 62" vinyl non-impact XOX 1/3 vent sliding
and meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.38.pdf
Quality Assurance Contract Expiration Date
10/15/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer, P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.12 250 Series Sliding Window 96" x 72" vinyl non-impact XOX 1/4 vent sliding w
and meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +25/-25
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.42.pdf
Quality Assurance Contract Expiration Date
10/13/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.13 250 Series Sliding Window 96" x 72" vinyl non-impact XOX 1/3 vent sliding w
and meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +25/-25
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.46.pdf
Quality Assurance Contract Expiration Date
10/13/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
16809.14 250 Series Sliding Window 73.5" x 72" vinyl non-impact XO/OX sliding windo
meeting stile reinforcements.
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +25/-25
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16809_R6_C_CAC_CCL- 411-H-1463.54.pdf
Quality Assurance Contract Expiration Date
10/19/2025
Installation Instructions
FL16809_R6_II_Drawing 1869.pdf
Verified By: Warren W. Schaefer 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16809_R6_AE_Drawing 1869.pdf
Created by Independent Third Party: Yes
Back Next
Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida. :: Privacy Statement :: Accessibility Statement :: Re
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public-records re
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department wi
they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record.
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine
under Chapter 455, F.S., please click here .
Product Approval Accepts:
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map
Product Approval
USER: Public User
Product Approval Menu > Product or Application Search > Application List > Application Detail
FL #FL16812-R6
Application Type Revision
Code Version 2020
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed an
POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641) 621-6096
pellaproductapproval@pella.com
Authorized Signature TROY FARR
tbfarr@pella.com
Technical Representative TROY FARR
Address/Phone/Email 18600 NE WILKES ROAD
PORTLAND, OR 97230
(503) 405-9176
tbfarr@pella.com
Quality Assurance Representative Pat Bortscheller
Address/Phone/Email 102 Main Street
Pella, IA 50219
(641) 621-1000
PJBortscheller@pella.com
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Window and Door Manufacturer Association
Validated By T.E. Lunn, PE, LLC
Validation Checklist - Hardcopy Received
Referenced Standard and Year (of Standard)Standard
AAMA/WDMA/CSA 101/I.S.2/A440-08
AAMA/WDMA/CSA 101/I.S.2/A440-11
AAMA/WDMA/CSA 101/I.S.2/A440-17
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 03/10/2022
Date Validated 03/11/2022
Date Pending FBC Approval 03/14/2022
Date Approved 03/14/2022
Summary of Products
FL #Model, Number or Name Description
16812.1 250 Series Single Hung Window 36" x 63" vinyl non-impact single window
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.51-52.pdf
Quality Assurance Contract Expiration Date
08/13/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.2 250 Series Single Hung Window 48" x 84" vinyl non-impact single window with fu
stiles & rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.45-46.pdf
Quality Assurance Contract Expiration Date
08/13/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.3 250 Series Single Hung Window 54" x 66" vinyl non-impact single window with fu
stiles & rails & HP package
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.53-54.pdf
Quality Assurance Contract Expiration Date
08/13/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.4 250 Series Single Hung Window 48" x 72" vinyl non-impact single window with fu
stiles & rails & HP package
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.55-56.pdf
Quality Assurance Contract Expiration Date
08/13/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.5 250 Series Single Hung Window 72 1/2" x 63" vinyl non-impact double window
Limits of Use
Approved for use in HVHZ: No
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.37-38.pdf
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Quality Assurance Contract Expiration Date
06/14/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.6 250 Series Single Hung Window 96" x 72" vinyl non-impact double window with fu
stiles & rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.41-42.pdf
Quality Assurance Contract Expiration Date
08/09/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.7 250 Series Single Hung Window 72" x 65 1/2" vinyl non-impact double window wi
stiles & rails & HP package
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.43-44.pdf
Quality Assurance Contract Expiration Date
08/09/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.8 250 Series Single Hung Window 109" x 63" vinyl non-impact triple window
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.37-38.pdf
Quality Assurance Contract Expiration Date
06/14/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.9 250 Series Single Hung Window 48" x 84" vinyl non-impact single window with tra
reinforced stiles & rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +35/-35
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.57-58.pdf
Quality Assurance Contract Expiration Date
08/09/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.10 250 Series Single Hung Window 42" x 83.5" vinyl non-impact single window with f
stiles & rails & HP package
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Certification Agency Certificate
FL16812_R6_C_CAC_CCL- PEL-H-1462.pdf
Quality Assurance Contract Expiration Date
11/04/2025
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Verified By: Warren W. Schaefer 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.11 250 Series Single Hung Window 109" x 72" vinyl non-impact triple window with re
rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.30-31.pdf
FL16812_R6_C_CAC_CCL 411-H-1462.32-33.pdf
Quality Assurance Contract Expiration Date
02/09/2028
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.12 250 Series Single Hung Window 36" x 72" vinyl non-impact single window with re
rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.30-31.pdf
FL16812_R6_C_CAC_CCL 411-H-1462.32-33.pdf
Quality Assurance Contract Expiration Date
02/09/2028
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.13 250 Series Single Hung Window 72 1/2" x 72" vinyl non-impact double window wi
stiles & rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.30-31.pdf
FL16812_R6_C_CAC_CCL 411-H-1462.32-33.pdf
Quality Assurance Contract Expiration Date
02/09/2028
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.14 250 Series Single Hung Window 54" x 66" vinyl non-impact single window with fu
stiles & rails & HP package
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +50/-50
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Certification Agency Certificate
FL16812_R6_C_CAC_CCL 411-H-1462.53-54.pdf
Quality Assurance Contract Expiration Date
08/13/2023
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
16812.15 250 Series Single Hung Window 54" x 96" vinyl non-impact single window with fu
stiles & rails
Limits of Use
Approved for use in HVHZ: No
Approved for use outside HVHZ: Yes
Impact Resistant: No
Design Pressure: +30/-30
Certification Agency Certificate
FL16812_R6_C_CAC_CCL- 411-H-1462.59-60-62
Quality Assurance Contract Expiration Date
12/13/2031
Installation Instructions
FL16812_R6_II_Drawing 1867.pdf
Other: Configurations of glass shall conform to the current ASTM
E1300 standard.
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16812_R6_AE_Drawing 1867.pdf
Created by Independent Third Party: Yes
Back Next
Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida. :: Privacy Statement :: Accessibility Statement :: Re
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public-records re
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department wi
they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record.
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine
under Chapter 455, F.S., please click here .
Product Approval Accepts:
. . , ___ -... ~~-..
(
Ce>.nt:r-.¢t: -DJ:ltaH~cl
· Pe11a Wioaows-.and·Q.oot,S,of. f\lod9~ .
·11¢o<io4~'Mg ?a.1a: ?'hitiµ~:H~w $yfi~ goo
J~~~k.S.9l':IY,!1Je,; .f~ ~2256 ·
Phone: (~0~). 731A8033: .. Eax:;
$ii_i~~:':l~~P r:..iame~
:Saifis Rep Phone:·
sa'ies:R~ · .. Fax: ····: ··-·-·-·--p_ -·' '
. ~i:l'~~:;~~p &M,~~I:.
· · · ·· -~ctiusierGranf-16~:,Nl~g!loifast;Atialltic~seac~i' _ · ~scil~st~r~faiit:~·i~!fM.~ari¢ii~:$i. Atl~tjdc·
· .J\uiflltic'.Beacll FL'322334oos .·. ·--· -...... , ....... ,___ , -•····-~ . . -,-.,,. ;i.
pri,ma,n/Phone: (4()4}:'4218043
-MobHifPhone:· · .. F~ Nufiit>·er:
.· .-~:M~ii:::;i~@~cltu~t~t@Qfl1~11~forn'
•CoritaclName:
'§f.¢.at Pl~i~~ #:· 100125854'8 ,
c~stomerNuniber-~ '10l1016889:
CU$to'me_r-Ac:c9unt; 1-097~!.l~~a
f169 Magnoli~i::St · ·
.·. lof# . .
· . Atlantic Beacti~JL:32233i
· . ~c_ourity: -
·. ;~nerNarnli;
i iScliusterJ3rant
··• -;owner:Phorle; (4Q4}A2tao431
'B¢acti;. -
Qi'der·N_q~~et:.
<luoteNurnb~r~:-
• . Omef'Type:
walft>e--iti:· -· p ...
Paymenftenns:" ·
Tax C:Qde!'• .
cu·~,PQ!&~r?,Q~~~:: -
:QLu>~~~ Dai~:;
conttacte.cl Date: B~O~Et.d)~~~;~ .
Customer Ptf#;; . ·,-,·--:---·-.. , _
7:183JSN4L
l67~t~74
iosta11e:a2sa1~s'
'Gr~ensky "'.~ener~1-:
-PAP:.IM~;z
1J/2112Q2,~
'5/3/2023:
~1412623;
M!4/~Qg~
_ :-;-.,: '':" -~--·-.-:: -""·· ----~·;u. -,-,_ '· . ,-
. -~ ·~-.
··:gw·
1
For more i!lf91l:T)C:Jtjon regC:Jr~itjg th~ finishh;ig, rnc;iint~nance~ :sei:yite-_and warranty of a)I PeJ!a® produ,~s. visit thePeila~ website at.WINW.pella:com
Pnntecfon 7 /11 /2023 contract -Detailed ·page 1 of 1 B:
,c_4~tomer: Schuster Grant Project Name: :SCh!l$t¢r~raht,, 169 Mag_iiolia St, Atlantic Beach, ·Qrg~r Number; 7183JSN4L :quote Numbe~ 1679787 4
.Gr.ant Schuster·
· ·. :custorner·Name . . (Please.print) . ..
*~~~i
•5111?02~;
- -,.· ·'
. ··.·····:
'$17iQ00.~'90 ..
. Ji17'.;;QOO]QQ •
·for m9re 'infotrriation regar~in~f th~ finishil'.lg, n)aintenance,, ·service ·and; waii'~rit-y of~ll PEiJla® prod!JcfsrVisi( tb~ Pella® W~l;>~i!e at W,WW;pella.com
... ''"""""'') Contract.,.. D~tail1>d Page 13 or
SCHUSTER GRANT
i6i MAGNOLIA st·
ATLANTIC B~CH, FL32~3l
167 MAGNOLIA ST·
Prooertv Detail
RE#
Tax Dlstriet
# of Buildings
legal Des<:.
Subdivision
Total Area
Pr1~.~.v-~1~e;Addr~~~,
16TMAGNOLIAST
Atl~nttc>;t:J¢~tl:i fh 322.~~:
·.oaoo ('lultl·famity u,nits 2~9 ..
1-
; Rir M:legal description see .
l..ilnd & Legal sectfon,below
· Q3U5 SALTAIR' SEC 03'
,<)fficlal,'.Record ·eqol(/P.i:lg~
'20;476~02~54 .
The sale ofthiS property,mayr'~ltlnhlgtierpf9pe!W.t:aiie5.·F6r more!infoi'fl1ationgoto·siNe Our.Homes and our,'i>roP.2dv.·tax• .
. ~ . 'In ~regress~ pro~rt,v valu~, ex~p~ons a~d o,th¢r sup~rtlhg :Information on ~Is. pag~ are, Pil~~f ~ workl!IQ tl!J!'
roll and;Jre su.bJect to change; <;'.ertlfi~ ~lues listed: ln.theValuifSurnmary~a~;th~ qir~flep In .~~r,.·but.,m;iY, \nclude any•.
official.ch<!ng~ made af'ter c~flcatlon Leaff!·ho'f'tthe P~?~..AP.pralsi['sOffice valuesri!:Qpe.JlY~· · · · · ·
. ·a ue ummarv: ·. ..
' .Value Description _,. 2022•
. -,,., ValueM.~od CAMA
TOtal .Building Value $.181;1
extra .Feature·Value $0.00
L:and Value (Market) ! $220,0
Land Value (~g!ifu} ! $0.00
JUst (Market) Value $401,1 ...
Assessed.value $'101,1
-.. '~t>.D.iif/PortabilitY.Amt· $0.00,
•.. -····--···· .ExeinP.il0ns $MO
Taxabl~ ~alue $401,1
TaxablE! Vali.1es ancf Exemptions -Iifetogresst'l .. . . . . . . .· . . . . . . ..•.. . . . . . . . . . . .
If there are no ex1imP~o~ ilPPli~IJJ~ tc)'.CI \c!Xlng. authoritV~ the Taxalile Value IS the SIHne;as;th~ ~S!l~~e~ Value.listed a!;ove hf the .Vahle Summa!Y IJC>~;
county/Municipal T(!i<aJ>Je Value . .s.JR.WMD/FifllD. Taxable:Yal4e S!'.:h'Ool Taxable va
::~~~r.:) ... ;~~· .... ~:-~-~~::~-~~·.~!~~~~~~ -~6~3;~~)~~~;f ·:~: :~:~~::·. ·~···; :·:::~~~--~----,.$fi~~~~~· .~~:~--=
j:j;;~teail ~?nding 19M3"i[ilcb'i' c~sr':"°"'""':'""~'"":-'""·· ' @odO":O:o ~~m~ic''Bandinfi~~;9;fc1)(b}'(He) · , ..-'"'=:· .. : . . .. -.. -.-. ~ $fs&oo•o0 Toi:/Penntvet $s,ooo 1
ibt/p;;'!Vet"ss;bcio cVT>'i%~24·c;,.7"'.'""..,.":"'~~~~ ,-· ~-:;'sS:~ii:o · :r¢111e~i\£et.$s,ooo·(yrfi96i4'(\rr)' ""'"'.-=:"'0"..,...., ... :·:'·~ ·.; is,~oo:O"Q ·-------· ---.
-···--··--·-·---------··---····-···-·--·----· ·------------------· --------------· . :r~xal>le Value ·
Taxable value $519,~40~00 Ta).cable~Value $519,34!>.0()
.~ Sales HiSl:o
~r~i:eatures
No d.ata fQllnd for th IS section\
Land &i.;egaJ
Land
. ~~~~ -' -betalli
1~1~.;~.; .. ~u~-.rvuu:;wJIJ:W'""'m~li'lllll!•l!l"lll'l'il1l1J111~,..,n·1~•itPl•''~i, m111!1illl11f!lll!l'!l!Jl~ri'1ltll''~"::mtn11d1m '······'.iillihllUW1:U:~llitl"'"111111o~ll)At~H1tm~M111io11<11m'~'""'
'EXteMorWall . 1·7; i 17'ClB~'.Stu~:. -.
Building 11 ue ti~~li~~E~~-;i Year Built
Bulldln e·
· ;·~~~~~~!i~C:::.:::.:··:::":".:~: .. _, ........ ;·~:;L~~:: ... : .. =::: \~;;~~t~~.; .. -· ........ , .... ", -~ .
' .;.~ .. :.:~:.~ •. :.: ;;..;·.;.~..: '~ "' '"""'""''!' ··~'''"""""'·'· ''"''""""" .. 0 .,. •• , ••• : ... ,, "''"'"" 0 • H ''"""'"'''~''"'""'"""'' ''~'""""'"""'"'"""""'""' •• ~ '• ....... ......,,. ••• • .._.'
i e1emenf -· -_ tOdl( :'Qett111.
·~~=:~::::: .... :: .. ::::=~:: .. :: :~~~f:~:·:· .. ·:·; .. ,. .. , ...................................... -.. ~~·-·· ................................................. :
"'""~,:~,,«<\<"""""''""''"'"' "'~''"' """"'''"';11""'"""'",'""'"""'""'';_,'""'"' •.• ,.,.,, ... "'' ,, ... ,,.:tl,,.i:.:;,".~ ,,, .. _ .• ,;,., .... "'''"'"" · Eiaths · · · · "3iooo·
·1:~~~lI@~ "'"::~:·::: .... :~~:~~::-.:~·· .. ::.:" ... , .......... " ....... ;.., ............. _ ......... ,. ......... " ........................ -~ ....................... i ... ,, ....................... ,, ............. ..
' 1TaXeS 'Notle::e TRIM: Notice
TaXirig'oisb'iCt ' ' Asswed Value exemptions " TiixableValue -· LaStY~r F
~G~ Cio~t~ __ ... _ ........ "',,-·--~~·-.... -.... _,, '"$4D'ti1B.00---·· .... ____ -~"""'~·-·-r$o~oo~-: .............................. -....... ~ ...... '" ·;;401;11·5~ .. iio~-,..-............ · ·--.. --.. $3.'2U:3o-· ·· ... _ ..... _. ·· .. $ ""~"""•' ~ """'".»-""""""'-• •<: •• ".,. '" '""" "'"'~"'''" ,...,,..,1..., '""""""'" "i!<'"'""~'llfl''"""""'" " ,,..., •-! ~ • , , o """' ''""".,, "''"'' """"' """ """ ..., "' t < • ..,, " " < •Jo <m "'"~"'"" '""' -"' "'' "-11!~'" llJ'>-1 ~-I'"'' "'"~"-""' ""'"I~ '"'h' •l<t 1>:1 ""!" ~""""'"" .,! !• "" "'" " "I'"""" I "' 1.., 1.
POblic Schools: By State Law $401,118.00 I $0:00 , $401,118.00 $1,402'96 $
'"---'''""' """'" =-•.,•--~~""'""""'~''""" e '1<•".,.,_...,"""""''""""'"''" '""'•""'""' "".;,,..~,.,."'"'";'"'-"'""'"-""'"'~"'""""'no.u•ol •• ""'-~·m• •••' """'"' "<""-"~"•"•~.-~ '"''l""'"j'~' -_.;.,o">""'"""""''"" '"g'"""'""""-"'" .,,,.,.,. ~ ; t I ·~~~~~'~a~irioi~:-'"" .. -.... ~ ................ """'"'"""''""" ··. '.}:~~'.]t~~ci· ............ ,,,_ ....... .,,,.,,,.,,,,,_·I~~:~~ '"'""'~'"""' "'"'"-·""""'" :.~~tti:;EE """ ......... ~"'"' -·~ ......... -··t:.~i 1 '""""'"".. ·i
,~,,~~;;=~~;1~if;~~~i~~::~~=f~~~~-;:~~~:-::;1
Description. .-·· , Just Va ue· -, ,.AssessedN11 ue·, . ; i Exemptions
. ~i,ii~_y~~· , $394,Q89.00; ·_ . '$394;QB~;~q.. , i$0i00. , ..
. .. ·~rren~ '.'(~~t; :$1p,~41B;,9Q: . (401;1.la;QO'. ,~~;Qo
. 2022 TRIM.Prop.mYRecoi'd card· (PRC). _
··th~·P~C r .. efi~cti:pr6p~rfy"defajiS "an~~-v~iues::atfriei.fime.QHhe .prlginiil mailing :anh~ N~~-!=~'.Qf Propose,d:_ Property Taxes. '(TRIM~Noti~esrirl,AajUSt;'
Pl'9peny ~eci>rd Cal'.Cf ;(~RC)
The PRt·accessed bel\)w retlects; p~opEil@A:l~~l!$ ~rjd:\1:at4E!S,a~ _the time of Tax Roll Cert1flcat1on ~in<Oct0b.er ot tlje:y~rr· n~i:,eq, 2022 ,, ' ,, '
2ois ·
-~'~""'"'""''"' ... 'ik."'·"