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16-17735
CITY OF ZEPHYRHILLS - L 5335-8TH STREET (813)780-0020 �77 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit �lumber: 17735 Address: 6545 NORTH LAKE DR ' Perrnit Type: MECHANICAL ZEPHYRHILLS, FL. Class,of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Squ�re Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0150-00000-0010 Impr�v. Cost: 7,350.00 OWNER INFORMATION Date Issued: 9/15/2016 Name: PLEWES, JOHN E. Tot I Fees: 75.00 Address: 6545 NORTHLAKE DR. Amo�nt Paid: 75.00 ZEPHYRHILLS D ��te Paid: 9/15/2016 Phone: 813-779-1889 Wo k Desc: A/C CHANGE OUT 2 TON i CONTRACTOR S APPLICATION FEES CHRIS' A/C CO. A/C CHANGEOUT 75.00 i � II I �� n � � ( l � � ( ��� i � � j Ins ections Re uired DUCTS INS A LED � DUCTS INS LATED FINAL II REINSP, CTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local g vernment 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�ound 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. "Warn ng 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." Comple e Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with I City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. I NO OCCUPANCY BEFORE C.O. i �� � � — � � �_ � CONTRACTOR SIGNA, RE PERMIT OFFI R �I PERMIT EX RES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �, PROTECT CARD FROM WEATHER � � ', �� �� �'�� �! � i _..� c t� na� P A ' � ` Y H�/AC ' PROPOSAL �i CAC058575 12232 HWY 301 DADE CITY {352) 521-4977 DAD� CITY, FL 33525 ZEf'HYF2HILLS (813) 779-9515 NAME: John Plewes Date: 09/07/16 SPLIT SYSTEM XX PKG UNIT SUBDIVISION: SIIV2f 02kS HEATPUMP X STR.COOL � ADD ,ESS: 6545 Northlake Drive - � � ` CITY•', Zeph fhillS z�P co�E: 33542 CONDENSER: 4A7VOO24A� � PHON,�. 813-779-1889 WORK: IR HANDLER: TAMHCOB3O CELL.�II RENTER: HEATER: BAYEVACOSLG� ESTIM�TOR: BRAND� AM. STD.VARIABLE SPEED � " �',I" � INGLUDED IN PRtJP�JSAL � - sEER waT�rv�: 20 8,950.00 vERT�' ,4� INSTANT REBATE 1,600.00 ' PRO 8��00 THERMOSTAT/ PROGRAMMABLE/3 HEAT 2 COOL TOTAL . 7,3JO.00 i IN-LINE FLOAT TONNAGE: 2 PARTS: 1 O YR � CONNECTED TO EXISTING DUCTS AND ELECTRIC COMPRESSOR: 12 YR �asoR: 1 YR ANCH�,�R CONDENSER ` PAD I CONDENSER: � TAX, �,BOR AND PERMIT IR HANDLER: #N�A REMO��E EXISTING EQUIPMENT HEATER: #N�A $200 D SCOUNT /SENIOR - BRAND: #N/A ' �I SEER RATING: � #NII� � � INSTANT REBATE : �#(�/Q I TOTAL : #N�A I TONNAGE. ,'I�N/A PARTS: #N/A '� COMPRESSOR: #N/A LABOR: #N/A � . . II CONDENSER: � I IR HANDLER: #N�A � HEATER: #N/A I� BwaN�: #N/A I SEER RATING: � #N/A ..�� ,� � , - � ° INSTANT REBATE � #E�IIA I HAVE TH AUTHORITY TO ORDER THE WORK OUTLINED ABOVE. I AGREE THAT SELLER TOTA L . �NI� I RETAINS ITLE TO EQUIPMENTAND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT TONNAGE. $�N/A PARTS' #N/A IS NOT MI DE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT COMPRESSOR: #N/A �BOR: 1 YR SELLERS I�XPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE I THE RESP� NSIBILITY OF SELLER. LIMITED WARRANTY�EQUIPMENT,PARTS AND MATERIA I HAS WRITTEN MANUFACTURER'S WARRANTY ONLY _ ; ,�k9r' **':"° � - ,�PROM4TI4N ��,. � -- � ',O% FOR 60 MONTHS �� (WAC)� �I ,. , � � � ', , , OR � ° a �, CUSTO ER SIGNATURE oATE. �} '.INSTANT'REBATE / ; i a�aaeo•ao2o City of Zephyrhills Permit Applicatian Fax-a�aaaa-oo21 - ' r Building Department Dat�Itecetve�d ;f , Phons�Gantaet'for Permittin '�J`�r�' J�c� Ownar's�tarne 17 : . . . G� g � tiwrner Phone Ntumber t�f� 7�' T� r' '�t1 � Owner'a l�:sldress �O�%� o r�/L �'�wrnerPhone Number � � Fee Slmpi�Titlehalder Name•• � � i3wner phone Number _ � - '�,7,�:'— . � �'� Fee Simpl�Titleholder Addresa ��� � - _ L� � i JOB�DRESS � �'�- LO'T# sus�ivis�or� �i/it.�'o���z,d�u.� � P�c��.i�# 0_ � ��, , - . U�UQ• QCaI D �(OBTAINED FRQM'PROPERTY TAX`NOTICE} ` WORK PR��POS�D � , " � NEw CONSTR '` �' ADDJAI�T � S1GN 'Q Q DEMOLISH ' ,. e INSTAI:L 8 � REPAIR ` � � PROPOSE I( USE � SFi3 �] `COMM ` �� O'Cl1EF2 TYPE OF C,�N�TRWCTION., [,�` BLOCK�' 'Q FRAME � STEEL Q� DESCRIPTION OF WORK V� r �,r" _ . �/ �� . BUiLDING$IZE-� �� $Q.FOO'TAGE�� , HEI�HT . .. � QBUILDIFIC� � --�.�sYw:;w�v. �.�r',in. '' i •VALUATION�F1TQ1'AL CONSTRUCTION QE��ECTRICAI $ AMP SERVICE PROGRESS ENERGY W.F2.E.C. ca , a � o�i�,��t�� � � . . � �� ; IUI��CHAht1EA� $ VA�UATtON OF M�GHJ�NlCAI INSTALlAT10N �� ��� �' � . QGR�S Q ftOOFlNG-.,Q SPECIAITY�•�� OTHE#2� � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO � `K � � � �� . . . � �UiL.DEit � COE1i1Pi4t�1Y - -- - - - - - - - ._ - - - —- SIGNNTUR� REGISTERED Y/ N �e CuttRen' , Y/.N - , Addre�� _ L:It�ense'#��-�_._ , I i , . . �t�CTF2tC1 „ CCiM�ANY SIGPI�ATUIt��, ' REGISTERED Y/ N FEE CURRE� Y/N Ad¢Pe��� �_ '.License#�<l - I PU1tV98E� I� tAWlP.ANY� . . , SIGPMATURE��' REGIS7EREpt ' -:,Y/�,�N � :FEE:CURRE� � Y/N:- '` I . . I�1ddTe88 _ ' , , ..UC6�S6#'� � � - :s, - � .., : � _ , EWECF{�11+IICAia' _ � ,CQiV�P�4FtY _ ;,fi�� SIGN�0.TURE ' �C/C%���G�Z%��2�L''Z+C�/ REGIS7ERED` . .,-.:/ N . �,FEE'CURREtc tN�` � , � ,: . . ,., , . - A�ddres�`' ' G-�`�' ' �� �" ,.License#�(, . , O'�NER : � : . . ' � GOi�lPANY .. . � , SIGWAYURE " - ' ' ` ' ' � REGIS7ERED Y/ N:., , ,.;FEE C.rURRE�" :,Y.�/,N-'_:; � - . - ��: �ddre�s ,- �.-�: Y %,s; . . ... .� _ > . _ . . �License#��� � - 'r�-` �:6��.,,..i 4:y�;.."r ^.t`., 6�•i5,• - '`4'2"';?_....t.. ..{.; .. , ' � �i,.. <" ,�.n., n.. �'{.._, �tE81DEF1�'.�`;=Attach�2;:P.,tot;�Ptaits�;:2��''set's=of�8uildln "Plans•: 1`.sef`of�Ene �Farms�'R-O-Vtt.�Permit:ficr.new.con"s#nictton;. . - { }. , ,,{,� . .9 . �{.) , r9Y .., • :.�Mi�imum.a.tens(�1Q)rworiting;days��aiter„subrrilttal�:date.�Requfred onsite;-.Constru'odon�Plans;.Stormwafer'Rlans.w/Slit Fence installed, . Sanl4aiy�F..acjliti,es�&a9n�,umRster.,�SlteF-lNcr,Ic:�Per,mlY:fo �S �Preects�;;:�,'x;?r����:s'�^ _;�- � - , . - r seitidlvlsloiis/la e: �_'. . :, • � � � ..: � COA�MERClAI. Attach(3)`t;cii�3ptete sefs'of`Bu�ililing Plans`ptus�a Life Safety Page;{1)set af Energy Farms.R t?-W Petmit far new canstructlon: Minimum ten(1Q)wnrlcing days'after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Sllt Fence installed;, , Sar►ftary FadtfUes 8�1_dumpster.,Site Work.Permft�r aN.new�prcijeGt's:A!!commerclaGrequlrements must cneet comp8ance . SlGN F�ERNilT� AttacFi(2j'sets of'Engi'neereci;Plat►s;,�k:;-�wr„�'- . . � � � � i `"""PROP..ERTY.SURVEY:reguirec!_for aII,NEW;,construction.,,. , _ - i � D1(�ctlOriS: �� .:�l.r`.�,. ',T - -- - _. • F(II out applicatlan completely. Oinrner&Gcntractor slgn.back�of applEcatton,nota[ized if over$2 00,a°Wottce af.Commencernent i$requlre.d. (AIC upgrades over 57500) � � •_:, .. _. _ ,>.;.,<_,�•,�i>��`.�'=: .,- „� :.. ....,...._... _ ..._.... - . " Agent(for� e contractp�);Or.Pot�ei�of.Att6riiey(f ot�t t ie.owner)wau l d be someone wi t h no t a r i z e d le tter f rom owner au t ho�iz ing same � . .��, - - _ . . _ - 'D,Y,ER°THE"GACIN7ER.PERMiTTiNt�-- - -{Front.af•ApPllc,a�on Oniy) � .� � Reroafs if shingles Sewars Serv(ca Upgrades A/C .Fences,(PIoUSurvey/Footage) , -- :.` , ':�;= - DHveways�Not over Counter if on publlc roadways.:needs ROW � I � i I i , , - , . - - , ,_ • : , _'- � _ l _� OT10E OF DEED.RES'�'RICTIONS: The�undersigned�.unders�tan,ds;f.th�t:thls.:��rm[��. y.;:.,ti t�_ f;:'} " •ma be.,sub)e " " "`��' ' " ct..to� dee�l.:re� ictions. - _ _ - - - _ " -•.��'.Sti�- <d:. :!' pr,�ai�:r. w,�;. .t,y�.: •:aS'+r' ;a.�'-::h' .;ri..�'•l.l:__`:'..�-:�'>.'�s_",'+ .,: �hich may:bef:more��rrest�icfiVe:th��t•Gounty;�:reg�latfotts:�.-TFie�;�nderslgned'`a�'sumes�cesp�n�sibtilly.-�.for^compliance_with any PPlicatile.deed:iestrlctlons. � .._:�..;:.3,.;.;,.;�;,�;-,:,<�:�,�;. : '; .3 - - - - _ r ;�,��<�,��.. „ . NLICEMSED�uGONTRAC�OIt�_-.AND�'CONTRAGTOR�°RESPONSI��ILI���S':�-°�1€��he"ownec��has`fitred"`�"i�f�tractor or �ntractors�to undettaike work :the '_ma;tie::rer uired'to;�.e� , . . , '.."`".`$��-�� �-_ .Y,:,...Y , ,-q�r,-.�;�4 , �Il�eris.etl;�ln:�.aa:acdance;with„state::and`�(oca1.,��egul,allons;;�:�if�tFie.� 'r ,�-.�::.�-• �ntractor,;ls,not�:llcensed�;es��requlred'tiy�law;.both the owner andacontrector�majr'�be°�cltt�c!for�a�mtsderr�eenorviolation , nder state law. If the ownec or Intendea>-co,nt'eatbr;�ar,.e�unce�talh�as:to what°Iicensing.cequiremenis:rmay�app�icl�r�the��=.����:9�::�<:�� .�'}. , f;v'k�;J,��.+,}..,. �. rn.a..;t.yY: ..1... . .. .... . � .!.: -*.. ^. ,.r - . , ,._.... �.�...-. ;:-...?s..; tended work;�they�are atlVised'�t'o.'contact�the:�Pasco;•.County;Bulldtng;:Inspect(on,;Dlvlslon-;=Llcensing Section at 727=847- ._.�_.._:.._�„�,...�,.<,,.�e:....,:,....,,.:.�-_ .�," .�:,u-.,r.,,r�; ,.. �09. Eurthermore;=lf�the:>.ovimer ha's"'°hfP�d�a•�cont`r`acto��or`conUactors. he la �edvised'to have;�.the contrscfior(s).,;sign,,r,.,.,_,.„;.�-. � �rtlons of'the.`contrector Block°.�of_°.tfils,eppllcation�for whichTthey._,will._be;r:esponsible.--:If,yoL;�as�;.fhe`�o`"wiie��st'gn:'as�the�=' '�"� ` =' mtracto�;-tliat'�ney=:be�an`indlcation_�that"he�is�not".properiy°�licensed�'and"ts'�'n`ot"enNtled"Eo'-permiKing p�ivileges�In Pasco _ ` ; �. . t ��i£:�.Tij.��4�,i,�'.,�fr��,„ !1 �� P.4'�. _ ... . . -. ' :. .. .__'.__ i:_,:_.....- �LLi�..;, , c � ..1 ,,. oun . .,. - . - ___..____..�.. . RANSPORTA;TION�IMPACTIUTIL�ITI�S��fMPAC'�.ANb�I�ESOUItCE�RECOVERY�FEE3:�Th�nntler�Fgnei��u�derstands �a . . . ,..w. _w at Trensportatlon Impact Fees�and.Recourse_Recovery.Fees may�epply.#o:tf�e�c;onstruction;,of,new:buildings;,�change�6fi°''�``=�����° � Aa � , :e In existing�bulldings;�a�c�;expanst�n{�.o.f,=��xis�`�j,bciildings;as spectfled:In Pasco�County Ordinence number 89-07 and s � )-07. as amende.d..«..Th� undersigned also.understands, thgt�sueh fees�;as,tnay;�'be:-�due„tw�IF.-6e iden�lfied at the<time��of��> '=���a� ��'�°-� `� . .. , _ . jrmimng. It Is furlfie�'understood th�t Tra�i�portation.Imp�cf`Fees and�,Resour:ce`Recb�►ery�;Fees.,mu�Y be paid prlor to ' ce�ving,a:"cerfificate•,of-vccupancy"��or flnat�.power,Release:.:1��the.proJ�cf;;does:not lavoh►e�a:.certfficate.of occupancy o����"�'�����L"' _ - ial power�release;:the:fees�;mu6it;�b���paid�prlor,to�p,er.mit lsst�ance. :F�i�tk�emnore;;�ff:Pascm,,County►:,Vllater/S._ewer,•�Impact�t;..� � - . ,,:. . , . � . , , es are d'.ue,:they_:must be�pald pcTor to•.permit`:Iss4ance:�n accordance witC�,applicatite:Pasco'�-Gouniy�ordinances. DN3TR,UCTION"L'IEN"L'-`AV(1(Chapter 713�Florlds�"Statutes��am�rrded); if eraluatlon ofawork is$2,500:0.O.,�or more,�I� : �-�,�;:--.. , �rtify that,,l,:,the_:applicent,__bav.e.:b.een�::provided:�wtth-a�-copy::of:�the:"Florida� ConstiticNo'n.=�Lien�:Law liomeowner's �otection Guide" prepared by:�tFie`Flo�ida�Depertme�t:of Agric.ulture and Consum�er,�4ffatrs; if the epplicant Is sohneone,: � ;��� �r�n her than the owner",.I certify.th�t;l,have.obfaiined=��,r•,'opy;of;the,�bove.:ries,cribed�tlbcu�ent.anrd:;promis��tn;�Qod�#aith to: -.. . - jiiver it to��the;'owne�"��prioF�'to�commencemeri�:'. .,�: �,`` . � � , . . -,-r��,. - . .- - .."�� . . .. : � . � ' ONTRACTOR'SIOWNER'S AFFIDAVIT: I.ceitlty;�tki�at:al4:�the�=:lnformetionzin�thi�appllcation is accurat�Fand that all work � ill'be done in compltance with all.appllcable laws regulatlng construction� zoning and�land;development. Applicatlon is �� lreby made.to,obtatn��a;.permik;to;::do.�;:wo��,ana:��ih$t�nacio� ag i�a�ceted�.•;; :I_ certffy-tFiat no�work';or Installatlon"Fias• ' �mmenced'p�lor to'Issuance of'a�.peiniit.�and thaf.all'work will be perFormed�to meet-;standgcds:-of:.all laws regulating- mstruction, County and City codes, zoning regulattans, and land development�tegulatlons`=In`�the;ju�isdlction.�� �I�al'so � �rtify that I understand thaf.tfie regulations of other government agencies may•apply�to.;ihe;_intended:work, and that it(s : ' y responsibiiity to Identity�what.act(ons:I.must�take:to be,In:.corr�pllar�cs;R S.uch;agencles=lncl�de�but=ace_:not Iimited.to:-� , f - Depa�trtient of Er�vtronmental��Prote`cti�n=G�ipress�`Bayhead�;'Wetlanil?Areas and Envtronmentally Sensttive Lands,WatedWastewater Treatinent. ' �- � - � - Southwest Florida Water Management�':.;I�Istrlct Wells, �Cypress•'f�.Bay��ads�;� �Wetla%td Areas, Altering ' VVatercourses. � _ - • � �=; - Army Corps of Englneers�eawalls;�.Doeks� Mavlgatile Weterways. �� , - Department.of .Health:.B.:ReMabilltativ.e_�$.ervtces/Envtronmental�:He�lth Untt:Well.s;.:Waste.water�Treatment, � � � .$ep11c Tanks:. • , . �_ ,. `__.� ' , , '=�, �i3 Environmentai Profecilon Agency-Asbestos atiatement.„ - :. Federal Avlatlon,-AWMo�1ty iRumnre.ys:. ,.-_;, _ .,. . . nderstand that.the_follow�ng;rest�lctl,'ons apply fo�the t�se of flll:• - - Use of ftll Is not allowed:tn Flood;:�one"V"unless expressly.permltted. - If�-th.e�flll�.mateFl,al�'I"s':�to:`:be:�usetl�In.�f..lood..Zone: °A", It Is-underetood`that�a dralnage plan addresstng a "compensating�volume"wlll,.be submlited at�lme.'of�p.ermlfting whlch ls prepared by a professional engtneer ' � Ilcensed•b ��the:�State�of;.Floflda: � � - : :-�= - If ihe flll.:,materlal��ls�-to>:be used In �lo�d �one 'A" Irn connectton�wlth'a��ermltted ballding usin� stem wall construction,.l,certify,that flll:wJll:b.e;�sed,only.to.1111 the..area.wtthln�the�stem�wall. - - If��flll=rrmate�lal��ts�to`be'�used�ln any area;=f�certffy tfiat .use. of.�suah'�flll wlll not adversely affect adjacent '. propertles._If use:of,f111,ls,found.to adversel�r,�fecf�adJa�erit�:pr�pertles,.the owner may be clted for vloCating. � the condllions:�of.tFie.'b�illaing�p�rmlt IssAu;ed:_under the�'atfacMed.,�ecmlt:_aipplicatlon; for:lots less�.than.one (1) acre whlch ete�elevafeiJ�tsy,�flll;��t engineered dralnage�plan ls requlred. . . , am the AGEN.T..FOR.THE�OIMNER;;°I�roml'se�In good,falth to�lnform the-owner:of�the,p;ermltting.condltlons.set forth In '� $:_:....... ..,..�.._,�...:_ .. ,�.: � s affidavlt�prlor to-commencing��constructlun.���1`uniierstarid"thet a=aeparats permit may be requlred for electMcal work, �°� � .. . , _r� „�. .� , ..:, imbtng, signs� wells,,:po_ols,,.alr..cond(tloning�.,gas.::or�,other. Ins#al��lons not.spec�lcally Included�in.the applic�tlon. •A , .r, 4;�E � rmlt Issued sfiall"be-_consit%uetl_to'be�a`�Ilcense:to�proceed wlth"�tfiTe`"work end not.as;authoHty#o:_vlolate,.cancel� alte�. or � ►aslde any�provlstons�ofi�the':tecFinlcal°codes;�nor shall tssuance�of a:permlf.prevent the Bulldlrig Ofticlal from thereaRer �'�' �ulring a'correctton-o�isrrors:ln�,plens;;`cohshuctlon,orvlolatlons�of°any codes:�-�very:p�errnit�lssued:�hall�become•invalid � �y less the work authorized':by sucli pe"rmlt:�ls-commenced�wlthtn shc:months=of;,pemnft Issuance, or If work authorized by ��Y �permit is suspended_,or..eba�doned;�for:,:a�:�.atlod,of sl�_�8)�monffis;siteR•tFie tlme the�work��ls commenced. An extenston >�� � - .r.,.. ;, , ,�,. ,�ti. ,. .. iy be requested� In wrltti�g;::from�ther 8ullding;Offlclal>for a perlod::nof to..ex�eed:=ntraety{80)_�ays a�d wllf demonstrate �_� � ;;� � tlfiable cause for.�tNe ezfenston: If wo�k.ceas.es;for nlnety(90)consecuttve:day.s...the job�ts�constdered abandoned. �� � . � �w , . _��.. - -. � � 'r, .. .. .•.,4:•. �.:..^- ,.;-'. ... :� .�. ,. � I 1RNING TO-'OWNEl�s`�YOUR;;�AILURE�:.7ta.;;REC;ORQ::A::I�hTlGE;'.OF.rCbMMEMEEMEI�'T3MAYaRESULT�IN��'YOUR .. YI(VG TWICE:FOR:IMP.ROVEAAEf�T�;Tfl;Y;OUR�:�:P�PERTY:�::1�=_YO.U.,Il�F'.�E�D"1'�;!�iB�?AIN��FINi�i�lE1NC�;='CONSULT ' a"• ;';� � OU D ,O��� -- ---�-0 8R ..} ;.�. .� �_; .p s . ,C �� —, --_ _��. �RIDA JURAT•(F.S:11 03) . ' . - ;- • : .. . , . _ . , NER OR AOENT � CONTRAGTO` ' ' ' " . saibed and ewom to(or afflrtned)before me th ' Sutiealtied'and'svwtrrbo(ot'aflirmed)�b` � e�tFilA � bY ,,bY„ . �Islare personetly knom�to.me or�haa/have produced Wh�:ls/are_aersonally,lc�owri�6u me:ott�a�/have�piodi�ed • ae.IdendflcaU4n::.- • . ' • • - '. a�IdenBflcaUon. ' b - .. ., _, Nofary Publlc . " Notary Publlc imisslon No:' ' Commisalon.No. ' � ie of Notary typed,printed ar stamped Name ot Notery lyped,pdnted or atamped `:�