HomeMy WebLinkAbout15-16528 CITY OF ZEPHYRHILLS �
5335-8TH'STREEZ'
(si3)�so-oo20 528
BUILDING PERMIT
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PERMIT INFORMATION i LOCATION INFORMATION �
Permit Number: 16528 Address: 37502 GILL AVE LOT 188
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s):188 Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0010-02800-0188
Improv. Cost: 5,250.00 ; - � OWNER INFORMATION
Date Issued: 8/20/2015 Name: FRITZ, ROBERT & DIANA
Total Fees: 65.00 Address: 37502 GILL AVE LOT 188
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/20/2015 Phone: (813)780-8249
Work Desc: REROOF SHINGLE ;
CONTRACTOR S -� APPLICATION FEES �
TRIPLE CROWN RO FI I RER OF RESIDENT AL 65.00
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Ins ectionsi Re uired
DRY IN ROOF INSP '
TAPE JOINTS ROOF INSP
FINAL I�i-3I-C�
REINSPECTION FEES: (c)With respect to Reinspectioni fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the�amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater;for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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, 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. If you intend to obt�ain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances.�NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION '
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� Fax-813-7$0-0021
o„-,o�,�,�v city of Zephyrhiifs Permit Appiication
Building Department
date Receiv�d Phone Contaat for Permittin —
Owner's Name FIZ�D�G��� ����� t3wner Phone Number Q 13�/��}"" �a`l�'
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Owner's Address �7J�p ��L �� Owner Phane Numbsr
Fee Simple 7itlehalder Name �� � Owner Phone Number � �!^
Fse Simple Tittehoider Address
JOB ADDRESS
�2��0�._ � (.l.r A'U�.''� _ l LQ7# ��
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SUBDIVI310N �lL� 7��Zt�S PARCEL!D# ,3�y-+�?S-�!- !'�l� -00400� j8&'d
, (48TAINEQ PR4M PROAERTY TAX NQSICEy
WORK PROPOSEd NEW CONSTR ADD/AlT � SIGN Q [� DEMOLISH
e INSTALL 8 REPAIR �
PROPOSED USE Q SFR [[�J CQMM i {?THER
'TYPE 8F CONSTRUCTiQW Q BLOCK Q FRAME � STEEL Q
QESCRIPTION OF WdRK ���'r cSt�tc �ti Ir?�7 K-<'( Y.'f� � � (,/����L` �r'j'�
BUTLDING SIZE [� � SQ FOOTAGE[� 1 HEIGHT �_�
�gu��p��� $ ��'� J VALUATION OF TOTAL CON5TF2UCTION
QEl.ECTRICA� � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBlNG ri �
� ��., � �$=2�
[�MECHANICAL $ VALUATIQN QF MECHANfCA�INS'fALLATtON ,
[�GAS I XI RQOFING � SPECIALTY [� OTHER � �� �
�
FiNtSHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUlLDER COMPANY
SIGNATURE , �, REGISTERED Y! N FEE CURRE� Y/N
Address License# �— i—�
ELEC7RICIAN COMPANY
SIGNATl1RE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �` ��
PWMBER � � COMPANY
51GNATURE C REGtSTERED Y/ N FEE CURREA Y/N
Address License# � " �
MECHANICAL CpNlpA13Y
SIGNATURE REGtSTERED Y/ N FEE CURRE� Y/N
+0.dd�ess License# � —�
07H�R �� ���,�� COMPANY ! !�C I P � C..=�C�/� � C��IaU�
SIGNATURE REGISTERED Y/ I�) FEE Ct/RREh Y 1 P)
Address /�`1� fftu�tG� tcr7��� R.� f License# C.��"L�� ` �
RESiDENTiAL Aftach(2)Plot Pians;(2)sets of Building Plans;{1)set of EnergyjForms;R-O-W Permi#far new constrtactfon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stom�water Pians wJ Sitt Fence instatled,
Sanitary Factllties&.1 dumpster,Site Work Permit for subdivisionsAarge proJects
COMMERCiAL Attach(3)complete sets of Building Plans plus a Life Safety Page;'(1)set of Energy Focros.F2-O-W Permit for new canstrvction.
Minimum ten(10)working days�after submitta!date. Requfred onsite,Cansttuction Pians,Stormwater Pians wl Silt Fence instailed,
Sanitary Facilities&1 dumpster.Site Wark Permlt for all new proJects.A(!cammerciai reqtifrements must meef compliance
SiGN PERMIT Altach(2)sets of Engineered Plans.
'""'PROPERTY SURVEY required for aN NEW construckion.
Directions:
Fill out appUcation completely.
Qwne�&Cantrackor slgn back of application,natarized
If over 52500,a Notice of Commencement is required. {AtC upgradss ova I$75d0}
'" Agent(for#he cantractor}or Power of Attomey(for the owner)would be someone with notarized letter trom owner authortzing same
C1VER THE COUNTER PERMI7TING (Front of Rppifcation Oniy}
Reroofs if shingles Sewers Servlce Upgrades AtC Fences{Piot/SurveylFaotage)
briveways-Not over Caunter(f on publfc roadways..needs ROW
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�OTICE OF DEED RESTRICTIONS: The undersigned understands that this.p�rmlt.may be subJect to"deed" restricttons"
vhich may be�more restr:ictive than County regulat(ons. 'The undersigned assumes responsfbtlity for compliance with any
ipplicable deed restrictions. � ,
1NLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conhactor or
;ontractors to undertake work, they may be required.to be:licensed in accordance.with state.and�local regulations. If the
;ontractor is not Itcensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
inder state law. If the owner or intended contractor are uncertain as to what licensing.requirements may apply..�for the
ntended work, they are advised to contact the.Pasco County Bullding Inspection Divlsion—Ltcensing Sectton at 727-847-
tU09. Furthermore, if the owner has hired a cont�actor or contractors, he is advised to have the contractor(s) sign
�ortions of the "contractor Block" of this application for whlch they will be responsible. If you, as.the owner sign as the
:ontractor, that may be an indication that he is not.properly licensed and is not entftled to permitting privileges tn Pasco
�ounty.
�RANSPORTATION IMPACTIUTILITIES IMPACTAND RESOURCE RECOVERY�FEES: The undersigned understands
hat Transportation Impact Fees and.Recourse Recove.ry-Fees may apPly to the construct�on of new buildings, change of
�se in existing buildings, or.expansion�of.existing'buildings, as specifled in Pasco County Ordinance number 89-07 and
�0-07, as amended. The undersigned also understands, that such fees, as�may�be�due,:wlil be identified at the time of
�ermitting. It is further understood that Transportation Impact Fees and Resource Recov.ery Fees must:be paid prior to
•eceiving a "certificate of occupancy" or flnal power release. .If the project does not involve a certificate of occupancy or
�inal power release, the fees must be paid prior to permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact
`ees are due, they_must be pald prior to permit issuance-In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florida Statutes�as amended): If valuatfon of work is$2,500.00 or more, I
�ertify that I, the applicant, have-been provtded with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by tFie Florida Departmenf of Agric.ulture and Consumer Affairs. If the applicant Is someone
other than the"owner", I certify that I have obtained a copy,of the above described document�and promise in:good faith to
deliver it to the"owner"prior to•commencement. •
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify that all the Information in this applicatlon is accurate and that all work
will be done in comptiance with all applicable laws regulating construction, zoning and land development. Applicatton is
hereby made to obtain .a permit to do work,and installation as tndicated. I certify that no work or Installation has
oommenced prfor to issuance of a permit and that.ali work will be perFormed°to meet standards of all laws regulaking
construction, County and City codes, zoning regulations, and land development cegulations-tn the jurisdtction. 1 also
certify that I uaderstand that the regulations of other government agencies may apply�to the intended work, and that it is
my responsibiliry to identiry.what:actions I must take.to be,in.cotr�pliance: Such agencies include but are.not limited to:
- Department of Envlronmentai Protection-Cypress Bayheads, Wetland 'Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Wate� Management .District-Wells, Cypress Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Serv(ces/Environmenfal Health Unit-Wells, Wastewater=Treatment,
Septtc Tanks. _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatlon Authority-Runways.
I understand that the following,restrictions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in �flood Zone "A", it. (s understood that a drainage plan addressing a
°compensating volume" wiil be submitted at time of permitting which is prepared by a professfonal engineer
Ncensed by the State of Florida:
- If the fill material is to be used in Flood Zone "A" in:connection�with.a permitted building using stem wall
� construction, I ce�tiry that fill wfll:be used only.to.fill the area within the stem wali.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
propertfes. If use of flll is found to adversely:affect adJacent�properties, the owner may be cited for violating �
the conditions of the building�.permit issued under the attached.�permit application, for lots less than one (1)
acre which are elevated by flil,an engineered drainage plan is required. •
If I am the AGENT FOR THE OWNER, I,promise in good fatth to inform the owner of�the permitting conditions set forth (n
this a�davtt�prior to commencing construction. I understand that a separate permit may be requtred for electrical work,
plumbing, signs, wells, pools, air condttioning, .gas,_or other installations not spec�ically included-in the application. A
permit issued shall be construed to be�a Iicense to proceed with the work and not as authority to.violate, cancel, alter, or ,
set aside any provisions of the techn(cal codes; nor shall issuance of a permit prevent the Buildirig Oiflcial from thereafter
requiring a correction nf errors in.plans,-constructlon or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit.�i§-comr�enced:within-six-rrrionths of permit i�guance, or if work authorized by - - _ -
the permit is suspended or.abandoned for a period ofsix(8)months after the time the work�•is commenced. An extension
may be requested, in writing; ftom the Buildtng.Officfal for a period not to.exceed ninety(90) days and tn►ill demonstrate
justi�able cause for.the extension. If work ceases:for ninety(90)consecutive days,..the Job is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE.TO:.RECORD A NOTICE.OF=COMMENCEIiAENT MAY RESUlT iN YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUR P.ROPERTY. IF YO.U�INTEND`TO OBTAIN�FINANCING� CONSULT
WIT - !!R LEldDE -�lM A'�'�ORN Y ORE�REGO �DI G� OUR O � C `O - E C ENT' --
FLORIDA JURAT(F.S.117.03 �
OWNER OR AGENT ``� • ��`-'��/ CONTRACTO ���
Subscribed and s fa(or aflirmed)before this Subscribed a wom to(or affirmed)�befare e thts �
by �by
Who islare personally knovm lo me or has/haye produced Who Is/are personally known to me or has/have produced •
as Identlflcatlon. as IdendficaUon.
� Notary Public Notary Publlc
� Commisslon No. Commission No.
Name ot Notary typed,printed or stamped Name of Notary typed,p�inted or siamped
� ; I1111111111111111{IIII IIHI11111111111111111111111111111 llll
' 2015132925
PertnitNo. ParcellDNo `� e ��a ��`�O/`0`� _(���
� /' NOTICE OF COMMENCEMENT
6fate of • �O�/PA Caurrty af �/f S�
THE UNDERSIGNED hereby gives nofica that Irtquovemant v`616e mede Itn certaln real prapery,and in eaordance nith ChepRer 713,Florida StaWtes,
lhe(o9owinp IrKormetlon Is providad In thls Notice af Commencement �`
1. Desuiptlon af Property:Parcel ldantificadon No.�MA� �0/f20V�s.�+wT�o PD yq�41R!toT�dgo�(�(�7� �j�7�f'
Streat Address: 3 7 SO� �i i. ArC � �+ep/��,i�,,-��S FL 33j yf
2. QoneralDescriptlonoflmprovament_Rf� �OOFI
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.OD U1(1
I3. Owner Iniotrretlon or Lescae i�ortnation Hthe Lnsae contrndad forthe Improvemmt � ^�
D��+wa ez FRc��Qtuc Ftcr� I � �m�
' 3'lso� �';� A�c I �yiG,' s � �z 3 s�/ m m m
Addreas /� City State
Intereat in Properry: DM.�/,C!t I � (�p
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Name of Fea Simpie Titlaholder. I�+/A '
� (If dAferaM from Q�mar 1 I bove) W��
Address �.a/'C. C1�0 WI'� /C.00I^I I G Gb Stete .' .. �p
. Convadar. � �
7��/Oa��A1�/�� D/G I p p..
��..��.Yls �_ ��Syi� ���
' Addr�cs $�3 O 3 3� /T�0 Cdy 8tnte
CorNactore Telephone No.: n a
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5, Surety: I �
Name � �/ I 7
R F
� '� � � � _ � Addreas I Cfty State
�, � � C � D AmouM ol8ond: S Telephone Nn.:
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f D (n Q�I Lender.
� Z --� �
N�mv I
C7 C7 'ri m v
O � � ,� Addroes I City S�ete ��
p "� Q (� �'�'� r— Landar's Tekphone No.: �F..n
� D 2 �l .C7 �7 Q � �m
rn "< D � �J -=-I p� Persons wfthin the State of Florida desipneted by the ov�ner upon wfiom notices or oihot dowmer�ts may be servod as p�ovided by ��o
I r O Z C R1 "TI �' Sedion 713.13(t)(e)(�,Florlde Stahrtes: �� -
0 W C7 -G C7 �/��+m
r � � _� Neme \,1,/N�=
;U � �C10 � n NW�
� O Q �_ � Telephone Number ct Denignated Percan: I City State ��D
T m � 3 �
O n � � �18.-C In addition to himseC,tha owner deslgnates I. oT_ o
� r z m� O W race co of the Llenor'e Notice as provlded 4i Sedton 713.18(1)(b),Flarida Statutes. �,�j��
� � D =� � � Tekphone Numbar o!PoBan or Entlty Deslgnated by Owner. I �
' � O N r �� �.� Expbation�ie of Notke of Cammencemerd(the axplratlon date may nat be belo►a tfia complatian of constru�xlon and final paymoiR to the w�f Q°
-G r' �Z Q C� n conttadar,but w10 be one year from the dete of reurding uNe ia a dlHereM date k opacifle�: �F..o
n r �� O WARNINO TO OWNER: ANY PAYMENTS MADE BY THE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEkT � �
r m �� (1) ARE CONSIUERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, &ECT10N 71J.13, FLORIDA STATUTES, AND CAd f�
� � � C7 � T� RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS TO VOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �+• o
� f7l RECORDED AND POSTED ON TNE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCINO.CON3ULT �
WI7H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINO WORK OR REC�R�INO YOUR NOTICE OF COMMENCEMENT. m
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Under panally o}pehury,l dedere thet I heve read the foregoiig notiee of mmmwnc�rrwnt and tha['the fads eTatad theraf�are We lo the beci
af my knovAedgc end belief.
�y � � 6TATE OF FLORI�A ��I�%{� �-
� S�� COUNTY OF PA6CO ,
'Slgr.aNre of Owner ar Lessee,or ONner'e o�Lapsee's A o' d _
,�`� , Ao� - - ` w��6ocwrraertnerrtdanaeor � -� - - = _ _ ., ----,,. -. - - -- - -
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� o y� ,� � repoing inctrumerd Nas adcnoNled ed before e dey of 20,L�y��w� �+'�� � � � �' /y
/ �1A)� I�I ,
i 0 y �� pype o}authorlry,e.p.,offleer,trustea may In tact)for
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9 rsonaGy Knnwn�OR Roduced Ida tlon NI tary 6lgnature
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�t � e_ . o p��iype of IdeMlficatlon Produeed Name(Prird)
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TRIPLE CROWN ROOFING, INC. �
7140 ANDRE DR. � ZEPHYRHILLS, FL 33541
� , 813-833-7720
, STATE LICENSE CCC049370
� WWW.TRIPLE-CROWN-ROOFING!.COM � LNAULT1963@AOL.COM
, �� ,SPECIALIZING INALL TYPES OFMETAL ROOF SYSTEMS
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NAME PHONE DATE _
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STREET CITY STATE � ZIP
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SALESMAN i �
i,('� �� !�.��r"L r'�<.��I f$'�. �' �� �i �' �• �f;�- ,,. ,
We hereby submit specification an work description: i
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�a �� ,.� !� � �,` Vn i..� r' 1 JiI�T f�c LC. �LI t��0`2}�� SP:�! tG�p�t�' /+-� O`'r�. �C� c�X� -�������,
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THE ABOVE DESCRIBED WORK WILL BE COMPLETEDjACCORDING TO SPECIFICATIONS, FOR THE SUM OF -
; ��"°"($: ��''�..-```�°`C�°�"'�'� ). PAYMENT TO BE ADE AS FOLLOWS: $ �-���.��� AS DOWN PAYMENT
� �-'A� ,���.:�Q� �� BALANCE OF$ .�'�-��.-- "��'`�"�i DUE UPON COMPLETION.
�
i,�::� -- _.._ . � -- *** - .. - - � � • ' ' ' '/r �� . -
� ANY ROTTED WOOD DISCOVERED WILL BE�AN�EXTRA�CFiARGE AT A COST OF$ �'" PER 1/2 SHEET OF
,. PLYWOOD$ ,r-r`�i'� Lin. Ft. Lumber. ,
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NO ORAL AGREEMENTS HAVE BEEN GIVEN OR AC,C-EPTED. THIS WRITTEN CONTRACT IS THE
ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED ANDIOR MATERIALS TO BE
FU,RNISHED. THE WRITTEN PORTION ABOVE`IS THE ENTIRE CONSIDERATION FOR THE AMOUNT
OF THE CONTRACT. PURCHASER MAY CANCEL�THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT �
OF THE THIRD�BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT.
�
IT IS AGREED: � '
- Contractor will do all saitl work in a good antl workmanlike manner antl in strict accordance with the ortlinances, rules and requirements
of the city,.Town or Village, wherein the above mentioned property is located. If.purchaser should cancel this contact after time stated �
above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to
collect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurred by
the contractor.This contract shall not be binding upon Contractor u�ntil accepted by them. Upon such acceptance by said company, this
contract shall be binding on me/us without any further notification to melus. The undersigned property owner agrees that this contract
� may be assigned for the performance of the work and labor required by the tlescription of the work to be performed. Upon assigned the �.
parties hereto consent to the performance of the work by and payment to such assignee of the amount of this contract.Any Alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over '
and above the stated contract amount. i � -
, �
NOTICE TO THE BUYER : (1) Do not sign this contract before you read it or if it contains any blank spaces. (2)You
are entitled to an exact copy of the contract you sign. (3)�Under the law you have the right to pay off in advance
the full amount due and under certain circumstances to obtairi a partial refund of the time charge. Owner acknowl-
edges receipt-of a�.true copy of this CONTRACT. �
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_,f`C.._--'� ,r'��;� j PURCHASER � DATE�
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BY: Triple Crown Roofing, Inc. DATE ; PURCHASER�'"l � DATE �
f�--/� , +„`�t`,� , � ��� This contrect is enforceable only whe i accepted by management of Triple Crown. `—�"
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