HomeMy WebLinkAbout16-17786 CITY OF ZEPHYRHILLS
" 5335-8TH STREET
' ' (813)780-0020 ��6��
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BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17786 Address: 39338 6TH AVE
Perm�it Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: ZEPHYR HEIGHTS
Es . Value: 3 � -� �y,�c�� Parcel Number: 12-26-21-0040-00100-0031
Impro . Cost: �00 ��,�,�� OWNER INFORMATION
Date Issued: 9/29/2016 ��. � Nd �„�- Name: PEREZ ROBERT & MARIBEL
Tot I Fees: 55.00 �� Address: 4635 RIVER OVERLOOK DR
Amo nt Paid: 55.00 VALRICO FL 33596-7878
D te Paid: 9/29/2016 Phone: 813-841-4689
Wo k Desc: REROOF SHINGLE- NO 39336 6TH AVE
CONTRACTOR S APPLICATION FEES
MERRI ROOFING INC REROOF RESIDENTIAL —�-6A--'
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� Ins ections Re uired
DRY N R �OF INSP
TAPE JOINTS ROOF INSP
FINAL %%. 7�• /(D
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REINS ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local overnment 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.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b 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
impr�vements 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
�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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,,.�, � K.�.�.:::... P�BOX 303 LAKE AI.FRED FL 3385d�
�s�:.;:.-r:fir,�.ti:.:;:�:�;:�<.,.. 300 I.AKE GEORG� RD I.AKEAE.FRED FL 33$5Q
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- �����i�-.�=�:�::.:.:.� � �� �'�' (863)967-5711 (OFFICEj {863} 956-3667(FAX)
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AN1'7�#iNSTRUC7YOHx iN�, MERRITTROOFIN�QTAMPABAY.RR.COM
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SpecTalizing in RB-Raof�Roof Repair«Aluminum•Residentia!and Commerci�l
PI�(JPt��AL - CONTRACT �t����� ,���
NAM : CJ�C�1eYU_. i��f'�`x.. � JOB NAME:
Aoa Ess: �fe3s '���er L�Yerl,or�l�. �ti' ano��ss: �4�3��-335� � t�'�`� AMe
. �_.
CITY U'� STA�'E: �C. ZIP: 3S��i '. CITY:� il�. ,�STA'TE: �. ZIP:�2
WE EREBY SUB f7CATlOM Nb�S7
1. R MOVE EXISTI(VG SHINGL�R�OF,AND HAUL AWAY DE$RIS.A�DITIONAL CHARG�S WiLL APpLYTO HIDDERI
ERS OF FtOUFING.NpT AI.REAaY N07Eb(�M CON7RAC7
2. R -NAIL DECKING RER�LQRIQA CODE WHEN aEQUIRED.
3. A D1710NAL CHARGES WlLL APPLY TQ RE�t,qC�DECAYED RA�7'�RTAILS,FAS�IA,AND SHEATHING AT '
� 170LLAR$ PER MAh[•FiOUR PLUS ALL MATERfALS.
4. iN�STALLAND/0R REPLAC� NEW ROOFAS FOLLOWS ALL tN ACCORDANCE WITH MAIVUFACTURER SPECIFlCATIONS
AND FI.ORIDA�UILQlNG GbDES: •
R I OF PITCE#: ���1� SHINGLEIYPE:Z5YR 3-TAB: � tIMITED LIFETIME ARCNCFECi"URqt,: �
B�INGlE'EYPE: � (,f�t'`f 1 lrt �Jt� !
�E.
S fNGLE CQLOR: DRY IN:15LB: 30LB: SYNTNETIC FELT i
M TAL EAV� pRIP COLOi�: l�"�o�C,+ SIZE: ��_ r�PEELANb STtCK: ' I,
U NTS:COLOR ORV:_.__ RV; �ND CAPS: 1d":.. 4": 750: �
�.�AD PLIJMBING STACKS: l�/z": 2":�,3": , 4":_„VAI.l.EY ME'�iAL;
SKY LITES:QTY: SFA: FlUSH MQUNT: , SIZE: GOE.aR:
� rmn�-r�,�RooF: '
R OF REPAlFi D�SCRfPTiON: �
5. NI T UABLE FOR UN�EEN AIR e0N017'fONI�iG LIN�S AGAIIVST RbOF DECKWG.
B. WORKMANSWIP WAFtRA�iTEp AGAINST IEAKS ANp D�F�GTS F�R 5YEARS FROM DA1'E OF GOMPLETIt?N,NOT
I CLUDING qCTS fJF NA'TURE.
WE �REBY PROPOSETO FUFiNISH LABOR,MATERlALS,PERMITANp Ii�SPECT101VS(WHEN R�QUIRED`AND
Cd PL�TE 1N ACCaROAI�C.E WITHTHE ABOVE SPECIFICATIONS.PAYMENT DUE UPUN CUMPLFT/ON OFJdB.
CO 7RACTAMOUN'� �LI'�OC�
�
AU HQRI2ED SIGNATURE: � Y��'Xl
THE ABQVE PRICES,SP�CIFICA7'IQNS AND GQNDITION5 AR�HEREBY ACCEPTED.
Y4 ARE AUTHORIZEDTO T�OTH�WORKAS SPEGfFIED.PAYMENTWILI.SE MADEAS ST�iTED A80VE.
dA7'�: SIGNATUI�E• , '
_ �
a��-�so-oozo City of Zephyrhills Permit Application F�-si�-�eaoozi
Building DepaAment
Date Received phone ContactforPermitting —
7-T TI -1
Owner's Name er�e Z Owner Phone Num6er ��3"p � ''7�0 0
Owner's Address ��ZY� ��� W��C �I� Owner Phone Number
nc 4G
Fee Slmple Tltleholder Name � Owner Phone Num6er
Fee Slmple Titleholder Address
JOBADDRESS �p� T�v'e LOT# o�l
SUBDIVISION � ���� � PARCELID# 0��0`o�I�OO�{U`�0��� '��U'3
(OBTAINED FROM PROPERTY TAX NOTIC�
' WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �`Q�OU �� 1 -
BUILDING SIZE �Q O� SQ FOOTAGE HEIGHT �
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
' O. O�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
' . QPLUMBING $ � �
�/�
�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER � �(/ �
' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
�I
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY 'Q��Z7 I �G
SIGNATURE � REGISTERED Y 1 N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new cons[ruction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsRarge proJects
COMMERCIAL Attach(2)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out application completely.
Owner 8 ConVactor sign back of application,notarized
If over SZ500,a Notice of Commencement Is requlred. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITf1NG (copy of contract requ?red)
Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
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 compliance with any
applicable deed restrictions.
� UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
� contractors to unde�take 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 violation
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 IMPACT/UTILITIES 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 of
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
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. I
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I I
certify that I, the applicant, have been provided with a copy of the "Florida 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"owner',I certify that I have obtained a copy of the above described document and promise in good faith to I
deliver it to the"owner'prior to commencement.
CONTRACTOR'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 jurisdiction. I also
certify that I understand that the regulations of other 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,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
' - Department of Health � Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
, Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
, - Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly pertnitted.
' - 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.
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,cancel,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 within 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 Official 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,the job is considered abandoned.
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 COMME CEMENT.
FLORIDA JUR.4T(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to(or a med)befor me trJ s �.( �p,�y��`��Sp
, by by W U.�✓1� P1�0 M'bF' �
, Who is/are personally known to me or has/have produced Who is/are personally known to me or haslhave produced
as identification. as identification.
Notary Public ���i[J�/�� U 1� Notary Public
Commission No. Commission No.
l�.V�,,�� 1.��.-,
Name of Notary typed,printed or stamped Name of Notary ed,printed or stamped
.PR;.;�B�,� BEVERLY LEFAN
_�' ' * MY COMMISSION�EE 220431
'� EXPIRES:PJovember 30,2016
'�lqT�o�F�o��OT Bonded Thru Budgel Notary Services
� —
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, 2016154101 �
Pertnit No. Parcel ID No �Z '�'G'ZI' V��-a O d(O C� '"(�d �� '
NOTICE OF COMMENCEMENT
State of �lori�4 County of r a 1��
THE UNDERSIGNED hereby gives notice that improvement will be made to ceRain real property,and in accordance with Chapter 713,Florida Slatutes,
the following infortnation is provided in this Notice of CommencemenL•
1. Description of Property: Parcel Identfication No. �7--�(p`1-�' 00 4U -p0 �DO - D�3 �
SVeetAddress: 3�I33'� �� ��
2. General Description of Improvement �e'2�o F Rcp t:1804653 Rec: 10.00 �
D5: 0.00 IT: 0.00
@9/29/2@16 K. A. , Dpty Clerk !
3. Ovmer Information or Lessee informa6on if the Lessee con[racted for the improvement:
��er� `t�er�Z
`-Fti3S IZ�y"er Al�rluvK� ,(J� �falriLo �c- � �'
Address City �,.,St�.,�
Interes[in Praperty� S`�l ,
Name of Fee Simple TiOeholder.
' (If different from Owner listed above) I
Address � � � (` �` City State
4. Contractor mQ'rn �l]Sh�1�
P A.Q,Y�Nk e 303 �.Cw-�C �}\�(rr� r �-
Address Ciry 7�?���tate
ConVactors Telephone No.. ��3 �b 7 57 � �
5. Surety: PAULR 5 0'�dEIL,Ph D PASCO CLERK & COMPTROLLER�i
Name 09/29/2016 01:16 m 1 of 1 ,
nddress ciry OR BK �i��� PG �'�� �
Amount of Bond: $ Telephone No.. �
i
6. Lender '
Name �
i
Address City State
Lenders Telephone No..
- 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Numberof Designated Person:
i
8. In addition to himself,the owner designates of_
to receive a copy of the Lienors Notice as provided in Sectlon 713.13(1)(b),Florida Statutes.
Telephone Numher of Person or Entlty Designated by Owner.
9. Expiration date of Notice of Commencement(lhe e�cpiration date may no[be before the completion of consWction and final payment to the
conVaclor,but will be one year from the date of recording unless a different date is specified): '
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
the foregoing notic encement and lha cts tated therein are true to the best
- ��;�knowledge� ig.��¢
,�N,:... . A.
�f �q�ionMYCOMMISSlON�GG020231 ' �.
� �CO EXPIRE5:Aupuet 10,2020
ss���= �d.�N����� Signature of Owner or Lessee,or Owners or Les e's uthorized
Officer/Director/Partner/Mana ger
Sig ato s Ti e/Office
The foregoing insWment was acknowledged before me thi �day o(�����SY �W ��� .
(type of authority,e.g.,officer,trustee,attortiey in fact)for
� (name of party on b I o who strument was ezecuted). �
Personally Known❑OR Produced denti tion Notary Signature
l
Type of Identification Produced Name(Prin[)
wpdatalbcs/noticecommencement�c053048 '
�v����,
5TA7E OF FLQRIDA, �OUfVTY QF PASCO ��„�� � ' ' � ��,��
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORREGT COPY OF THE DOCUMENT .. �. `� m�
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � �
ht Cotflve 7
WITN SS�JIY HAND A OFFICIAL SEAL THIS � . �r , ,4s
�� DAY OF � 2 Z9� `'�°'"•S 0
PAULA S O'NEIL,CL &COMPTROLLER � �
0
.. j88� .�
Bl� �a ��—�`{"' DEPUTY CLERK `��' � e
`�����,o����'
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P4WFR 4F'ATTClI�C��EY A,,1�}A�I'THU�tiZ,A,TION .
TO DRAW GUNSTRIICTION'PFI�NIITS
FROM• -.l�-ert���:�" 4�d��,�-r1C, .
amp y Natne)
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' (Company P�ioae#) .
DAT'E: ���_„c���� � " .
I� � ,-��, YY1�2,rr��N- T�]'E HOLDER OF STATE
Ce,�-+►�-c 2ov �„ U� , REGISTRATTCIN
NUMBER�"r '�-' �3�(o��-r' ?HER.EBY NAME.� CQNSTITUTZ AND
APP4INT ;�.�v�.vt.� rrn�.r-r-; -H�- - w�,,�c.-s ' lt+�'Y'
,
ATTORNEY�t FACTFORTI�PURPOSEOFAPPLYINGF�RANDRECE:CVIlv'G
PERMITS Il�MY NA1V1F.. I H'ER�BY R,F�F:ESENT A�3�WA��L�NT Tt� '��
- CITY 4F LAKE WALES '1'HAT ,AI.L WORK PERF4RMED UNDER THE•
• Att1'�IC}RIT�'OF SUC�I PERMI'T3 S1:fAZ�t�BE PERFt3R11r�'�i}BY ME t3R ZENDF�t
: MY SUPER�'ISION, AND THAT I SHAL�L BE FULL RESPONSYBLE FOR THE
PR4P£R PE�F(?R�M;ANCE�F SAID WORK.
; ._.
Au�to��ta�v �w,as.�n��ijortE�r.�toNi�►A�oFx�cE�itnv�ss
- CI}YDED SOCINER.. � ''
� : (SIGNA tJF CONTRAt:'I`t3R
. ( GNA"T`URE OF 17ESIGNATEI)ATTORNEY-IN FACT
STATE 4F FL4RID;�A. _
COUNTY 4F P4LK; -
� The foregoing instrument was acknowied�ed before me on this � Day af .�-� ,��'��
by W a,�h.� ►�Y�-ev�r'�-�f� __ who is personaily known to nu or who praduced the
, �
followirig�.D. ` ----�--• �
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NOTARY PUBLIC � `e SRAT-
P�Pernsftp°w =
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, , rO.�yRY PUg`iC SEVERLY I..EFMI
� * MY COM�+IISSION#EE 22043 i
� EXPIRES;November 30,2016 .
. �rarFo�ft4e.�O4 8a(tded Thit!9Udg81 N0F2fy SeNlCES
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