HomeMy WebLinkAbout16-17459 � y
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� CITY OF ZEPHYRHILLS .
. 5335-8TH STREET '
(813)780-0020 �74�9 '
q BUILDING P.ERMIT ���
' PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 17459 Address: 6058 PARKHILL TERRACE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class�of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0000-03300-0010
Improv. Cost: 3,195.00 - OWNER INFORMATION�
Date Issued: 6/10/2016 Name: ZEPHYRHILLS LTD
Total Fees: 55.00 Address: PO BOX 5252
Amount Paid: 55.00 LAKELAND FL 33807-5252
Date Paid: 6/10/2016 Phone: 352-257-0032
Work Desc: A/C CHANGE OUT 2 TON
1 CONTRACTOR S APPUCATION FEES �
BAHR'S PROPANE GAS &A/C, INC. A/C CHANGEOUT 55.00
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� Ins ections Re uired �
DUCTSI STALLED
DUCTS II�SULATED
FINAL 1
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.
"Wa�ning 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.
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"CONTRACTOR 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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ServYce tJrderjProposal Air Condltionin 8�Heating
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� � . WQRK ORDER#lSERUICEMAN E�85�� JUN
Sales, Senrice & instaiiations L?ATEITZME TA4�,ElV �6��8�i6 13:;�
4441 Allen Rd. �Zephyrhiils, FL 33541 �AKE�! RY KIM 0�
DA7E/TIME F�ROMIaED �►6/�8/1E ��:�►�
�OTES: CU5T�h1ER#/LQCATI01� �i338
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( COi�TACT � J I M
ROUTEISEQ , JUN
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A � M GROPERTIES �ARKHIL.L TERRACE A�'T� ,
� RO BOX �25� 6��8 F'ARKNILL TERRACE T�R
L.AKEL,AND F'1� 338�7 ZERNYRHIL.LS FL.3,��4�=
UNIT •DRIPF'IIVG WATEa �
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� DESCRIPTION OF WOfZK QTl'. NIATERtl�t,5&SERVICES UNET PR10E AMQt1NT
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+ RECOMMENDATIONS ���� • ' � '
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Annuai Maintenance Recommended by Ali Equipment Manufactesrers. essures lo NI T-Stat � �
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� � • REFR T R- LBS. S par ibs. � �
I . , FILTERS x x L �
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� ' � • fitTERS c x Ghenged Montn�y �� • �
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i � l] R�GUL.AR 0 WARRAN7Y TC3TAL SUiVfMAF2Y
' Dehumidista�Settings: When here"ON", When Away�Q°(�, T-Stat$Q° 0 MAIN7ENANCE GONTRACT SERVICE � �
LIMITED WARRAN7'Y: All meterials,parts and,equipment are warranted by the manutacturers' MEl'WOD OF PAYMENT CALL " i
or suppliers'written warranty oniy.AII IaDor performed by the abave named company is wananted for • TO7AL i
30 days or as othenvise mQicated in wnting,The above�amed company makes no other warranties. U CASH ❑CK#
express or implied;and its agents or technicians are nol authorized to make any such warranties on tViATERfALS i
beha4f of above rtamed campany. C�DEBlT 0 CREDlT Cl OTi-!Eft MA4NTENANCE �
t have avthonty So orCnr the work autlinoG abara which nas bean attus(aGarsty campleled t agroe that Saller PROG. W ! C �
re�alns U(lo Ip epuipfhc�Vmalerials Iurnishe0 un61 finat paymCnl i5 maAe.II pdymenl is n0I mad2 as aqreBd. ���(�/`# �
sa�7er can removc sa�d epuipmenVmelonais at Selln{s ezpense.Any tlamuge reSulting Irom saiC removai sna�l
nut 6e iha respons�G�irty of Selfaa NET 30 6AYS.�t t 5J2°c SEftVtCE CMARGE Will BE AODED MONTNCY t0 �
aI,L UNPAID BALAACES OVER 70 DAYS.NQ REFUND5 DATE COMPLETED
� TECH, ��x ' i
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CUSTOM1fER SIGHA7URE DA7E
t t.cL>r �. �c� TOTAL �
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a��s-�eo-oo�o City of Zephyrhills Permit Application Fax 813-780-0021
, � Ballding Department
Dats ltecetaed Phans Coetact'for Permlttin � .� tS c�. - S��l�
Owner's N�me �G' � IQ�l LL..S L Owner Phane Number 3��- ��� ��/
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Owner's Addrass �D � ��5c�- �-�-iKu/��,�� � ���Owrner•Phone Numb�r �' �
Fee 3lmple Yitlehold�r Name �� � Owner Phone Number � � ,
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Fee Simple Titleholde�Address "'� -
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JOB ADDRESS ��S LL. l21'f'GiL?�?.-�i�', G� /l /�'NL L.LS /�.3..�S LOT#
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S�Ba,�,s�a� ��i�ZKIf'IGL J�/�"A�'G' PARCELID# D�- - -��-�a -a33�o �-a��� � . .
WORK PR IP�}SED � " NEW CONSTR `�- ADL}lAI:T � S1G(d NED FR�4M, PROPERTY TO nc�!DEMQLiSH -
eINSTALL � .REPAIR
PR4POSE I-USE , Q S�R [� CtOMM Q OTHER �
TYPE OF C i NSTRUCTION 5` Q `BLOCK " [� FRAME � STEEI. [�, -
DESCRIPTI�N OF WORK L� GJ �-L7L�� � r�� � L°D-'!Yj D/�,{�I���
BUILDING$IZE SC!FOOTAGE�� , HEIGNT�=. � ,
QSl1{�DINCa $ .�...>;�._.._._ �,�,. , �,_ `,, .. ,..
, I , , VALUATiON 4F"TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVIGE [� PRC}GRESS ENEi2GY Q W.R.E.C.
QFIkUNlSINC� $ --
QM�CMANtCRI $ VA�UATION t�F MECHANICAL tNSi'AL�Ai'ICtiV_ J��
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QG S Q ROQFl�UG _ Q SPECIAt.'T.Y-�� OTHER � �-�
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FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA �YES. NO
BU{LOER COMPANY
SIGNATUR� REGISTERED Y/ N " FEE CURREA YJ N
Address Gcense# �
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��Ec�c��< coM��r _ `
, SIGNATURE '� RECaISTERED Y/ N FEE CURRE� Y/N
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' Addres� , I:icen`se,#; '
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P�UMBER .. COMPANY �
SIGNA7URE RECiISTERED . ,,Y/--N • � FEE CURREN Y/'N:
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' M�cN,a�ic�. � ° � f �coMPat�ir 1�r2 S � ��. t �
SIGNATURE ���� REGISTERED Yr/ N , FE CURRED" Y/=N-..
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� Address' `'�� ��J � �lC�.�' �: �3 _ � License# ��'t...=v�{J��� �
OTHER �� COMPANY � �
I SIGNI�►TURE, - • � REGISTERED �Y/ N:.; . �FEECURRE� Y�/:N;..
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Attdress ••�; � ` ,. '' . ';License#'� �
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RESIDENTIAl::'.3•Attacfi(2}:,PIot;Plans;:{2},s�-of'Sutl`ding�ptans;`-{1j sef of�Energy�Forms;'R-O=Vtt'.Peririi#fot n°.e"v�;,aonstruction,
� ,:� Minimumzken:(�1p)_.pyorking;d'a,ys�after�subinlftal;daEe:�Requlretlonsite,�ConstruaUon�Plans;�Sfor`mwate�'Plensw/�SiltFenceinstalled,
� �.�"'�Sa�itary�FaGl(tles.&a1�;dumpster-Slte�,Wark:,Permlfforsutidiv'islo�".sAarge°pioJects; :,`:;,�':;':'`'{.`,` ' .
COMMERCIAL Attac�{3}'cor"nplete sefs�'of B`ii3lding�Plaris�plus�a I.ife Safety Fage;`{1}set of Energy Forms.R O-W Permit far new=canstsucttfl�.
� Mlnfmum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Faclli8es&1 dumpstar.Site_Work Partnft for all new'prciJeots:All commercial requirements must.ri►ee!compllance
' SlGN PERMIT AttacttiV(2}sets af'�`ngineer.ed;Ptans.;��:{a`<� .. ; ;•... � „ {
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"""PROPERTY SURVEY reguin�d,.for;all NEW constructtan...
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Dlreations: .. _ .� - <
Fill aut applicaUon completely. � -
Uwnsr&�Contractor sign back-of apptfcaUcn,notadzed
If aver�250d,a Nottce cf Commsn�sen�nt is required. {A!C upgrades ovar 57500j , �
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'" Agent(for tti�e�contractor)or`Power of`Attortiey(fb�tFie'owner)wauld be someone writh notarized letter from owner authorizing same,,,,.; ,
`QV.ERTHECtLiUNTER..PERMi71'ING.�... -- {Frontof�APPtica#ion�Onty} ,_ - - � . . .
Reroofs if shi�gles Sewers Service Upgrades 'IVC'y Fences�(PlodSurvey/Footage) � � �
_.z. .-+•,-' �
Drtvsways-Nat over Caunter if on pubflc roadways.:needs ROW � ° _ , � , ,
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NOTiCE OF DEED R��TRIC�'fONS: Th�.ur�decsEgnet�-.under�tands�:tl�t,thls;;p�mtit;may.be.sub)eat.to,°deed",restiricttons"�� � ..
which ma tie°more�r,estrictive��th��i Gounty�regulatforis:�Ttie underslgned"a5sumes;�espons#!illttjr`for�compl�anc�'wlth`any,:.' ` _
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applicabl�d�ed�resh�ict�ons. , :�� ; . , . ,_ _, .: v ..,: ;_ .
UNLICENBED CONTRACTORS��AND �CONTRACTOR RESPONSIBILITIES: �if-ttie oinmer=has�'�htred�"aY"corttractar or
contractors to undertake woric, they may-be:r�,qulredA.to�,be�:lEc�nsed in�cc�r¢i�nce.rMith;sta�e.and;local.=r�guiatio�s:��tf�fhe= � `
cont�acto��.ls=not,i{certsei!-=as�requicetfix6y law; tioth��the owner and conti�actor�in4ay�be-ctted�fo�r`a�4r»istlemeanor vtolation
under state law. !f the owner ar Intended=�contr,actor�:are:uncertaln as,ta whatticensing requlre�en#s;rna�r=:�pply�.�i'o�.�t�ie�A�. �.y�- �� ,
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intended wark, they are.advisetl'tb caintact tfie.Pasco:�ounty Bulldirig'Inspection DtvisloFr-Ucensing'Sectlon at 7Z7-847-
8009. Furthermore; if tlie ovmer Fias'=ht�ed a contracto�o��contractors, he Is advlsed to have'the ccintractor(s),..sign
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portfons of#he �canhactor 81ock° of;this appiicatian for,v_uhich they wiii.be r.esponstbte. .if�you,:as:..#he owiier''stjgn"�as'"fhe`-
con#fac#or, thaf Y»ay be�an indica#1an�fltat�he�is�nat�propeily lfcensed arid"is°riof`ei�t�lei#�to peTri�tiit#1ttg��r�tNegss tn Pasco
County. � .1
TRANSPORTATION tMPACTIUTIGTIES IMRAC7�ANb�RESQU�tCE RE�OVERY FEES,�The�under�lgned�understands
that Transpar4�t�on Impact I�ees and.Re�o.urse Recovery.Fees may?applyY:ta tF�e.construction of new.buildings;.iahange�`of'� " '` °
use in existing buitdings;::or�<expa�tisi�n�.of'�ei�isti��g���uildings", as specified.in P.�sco County Ordinanae number 89-p1 and
90-07, as amended.,,..Th� undersigned also;understands, #hait:�such fees;;as tnay�b+e���dae;�wiil;;�e identified at the�#itries-of�` � -
permitting. !t is fiirt#ier understood that Tra�spbrtatlan lmpact Fees and�Resource Reco�erys Fees,must be paid pr�ar to
reaeEving a°asrttflsate-of-occupancy"�or flnak�pawer=celease. :f€�the proj�c�:daes:not�lnvalve.a:certi�cafe of occupancy:oi�'= " �
flnal power celease;.,the:fees-mu�t-be�pald"pcia�#o permit Issuance. F��thermore;,•if:PascQ,.County'WateelSewer�=lrnpact ��
fees are due, they.,must..be_•.pald.:p�lor to permiE-lssuarice•:in_accordance.witfi�appllcable-Pasco�County ordinances,
CONSTRUCTtQN`LtEN"LAYV"(C�apter 713�Florlda�Qatuteso�a amendedj: If vatuatlon of work is�2,500:00,or more, b � .
certify that i, .#he,appticant, .have�been,:praVlded with a-copy�of fhe��°Fiorida-Consfiuction--Llecr_Law--Homeowne�'s
Proteck4on GuEde° prepared by flie Floi�da Departmer�f of Agrtc.uiture and Gans�mer Affairs. If the app(ican#is someona ��
other than the powner", I certl�jr th�t.4 have,obt�ined�a�caRY,:of#he.above..descrf�ie�d��docc"i�ent�and:prom}se�:in,goqd falth,to
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deliver It to the"owne�':prior to�commencement:�'� ' ' ' ' � ' .
CONTRACTOR'S/OWNER'S AFFIDAViT: I.;ceitlfy;,#liat.:al{.tha,lnfarmatlon:ln�this applicatlon is accurate.and that all work
wiil'be dane in compliance with all appticable iaws regulaBng construcHon� zoning and��land;deveiopment. Applicatlon Is
hereby made ta, obtaln 4a.permit:.to;dc, work,,::and lhstellation as indicated:��. �1 certtfy that no work`#or instatlation has
commenced pr1o� to Issuance of a perniit an�that.all work wiN be pertarmed�to meet.standands of'aii laws reguta�ing-_ '
oonstructlon, County and City codss, ioning regulatians,. and land development regt�lattons•fn ttie��Jurlsdlctfon.: 1 al'so
certlty that I understand that the regulatlans of other�government agencles may�apply�to the lntended work, and that it!s !
my respansibility to 1der�#ify�what.a�tions I must take:tn be=ln:.cotr�plfancs..i Such agenoles lnalude but are.notllmtted.to:
- Department of Erlvironmental�°ProtecHon=Cypress.'Bayhead�,�Wetland_Ar��as and �nvlronmentally Sensttive �
Lands,WeterlW�stewater Trea#ment. ,
- Southwest 1=forida Water Managemen� ..Dlstric#-Wells, -Cypress.��8aytieads�, Wetiand Areas, Aitering .
Watercourses. -
- Army Corps of Engtnee�s•Seswalls�Docks, Navlga�tile Waterways.
- Department of Health� � ReFaablli#ativ.e Seni,tceslEnvironmental Neaitl� Unit-Well.s� Waste.water Treatment,
Se�tta Tanks. . . ,
- US Ernironment�!Protectlan Agency-Asbestos abatement.
- Federal Avlet�on Author!ly-ftunv�rays.- �
I unde�stand that the followl�g�restrlctions apply`to the�se of flA:� '
- Use of fl�l ls not ailawed ln Flnod Zone°'V"unless expressly permltted.
- If the fi11 ma#eriai �is to �be used:�tn.�Fiood Zone. °A"� tt. is understoo+d that a dralnage plan address(ng a
"compensating volume"will be subml#ted at#ime af permifting whtch is prepared by a professionai engineer
Iicensed by�he.�tate�af�F�iirtda:
- If ihe flll rnaterlal�_!s�to be used in Flood �one 'A" !n�connection�wlth:a��ecmltted bullding usfng stem wall
' construction; I certify that flll:v�lll:b.e used only.to.fi!!the area withtn�the�stetn•wall. -
- If flll materlal`Is to� be used-�in any aree�, I �certlfy that use. of such�flll w111 not adversely aifect adJacent
pfoperties. If use of fill is found to advereety.�ifiect�`adja�en#��properties,,the owner may be'cited for vlalating
the condl#ian.s of tha"tiuiiding::permit issued under the.at�acfied �ermit �pplica#ion, for:lots less #han.one (1) �
acre whlch ere eRevated�by�1l11,a�t englsteer�ed drainage plan ts required. • '
If I aen the AGENT.FOR TH�_01lYNER,I�roriitse!n good#alth to lnform the owner of�the.permltting_condiilons set forth In !
this affidavlt�prfor ta commer�cing consMuotlnn. "I'understand that a=seQarate permlt may be tequtred fQr elect�lcal wor.k,
•4:..�.. 'i"S,vr-yIC:Y
plumbing, signs, weiis,:paots;.air__condttiantng,.;gas,>•ar:att�e� inst�ti`af#�`ons no�•spec�lcally lncluded-in.tMe �pplicatian. �A �;
permii issueii shalt be•conshved#a tie�a'ttcense.ta prcmceed with tiie vnotk arid r�ot:as�authority.to,vioiate,cancei� alter, or
set aslde any provlsfons rif ttie.#ecttnical.codes; nor shalt lssuan�er�of a.per�nft.pc�vent thE Bul#dirig t�ci�l fram th�reafter
requlring a oorreetto�caf errors ln.plans,�onsffuc#lo►tor vlolatlon�of any aodes: _�verypermlt i.ssued•shell become ir�valid
unless the work authorized.by such permlt:�ls-commenced�avlthtn stx__manths of permlt lssuance� or !f wark autharized by ;
the permif is suspended or.abandoned-for:a:per(od,of,six(�)�montfiis;:afteir the tlme the�work�•ts commenced. An extenslon �
fiay be requested� in writing; fram the�Building;Of�iclal far a periad�:not�to.ex�eed ninety�(90)�days�and wilt�demonstrate �
usti#iabfe cause for.�tha extenstot�. li work ceases:for ttinety(90)can�ecutive:d�ysr..#he)ob�is�considered abandoned. `'
NARNlNG TO i�WNER: YQUFt..FA1LWRE TCI..�RE.C.t?!tQ-;A,:NQT16E OF-COMMENEEME�T,MAY=RESUl:T tN�YOUR ,
�AYING TWICE FORiMPRC1�/EMEN;�'�:TO YOUR�:.PROPEI'�7Y�=1��YO.U;I�et�TENQ:T�°��?B1�AlN��FI[�tANE1NG;'CC?N3Ul.T
NIT UR D O� AM TTO � .�� O. E� -O � ��YOU ��N�� ��E:[f �' �" � � ��E� - -- �
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�f�vi�cd�ia s�Ji�Afi�(�:s.- . PJ9)� c.�. � . ,,� . .
)WNER OR AOENT ` ^�t�t.tct�'X-�.�C, CONTRACTO ����.PiI�L�
iubscrtbed and swom r aflirmedj beiare me fhls ' Subsaib�d and' =to(ot aflltmedpb re�me�ttit�
by ,b.
Vho islare personaily tcnavm b.me or hasihaye produced Who�ls/are p.ersonafly knowmM me ar has/have�produced � -
asfdentlRcaBon. � astde»��caUon.
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�U���� Motary Publtc . " `�i"I�.." Notary Publlc
:om on Na' Comrlf+ls�!
,;ti►xYer�,, JACQUELINE 60C,ES ""'•�
��� := Ca i izq:"'�°�1�;; JAGQt1E�INE BQGES
lame ot Notary typed,p�l , 'pEzpires Deeember 12,241$ Name ot Nota C�e 50�1?2
P ,;, •4= xprres ecember 12,7_ptg
�''"R��°.•'� Bondad Thru iray Foln Insuraaco 800-305•7018 ':,Q;,�;:��°` Bwtdyd Thnr 7roy Fein tnsurat
�ec+B06-385.7015
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