HomeMy WebLinkAbout18-19344 CITY OF ZEPHYRHILLS
. 5335-8TH STREET
�, _ (813)780-0020 193
r ' BUILDING PERMIT �_
PERMIT INFORMATION - - - � - -LOCATION INFORMATION
Permit Number: 19344 Address: 6504 BRENTWOOD DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): � Block: Section:
Square Feet: Subdivision: BRENTWOOD FIRST ADDITION
Est. Value: Parcel Number: 04-26-21-0040-00000-0011
Improv. Cost: 6,700.00 OWNER INFORMATION
Date Issued: 2/22/2018 Name: HALL GLENN E & PAMELA
Total Fees: 75.00 Address: 6504 BRENTWOOD DR
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-0623
Date Paid: 2/22/2018 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 75.00
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Ins ections Re uired
DR IN ROOF INSP
TAPE JOINTS ROOF INSP
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
frst 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.
I
CONTRAC OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
sas-7sa-ooza City of Zephyrhills Permit�,�pptication ~ Fax 843-780-0021
• Building Department
�a-
Date Recei�C�d.• -�
�Phone Contactfor Permitting �
Owner's Name N /rP'rTl�'" O�rner Phone Number 'I
Owner's Address t9's� L�Lb/L'���d� �� Qwner Phone Number � � (
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Fee Simpte`fittehotder Name �� T� Owner Phone Number �- I �
! .,
Fee Simpie Titlehotder Address
Jos auo�i�SS �S� 1�f��'?'GrJ�� 1,��- LOT# �
su�o�v�sio� �.5'tLrlG-1L- ���� � PARCEG 1D# !�7 '•L �/--�!1���' P���al�----��
f (OBTAINED_FROMPROPERTYTAXNOTICE7 �
WORK PRCIPQSED . NEW-CQNSTR AQQ%AL.T Q SIGfV �Q � Q DEMOLISH
e INSTALG 8 'REPAIR '
PROPOSED:USE Q SFR Q GOMM � OTHER `
TYPE`.OF COi�S'f12liC'i10N ��BLOCK • Q �FRAME � STEEL Q
, �
DESCFt1P�ON OF WORK 1� �B�x t�/l��i� �' ��' � 5����'� �
,
,
BUli�1?ING�B}ZE � � SQ FOOTAGE��' HEiGHT �� �
QBUlLDING $ !`��� �"� VALUATtON'OF Tt7TAL CONSTRtlGTION
(d
�ELECTftICAI� $ , AiUlP BERV{CE Q Pf�O�RESS ENEFtGY Q W.R.E.C.
i
OPLUMBING ($ ��� � ��
' �"� � �
MECHANICAL $ VALUATION OF MEGHANlGAL INSTA�LATlQN �
� ' .. �
QGAS �pOFING Q SPECIAl.TY � OTHER _
FINISHED FLOOR ELEVATtONS �� FLOOD ZONE AREA QXES NO
. , ,,. ,
BUILDER � COlIRPANY
SiGNATURE REGISTEREp Y/ N FEE CURREn Y/N
� Address �Zicense# �� ���
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;..-`'fLEC,,TEi(GIAN , CLitU1PANY •
�-:;.�SiGNAYtJRE REGISTEREp Y/ N �Fee CURRen Y/N.
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r �t��$SS u �
` License# �� '
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..y�RI�UM.BEtt,i., . . 'C014tIPANY�
, SIGNATURf� � " �Gls7erteo Y/ N, � FEE CURRE� X/N"
" Acldress - - �Licerise# � ��
'�:..`MECNANIGAl::�. - � ' COMFANY , -
`'�"SIGNATURE '" '±�" ' � •• REGISTERED , Y/ N FEE CURRE� .'. Y/N : �
aaa��ss.r> _ - � .. . , �ice►,S�# � �.
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oT�r��t:�. :_�: :�_ ��v� ` =coMFar+nr - ��rl�nJ /�f�D�i,r1G ,
�A;''SIGNATURE�;��:}: .-t; : ` REGISTERED ` . Y/.N FEE CURREK Y/N k
' �at�s1.' -_- �.Q�:�Q`�._.�:�;�..�:b._3: �-���� �,' _}.: � . =« � �,m������
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''�::REsi�ii��tt�►t::� �;atta��z.x��ot=P - - �.,,. - � . . . ,
{ L , �,; _(_}, ,!..<lans;�{2).�efs�of'�Buiteling�?lans:(1}`setof�Energy'.Fqr'rris;R=�1�1t Peircil#for.�neuv:const�uctian,.
{.: �.. i_ . . . . . . . ' h ..•,r
�;,. ., --�:=•a-�ry`};��,�,��Minimum;.ten:(=10);�vo�king;rdays:aftetsutir,"riitta'I:date:�>Requiretl'onsite;�Construction'Plans;StoririwaterPl.answ/S(ItFence_installed,
� ..: � ���� Sanit�ryMFac�lities�&3�dumpst�r;�S[te WA�lcFermlGfor�si�bdivis'ions/large;pro]ects:; ,- '�:'• ., • � , � ' �
� GOMNIERGfAL Attach={2�•cd�ptete`se#s of�Bullding Plans ptus a`I:ife Safety�Page;{1}set of Energy Farms.F2-Ct-W Permit farnew canstrue�oh.
`^�` Minimum t�n(10)working days after submittal date. Required onsite,Construckian Plans,Storrnwater Plans w/Silt Fence.insta,lled,
��"�`� Sanitary Facilides&1 dumpster,Site Work Permit fo�•aU,ne'w.�piojects.A!!commeeciai requirements must meet campliance
,:�..._.
��;SIGN;PERNtiT 'Attac�i-{2}sefs,of Eiigliaeer,,ei3;Plans:;t= _��. " ,t •�- .
� "•""PROPERl'Y SUFtVEIf reguired,for.all,NEW construction..
.`_ � ,-�- -
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`°:Dicect3oos: . �:<,.;;;•.-,;
' ' � FUliout•application completely.�
F.`=. Qwner&GanVactar.sign:back of appAcation,notariiad
� �;�`� tf over:$2500;_a l�btice.of:Gommencement is requirad. {A!C upgradas over$7500j
i �.�:..,, . ....::....... . ��.����. �
i';Yy- >i4gent�(for`the'�contractor)�or Power of•Attomey`(fo�'tFie owner)wauld'tie someone with natarized letter from owner authorizing same
� ;�i01lER�:TFlE�COtJNTERlP,�RM(iT1_NG,...._. {c:opy af-:coniract:reguired) � , ..
r�Re�oofs�if;sfiingles M 'Sewers Service Upgrades A/C Fences(Plot/Survey/Foo#age)
` "DciVeways-Not over Gounter if on publicrvroadways..neeiis�RO1N } �
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NOTICE:O�DEED,Ri�STRtCT10NS: The undersigned=.unde.estands:that;this;:permit.�may,.be;subjee#:to:_"d:eed";resfrictioh's"�;'x;,.
which'•wmay�tie;more..r;estrictive��fha'n��ourtty�:reg�il�tions��=�The'fundersign�d��as�surnes���spo3nsibitify�for�camplian�c'e�writh�;any� �
appficabte.deed rest�ictions. . .���x,���>-r�=;-.__, .:
. ... ,�., .:.., :;�.,.,, �:
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UNL[CENSED`��CON'GRACT4RS' AND�CONTR�►CTQR RESP:ONSIBl�:l�i�S:-=1f==the�<owrter�-1ias�liir"e'i�}°a':cart#ractor or ;
contractors�ta undertake work, #hey:�ayzbe,;c�quiced��.to bejlicensed�-Pn accar.dance with.state:and=iocai:stegulatlac�s:.•a�lf.ttie�=-�::s .
�"^r� - � t -: .. . -�i1..::.� .z;:,'. .�«.^>- � ..:..::.c.,......�p,a.
contractb� isKnot�licensed�as�requi�ed:'by:�iaw, b"oth:the owraer:and�'contracfor�ma��be=rcifed=for�==a���iPsdemirveanorYiolation�� - '
under sfa#e law. if the owner ar inter�ded:.contr,..acfor. are uncertain as.to what..licensing�re:quiirernen#si�hn'ay�appl;y,'>for{;the=�4:':��" ;;
'�f�.. .���.`s:$'k.d^'ti� _ . . � �
4�� � .. . r ... . a..,._. �-_ r?c`.,ii>e'.-l.. �_ .i ,
intended wo�k,the�r.are-advased"to contact�fiie'Pasco Courity Buiiding-.insp.ecfion;Divi�ion_--;�Licensing Section at 727=847- ;; `��+ :;
8049. F�rthermore, if the owner lias°liired'�a�ciint�actor or cantractors, he is advised`#o;:have tlie.,,con#ractor(s),:;s�gn.:4..,:�;, ;;Y `
n „ • , �r.<,_..r�=s•-..:.:::...:..�.. _, j_..,,�,�.d,- ;,
portions of the con#ractar Block ,of this�applicatian-:for whichnthey wi!!:be=:r.esp.onsible::=tf.:ya.a,;asx.the;owner�sign��asY:fiie��'=_<;� ,�, ,
contractor., ttiat.may 6e an indication'�hat he�is'not praperly licensed�and��is no#entitfecl��#o permitting�privileges`frt„Pasco, G.;��;�'. ��;t ;;
County. __. - �. ,_ .. .�::�.:,���;..,� ,
TR�►NSP4RTATiON tMPACT�UTILiTtES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.under.s.tands_,+N.� r�-4? �'
��.:,�«;tfi.;�,, ,
tha#Transportation tmpact Fe�s and Recaurse Recavery Fees�:may.a}ipiy ta.the-cons.truc:tion..of�new,:bui�.dings;.•chan'ge�°of'=���'�;! �-_; G!
use in existing�bu9ldings;=or:expansi�n�of:existing"buildir�gs, as specified in Pasca Counfy 4rdinance number 89-87�.and._ :�; '':� �t
�._..� ,
90-07, as amended: The�ur�dersigned also understands,,#ha#such<fees; as.may;b.e;due; wili'be=xidentitied°��twitie�r:firn��:of���'�`='-'�' ��; j;
permitting. It�is further�understaod tliat-Transparta#ion Impac#-Fees�=and Resource`�Recovery Fees must be paid p.r.iar'to � ��
u n �..�< � .p� i;
receiving a:-certificate of occupancy ar final.pawer release. . If'the..project does not�ira�tolve:a certificate of.occupancy.<oc��;��'''$ � �
_.. :.
final-pawer cele.ase;�the.-fees.must�be:paid prior to permit issuance.,..Furthermore,-if:Pasco.County WRaterlSewer,;lmp$aet;-�-�� " `� �;
fees are.due,.tEiey;:must-6e,paid priar ta permit issuance.in.accordance-with-applicaple�t?asco County ordinances. �
CONSTRUGTION.�:IEN�tAW(Ghapter713, Ftacida Statu#es,as amended): If valuation af war:k is$2,.5A_0:80:or.roare;�ir_;;;� �. � ,
certify that I, the�applicant, have been_pravided wiEh-a copy.:of:the :"Floi�ida Caris#rrletion `�ien Law=Homeowner's����
Protection Guide" prepared�by the florida Department of Agriculture and Gonsumer A'ffairs. If the applican#�is;someor,�e:f ..
,,� i;.f+,x,.r..".." `.
ather than fhe"owner", I certify.that l;;have obtairied'a copy of'the-above:describetl'tlocument=and prot�ase,:ir�.good;fa�tki�;to „
deiiver,it.ta`th;e:"owner""priar�to commencement. �
CBNTRAGTCIR'S70WNER'S AFF1DAViT:: �t;ce�tify�tfiafa(l:�ttie inforr�ation in this application is accurate and"fhat all`work �
will be done in compfiance wi#h aif app(icabie'�aws regulating canstruction, zoning and.iand�.deveiopment. Application,is ;
hereby made to obtain�a,permiY:to:do,,�work-and. instalia#iort.as'indicated. I certify fhat no wark or.ir�statlation;has �
� w., , ,,
commenced prior to issuance of a perrri�t and=�#hat all work wil! b� performed to.meet-standards-of a!1 fauvs regulating '�
construction, County and City codes, zoning regulatians, and land development regulations in��the jurisdlction. ���l:�atso �,� ;�
certify that I understand that the regulations of other gavernment agencies may apply to the,intended work, and that �f is `;;� �;;'
my responsibility#o identify what.actions I must take fo be in compliance. Such agencies include but:are not-limited.to:. '
; - .Department af Enviran'mental%�Pr'o4�etiari=Cypress� Baytieads; Wetiand Areas and Environmentally Sensitive �`�` !�
Lands,Wa#erNitastev+rater Treatment. - ;`; ;�
- Southwest Florida Water Manag�ment District Wells, Cypress .Sayheads, Wetiand Areas, Altering i= �
� :� �� -
Watercourses. � '�-� �;
- Army Corps of Engineers-Seawalls, Docks; Navigable UVatenn�ays. _ ' "; 4;
- Department of Hea(th.,&.Rehabilita#ive Senrices/Enviranmental.�.Heal#h- Unit•Wefls, Wastewiater Treatment; �!
Sep#ic�Tanlcs: �. ' �
- US Environmentai Pro#ectian Agency-Asbestos abatemen#. '"
- Federal Aviation Author:Ity-Runway,s.
I I understand that�.the,following restric#ions apply fo the use af�U: $ ;
- Use af fill is not a0owe.d in Flood Zone"V"unless expr.essly permitted. ;..
- tf the fiil materiai: is to be used in Flaod Zane "A", it is untlerstood that a drainage plan addressing a�
°compensating volume° wiH be submitted at time of perrimi#ting which is prepared by a professiona) engineer� �
Iicensed;by the State of Floricla.
', - !f the fA matetial �s to be used in Flaad Zone "A" in connection with a permitted buitding using stem wall' ���
canstruction, I certify:that fill will be used only to fiil the area within the s#em wall. � �";
- if fiil materiai is to be used in any area, I certify that use of such�fill will nat adv�rsely a�`ect ad}acent+ y �
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating� ` ! �
,, { :
'� the canditions of�#he-buiicling.perm'rt issued under the-aftached pet�rnit..apptication, for lots�less than one (1)? � i
� acre which are elevated by fili,an eng�neered drainage pfan is requi�ed. � �.� �.�
� If! am the AGENT FOR.THE QWNER,-4 promise in_gaod faith ta Inform the awqer of the permitting condi#�ons set forth in� �".,� �-!
'i this affidauit prior t'o commencing consf�uction. I understand that;a,sepa�ate perrrt9t may be requ9red for electrica! work,;- �'�
, {�; �.
plumbing, signs, wells, pools,:-air,:,conditioning, gas,,.:or�otfie��in;s`�allations not specifically included !n the application: A.;, .._�
, permit issued�shaiF1�e constnied�to��e a li�cense,to.proceed with'the work:and not•�as.autFiari�r.ta violate, ca�cel, alter, or; �'�`.i �`�
set aside any prov'rsians�bf�tFie"technicaf cades, nor shall issuanc+e of a permit prevent tfie Building Official fram #her.eafter; •'' '
requiring a-correctiom ot:er�ors�In�pfaris;�'constr_uctfon,or.violations of any codes.=Every permit issued s�aii'become invaiid; �_�� �.�
unless the work authorized by such permit is commericed within,six months of permit Issuance, or if work authorized by�s ��°, ��.;
the permit is suspended�or.abandoned-for.a peciod:,of six(6).rrion#hs after the time the work is coinrrienced. An e�ctenslor►; � �� �
may be requested, in.weiting,.fcom ttie Buitding~Officiat for a period.not to:excee� ninety(90)�days and will demonstrate ; _�,: �"�
justi�abte cause for the exfension. :tf,work:ceases for ninefy(90}consecutive days,the job is considered abandoned. �' ;:~', ���
� . - - � ' ;,,!
WARNING TO°OWNER: YOUR::FAILURE.�TO,:R�CORD,A,NOTIC� O� COMMENCEMENT•MAY=RESULT-IN YOUR; ��;_%:;r
�,_., ..�,..... ,_�.,,. _ ;
_ PAYING TWICE'FOR;IMF�F�OYEMENTS:�TA:YOl1R:':P!ROPI�l�TY., }F-YClE1:adCJ��END_�'O�t?BTAiAifi�fAf+iG�N�;CONSUI�T ��y � ;
1N1TH YOUR'LENDER OR3AN�0.1TORNEY BEFORE RECORDING'YOUR�N �TICE'OF'�C�MMEN�CEMENT. ;:� ; ;
FLORiDA JURAT(F.S.'t 1�.03)- - • . � . � , . . '
,/� �
OWNER OR AGENT ``' -- "^ CONTRACTOR t G�---`—'
Subscrihed and swom to(or aflirmed)before me ti�is Subscribed and swam to(or affiRned)before me this �
�Y �Y
Wha Is/are personally known ta me or has/have produced �Who Is/are personally.known to me or has/have producad '
as idenfiflcatlori. as idenUflcaBan. y
Notary Public Na#ary Publlc
Commisston Na. Commission No. '
Name of t�atary typed,pdnted ar stamped Name af iVotary typed,printed or stamped
,; .
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' ����x 202803015@
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Pertnit No. Parcel ID No
NOTICE OF COMMENCEMENT
Stete ot ��p+�[�//�' County of ��.5�'
TNE UNOERStGNED fiereby gives rtotice that impravement wiii ba made to certain reai property,and in accordance with hapter 713,Fiodda Statutes,
the following informadon is prov(ded fn tnls Notice of Commencement: `',,,
1. Descriptlon ot Property: Parcel ldenStfication No. .,`� "� " '7'�� ��"n��
StreetAddress: [AJ'�a7' SRFit.IfTt�U'G.a Ie�t � L� N t"f�4.�.s"
2. Generaf Oescription of Improvement �� F.���l��r" �'�S�T+
3. Ovmer Infarrnation or Lessee infortnalton If the Lessee oniracted for the ImprovemenL'
���1��ln7v'+ .��-L. �1
S� 8 fuJ00 l�.- ��A�FyRH/LL.S;, /"� •
ress Clty State
tnierest In Properly: 8[✓�tlE"c/2 ����'�" 3�'�'�
Name ot Fee Simple Tilleholder: y`—
(!f different fram mer(Istet!above}
Address � . I QDO���� Clty State
4. Contractor: r/4-G�I��� lL
"e�'e�� ��X t363 „�/.�DE e�?�' �'`
Address Cfty � Slate
Contractot'8 7elephana No.: .1Se2---�67-.5�3 f� �3'S�
�
5. Surety: '
Name
Address �„_ Glty Slate
, Am6unt of Bond: $ Telephone No..
�.
8. �ender. .
Name �-. j
Address Cily State I
��
Lertdets Telephone No.. j
7 Persons wilhin the State of Flodda�deslgnated 6y the owner upon whom notices or olher documenis may be served as provided by I
Section 713.13(1)(a)(7),Florida Stalutes: � �
�
Name ' �, Y ��"
" { '�
'� �"r��::��°
Address ' r.____. C�ty Stata ��- .�� �! �,. �
7eiephone Number of Designated Person: �� og , ` "'�"'�<: �., • '�
3 it:.
YPf r,,�,......:. �
8. In additfon�o hi�he owner designeles of� ��r � �+�;�..4'f��
( to receive a copy af the l.teno�s Natice as provided In Sentlon 7�3.13(1j{b},FIQr(da 3tatutes. � � .. �;' '' o �'
Telephone Number af Person pr Endry pesignated dy Owner. � � t a. � .
� � +�
8. Expirafion date af Noiiee of Gammencement{the expiratEon dete may not be before the eampletton of c ns ct(an and fina!payment to the j�
� ' Y a �
contraclor,bul will be one year trom Ihe dete of recarding unless e dlHerent date Is specified): , m, • +R
,�1�.� �,
WARNINC�70 OWNER: ANY PAYMEN7S MAC1E BY THE OWNER AFTER THE EXPIRATION 0 THE NOTICE OF COMMENCEMENT � �`
ARE CONSIDERED {MPROPER PAYMENTS UNpER CHApTER 713, PART t, SEGTtON 7t3.t3, FLORRDR STATU7ES, ANO GAN � '� '�
RESUIT IN Y6UR PAYlNG TWiGE FOR tMPROVEFAEtJTS T6 YLtUR PRLIPERTY A NOTiCE OF COMMENCEMENT MU57 8E �
RECORDEp AND P4STED ON THE JOB SITE BEFORE THE FIRST�NSPECTION. IF YOU INTEND TO OBTAW PINANCING,CON3ULT � --1--� ��
WITH YOUR LENDER•OR AN A"TTORNEY BEFORE COMMENCING WOR RECORDING YOUR NOTICE OF COMMENCEMENT. � D � Z 70 S "'�
-� --� G� �'
Under penalty af p ���t,����.t hava read the foregofng notice of inencemant a d that the f ts stated thereln are We to the best C �Ct!� �
of my knowledg`a�i���e:�..UI'!�/�y, � rn 3%Cl, �
ISTATE OF FLORIDA =��4��`��5,�,+��•4y� ��iy'V � O�CJ � �
G4UN7Y QF PASCO ` :�� �v�,s - -- - � ('� � �
a*: i�y� ��k� ignat e af'Owner or Cessee,ar Ownets or�essea•s Authorized - a Q t"� S�j r-
� `� AFF 1A3118 ;,�.� OH(ce IDlrectorlPartnaNManager m � � � � � �
�'ly�'y"•';�.�ee�'o�.z.'� 4'� Q � C E�'i ''t� �-
`����%j[��eUC STA'1tia`���*� Signatory's TitietOfflce � "�i L7 p� ("7-G �-_.'
L�/ '�n � r" --1 _{ �
Tne foregoing inslrument was acft���il�befora me this G�� dey of�E6. ,201�,by �� �od��"��itlAl I \ m 2 (� (") T�- r.,�
H$ {type of autharity,e.g.,offieer,trustee,attorney tn tact}for . �7 � --i g„}
� �F J�.r . �ALL (na arty o in mentwasexecuted). � TI (�'i') '� —� �^�
i i ._. � QS_ �'
Personally Known �R Produaed IdenUflaation❑ Nolary Signature ,_ ��t � ��7'fl m ""�
.,,��,�/ a --� "c
Type of Identificaiton Praduced Name{Prini}` _,�� ���yt"I�-F'\-j � � _. x a g�
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