HomeMy WebLinkAbout17-18314 , CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 _ 18314
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18314 Address: 5039 SUMMER HILL 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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0130
Improv. Cost: 4,636.87 OWNER INFORMATION
Date Issued: 3/31/2017 Name: OPPENHEIMER KERMIT & RINETTE
Total Fees: 60.00 Address: 5039 SUMMER HILL DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/31/2017 Phone:
Work Desc: A/C CHANGEOUT 3.5 TON
CONTRACTOR S APPLICATION FEES
UNIVERSAL AIR & HEAT A/C CHANGEOUT 60.00
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+ `-� �'i
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Ins ections R ired
D CTS INSTALLED
DUCTSINSULATED
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNAT -- PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s��-�eo-0ozo City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
Date Recefved Phone Contact for Pertnitting � I 3 Sd�0 _ �s�B�
1 1 1 1 1 1 1 1 1 1 1 1 1
Owner's Name ��N"'�� � �^�M�� Owner Phone Number D��' �(0��3�Q�
Owners Address ���� .5��Y�-� �'�`�� '��• Owner Phone Number
Fee Simple Tltleholder Name �+..�.'t � �P..�,M.z! Owner Phone Numher ��3-�{�`1 -3 i�i 3
Fee Slmple Tltleholder Address SO�°I S�tenm.�,r �i�� �t- � 4� c 1ti��s Fi. 3 j 7 y a
�os aoo�ss S��� S�,n� .� l<I;l l t��. �or u I 3
SUBDMSION �v'�'�M� � `� PARCEL ID# I�.'��D" al"C I a 2�'OC�C t7�� 1 I3 C
(OBTAINED FROM PROPER7Y TA7C NOTICE)
WORK PROPOSED � NEW cONSiR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
' PROPOSED USE O� SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTIONOFWORK A _ (��c� Es1 3•S �"� `K SG�� 5 L-`� 5 S�c.��s
BUILDING SIZE SQ FOOTAGE� HEIGHT C�
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. \�
QPLUMBING $ �
�MECHANICAL $ �n �,3� �� VALUATION OF MECHANICAL INSTALLATION \�
'�1
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE r��IsrEaEo Y/ N FeE cuar�n Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE t�cls�aEo Y! N �cuw�n Y/N
Address License#
PLUMBER COMPANY
SIGNATURE �GlsrEaeo Y/ N �cUrzxen Y/N
Address License#
MECHANICAL COMPANY V n:�.�w!S�� ' r �`���
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa 3��(y0 5'�a.�t ��. ��#IL �a�.-i- �L 333\''� Ucense# C.�'��5�0""��
OTHER COMPANY
SIGNATURE REGI6TERED Y/ N FEE CURRE� Y/N
pddress License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1tt1111111111i
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new constructian,
Minimum ten(10)worldng days after submittsl date. Required onsite,ConstrucUon Plans,Starmwa[er Plans w/Silt Fence installed,
Sanitary Facilities 81 dumpster,Site Work Permit for subd'rvisionsllarge projacts
COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W PeRnit for new canstruction.
Minimum ten(10)woridng days after suhmittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciGties&1 dumpster.Site Wark Permit for all new projects.All comme�cial requirements must meet campliance
SIGN PERMR Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required(or all NEW construdion.
Directians:
' Fill out application wmpletely.
Owner 8 Contractar sign back of application,notarized
If over 52500,a Notice of CommencemeM Is required. (AIC upgrades over 57500)
" Agent(for tha contractar)or Power of Attomey(far the owner)would be sameone with notarized letter from owner au[horizing same
OVER THE COUNTER PERMfTTING (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Caunter if on pu6lic roadways..needs ROW
NOTICE OF DEE�RESTI2IC'FIONS. The undersigned ur�stands ihat this petmit may be subject Lo'deed"restrictians"
which may bs more restridive than County 2gu�ations. The undersigned assumes responsibility for complfance with arry
appliCable deed reskictions.
UNUCEidSED GONTRACTORS AND GOHTRAGTOR EtESPOHSIBfi.t]'IES: If the awner Ftas hired a cardractor or
contractors ta undertake work,they may be required to be 6censed 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 siate i�w. if the owner ar i�tended contrador ate�ns:ertain as to what ticensing requirements may appJy tor the
intended wark,they are advised to cvntact fhe Pasco Caurny Building Inspecfiion Division--Licensing Sedion at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrador(s) sign
portions of the"contractor Block°of this applieation for wt►ich they wifl be responsible. if you,as the awner sign as the
contractor,that may be an indica6on fhat he is nat pruperiy iicensed and is not en62led to permifting priviteges in Pasco
County. .
TRANSPORTdTION IMPACTNTILITIES IMPACT AND FtESOURCE RECOYERY FEES: The underslgned understands
that Transpartation lmpact Fees and Recourse Recovery Fees msy spply to the consGuction of new buEldings,chenge of
use in existing buildings,or ercpansion oi existing buildings,as specified in Pasco County Ordinance number 89-07 and
9D-07,as amended. 'The undersigned also understands,that such fees,es may be due,will be identified at fhe dme of
permitting. !i is turiher understood ihat Trar�sporfation tmpact Fess and Resource Recovery Fees mnst be paid p»ar to
receiving a'certlficate of occupanc�or finai pawer reiease. tf the proJect does not involve a certificate of ocwpancy o►
final power release,the fees must be paid prior to permil issuance. Furthertnore, if Pasca County Water/5ewer Impact
fees are due,they mus2 be pa3d prior to permit issusnce in accardance with appticabie Pasco County ardinances.
CONSTRUCTtON LiEN CAW(Chapter 713,Flarida St�i4utas,as amendedj: If vatuation of work is 52,500.�or mare,I
certify that I, the appiicant, heve been provided with e copy af the "Flortda Gonstructton Lien Law—Homeowner's
Proteatlon Guide"prepared by the Florida Depettment of Agrfcufture snd Consutner Aifairs. ii the sppilcant is someone
ofher than the`pwner',I certify that 1 have obtained a copy af the above described document and promise in gaod taith to
deliver it to the"owner"prior to commencement
CONTRACTOR'SlOWNER'S AFFIDAdCI': 1 cetiify that al�ihe intormation in this application is accurate and that a!!work
w1ll be done fn compliance with aH appllcable laws reguladng constntctlon,zoning and land developmairt. Rppflcatlon is
hereby made to obtain a pertnit to da work and insta0ation as indicated. I certify that no wark or installation has
_ commenced priw to issuance of a perm�t and that all wark will be pertormed to mest standards af aU laws regulating
constnsdion, County and Gity codes, zon'sng regulatians,and land development regalafions in the jurisdiction. ! also
certNy that i understand that the regulatlans of other govemment agendes may apply to the intended work,and that it is
my responsib(lity to ideMify what adions I must take to be in compliance. Such agenaes indude bui are not Ilmited to:
- Department of Environmentai Protection-Gypress Bayt�eads,WeUand Areas and Environmenially Sensitive
Lands,WaterNUastewater TreatrtreM.
- Southwest Florida Water Management bistrid-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercoursas.
- Army Corps of Engineers-Seawaiis,pocks,Na�gable Waterways.
- Departrnent ai Healih 8 Rehabilitative Services/Environmental HeatCh Unit-Welis, Wastewater Treatment,
Septic Tanks,
- US Environmentat Pmtecfiion Agenry-Asbestos abatement
- Federal Avia6on Authority-Runways.
I undenstend that tha fallowing restrictions eppty ta the use of fi!L•
- i3se ot flII Is nat allowed in fiood Zone`tP uniess expressly permftted.
- If the fill material is to be used in Flood Zane "A`, it is understood that a drainage plan addressing a
"cnmpensatlng volume will be submiUed at time of permitting vuhich is prepared by a prolessional engineer
19censed by the State of F(orida.
- if the fiit materiai is to be used in Flood Zone"A in connection with a pertnitted building using stem wall
construction,I certify that fill will be used only to fiil the area witFrin the stem waU.
- It fitf material is to be used in any area, i cenity that use of such fil( wi11 nat adversely atTect adjacenc
properties. Ii use of fill is found to adversefy aifect adjacent ptoperties,the owner may be cited for vialating
the canditions of the building permit issued under the attached pertnft applicatlon,for lots less than one(1)
acre whlcb are efeva2ed by fill,an enginaered dralnage plan Ms req�ired.
If t am the AGENT FOR THE OWNER,t promise'sn good fa'dh to inform the owner af the permitting candi6ons set forth in
this affidavit prior to commencing construction. I understand that a separate pennit may be required for electrical wark,
plumbing,signs,wells,paals,air conditioning,gas,or other installatians noi specil5catly induded in the application. A
permtt issued shat!be t�nstrued io be a ilcense to proceed wltt►the woric and not as authority to viotate,cancel,atier,or
set aside any provisions oT the technicel cades,nar shall Issuance of a permtt prevent the Build)ng Officiel irom thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shafl become invatid
unless the woric authorized by such permit is commen�d within six moriths at pemsii issuance,or if trrork aafhotized 6y
ihe permit is suspended ar abandoned for a period of six(6)months after the 6me the work is commenced. M extension
rnay be requested,in writlng,from the Building Offiaal for a period not to exceed nl�ety{90a days and will demonstrate
jns#ifiable cause far the eadensian. tf work ceases tar ninety{9U)consecutive days,the jofa is canstdered abandoned.
�•� WARNING TO OWNER: YOUR FAILURE TO RECORD A N0110E OF COMMENC T RESU�T IN YQUR
��,,�� PAYINC�TtMCE FQR iMPRt?VEfYtE�lT&TO YOUR PROPEftTY. !F YflU lNTEM FII+t CtFdG,CQNSU�T
;""°�� W1TH Y UR lE1VDER R AN ORH 6EF RE RE RD1N Y R M E MENT
°�3yaA� FLORIDAJURAT(F.S.1�7.0.3) `
�� Subscribed,R,�and swom to or afi5rmed bef� me thls_ S u�i6Ad � or M�
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NsmeotNotarytyped,pr'v�tedorstamped NameafNotarytyped,printedvrstempe :�,'._; = ��v�ISSiON�FF086356
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`'�';o�flo�.� EXFIn`S February 2,2018
{407;3�8-01�3 FloridaNe::ry�c,vica.com
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Customer Order: 143949 ,
- ' ersal
Name �Kermit Oppenheimer 1� &��t
Address 5039 Summer Hill Dr Apt#
City Zephyrhills Cell Phone Corporate Office
5460 Reese Rd#12, Davie, FL 33314
State ZIP 33542 Other Phone State Licensed#CAC058142
Date 3/18/2017 Date Scheduled 3/25/2017 uahac.com(866)999—2665(COOL)
We Propose To Fumish And Install A New 3.5 Ton 14 SEER Rheem 410A.
1 Digital Thermostat
1 Safety Float Switch
4 Hurricane Tie Downs For Condenser(up to code)
2 Locking Caps For Freon Valves
1 Flush Out Freon Lines To Prep For New R410a Refigerant
1 Liquid Line Dryer
Vacuum Refigerant Lines To Negative 30 Ensuring No Air In The Lines Before Start-Up
Removal And Legal Disposal Of Old Equipment
Chemically&High PSI Nitro Flush F�dsting Drain Line
1 Complete Mechanical Permit With The City
4 Vibration Isolator Pads Under Condenser
1 Up To 5'Of Refigerant Lines As Needed(Suction and Liquid)
1 Up to 5'Of Armor Flex Insulation(Air Handler&Condenser)
Properiy Level Condenser
Sealed Equipment Connections
1 plenum transition masUc Seal Inside The Plenum To Ensure No Air Leaks
Sub Cooled/Superheat Refigerant Charging
Hooked Up To E�dsting Copper,Electrical,Drain Line&Duct Work
Spray Foam Bottom Of The Line Chase
1 New Plywood Top For The Air Handler
1 Garage Filter Rack
free microbial treatment
'Any Electrical Upgrades Are The Home Owners Responsibility*
*Balance Due Upon AC Start-Up'
'50%Deposit Is Due Upon Arrival Of Installation Md Balance Upon Completion'
•Price Is Only Valid 30 Days*
15 seer will be$375 additional
1 Year Labor Warranty(First 30 Days After Hours Warranty Emergency Senrice Included )
10 Year Factory Parts Warranty In Unit
Choose from one of 5 payment options.
Option 1 ::Total Cost:$5,455.14 Total Cost$5,455.14_ 0%APR for 60 months wiTh equal payments of about$90.92 with approved credit and terms.
Option 2::Total Cost:$5,455.14-Instant Rebate$436.41 Total Cost$5,018.73. 2.99%APR for 60 months with equal payments of about$90.16 with approved
credit and terms.
Option 3::Total Cost:$5,455.14-Instant Rebate$545.51 Total Cost$4,909.63. 0%APR for 36 months with equal payments of about$136.38 with approved I
credit and terms. I
Option 4::Total Cost:$5,455.14-Instant Rebate$681.89 Total Cost$4,773.25. 5.99%APR for 103 months with equal payments of about$59.38 with approved II
credit and terms.
Option 5::Total Cost:$5,455.14-Instant Rebate$818.27 Total Cost$4,636.87. Cash,Check or Credit Card
❑ Testimonial�deo Release SUB-TOTAL $4,636.87
I Agree To Be Photographed And Vdeotaped For This Production By Universal Air And Heat Without INSTANT REBATE $0.00
Receiving Compensation Of Any Kind. i Understand That This Footage May Be Used,As Deemed -UTILITY REBATE AND OR
Appropriate By Universal Air&Heat For Future Productions Which May Be�ewed By Public And MANUFACTURE REBATE
Private Sector Audiences -DEPOSIT $2,318.87
TRIP CHARGE
Release Signature TOTAL AMOUNT DUE $2,318.00
�� �� Date:3/18/2017
Customer Technician
Customer Order: 143949 ' ersal
ir &1H[eat
•MAKE ALL CHECKS PAYABLE TO UNIVERSAL AIR&HEAT
All Services pertormed under the warranty policy will be provided by Universal Air 8�Heat during normal Business Hours,Monday to Saturday.Business hours
being 8:00 to 5:00 p.m.,Monday through Friday 8:00 am to 5:00 p.m.Saturday(update 1/21/2017) Warranty does not cover evaporatodcondenser coil cleaning,
fan blower wheel cleaning,air duct cleaning,drain line cleaning,sanitizing treatments,microbial treatments,anti microbial painting ducts,surface shield treatments
or u/v bulb replacements after a period of 30 Days from the date any of the above senrices have been perFormed.Warranty does not cover or include routine
maintenance such as changing/cleaning filters,breaker tripping or replacing fuses.
•It shall be at the discretion of Universal Air&Heat and its Technician to repair or replace defective parts,un"ds or materials whenever is necessary.Any Nuisance
calls beyond the scope of this agreement will be charged at our normal service rate and/or emergency rates.
•Any alteration or deviation from the proposed specifications or conditions involving extra cost of materials or labor will only be executed upon the written order for
the same and will become an extra charge over the sum mentioned in this contract.The terms and conditions set forth in this agreement are fhe only agreement
between the parties,any inconsistent term or condfion is not part of this agreement unless it is in writing and sighed by the customer and Universal Air 8�Heat
•Title to the equipment and other materials will remain with Universal Air&Heat until all sums due us have been paid in full.
•All balances not paid within 30 days of the bill date will be subject to a monthly senrice charge in the amount of 1.50%of the outstanding balance.Customer is
responsible for all cost of collection,including reasonable attomey's fees in the event of non-payment. In the event that any person/customer files suit against
Universal Air 8�Heat if such case is found in favor of Universal Air&Heat customer will pay all cost including reasonable attomey's fees.
•Customers acknowledges and understands that the cleaning of A/C ducts and registers may present a danger to any persons or animals in the job site due to the
release of potentially dangerous airbome particles(including mold and dust).Customer is solely responsible to provide for the safety of all persons,pets and
things at the job site.Customer is solely responsible for any harm suffered by any person therein.Customer agrees to hold Universal Air&Heat harmless and
indemnify Universal Air&Heat for any damages related to the cleaning,removal or replacement of ducts,registers or other equipment.Universal warrants existing
drain line hookups for 30 days with new equipme�t installed or serviced.Universal Air&Heat will use nitrogen to blow out drain lines and assumes no
responsibility for water damage of any kind.Update 7/2/2016 Customer acknowledges,understands and is fully aware that new high efficiency HVAC 14 seer and
above system's will require more frequent regular maintenance to any new or existing drain line and such maintenance is not included in this contract unless
otherwise expressed in writing and agreed to by customer as well as a representative of Universal Air&Heat.Universal Air&Heat recommends flushing new or
existing drain lines once every four months in efforts to achieve optimal performance and reduce the possibility of an accidental water loss occurring.Universal Air
8�Heat is not responsible for any water damage,wall painting,framing,and wall covering,equipment delay or any other inconvenience other than that of
mechanical failure.Universal Air�Heat ag�ees to use reasonable efforts to run duct work within ebsting walls,ceilings and soffits.Customer acknowledges that
the work performed may require the construction of soffrts or other enclosures to conceal ductwork or other equipment and customer shall pay for all cost
associated with the construction of same.
•Universal Air 8�Heat has the right stop all work if payments as set forth herein are not made upon the due date.Once any equipmenUmaterials have been
delivered at the job site,it is the residential/Commercial property owner's or the General Contractor's responsibility to care for them.
•Universal Air&Heat can and has the option to pick up any parts,equipment,units,etc.,if payments as set forth herein are not made upon the due date from any
and all properties,where such equipment,air conditioning units,and parts ebst.
•Any&All parts,equipment,supplies,etc.,that have not been paid for shall remain the property of Universal Air&Heat until the balance is paid in full
•Upon acceptance this proposal sets forth the entire agreement of job between both parties.
Warranty:
•We warrant new air condfioning equipment for a period of one year(unless otherwise stated in the description above and signed by a rep from Universal Air&
�i heat)from the date of installation that material and labor fumished by us will be free from defects.
•Universal Air 8�Heat warrants that for 30 days from the date of any repair,all products will be free from defects in materials workmanship—except the air
conditioner system compressor which is also warranted for 1 or 5 or 10 years on the part only subject to brands and models of the manufacturer.Copies of
warranties are provided upon installation of new air condfioning equipment.
•Under this warrant,Universal Air&Heat has the first option to repair the equipment or provide replacement parts.
•THE LIABILITIES SET FORTH ABOVE ARE IN LIEU OF ALL OTHER WARRANTIES AND LIABILITIES.EXPRESSED OR IMPLIED,IN LAW OR IN FACT,
INCLUDING IMPLIED WARRANTIES OF MECHANTABILITY FOR PARTICULAR USE.
Release Siqnature
�� �_ Date:3/18/2017
Customer Technician �
Customer Order: 143949 , � ersal
�Name • Kermit Oppenheimer 1�.&�P�t
Address 5039 Summer Hill Dr Apt#
City Zephyrhills Cell Phone �rPorate Office
5460 Reese Rd#12, Davie, FL 33314
State ZIP 33542 Other Phone State Licensed#CAC058142
Date 3/18/2017 Date Scheduled 3/25/2017 uahac.com(866)999–2665(COOL)
—New
Air Handl�r RH1T4821STANJA
_��.p�_enser RP1442AJ�.LVA
-F� er 5
I
❑ Testimonial Video Release SUB-TOTAL $4,636.87
I Agree To Be Photographed And�deotaped For This Production By Universal Air And Heat Without INSTANT REBATE $0.00
Receiving Compensation Of Any Kind. i Understand That This Footage May Be Used,As Deemed -UTILITY REBATE AND OR
Appropriate By Universal Air&Heat For Future Productions Which May Be Viewed By Public And MANUFACTURE REBATE
Private Sector Audiences -DEPOSIT $2,318.87
TRIP CHARGE
Release Signature TOTAL AMOUNT DUE $2,318.00
�I
�� 1�-�-�--- , Date:3/18/2017
'� Customer Technician I
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'
.
' ersal
�r � heat
Maron 2�,201�
To Whom It May Concern,
I I,Michael Forgione(license# CAC058142)authorize William McMahon to act as an
authorized agent for the company. If you have any questions,please feel free to contact
me.
Sincerely �
' ael Forgione
`,oiFRY A(�6',•,,-" "�6 3'iC.J�L li-6^11.�".'.CJ�Ll'!
-• `` MYCOMMISSION#FF088356
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-.,TFa��oP:•� EXPIRES February 2,2018
(n07139�-0153 FloridallotaryService.com
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5460 W.State Road 84,Bay 12,Davie,Floride 33314
Ph:1.866.999.COOL(2665)Fax:954.318.0584 �
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