HomeMy WebLinkAbout17-18359 i
CITY OF ZEPHYRHILLS �
5335-8TH STREET
� ' (813)780-0020 1835 ;
BUILDING PERMIT !
PERMIT INFORMATION LOCATION�INFORMATION
Permit Number: 18359 Address: 4935 LAKESIDE DR !
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. �
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WINTERS I
Est. Value: � Parcel Number: 14-26-21-0000-00200-0000 �
Improv. Cost: 586.65 OWNER INFORMATION
Date Issued: 4/13/2017 Name: WINTERS MOBILE HOME (PARR) i
Total Fees: 60.00 Address: 38022 WINTER DR ,
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542-5544 �
Date Paid: 4/13/2017 Phone: (810)886-4015 i
Work Desc: EXTEND ALUMINUM ROOF FOR SCRN PORCH j
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 60.00 �
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Ins ections uired
FOOTER 2ND ROUG PLUMB MISC INSULATION CE LING I
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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. i
"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. j
NO OCCUPANCY BEFORE C.O. j
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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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Cit of Ze h� .hills �
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BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: i
Date Received: � ���� �
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Site: 7�c�j� •�l:��S'��/�,� ;
Permit Type: ����E�� �fO��...f/ � A'�c�/''t�ot����
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ �
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This comment sheet shall be kept with the permit and/or plans.
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Kalv.ri t lans Examiner Date Contractor and/or Homeowner ,
(Required when comments are present) ,
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DISCLOSIIRE ST1�TE1�lENT FOR OWNER
CIfiY OF ZBPFiYRHILT.�S BIISLDINU DBPART�
Z, h�ve read aad fu13.y uad.�r�taad aa�
_ � agree.- ta the provisioans of this ins�rumeut. _
� The undersigaed statee aacY affirms that he or she is deairaus of coustruatiag, �
reaovatiag, addiag to or reroo£fag his or h�r owa domicile, that he or ehe
aetual3y aceugies, or u•il2 oeeupy by said damiei.le, aszd same is not for
I reat, lease ar sale. That he or she shall comply with the �ollawing coaditions:
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� 1. 'That the owae= and he ax she aloae shall act as the builder �or all phases of
coa��ruc�3oa.
2. That the ovaaer �ai12 comply with all pravisioas of the City of Zephyrhills I
ordiamnc�s and co8ea peztiaeat to the building. �
3. That ia the eveat vari.aus ghase� of construetioa are subcan�ractedd he will �
engage oaly pxoperly liceased subcoatrac�ors �,nd w311 p�ersoa�lly supervise
auch work. !
4. fihat in the eveat th� Building Iaspector �eha32 require correctioag ta b� made, �
the owaer will assume full respoasib3.lity to iasure they ar� made, aad upoa '
completiaa will call fax a reiaspectian b�fore proaeetiixag w3th the building. i
5. That the owaer shall as�ume �ull respaasibility► for th� construc�ioa and arill ;
raot expect supervi.eioa of his work from the City of Zephyrhills Building '
Depaztm�at. �
6. Th�t prior to fiaal iaspectxon aaxy additioaal �eee, iacludiag reiasp�ctioa �
�ees, muet b� paid i.n ful2. A frrittext reguest fram this office sha3l.
constitute aa offiaial �o.otice to pay adldi�ional fees. i
7. That the owaer shal]. com�Iy with aZl G�ty, Sta�� aad Federa3 3.aws a.a re�azd ta
social security, warkman's compensation, li.en laws, etc. , whete applicable.
8. 'That the owaer shall compl,► with all the s�fety codes i�sued by the FZorida i
Tadustrial Cammissai.on.
9e State law requires construction ta be doae by licensed aontr�ctors. Yau have '
appli�d tc►r a g+�rmit uader aa e�cemptioa to that lat+r. The �emption al.2ows
you, as the owner af your proper�y, to act as your o+wn coatractor with certaia
restrictio,ns evea though you do riot have a licease. You mus� provide direct
oasite sugervisiaa of the aoastructioa yoursel�. You may'build or imgrove a
oane-fmmily or �wo-E'�nilyr resideace or a fa�rm outbuilding. You may also build
or improve a comntercial buil.ding, provided ycur cas�� �o uot �ceed $75,QOQ.
The buildiag or res3.denc� must be for your owa use ar occupaacy. Tt may aot
be bu31t or substantially improved for sal�s or lease. If you sell or lease a
buildiag you hmve built or at�bstantial.I.y imgroved yaurself w3.thin 1 y�ar after
�he caastructiaan is compZete, the 1aw tarill preaume �hat you built or
substaatially improved if for sale or lease, which 3.s a violation of this
�acemptioa. You may aot hire aa unliceansed persoa to act as your caatx�ctor or
to supervise peaple workiag oa your bttildiag. Tt is your respoasibilitg to
make sure that p�op3.e employed by yo;a have 2iceases =equired by s�ate 1aw aad
by couaty or muuicipal liceasiag ordiaaaces. You may ao� delegat� the
responsibility far supervisis.�g work to a 13.aeased caatractor wha is aot
� licea�ed to perform the work beiag don�. 10iay persoa working aa your buildiag
who is aot licensed must work uader ydur direct sup�rvisioa aad must be
�mp2ayed by you, which meaas that yau must deduct F.x.C.A. and withholding tax
and provide workers� compensation for �hat emplayee, �11 as prescribed by lmw.
Your constxuatioa mv.st comply with all ag�plicable I.aws: ordiaauc�s, bui2ding i
cades, and zoaiag re ations. , i
,�jt9WNERr S SIGNATURE DA2'E �t - {-t —I � I
(���LfDRESS i[q35 l,A►ct-5 ti o C fJ 2
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WITNESS PSRMIT # �
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0421 I
• Building Department
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Date Received �–y -- 4 � Phone Cantact for Permitking � �1� 8��S �° – '`�.O � �
Qwner's Name �0� �A�SZ Owner Phane tdumb�r ' vJ�L`"
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/^Wwner's Address ����5��Pr I��-S�t9� � +2 Owner Phone Number
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Fee Simple Titleholder Name Owner Phane Number
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Fee Simple Titleholder Address
�OB ADDRESS �`�c�J �.A K G' S t'f} � i�� LOT# L..�
StiB�l�lISIOR! �t�1E+2s �1�f�1L � PARCEI.ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PR�POSED e .. NEW CONSTR 8 ADD1,4L,T [� SiGN � � Q DEMO�ISH
INST'ALL REPAIR
PROPQSED tISE - Q = SFFt Q CQMM � 4THER '
TYPE'`OF CONSTRUCTION Q �BLOCK • Q FRAME � STEEI. Q
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DESCRIPTIQN�OF WORK �• �L R C� � i � i�o SC� YI ' � ��u�'�""'�
BUILDING`SIZE � � SQ�OCITAGE��� ME{�HT �
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�BUII.DtNG � �..., VALUATIOiV�OF TOTAL CONSTRt1CT10N
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.:QEl:ECTf21GA� �� AMP SERVICE Q PROGRESS ENEFtGY Q W.i2,E.G.
QPLUMBtiVG � �
OMECNAi�I1CAL �> � VAlUAT14N QF NfEGHANICAL INSTA�LATIOi� �G/k�"�
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QGAS Q 32QQFI�VG [� SPECIA�"fY C"� 4T#iER �
FINISHED FLOOR ELEVATIONS ��� PLOOD ZONE AREA QYES NO
BUtLDER � _ j� j COIVIPANY �L��
SIGNATURE (:5��� REC,ISTEREp Y`/ N FEE CURRE� Y/N
�4ddress -License#"� I
:ELEGI;RI,GiAPi COMPAIVY
- SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N.
.` Aildress' - ' License# �— t� I
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- P.CUMBER:;. Gt31lAPANY -
—'SIGNATURE REGISTERED Y•/;N,� ` FEE CURRE� � Y/N �
�4ddress License# �� �
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..MECHpfi11CA�t�. COMPANY •
°'"SIGNATURE'' ' - � REGISTEREp <, Y/ N_ �� FEE GURRE�- . Y/N ' . I
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Aild�ess��° � � �, .' ' ` , . License.# � � �
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> ,OTHER°�;;"` ` '• � C,OMPANY , �
?..'SIGNAiTURE:;���;:� .^4` • ��� � REC31$TERED � �Y/'�N � FEE CURREK . Y/N
AddressrN �3 ,,,. ^ • ^ . . Licen`se# � �
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�*"wRESIp.ENiT1,At:{;;:v':A#tacii;(2):P(6t?Fl�ris;'(2:).sets�of=Build�ng-P1ans;(13`set of=Ener�gY;Forms;'R':Q,-�til.Peimlt,for oew.constivcban,. �
;�'�- : �'��:;r;x�.�,.,���;sMinimum:G,ten�(;10);workingcdays;:afte��sulamittalldate.'Required'onsite;Constriiction Plan's;Stoi�nvirater Plans w/Silt Fence inskalled, ,
= ,. , , .; . •
"x Sanitasy SFacilipes&31,�dumpste,,r•,°Sites,Wocic;Pertnit foc<subdivisia�isflarge;pfOjeGt:R: �- ' "' �
^:'CONIAAERCIAL Attach�2)°comptete sets ofBuiliiing'Plans plus a Life Safefy Page;{1}se#of Energy Forms.R-O-W Permit for new construction.
� � Mlnimum ten(10)working days after submittal date. Required ansite,ConsUvction Plans,Stormwater Plans w/Silt Fence installed, �
� Sanitary Fac3tities&1 dumpsfer.Si#e Wark Pecmit foc�all new•p�ojects.A!1 cgmmerciai requ9rements.must meet compliance ;
�.:��SiGNcPERMIT "AtfacFi°(2)sets of3Enginsered`Plans.�f'�•�� � ' • � " I
F�'>_" "*"*PROPERlY'SURVEY r,. uired for.all,NEW.cpnstruction:
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%t:,'-' `Fill;out:application completely. �
'� . Glwner'&Contractorsigm tiack afiappticatian,notarizad , �
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�If over$2500,a Notiae:of Commencement is required. (A!C upgrades over$75QQ) �
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�'`*_' i4gent'(for'tfie�cont�actor)'�or�Power of'Attomey{for'tlie owrie�j woulc!be someone with notarized letter from awner authorizing same �
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'' R'.THECOUNTER�PERMITTING,,..-,_r(copy_of:contraat�required)"-'' V`'`•:; M
,>,QVE_ � _ ':-� ` ' '' �
��'Reioofs.ifsfiingles �Sewers Servlce Upgraid'e's A/C � Fences(Plot/SurveylFootage) , , , , , ,
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- Driveways-Not over Counter if on:public roadways.:needs ROW � � - • - ' �
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NOTICE OF DEED RESTRICTIONS: The undersigned understands:that.this;permit may be subject to .deed�_,restnctions, - ;�
r� , ° ' �� r- �; °•.�.�-a._ 4 � >r��,;.��
which,:may:f�e,rrtore<cestrictive.;than'Courity regulations. Tiie�uride�sigrieif.assur`ri`es°responsikiil�ty'#ar`carrrpliance"w�th-any"� �!
applicable deed rest�ictions. .,.. >,. : �:�.:�.:4:� Y
UNLIGENSED. CC?NTRACTORS AND CC?N'TRACTOR RESPONSIBILITIES�� 'If�fFis-oVuner��has•�°tiirer}�~°a~�cort#cactac or
cantractors to undertake work, they may;be cequired`to be.licensed,in accordance with.state:and`;loc.al:;�egulatioms:.�-`if�tfie��'-;-�,�
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contractoc is not.liaensed-as requi�ed�"by lavii, bathi�the owner,and'-contracfor•�rnay'-be��citedYfacG:a"i»isdemeanor viola#ion° „,;�
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under state (aw. tf the owner or.intendetl,conttactar aretincectain'as to what iicensin •re uiremerits:�rna:y.�xapplyfor�tiie::K�;��,
intended wonk,they are advised to contact the.Pasco County Buildirig inspection;Division-L�censing-Section at 727-847= �'•"!
8009. Fur-thermore, if the owner has hired"a coritracCar or confraators, he�is acivised ta;�{have the, cont�actor{s}::sign,_.,,,�'.
portions of the "contractar Block" of this appiication.for which.they.will be.�cesponsible:�:If yau,uast thre:�owner:s`ign�as`-"tlie�'"�"�'�;,
contractoc, that may kie an indication that he is not praperly licensed'and�is not entitled�to`permitking psivileges,yin,Pascoj.,;;�:;,'�-z�.
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TRANSPORTATION-IMRACT/.UTILI7IES-IMPACT AND RESOURCE RECOVERY FEES:�The"undersigned.under.stands ;.,,r�.
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#hat Transpa�tation Impaet Fees and Recourse Recovery Fees may:apply to the.consCructic�n.of.new buiid3ngs,°cFiange;of�T�::;:�;
use in existing buildings, or:;expansion:.:of::existirig buildings, as specified in Pasco County Ordinance number 89=Q7-and: � �',
90-07, as amended. The�undersigned also understands, that sych,.fees, as':rnay�:,b.e.due, wii1;_lae:ident�ed_at:tli'e�#im'e�.of=`���;����;
permi#ting. �lt is"further understood thaf`Transportation Impac# F'ees��and Resource�FReeoveryr Fees must be paid pcior.to �;°.
receiving a "certificate.of occupancy° or�:final�:power celease. If the praject does not•involve�,a certificate of occuparicyFor�r���=`��,
�nal pawer-release;,#he:f.ees-mtast�be.paid prior,ta permit issuance.. Furttiermare, �f Pasca�Counfy W.ater/,,Sewer�lm:pact:;,=� �:
fees are due,.tfiey must:be.paid prior'to�permit issuanee�in.accordance with�applicable:_Pasco:County oriiinances. °
CONSTRUCTiON°l::IEN��A1N(Chapter 713, Flaricla�Statutes,as amended}: If valuat�on of wor.k is$2,500:00._oc more,;.l�-;;-
certify that I, the applicant,. have.,been. pr.ovided with �a-•copy�of.the "Florida Cons#cuetion. Lien Lauv:Homeowner's��"" ''
Protection Guid'e" prepa�e� by the Florida Department o#Agricuftu�e and Consumer.Affairs. !f the applieant�is,somea�e.; �
other than the"orrune�',;I<certify#hat Irhave a6tained a capy af-the.ab.ave descri6ed�documenfi and�pr.omise�in.good'<faitli'to.'.r�„ �
deliver.it to#he:"owner'��prior.;to�comrriencement.� ' ' ' '
CONTRACTt3R'Slt?WNER'S A�FIDAttIT:�-,;I�.cerfify that all the infocmation in this application is accura#e and that alt`work
will be done in compliance with all applicable laws regulating canstruction, zoning and land�development. Application is �
hereby made to abtain,,a,,permit ta--do;.�work-arzd installafion as4�indicated. t�certify fhaf no�work or:ins#ailafioni has �
commenced prior'ta issuance of a p,e�mit and��that all work will be performed to.meet standards of all laws regulating =
canstruotion, County and City cades, zoning regulations, and land development�regulations in .the jurisdiction. i also
certify that 1 understand that the regulations of ather government agencies may apply ta the infended work, and that i# is ��
my responsibllity to identify what actions I must take to be in compliance. Such,agencies i�clude.but are not:limited,to: ;
- ,Department af Environmental:.Protection-Cypress Bayheads, Wetland Areas and Environrnentally Sensitive '
Lands,Water/Wastewater Treatment. � �
, - 5authwest Florida Water Managerrtent District We!!s, Cypress� Bayheads, Wettand Areas, Rltering
� Watercaurses. . ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenivays.
- Departrrten# of Health _& Rehabilitative ServiceslErtvironmenta( Health Ut�i#-We11s, Wastewatec_Treatment, �
Septic°Tanks. , � � '
- US Env3ronmental Protection Agency-Asbestos abaternent. � , ,. �
- Federal Aviation Authoriry-Runways.
I understand that;the#ollowing restrictions apply to the use af fill:
- Use af fill is nat atlawed in Ftapd Zone"V"untess expressly permitted.
- . If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
"campensating valume" wili be submitted at time of permitting which is prepared by a professional enganesr �
licensed by the State of Florida. �
- If the �I! material is to be used in Ftood Zone "A" in connection with a perrzzitted building using stem wall
construction, I certify that fill witt be used onty to fill the area writhin the.stem wall.
- If fill material is to-.be used in -any area, I certify that use af such�fill will not adversely a�fect adjacent
prope�ties. If use of fill is found to adversely affect.adjacent properEies, the owner may be cited for violating
�the coniditions of��the building permit issued under #he attached permit.application, for lots�less than one (1) ' '
acre wtiich are elevated by fill,an eng�neered drainage plan�s requ�red. �
If I am the AGENT POR THE OWNER,=1 promise in good faith ta inform the�owner af.the permitting canditions set forth in �
#his affidavit:prior tb commencing const�uction. I understand that a separate permit may be required for eleaVical work,. °
plumb9ng, signs, weiis, paols, air_conditioning, gas,.ot otlie� installations nat specifically included in fhe application. A.
permit issued shall°be construed to�be a license'to procee�d�wi#h the work and not as.authority.to viblate, cancel, alter, ar }
set aside any provisions of the fechnical codes, nor shall issuance of a permit preven#the Building 4ffic`ral from ther.eafter
requiring a correctian of errors in plans, construction or vialations�of�any codes. �Every permit issued shalf become invalid
unless the work authorized by such permit is commenced within six months af permit issuance, or if work autharized by �
the permit is suspended or abandoned for�a�periqd:.of.six(6}'�inonfhs after the time the work i`s rommenced. An extension �
may be requested, in`writing, frorn fhe Building Official far a period:not to exceed ninety (90) days and will demonstrate
justifrable cause for the extension. .Ef wark ceases far ninety{90}consecufive days,the jab is cansidered abandoned.
WARNING�TC> QWNER: YOUR FAt�URE�TO RECORD,A.NOTICE-OF COMMENGEMENT MAY RESUi�T IN'YOUR
PAYING TWtGE'FOR tMPROVEIVIENT$,TO,YOUR.PROPERTY:..tF YOU�.INTEND��TO+OBTAIN°FINANCING, CONSULT
rv,,._.
_ VlIITH Yl?UR`LENDER OR�AN ATTORNEY BEFOR�-RE�ORDl4VG Y4?1J12�N0�!�E-OF`=C �.'l�:���!lAE�1'�: -
' F�.OFtIDAdUf�AT{F.S:197.d3}
OWNER QR AGENT �,f �� I o� �C?L./1/I CONTRACTO
Subscribed and swa o r affirmed)before rne thls Subscribed and ta or affitmed).before me thi �
Who is/are onal y kna to me or has/have praduced ' Who is/are onally own to me or haslhave produced
as identiBcatlon. as identificatlon.
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JI..Q, Notary Public �' Natary Publlc
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Name of Notary i '�-o���cember 92,2018 ?�, IVame af hlota �n R�s
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