HomeMy WebLinkAbout19-20759 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20759
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20759 Address: 39033 MANOR 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: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0050-00000-0040
Improv. Cost: 8,952.00 OWNER INFORMATION
Date Issued: 2/01/2019 Name: MASON, MARTHA ANNE
Total Fees: 127.50 Address: 22 RIVERSIDE ST
Amount Paid: 127.50 BINGHAMTON NY 13904-1620
Date Paid: 2/01/2019 Phone: 813-782-4752
Work Desc: REROOF SHINGLE/3 SQ MODIFIED
CONTRACTORS APPLICATION FEES_
RYMAN ROOFING INC REROOF RESIDENTIAL 127.50
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DRY IN ROOF INSP
Ins ections Required
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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
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.
OAQ4lv
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dONTRACTOO 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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6/15/2018 Fiodda Building Code Online
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Product Approval
u USER:Public User
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Product Approval Menu>Product or Aoplka_tlon Search>Application Lis t>Application Detail
s FL# F15680-R20 r t
ICI:V r-W DA' t� -
Appitcation Type Revision •��- 1AN 3 /}
Code Version 2017 CITY o ?fi ?U» 1
�HYRH-F
Application Status Approved �`�LAN^+ �:�..�. �
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Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,N1 0709UL W0F?
(80a)766-3411 COL)ES k S ACC CO
mstieh@gaf.com IVAT F�oR/DA 8 ��Y w/,rH
A[VQ 01VAL ELECT-R /lC/ G COC��P At�,1 G
Authorized Signature Robert
nda @nemoetc�RC1NgAICES®F�E�YR,/ClS '
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Technical Representative William Broussard
Address/Phone/Etnall i Campus Drive
Parsippany,NJ 07054
(800)766-3411
TechnlcaiQuestionsGAF@gaf.com
Quality Assurance Representative
Address/Phone/Emali
Category Roofing
Subcategory Modified Bitumen Roof System
!
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert J.M.Nieminen
the Evaluation Report
Florida License PE-59166
QtiaUty Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 11/05/2019
Validated By John W.KnezevIch,PE
J Validation Checklist-Hardcopy Received
Certificate of Independence FL5680 2R 0 COL.2018 01 COI NIEMINEN.pd
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Referenced Standard and Year(of Standard) Standard Year j
ASTM D6162 2068
ASTM D6163 2008
ASTM D6164 2011
ASTM D6222 2011 j
FM 4470 2012
FM 4474 2011
TAS 114 2011
Equivalence of Product Standards
https://www.floridabuilding.org/pr/pr app dU.aspx7param=wGEVXQwtDgt45H1a2AP3lyZIwDhCBvJq7%p2bKf8DOt6%2b%2f3THXQ02KjHMg%3d%3d 1/2
6115/2018 Florida Building Code Online
Certified By
' Sections from the Code
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Product Approval Method Method 1 Option D
I
Date Submitted 04/02/2018
Date Validated 04/09/2018
Date Pending FBC Approval 04/13/2018
Date Approved 06/12/2018
SummarV of Products
FL# Model,Number or.Name Description
5680.1 GAF Modified Bitumen"Roof Systems SBS and APO Modified Bitumen Roof Systems
Limits of Use Installation Instructions
Approved for use in HVHZ.,No Fl 5680 R20 IL 2018 04 FINAL At ER GAF MB FL5680-
Approved for use otitside HVHZ:Yes R20 pdf
Impact Resistant: N/A Verified By: Robert Nieminen PE759166
Design Pressure:+N/A/-465 Created by Independent Third Party:Yes
Other:1.)The DP noted herein pertains to one:specific Evaluation Reports
"system. Refer to the ER Appendix for all'systems and max. FL5680 R20 AE 2018 04 FINAL ER"GAF MB"FL5680-
design pressures.2.)Refer to ER Section 5 for Limits'of Use. R�
Created by Independent Third Party:Yes
8acic Next
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Winne:850-487-1824
The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida.::Privacy Accessiblllty Statement!:Refund Statement
Under Florida law,erriall addresses are public records:If you do not want your a-mall address released In response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone.or by traditional mail.If you have any questions,"please contact 850.487:1395.4Pursuani to Sectldn
455.275(1),Florida Statutes;effective,October 1,2012,licensees licensed under Chapter 45s,F.s.must provide tfie Department with anemail address If ttiey,have
one.Them ealls provided may be'used f6roffIdal'communlcatlon,with the licensee.However emall addresses are public record.If,you do not wish to supply a p ersonal
address,please provide the Department with an eiriaR address which can be made available to the public.To'determine If you are"a'ecensee.under Chapter 455,F S.,
please click fijre,
Product Approval Accepts:
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https://www.floridabuilding.org/pr/pr app_dtl.aspx?pararn=wGEVXQvADgt45HIa2AP3lyZlwDnCBwg7%2bKf8DOte%2be/a2f3THXQO2NHMg%3d%3d 12/2
Building Department
Date Received 3 + 8J, —
Phone Contact for Permitting' ail
Owner's Name �>-V 'a- ' ' `asb.o 77""OwnerPhonhone Number U� " 71 �
Owner's Address I`��e dsl`^'� + +� �QM�6n Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
I
Fee Simple Titleholder Adddreess JOB ADDRESS F31033 l ' u o` o r� ��t�l S LOT# I
SUBDIVISION I I Val � t1 PARCEL ID# + �`��0-a 1 ,bb 6 "dCCbb- bb'ib
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED-- NEW CONSTR ADD/ALT SIGN Q MOVE DEMOLISH
INSTALL REPAIR j f
PROPOSED USE . [� SFR COMM 0 OTHER
TYPE OF CONSTRUCTION ' Q BLOCK FRAME 1^ STEEL
r Q OTHER
DESCRIPTION OF.WORK
BUILDING SIZE. SQ FOOTAGE HEIGHT
®/BUILDING a$ r, .: ��l J VALUATION OF TOTAL CONSTRUCTION i
1
Q ELECTRICAL $ AMP SERVICE 0 P{ROgREPS ENERGY
.J ,
Q PLUMBING $ !/ C9.
n
0 MECHANICAL $ 40^
VALUATION OF MECHANICAL INSTALLATION �
70
�] GAS ROOFING 0 SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO ,
__BUILDER_ COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT YI /N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N '
Address License#
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PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL CO PANY
SIGNATURE E TERED L Y/ N FEE CURRENT Y/N
Address /% License'#
OTHER �n J (j �,/l ( COMPANY Q `�' L "
SIGNATURE OA I ply- `� v�'v�` - REGISTERED / N FEEC RENT /N
Address 3col 6 5 r 5y 1`S C� 3- S License# L!CC�, SS�� ILI
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed;
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL, Attach(3)sets of:Building Plans;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required_ onsite,Construction Plans,Stormwater Plans w/Silt 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&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences'(Plot/Survey/Footage) k '•• r �'-''"� '
- .•s tiT>-. ...�. j� ' ...+1•�: '7�19.• ..e:tr i•:. n
^,tit..,,...:' "_• ..t.. . �
Driveways-Not over Counter if on public roadways:.needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°`deed"•restr:ictions"
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 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 'f the "contractor Block" of this application for which they will be responsible; 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 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 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
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, Wetland Areas, Altering
Watercourses: j
Army Corps of Engineers-Seawalls, Dock's, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental 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
"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, .1 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,violatei 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 YOURLENDER OR AN ATTORNEY BEFORE,RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F. 11.7.03)
OW OR AGENT r - 'Co•RcT
TOR=ySub crib d nd swan to(o affirm$ )bero a to this Su nd sworn (.31 by I k Ae C� I�l �(�c�G _ byWh is/ a personally kn wn to me or as/have produced Whpersonally kno to me or ha have produced
as identification. as identification.
Notary Public
Notary Public
9 p%a,, ANNA MARIE LYNCH ERRY Commission No.
,
Co - e o orida `�oia��`1, ANNA MARIE LYNCH
. s
°'• Commission#FF 958064 °
Pa ate of Florida ,
Na a ofi�Ip f3 IYP� t � �• 2020 Name of Notary ty a, ri rstar�eission#FF 958064
ono through National Notary Assn My Comm.Ex Tres A r 4
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• INSTR#2019011628OR E3K9848PG723 Page I of 1
01/23/2019 12:23 PIVI Rcpt:2022459 Rec: 10.00 IDS:0.00 IT:0.00
PauCa S. OWK Ph-D, Pasco County CCerfz&ComytroCler
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Format No. Nra 1E)Na WOO
NOTICE OF COf16qMr=N0EW1F_?qT
state of
ii fE UNDtyRS[CNED t sreby gives notice that 3mpraurreni�tlA t s rnede2o ce tear at
the is provided in this Nolfais Of Commencemerlh P. i
1. V*cCipilarz of Property: Palcel Iderlificagn No, G(v- a('- 0b5()-00000- 000
3cto35 Manor 'Or. #
StreslAddress
2.
General Oescrlp53n dImprovemenit
1-w off- re-ro(-)
3. M
fbrmaqon or!.Lsw Infahilbrittihe Lessee milraotedfar-their rmi
ro Vemenl:
Name
(ga- r)
Address -j Sate
Name V Fee Simple Titleholder,
TI f i5m, n t fro m 0* 1 is 1.d is be v e)
Addrahs elate
Contractor city
Nark k 5W13.
Address- City
Contractor's TalephorieNo.:
surely.•
�.Name
Address cry &Vile
AmountafEend.0 iwlephaneNo.:
6. Lender: -------------------
Name
Address city stake
T. Persons Whin the State tiff Florida deelvjnek by.the ovirer open wharn notices or other dauwents mat he served as provIded fay
Sectlion 713.13tl)(a)V),Florida Statutes:
Vame N
Address City-,
Telephone Number or Deq&ated Person:
S. In addition to himself,Ihe ewer designates
jo reeejve a ropy or the Ltionoes Race as provided in Seatton7113,18(l)CP),Plarida 51stutes.
I elephc�ie Number of Person orEnittq Designated by Ckaar:
91 Expiration del-of N01108 Of C0Mo1GnCEfrGnt(111'V5 expiration dale may net be before,the comW4Wn of constrallon an fin
contractor,buli.41 be one year from the taste of recording unloisa ditiererfEdate Is speoilled):
OWNED: A TWE E�PIRA`JION OF!THE Ndvati OF'COMMENGEMIENT
WARNING T 0ANYPAYMENTS MADE By THE Q)NW--P AFT'ER .1 BEOTIONT13.13, FLO9.QA STATUIRS,AND QA14
ARE CONS113pilgo IMLPF ,1UNDOVAR PAYMENT ER CHAPTER713, PARS
RESULT IN YOUR PAYING TWICE~FOR
R jM3PROVEMEtITS-to YouP PROPERTY. A-NO-1710E OF GOWERIMMENT MUST US
RECORDED AND POSTED ON THE JOB SITE SEFORETHE FIRST INSPECTION. 10 YOU WEND TO OBTAIN FINANOING CONSULT
W-R I YO UR LMqDER OF,AN A-FTORNEy SEVORS CaMm ENcING MRK OR RECORDING YOUR NOT ICE OF OWNAPNOEORT.
Under perialty of perjur 'I do 11rueto the liest
of y declare that I have read the foregoing MINE ent Ill
Try hrinwiedge and b'QW.
—
STATE OF FLORIDA
COUNTY OF PASCO
•Mgnalure of O%vner or t Essseevr0i=i`oor Aulhorized
OWILLC
The fi K)a(4-tqo-. "80n
LLV, r (type ofauth my'..a. orcer, rusteo.aftnisy g1 134 for
(cs a Zlil 1 re, Y S exEcutedl.
Psisomv Kel-,�,X OR Produced ldentlflce�tlon 0 Notary Sjune'lure
Name tPrintj
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Typo al'Idenilgoeften Produced Name(print)
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ELA IIAYWoo
[Notarybile-Sja,e of
Commission 0 FF•912551
MY COMM,Expires Atig 24,N
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: ti
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Date Received:
Site: G v s3 ��—
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hl „Q f
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment et shall be kept with the permit and/or plans.
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Kalvin wit Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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City of Zephyrhills
5335 8"St
' Zephyrhills FL 33542
(813)780-0020
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�/ ROOFING INSPECTION AFFIDAVIT
Permit No.: d U�`� I
L 9A Cnall! licensed under Chapter 468, Florida Statutes as.a(n):
Contractor✓ngineeer Architect_Building Inspector_
License No. CM3�5SD
On or about r� 1 3 1 / did personally inspect the:
Check: Roof Deck Nailing i/ ,ry in `� Flashing and Drip edge
Check which was used: (304 fell Peel and Stick_Other(List)
At the following j I CJ�
address: _ I
�D 11IA4 Ir A� `1 S
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844;,Florida Statutes).
Signature•
STATE OF FL(DR
L ANGELA HAYWOOD
1� r•��; �n`�o% Notary Public-Siale of Florida
COUNTY Or PASCO _
Commission#FF 912551
Nl Comm.Expires Aug4,2019
yr. ate,: Y P fl
Swor to ands bscrib d before this day "'�„� ,�;°�` Bonded through National Notary Assn.
BY: l vC�UG
Notary Public State of Florida
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