HomeMy WebLinkAbout16-17494 � CITY OF ZEPHYRHILLS � '
• 5335-8TH STREET
(813)780-0020 17�94
' - � BUILDING PERMIT
- - PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17494 Address: 37526 NEW HORIZONS BLVD LOT 70
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):- Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0700
Improv. Cost: 6,900.00 OWNER INFORMATION
Date Issued: 6/20/2016 Name: JACOBSON SCOTT A& RENEE C
Total Fees: 70.00 Address: 1778 AUTUMNWOOD DR
Amount Paid: 70.00 MECHANICSBURG PA 17055-5197
Date Paid: 6/20/2016 Phone: 978-857-7192
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
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Ins ections Re uired
DR N ROOF INSP
TAPE JOINTS ROO I P
FINAL ��� '
REINSPECTION FEES: (c)With respect to Reinspection 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 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, 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 obtain 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.
C�. ( y U:�-��
C TRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- _� _._ .
a�aaeo-oozo City of Zephyrhills Permit Applicatian �ax-813-780-0021
Building Department
Date Received . _�b-� �j ' p�one Contact for Permitting Ul� ��� -- tlJ� t�
t�wner's.Na�e ��}?`1" '�- �'��e.J Ct�C}��� Owner Phane Number (�� '��-�� ! °� :
� . - °] � .
, =, . s� r n,. 111e�hanisb��j
Owizer'sAddress i, I �1 (�'rUlYlUJO� ✓� • �?0.55 Owner Phone Number �j�3`3 c�5'd��o-] �
; ... _., .
Fee�imple 7itleholder Name pwner Phone Number�— �
Fee Simple 7itleholder Address •
JOB;ADDRESS�, �S� �QU.� �Of1ZC�`�j �(.)�V� � (h��15 �I '335yj �.oT# ��
.. �..�..: ; :. _
sueoivisioN �� .C'�.r�d N�r� �.u�s � 1PARCEL:ID#. 3�I+�S'"�� �I�C���'(�WOO ' b�(3C�
� ' �(OBTAINED FROM PROPERTY TAX NOTICE)
VitQFtiC PRt7i'OSED: e NEW CQNSTf2 e ADDIALT Q SiGN Q MOVE Q DEMOLISH
��� ` ; INSTALL REPAIR j
PRt?POSED USE , � SFR Q COMM [� OTHEt2 � �'.-('D '
TYPE OF CONSTRUCTION Q BLOCK [� FRAME Q STEEL Q OTHER
DE,��,GRIP,.TIONQFsWORK; ' ��QraF�F �e-roo� �D �a«s �AF As �Qlf h� ({5 �( � 1�1�`1• I
BUILDING SIZE, . �� , � '. ^SQ:FOOTAGE (� ��� HEIGFIT ���
� BUtLDING • r$,�<;;;:j���'" '��-` � ,:';� �VALUATIQN'OFTOTALCONSTRUCTIQN • ,
I ( `',��d'�;.��' ..
Q ELECTRICAL � � AMP SERVECE [� PROGRESS ENERGY [� tN.R,E.G.
[� PLUMBING ($ �
� �
Q, MECiiANICAL $ VAGUAT}ON OF MECHANIGAL.(NSTAL.IATtQt�! �� ��� �
� � " ' .i �/
Q GAS . Q FtOOFlTtIG Q SPECEALTY Q 4THEF2 � �� �I
FINISHED FLOOR ELEVATIONS � � FLOOp ZONE AREA QYES QNC►
BUILDER G�flNlPANIf
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# � �
ELI�CTRIGIAN GOMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# � �
Pl,UMBER • . COMPANY
SIGNATURE ' REGISTERED Y/ N FEE CURRENT Y/N
Address L,icense# I � �
ME�NANtCA! COMPAIVY
SICaNATURE REGISTEREb Y I N FEE CURRENT Y/N
Address ' - License# � . �
OTHER;�i . (.t, IV 1�.J0�(/� Gt}NIPANY .t'�1� 1�OUt'1�7 �1}(� .
�.
SIGNATUFZE'� �� REGISTERFD Y N FEE C REN7 Y/N
,Address � �f �� �t` 5� r i ( r i t{�� �( 3� 5�/ �`license# �f�Z:�J�,���
RESIDENT1Al. , Attach;{2)Ptot Plans;(2}sets of 8uilding PEans;(1)se#of En�rgy Furms;R-O-W Permlt for new cansErt�cfian, (
, ,Mi�imum ten(10)wprking days after submittal date. Required onsite,Canstri�ctian Plans,Stormwater Plans w/Siit Fence installed,
' Sanitaiy Facilitles&1 dumpster;Site Work F'ermit for subdtvlsions!large proJects
COMMERCtAL 'Atfach(3}sets o€�Building Ptans;(1}set of EneFgy Forms.R-O-W Permit fornew construcfian: —
w_... .-••- Minimum ten(10)working days after submit#al date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
. � Sanitary Fac3tltles 8�1 dumpster.SEte Work Permit for ai!�ew proJects.Ati commerciak requirements must ineet camp{tance �
�', S1GN;�ERMIT Atfach(2)sets of Engineered Ptans. g; '="=• , , '
?:': � �`�='• �;j *'"*PROPER7Y SURVEY required for ail NEW construction. '+�° , '
;, �- - ,:
x Directions�: ' •_""'� �
>. ',. :Fill o.�t application compietety. , . � �
`' ' {}wner&Gon#ractor sign 6ack af appltcafion,notarixed
s�,_ ._ ,. ��
;;�- If oye�°$25D0,a Notice of Commencement is required. (A/C upgrades over:$5006) ;}
'.�'`" Ag�nt�(for the contractnr)or Power of Attomey(for the owner)would be someone�with natarized letter from owner authorizing same
;'QVEFt TFi�COUNTER PERMiTi'fNG (Front of Appltcation Qnly) ;:�,�' �� � �r%q
�' � Re�oo�s Sewers Service U rades A/C Fences P,lot/.Surve /Foota e -
�, . P9 � Y, } 9 )
�{�_ , . :t .. - ,
., � �� .
����;, ti privev�►ays-Not over Counter if on public roadways..needs F20W � :. •.ry�`� • :I .
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed",restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for complianee with �ny
applicable deed restrictions.
UNLICENSED CQNTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violafion
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. • �
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change af
use in existing buildings, or expansion of existing buildings, as specified.in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified,at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receivin a °certificate of occu anc ° or final ower release. If the ro'ect does not involve a certificate of occu anc or
9 P Y P P J P Y
final p4wer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
�fees are due, they must be paid prior to permit.iss�ance in accordance with applicable Pasco County oPdinance's.
CONSTRUCTION,LIEN LAW(Chapter 713, Florida Statutes, as am�nded): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Fiorida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the°owne�', 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. •
CON'FRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. i also
certify that I understand that the�regulations of o#her government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, VVater/Wastewater Treatment.
- $outhwest Florida Wate� Management District-Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses: �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater T'reatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:�
- lJse 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 is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed 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 certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill 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 fill, an engineered drainage plan is required.
I If I am the AGENT FOR THE OWNER, I promise in good faith to inform�the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to.violate; canc�l, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building,Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become.invalid
unless the work authorized by such permit is commenced withirr six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Of€icial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO REC:�ORD A IVOTICE-OF-COMMENCEMENT MAY RESULT IN YOl3R
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIYH Y�UR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. •
FLORIDA JURAT(F.S 11.7.03) • _ _ _ _ _,_ _ __ _ _ ___ - _ - — -
, _ � _ -- — �—1 �:iC�,.-'„r���;<�inS:;:.'�.�:'?;u:;*%>;,;sI",�`�--n� �J �I �;.;,;;,�,��� ,
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OWNE�R�QR�AGEN, _-_ Cl l Y C2L"��'lW(�� � _':f,`�;;;:�i;CONTRACTOR�'�'`�'` �C� I�Q.�,{.LU�`'-w;:�:- .
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Subsctibed and sw �n ta.(�r rmed)be orL me this iP' 0 Ilp�,�� Subscribed and swo 0 or 'rr�ed b ore me.this(p .c�0�(p „„ .. "�' �
- by �pQ Q wOJd b q��2 Nrt,e.tGUca� �'"•o
Who is/are personally own to me or has/have produce ����';'�.,,, Who is/are personally kn to me haslhave produced �y �;
as identlfication. =^° °"� as identiflcation. =�,��,:
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Co mission No. � � 3 m Co sston No. '� � N:= '
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Name of Notary o y �Q' Name of Notary typed,printed or stamped o m T.<
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ERIfAN -
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Ryman Roofing, inc• �RES '' ` ��sQ� �
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A Division ofRymon Construction,lnc. 5%fee far credit card processing.
"r` �� 36413 SR 54•Zephyrhills, Florida 33541 Proposal#
� �� Phone(813) 782-6094• Fax(813)788-6773 No. 000020000
9q_ O 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate#
'(/O www.RymanRoofing.com t'
Q' Serving all of Central Florida Job# 7 ��.�
owner�Purchaser.Renee Jacobson �ate: 5�27��6 I
Ciaim#: InsuranceCompany: �
Policy#
�ob adaress: 37526 New Horizons Blvd �;�y: Zephyrhilfs Z;P: 33541 'I
Mail to Address: a- �- E-Mail Address: SCO�eJC aOI.COt71
Home#: 9788577192 �� #. 8133850767 Business#:
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❑✓ Complete tear off of existing Additional Notes/Special Concems: - -
Roofinq Replace 2 pfastic skylights one 12"dome one rectangle
Q✓ Secure all loose roof decking as needed according �j8' of z flashing to metal roof
to Fiorida Building Codes '
❑✓ Roof dried in with I
Synthetic underlayment
Q✓ Install new valley metal with galvanized metal
�✓ Install new 6 "drip edge color: WhItG' I
� Install new lead boots
✓Q Install all new general roof vents
�v Install new �Shingfe ❑Metal ❑Tile
�Modified Butimen �"fP0
Q✓ Manufacturer �snin9ie, metal o�t�ie��afi timerlin . ,
Manufacturer crao a�Moa. em,�,e�� I
�Color:(Shingle,MetalorTile) t,�/Gcv�("�u,��-,�
Color:(TPOorMOD.Bitumen)
0✓ All roof related debris removed from job site,pick-up loose I
nails using commercial grade magnet
�✓ All materials,labor and permits fumished Base Price*$ 6900
� Provide a 5 labor warranty I
Additional Items_
� I
Payment Method: Check# Cash Financing lnsurance Claim I
� � �
❑ Credit Card# Exp.Date CC ID# I
Down Payment:$ CS� �� � �� Amount Financed:$ �r Approx.Monthly Payme�Y��
PaymentTerms: j �� ���`(n(� � �Zn�'e-.f'�b5a� � �
Extras: j i-�-� �-i��f"i1in�r)w'CY`
l�-! ZC-�h�CS I��t�t �� �Z�� I
"' se Price does NOT include any unforeseen costs as described below unless indicated in"Additional Items"aboVe, cusromerinitia�
Deficient 1/2°plywood replaced at a cost of$ 1.95 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
i ional labor,such as,but not limited to,valley rebuilding,rafter reptacement, 1x decking,etc.will be a rate of$85 per lineal foot plus the
cost of materials.
THIS BECOMES A BIN,ING CO T UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
' 1 ACCEPT THIS fI L R Y CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVI�N�..�OF T I CONTRACT. I
Purchaser. ' � ��� `� �����Q
� Date:
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Illllllllllllllllllllllllll111111lIIll!!lIIIIIIIIIIIIIIIIIII `
2016085351
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Permil No. Parcei�D No ��~�� '�� _����Y "��v^
NOT{CE QF GOMMENGENiENT
S�ate of �V�i"'� County of Y `^��v
THE UN6EftStGNED hereby gives no#ice that impravement wii!be made to ceRain reai property,and in accordance wiih Chapter 713,Ftorida Statutes,
the foliowin9 information is provided in tbis Notice af Commencement: �j -yhn J� j�
1. Description pf Property: Parcel Identification N'oI. � ~�v'IX�' Q��V ~U���-v��`-'
StreetAddress:V f�� t v�� t t��fZu'1� < �1� ��� .1 (
2. General Description of Improvemenl
ec�.r o-� �e- ��
3. Owner formation or Les e informelion if the Lessee contracted for the im rovement;
� a�-� � ���nee.. t�c�b�� P
I`7'18"� vf�anu�ooc� ��, �ec.h Ccni c.S�c��Q 1�1a 55
Address � Cfty State
lnteresf in Property:
Neme of Fee Simple 7itleholder
pf different from Owner listed above)
Address n n �n� City State
A. Canlracror �J 'f +
Neme e�! l�}J �)t��l �l �t!'S ��5 LLf Y
tr�
Address �j(� /�/�C� Ciry State �� t3 �
Conlractor's Telephone No: ���� I�.+�-"'u r � � � w u- � W �
0 � � �, .... �� U
6. su�ety: � {� Z = �t�- c� -� >-
Name B O� � —� c� � �
O — �:
Address City Stale a « W z� � n
Amount of Bonci: $ Telephone No. �� Q �
6. Lender �'• } u" �
tSame ~ W � � �
,. Z � 00 � a5
Address �City State � �,�_„ � W Q ��
Lenders Telephone No. C� ¢ Q � � �
xc.� c� � w �
? Persons within the State af Ftorida designated hy the owner upan whom notices ar othec documents may be served as provided by Q �"' !-� e[ U
Section 713.13(1)(a)(7j,Florida Statutes: �y' U � p �
a � � � � o _i
Name 0 {� Q �� Q �
Address City Stale � � � � .� a
Telephane Number af Designat�d Person: � � �-- �7 � � u}
t3It134� � c;[
8, In addilion lo himself,ihe ovmer des(gnates of� f-. (,� � � J
to�eceive a copy of the Lienors Notice as provided in Section 713.i3(1}{b),Florida Statutes. � S �Z f— Q }
Telephone Number of Person or Entity Designated by Owner � �"' h � -``�� Q^ �
9. Expiration date oi Nolice of Commencement(the expiration dale may nol be betore the compl tian of c4ngtruclion and final payment to the _
/@j/� /� :{J t �
cbntractor,b�t wili 6e one year from the date of recording un(ess a di8erent date is specified): V l.T c f!� ��J� ��� • 'o �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ��, ' � C�'
ARE CONSIDERED IMPROPER PAYMEN7S UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 0 , �
RESULT IN YOUR PAYING PNtGE FQR lMPROVEMENTS 70 YOUR PROPER7Y A NOTICE OF COMMENCEMENT MUST BE � ;'� ` a 4 �'� � �
RECOftDED RND PQSTED ON THE JOS SITE SEFORE THE FtRST INSPEGTION. IF YOU lNTENO TC}OSTAIN FtNANCING,G4NSU�7 Q��:��
WI7H YOUR LENDER OR AN A'T?ORNEY BEFORE COMMENCING WORK OR RECdRDiNG YOUR NOTICE OF CpMMENCEMENT `0 � � �' ar �y
Under penalty of perjury,I declare that I have read lhe foregoing notice o ommencement and that the facts staled thereiri are true to the best �•• � � � �
of my knowtedge and belief. � y a �
STATEOF�9Rf5AI�.,�-r117$ 1va-�Q` ��p �,� 4R �F . �
t.� ra �.�.� .' ��'
COUNTY OF�Pk9eb-(��.��!a�d � `"'
gnature Oirmer or Lessee,or Owner's or�essee's Aut riz d �� �
OfficeUDire ortPartneriManager �r
• M
Stgnatory's TitlelOffice � 1� � �
rt t ! � /��
The foregoing insWment was acknovAetlged before me this day ot`„1.(,�.r�e.,,20r�,by V�+--i 1 Gv,�_��r'!Ql"`iC'_l-i."�{� �
as �u.bl ,�. _(type of authoriry,e.g.,oHicer,lruslee.ariomey in fact)for
�� �,�����Z�� , t�[f�3�_f} . (name af party on behaif af whom instrument was executed}.
Personally Known MC�R Praduoed Identificetion O Notary Signatur � &��.�1Q�,�.[.0�� �
� � I � � �
Type of identification Pcoduced Name{Prinq � (L_t1L. I . ht L_f? (�J�.��QY�
t`.x,•.
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Rept;1779877 RQc: 30.00 � �,.'f+ �:t i'`�7"'�`�`�' � '°
DS: 8.00 ZT: 0.00 �.:,:`��}s �i,���
406l2@12016 K. D. K., Dpty Cterk '�` ,�}� `• G� � ',
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NOiAAIAI SEAI ••' :�;'p p !r•,
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RiilsburQ Soro,Xo�k County W;x���.�ti y•� -
Comfnl�lllon Exptn�OCtobu 16,x01 e x•o'' ;O "��n '
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