HomeMy WebLinkAbout17-18798 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18798
' ' BIJILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18798 Address: 6454 ASHVILLE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0220-OOD00-0070
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 8/23/2017 Name: EWING-CHOW JOSEPH B &TERESA
Total Fees: 85.00 Address: 6454 ASHVILLE DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/23/2017 Phone: 417-576-8666
Work Desc: A/C CHANGE OUT 3 TON -MOVE IN GARAGE-SEE NOTES
C.ONTRACTOR S APPLICATION FEES
KACKRITZ A/C & HEATING SOLUTIONS A/C CHANGEOUT 70.00
CONTRACTOR CHANGE 15.00
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Ins ections Re uired �
DUCTSINSTALLED
DUCTSINSULATE
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 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
CITY OF�EPHYRHILLS . '
5335-8TH STREET
� � �si3)�so-oo20 �8798
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' ` BUILDING PERMIT ,
' PERMIT INFORMATIORI - LOCATION INFORMATION � =_
Permit �lurnber: 18798 Address: 6454 ASHVILLE DR
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book: �
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0220-OOD00-0070
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 8/23/2017 Name: EWING-CHOW JOSEPH B &TERESA
Total Fees: 70.00 Address: 6454 ASHVILLE DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/23/2017 Phone: 417-576-8666
Work Desc: A/C CHANGE OUT 3 TON -MOVE IN GARAGE
CONTRACTOR S APPLICATION FEES
SIMPLY AIR CONDITIONING & HEATIN A/C CHANGEOUT 70.00
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Ins ections Re uired.
DU TSINSTALLED
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 reinspec#ion.
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CO RA TOR NATURE PERMIT OFFI R
PE T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�3�eo-oozo City of Zephyrhilis Permit Application Fau-8137840021
Building Department
� Date Received Phone Contact for Pertnitting
� � � ��i � � 1 � � � � � �
,
Ownefs Name ��� l� �`1 W Owner Phone Number � � � /��
Owner's Address � / V�'' Owner Phone Number
Fea Slmple TiGehoider Name Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS �5 - 4w� � � �' . LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED B NEW CONSiR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � '1�� l SI�'Q/�I � � �L�1f-� (
BUILDING SIZE SQ FOOTAGE� HEIGHT �
OBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.��
QPLUMBING $ �/�/`�?
-�-r �
�MECHANICAL $ r r_(� �� VALUATION OF MECHANICAL INSTALLATION
���J(%�
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE aEcisrer�o Y/ N �cuRrxen Y/N
Add►ess License#
ELECTRICIAN COMPANY
SIGNATURE Rects�o Y! N F�CUr�xEn Y/N
r.J Address License# �� �
/�/���GV�"�'0.(! ,�p� s� �,^
1"'" ER COMPANY !(L �` ��'�J' - � �
REGts�aeo Y/ N �cUw�En Y!N
v_ Address License# � 1J /�
MECHANICAL �/1n COMPANY - N'�' � K/ �/
SIGNATURE a �y� REGISTERED Y/N FEE CURRE� Y/N `
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE cuRaEn Y!N
Address License#
1101111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(Z)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)worldng days after submittal date. Required onsite,Construdion Plans,Stortnwater Pfans w/Silt Fence instailed,
Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projeds
COMMERCIAL Attach(2)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W PertnR for new consWction.
Minimum ten(10)woricing days after submittal date. Required ansite.Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Ariach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW consWction.
DirecUons:•
RII out application completely.
Owner 8 Contrador sign badc of application,notarized
If over$2600,a NoUce of Commencement Is required. (AlC upgrades over 37500)
" Agent(for the contractor)or Power of Attomey(for the oxmer)would be someane with notarized lerier from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contrad required)
Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoVSurveylFootage)
Driveways-Not over Counter"rf on public roadways..needs ROW
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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
. aRplicable deed restrictfons.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
� contractors to undertake 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 applicaGon for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properiy 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 appiy 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 Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,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 Aifairs. If the applicant is someone
other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
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 pertormed to meet standards of all laws regutating
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 govemment 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, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
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 permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensaGng 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 Fload Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fiIl 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 permft 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, poots, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be consWed 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 abaridoned 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 IMPROVEMEPITS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTICE OF MMENCEMEWT.
FLORIDA JURAT(F.S.777.03)
OWNER OR AGENT CONTRACTOR�
Subscribed an bswom to(or affirtned)before me this b�ihed d bswo rm )b:fo m , is �� �
y L.3-( .
Who is/are personalty known to me or hasRiave produced a rsonalty kno to me dr as/ave produced
as identification. as identifipbon.
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Notary Public �- �UX—C��� Notary Public
Commission No. Co miss' n No.
.,���"P��-. JACQUELINE BOGE
Name of Notary ryped,printed or stamped Name of N ', ;�le(c� 20�a
'"' ` ' Expires December 12e�857o,s
%� r' Tro Fainln:�renc
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Kathleen,FL 33849
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Aii Conditionia�g 8 Heating DATE D RED ORDE TAf<EN BY
863-899-02�1 � �� j ��kv�,
SOLD TO PH NE 0. CUSTOMER ORDER#
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WORK ORDERED
TOTAL LABOR
DATE ORDERED _ TOTAL MATERIALS
DATE COMPLETED
TOTAL MISCELLANEOUS
SUBTOTAL
CUSTOMER
APPROVAL SIGNATURE
TAX
AUTHORIZED SIGNATURE GRAND TOTAL �IS��D ;�Q
A-2817-3817/T-3866 10-11
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� 2017134036
This space for use by Clerk of the Circuit Court only. • �
Rcpt:18$9597 Rec: 10.00
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08/23/2017 J. R. , Dpty Clerk
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PRULR 5 0'NEIL,Ph D PASCO CLERK 6 COMPTROLLER
08/23/2017 12:58 m 1 of 1
oR BK 959� P� 3798
Notice of Commencement
State of Florida
County of Pasco
The undersigned hereby give notice that improvements will be made to certain real property,and in accordance with section 713.13
of the Florida Statutes,the following information is provided in this Notice of Commencement.
1 Legal Descriptlon of Prqperly. Parr,e!1D 02-26-21-0010-03900-0030
38f35 MarketSquare
Zephyrhill,Florida 33542
2. General Description of Improvements: IIItBf10�lBInOdB/Of VBSC(1/8f SUrgEry
sa. owner Name: Welltower Inc.
ownernddress: 550 Heritage Drive,Suite 200,Jupiter,FL 33458
3b. Owners interest in site:
3c. Fee Simple TiUe Holder Name&Address(of other than Owner): F@B S%R7pl@ T/fl@ HO/d@f
Address:
a. Contractw Name,address a ahone: FHS lndustrial Constructors,LLC, 2651 SR 60W,Bartow,FL 33830
863-535-1i48 —�
5, Surety Name: N/A Amount of Bond: N/A
Address: " • Phone: • —•• •- •
6. Lender Name: N/A Contact: N/A
Address: Phone:
7. Persons within Slate of Florida designated by the Owner upon which noUces and olher dxumenls may be served as provided by
Section 7.13.13(t)(a)7,Florida Statutes
Name: Chad Eichel ,address: 2150 Via Bel/a Boufevard-Land o'Lakes,FL 34639
company. Florida Medical Clinic Pnone Numeer. 863.838.3220
8. In addition to himself,the Owner des(gnates fhe following person to receive a copy of the Llenor's Notice as provided in
Section 7 13.13(1)(b),Florida Statutes
Name: �0I7I1 Cli�FG�7 hddress: 5•?5C L'nfcr,E3lvd., Suito'430,Delray Beac,h,FL 33484
Company. WBIIfOwB�/�C. Phone Number:(561)496-3111
9. Expiration data of this Notice of Commencement(expfration date is one(1)year from date o(recording unless a diNerent d e is
specified).
�/.�J 7
STATE OF FLORIDA Signa ur er Printed
COUNTY OF P2SC0 �
The above instrument was acknowtedged before me this�,date o(_CClA�uS� 2017,by TU V�� w L(�T�D��o(is are)'personally known
to me ar produced ' ' '- ••
(Drivers License#) .. , , ,
o�N`��'�'��� NANCY M.PORTOMEN6
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, � r''��a�'� Ba�btdflW9�lN9b�SBA'�9
Signature-Notary Pu 'c I
(A copy of any bond must be atlached at the time of recordation of this Notice of Commencement)
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� '��A'P'�����"�@�� BY
JOB L.00ATION (Rev,1 14)
PO #: O CFiECK#,���[� r I�t��ji�l�i,��� �. � �� COMPRESSOR
� ❑ Suctfon PSI
Q Head PSI
NAME: 1�lili C4�1)ITIIININ�i� .l IIl:t�'1'i11TG 5i0I.iJ`i'ION4, I\Tl;. ❑ vo��s AMPS
❑ ou�e��a r eo�,dinon
Aoo�ess: 730 Abbey prive, Dade City, FL 33525•(352)521-4074•dennis.kackritzQyahoo.com � ��Sc.GonnectlGontacts SeouralClean
❑ Contacts Tight/Clean
CITY: STATE: 21P:
ODEC.' � SN: j � ��` CONDEN8ERC0!!.
BUILDING#: APT#: MODEI�"X � ��~�,„ gN; /���/j� 7 � Cleaned CoIllFlnns
Jy1 3 r �r ❑ ENT. °F LVG °F
BI�LING ADDRESS CONDENStNG UN1T� ` QTY . ' TYPE t DISPOSiTiON -
DATE: .-- Jl`�r� ❑RECOVERED GONDENSER FAN
❑ Volts AMPS
NAME: � N � O RECYCIED REFRIGERANT
ADDRESS: t` j`�!�6 ❑REGLAlMED O Leak Q Cherge
t✓+��
CITM,• , ❑RETURNED ❑ Volts �VAP.MQ70R 1 FAN AMp$
❑DlSPOSA� ❑ Etect.GannecUContac#s SecurelClean li
STATE: � ZIP: �� ❑ Fen PulleysBelt(AdJust if Necessary)
❑pISMANTLED ❑ Lube Bearings/Mator
FtQME pHONE: � r��r 7 � T4TAl.$
O CHANGEl3 dUTlR�PIACED
EVAPORATOR COtL
WORK PM . �Z.•^ '�� '"�' � - q`('y MATERIA4 LSERVICE - UN1T PRIGE � AMOUNT � Cleaned Coil/Finn
. - ❑ £nter DB_°F LVG DB—°F
TECHNIC " R F G LBS ' ` �i"`` �� ❑ Enter WB_°F LVG WB_°F
Descriptfon of work to be performed: FILT X X CONDENSATE AREAS
,� `' ❑ InspectlClean Drain Pan
. �
❑ InspecUClean Drain
, AIR FiLTERS
C,y,j ❑ Replaced ❑ Cleaned Size
.
HEATING ASSEMBLY
• � ❑ Contactar ❑ Fan/Limit Swftch
❑ Fuse L3nk ❑ 8lowerAssembly
"' � TOTAL MATERIALS , ❑ Sequencer❑ Defrost Gycle
� �� TIME;IN LABOR TIME'OUT RATE _ AMOUNT ❑ RV Valve ❑ Strip Heat.,�AMPS
/'� t�� �" �� "`�"� ELECTRICAL COMPONENTS
❑ Relays ❑ Overioad
C! Gantactors ❑ Press.Swltah
/� ❑ CircuitBreaker
.. �
. -�� THER{VIOSTAT
� , �,,, TOTAI»LABQR ��. � ❑ Reptace ❑ Relocate
� LIMI'[EDWARRANTY:ANnqulpmont,perUnndmnUurloleurewarrantodbythomenufacturo�'oreuppllers'wrlttenwartantyonly. �. ' TOTAL .
All la6cr peAormud by iCackfltr Atr CondltionSng&Neating So(utlune,tnc.IB wamrttod icr 34 daya ar�othatvrlev indtcaWd
.. . . In writleg.KarJcrifx Atr CondiBantng 8 NoaUng Solufiarts,lnc.mnkas no othor warrattdoe oxproeend or tmpilad,and itb agenta TOTAL �+'�
Recommendaflans:, ' " or WohNelane are not authodzed to mako any euch wertantlaa on 6ohall of KeekdtzAlr Candltloning 8 HoaUng 8olullons,Inc. MATERIALS ��r G�vi.�+'
,� ' �'-'' � '" �' Cr7J EGUTAR ❑W RANTY ❑SERVICE GOIVTRAGT LABOR � �d""" ��
� I uulhorlsn lho ork doacrl6etl ebove I eBn� at 6oller ntdne tlUe to pertalmatorinleloqulpmont fumlehod unUl puld for In DIAGNOSTIC
tNl.1t paym�nt(�not td In fult ean movo ea3d partetmabdnialnqutpmsnt at Sa11er'a axpenao ondtor impono a 2% CHARGE
IIqutda8on s on tho e U unt ]ca Ordur.Demngns eaused by nmevel ai purmlmntwiatatoqutpment w1II not bn �����
� therospo Ifltyofth of� tcseeroduonoloesihen7pdeysettarroco�pt.Aiitmo�eaeovoHOdoyepaWdw
havo ' fo p� ey unGl d. 7�(
' � ,.,,.�.� .�,.t�� '/"Z Thank Yau! `� �--�
TOTAL , � (.
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Ftle E� Pmt Utif� �dup Window Hdp
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Peaitk�e�P�liyye Wo�Type fvatTppe OShowfa�Id�dPca�h
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Gae-d Rapetp h6c'���Fxs Cvladm Wtadm�ls IXb
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Reqa�YxPectiors Ynpedioinq�de
,ppe Naoe Slahs D�e 9�n Ca�¢r4 �
Wll DUCiS@lSTN1fD N
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