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Home My WebLink About95-5115 BUILDING PERMITW! CITY OF ZEPHYRHILLS Permit (813) 788-6611 ?~511~ ;1 Date ,..., :? c .- /-I...;)-7-!::. BUILDING ELECTRICAL PLUMBING ~ Sewer Conn Water Conn: Property Owner: ...... D. 9. ~ , . Job Address: --..s 0 / 7 ;;lj ~ 1iLt'--C.I ..-' Water Meter: T.I.F.'s: Parcell.D. # Zoning: Energy Code: Description of Work 4 o.....d :t ~ ~ Radon Gas: ~ ./T:LLrLz: 1-1 NO OCCUPANCY BEFORE C.O. FINAL DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or ._ f / IL Contract Price ~-r-LI- ~ .:2...S- City License Registration # ....:::> State Certified License# Ins Telephone# 7~~ -4'~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM, Insul. CL WL Tp, Serv, Rough In Meter Can Const, Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade: a. Wrong Address b, Condemned work resulting from faulty construction. c, Repairs or corrections not made when inspection called, d, Work not ready for inspection when called, e, Permit not posted on job site, f, Plans not at job site, g. Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATIONI*tllt PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT .'. ... ))Jis )),i/ve -I"J 6/J1? ~~. ~() PHONE l:'~ ~ ;,~ '~~n 1:1 '1 ( '-." ;~;": WNER .' ". _.<. ' .... _.Ir. ~ C",'.,. ..", :..,.'. ,_ , '_ f ,,~ . ;....." t' ,. ~ ~ ';"c:-:.I "~ 013 \~qqA~tp}r'~~ .' , ,',' :>'.- ""f ..;"': '.,':' ,,' '. :'" 1...... ~ ,.....- ., .::"-l gAL DESCRIPTION: LOT(S) , BLOCK ~~kC:~i'~Ii~p;.:~r;i '~/~~21~ /t)d<OX'tJt11J?J /t:) ~;:~;i\~;: ::: . ': ~ ::i.~ . waR~ PR9pOSED:____New Construction ____Addition ~Alteration '1, LOT SIZE ~. AREA SQ,FT, SUBDIVISION ____Repair ~Install ____Sign/Temp, ____Sign _Move ____Demolish PROPOSED USE: ____Single Family 'Lcommerc ial ____M/F ____4F of Units _____M/ H ____Indust. ____Swim, Pool Other f:~ "!.r-( ____Restaurant & Health Department Approval -. BUILDING SIZE: x Square Feet, Height ",.RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** ~"i,\rCOMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** , , .;~ Ni~4IJ ;~~;)flt.*y.R~Y OF CO~~RACT REQUIR.ED, PERMIT5'REOlJESTED iRTJ~'tDi1SGf~ , :$) ~, ~.,'~~~~::~'~r-;~;~."~W? ~~,f(,; . - -: ~~.~,,~t_ r _,-, ,~ ' '. ~ EJIrE,H!~~c:AL . ..'t' 'I ; Valuation of Total Construction ..-i.'1. AMP Service Florida Power Corp, _H,R.E.C, $ Valuation of Mechanical Installation .' ~ . I' . X LBlock ____Frame ____Steel Other GAS ROOFING SPECIALTY TYPE OF CO~STRUCTION: FINISHED FLOOR ELEVATIONS: FT. ****************************************** );',i,J,; BUILDER A!:';1.{~:;: CONTRACTOR SECTION Company State Cert, or Regist. # City License Registration # ****************************************** Company State Cert. or Regist, 4F , . ;.' " City License Registration l~ ****************************************** j I; Company State Cert. or Regist, # City License Registration # ****************************************** Company State Cert, or Regist. # City License Registration 'l~. ' <';.:l i, , ' ~). '.' " ***~,**~:**********************i:*~d:****,':*~'**"" ',.,O""T~,ER~',~.,a.A"s,.. ',.; i ./~,. . , Company ~t/e,&M& /M7761A1/1L-~6e,1!..I' , ; ,',' '., . t state Cert, or Regist. ~F .5'-.:211 " ignat1,lre:, - City License Registration IF ~..r;- '.....,~~;::.,;:;; }':~ *****.******;****************************** ~P~~CATTON)~~iiR01(~~.r.:UI'.'. .. " .' :..""";~'",;,,,;;_,~~~'-,".:~.....,~,. " "1".-":",,' ".,. : I,) , , " '~:'~0J!0W.1 H33R00 ,~~,,;~.., ,....~~"I"tet 00 ll1flfaGjMMoJ YM ,t~.. ';"'~~\ . ,"na.' '.1 ,IlSIhQA , '.r( a.;:~ 'i~~~~~~IlIAl YORTU1lHTOJOMOIl ~~:"~~' ~,.:\i.,;';N'~_,:/~"":" - "~,\1~ .'" 1'_ PERMIT OFFICER, ,~, ooow :.1 f1133A((1 (,R;ff>:l t~~cH~t 0J . ~:{li(~',j~!.:,~t~.A! ..,','!. OO(1t . \!~ "'~'~ ::.~~ ..r:~.'.;~I~J "';:."1 '-r,;~r,: (fe,,: ", ~.'.(.,,! '~'I~ - ". . '.:~ '._ ...': CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS '. The undersigned understands that this perlit laY be subject to "deed restrictions' which may be more restrictive than City regulaH~ns. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. .~'~ .'.i' 1;":(- B.,UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If ~h~ owner has hired a contractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance lIith state and local regulations. If the contra~tor is not licensed as required by lall,.both the owner ,and contractor lay be cite( for .a lisdeleanor ~iolation under stat~ lall. If the ollner or intended contractor are uncertain as to what licensing requireaents laY apply for the intended 1I0rk, they are advised to contact the City of Zephyr hills Buildi.ngDeparhent, (813) 788-661.1. Furtberlore,,it the owner 'has hired a contractor or contrac.toTs, he is advised to have the contractor4s) sign portions of the "Contractor S.e.f,yt'ons" of this application for which they will be responsible. If you, as the owner sign as the cL,ntractor, you are ;indicaftng that yqu, rather than the contractor, are responsible for the work. If the contractor lIishes you to sign as contractor that lay be an indication that he is not properly li<ensed and is not entitled to permitting privileges in the City of,:Zephyrhills. C. ,TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONST~UCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that'I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of ~griculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to coelencelent. E. CONTRACTOR'S/OWNER'S At::FIDAVIT I certify that all the information in this application is accurate and that all work lIill be done in compliance lIith all applicable'laws regulating construction, zoningrand land developlent. " Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating con$tTllction, City codes, zoning regulations, i1nd land developlent regulations i,n the jurisdiction. I also certify that I, understand that the regulations of other governlental agencies lay apply to the intended work, and' that it is 'IY responsibility to identify IIhat actions I lust take to be in cOlpliance. ~ch agencies include bill ~I e not li.ited to: I Departlent of Environlental Reoulition- Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water Hanaoelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArJY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services. EnvironJental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection Aoency - Asbestos abate.ent I also certify that, if fill lat~rial is to be used in Flood Zone "A" or "A,etc.", it is understood tllat a drainage plan addressing a'"colpensating voluJe" will be sublitted which is prepared by a professional engineer regist~red in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to vioj~teJ cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a penit prevent the Building Officiid frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every periit issued ~hall becoJe inv~lid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work author lZed by the perlit is susllendedor abandoned for a period of six lonths after the tite the work is cOlIIBenced. One 90 day l:xtl?nsioll of tile, laY be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the BuiJdin9 Official. An approved inspection lust be logged during each six lonth period, or the project will be consideredabalidoned. 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 Al'TORNEY BEFORE RECORD I NG YOUR, NOT I CE OF, COMMENCEMENT. JOBS UNDER ",$2, 50~;'1)I VALUE DO NOT N 1P ~EC ~~ ANJI POST A "NOT I CE OF CO"CEME~.T II iLP -'/ L" l~ /~ 'd-LU/( c-. :/~0'rr---' S:GNATU~ ,,-- ---~NER-a~_~;;zr A~~7;t:E J2~?r~ +p DATE~--~~~~----~-r.ac- DATE_____~--:e.-----------{!!'?~j!r ~~~~:v D.~~A~~Q~-a~1!0&L'~L- ~~~~:~c~~~~Y.2L--~--- MY COMMISSION EXPIREJJ-~ J.. yv\.;~.> MY COMMISSION i~ I.,. Yi.OpD ...4::~'::'t-... -ii"d1f'mll:WODIT----------- ,....."" -OOREeN-L-WOOD-------- ~r@ ':'~ IoAV r,(l~.MlSSION' CC 191575 EXPIRES !~~t~.. MY COMMI5SI6N , cC 191575 EXPIRES ~~:'fj Apt1129. 1_ ~*: : ! Apr\1 29 1996 '~~iif.:~{:" 8OIIIEO THIll TIlII'f fAIN 1HSIIlAII:E. II<<:. ~r. ...' .~'8j BONDED THRII tRoY F~N IIlSUlWtCE,II<<:. ..,fF.~ ~~ (it ~ ~ z: "' "'\e,~ ,10 "\ "T1 " () ~\ ;;. 'i t .; ~, o. "oj! ...... ~ ~ ,:, '< }. - l ~ i '\ ~.. \ .~ r i~ -f--- 'u ~ tr ~~- . p -"T?\.~ t--~~ c- ----k4 'T--T --(K :-- '-,-'--- - ..'7,', ~..- _..._L...._. __ \.... I i, . -'.-.--i\t5 --.---.-----0--- -t---~-m~- - --.t.-[----:.:--. ; -~ur-' i- --- .. i--- -j-' j--' I -rl I I c t!). ~OO, j$:c> Fl~ ~~. ~n{ . C...o s:: a:J 3- .......---,. ::t or n) -<.t> "....".- . ::tll"-- . ~~ ~ (') ~ Ib (t( ::r ~ ... t~ ~ \~('t .... ..., , ~...~ ~ ,<Ll-" j--;~.. ---1.-.,~~ ..~ ~ ',~' : -: .'t-J r."\. - ~ "" . _ "~.IJ L\ ~-lty i '-'~:g ~.. D' .. :frl,tt-,; "-:&~ ~.. iti.---.. -- -- ~ a,- _:_ __ fb" () ~. ,~.~.."..,.. "too" ,....."'..... .-u...u-- '-' ,'-J/ C>- ~ ' U -~_~' ._~~u~.~_L~~;~.. JtL~ : ...:.___~ go. I. ~i ! I ~ "lJ _ ~~~-i !-"'~--~- ~' . s:J itl.. .-i_l- r-T."-r-'t T- .. d. l-i---;~f..~-i._u"t1 - -;---i--i---l-U ~- - .-.. ~_. I ' ' I ... -.T+.u~--.iu .Il 8 .--r-+-'+-'-~--- ('". - ~.- . . I ' I ' . . .u i-H----.-i-~I.-. -- .~ -_.--1. i i I I' i '--T--T--rU-UT- ~ .... -T-!--L 'I ' __J ,I ! APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ;;/J -' ~ -.S ;.~ APPLICANT )) ~ 5 ))~, ve - I "J ADDRESS $f;/? C?~ ~V~ PHONE OWNER JOB LOCATION ~<)~ LOT SIZE_'X AREA SQ,FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D , ~,' I /bl~.:z/ ~ /~O(ogt)t7diJ /~ WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____MiF ____# of Units .____M I H Lcommercial ____Indus t . ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _I\,R.E.C. _MECHANICAL $ Valuation of Mechanical Installation TYPE OF CONSTRUCTION: X LBlock ____Frame ____Steel Other ____PLl.~1BING GAS ROOFING SPECIALTY FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature CONTRACTOR SECTION Company State Cert, or Regist. #, City License Registration # ****************************************** BUILDER ElFCTRTCIAN Company State Cert, or Regist, # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert, or Regist. # City License Registration # ****************************************** MECHANICAL Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company ~t/{:I b-M~ /~77P".jAL- ~6~R..P Sate Cert, or Regist. tfr 3".:l~ City License Registration if .~S- Signature ****************************************** APPLICATION APPROVED BY~~ \ PERMIT OFFICER, '''":- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertiin as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, l813} 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor4s} sign portions of the .Contractor Sections. of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for lhe work. If the contractor wishes you to sign as contractor that lay be an indication that he is not pr6perly li<ensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONST~UCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide' pre~ared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner. prior to cOlaence.ent. E. CONTRACTOR'S/OWNER'S A~FIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning~ and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has co..enced prior to issuance of a perlit and that all work will be perforled to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, I also certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is .y responsibility tel identify what actions I lust take to be in cOllpliance. StIch agencies include bill ~ie not limited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill lat~rial is to be used in Flood Zone "A" or "A,etc,., it is understood tbat a dJ'ainage plan addressing a 'co.pensating volule" will be subtitted which is prepared by a professional engineer registried in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building uffici~l fl"OI thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit isslIed ~hall becole invalid unless the work authorized by such periit is cOI.enced within six lonths of issuance, or if work authol lzed by the pertit is sus,ended Dr abandoned for a period of six lonths after the tile the work is cOlmenced. One 90 day e~tE~sIOll of tite, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection iUSt be logged during each six lonth period, Dr the project will be considered dbdildoned. 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. JOBS UNDER$2,50~ VALUE ::G:A::~~~TI:G:~Tu~i~~ ~~ER OR AGENT E:/!!""C P-':! fIQr"g.,.; d b Jil'.~?r~p.2~ :{CD DATE___~,L~~-~---~~EC- DATE----~--~-----------:<-:7~1fr ~~~~:v o~S A~~&J-~n-d4!o<J.--- ~~~~:~C~~~~~q;lh~,6L- .. ~~N l_ ...A,}. )DlREEN La ~(09D MY COMMISSION EXPIRE~ - - -. . MY COMMISSION ~-~------------- 4l':'!:~.-. -ooRletfL.WOOJr----------- ........,. DOREEN L WOOD f..(b. 'i::~ ~v COMMISSION' CC 191575 EXPIRES !~l:if.'.~:-. t8{ coMM\SSI6N * cC 191575 EXPIRES ~~.Ji!. '5f April 29, 1996 ~.~ : E April 29, 1996 ..t.!.iir;;\';;~'" 5OlIIlEDTllRUTIlOY FAIN 1NSlIWICE,11<<:. ">f:';.,.....,l/ BONDEOTKRU TROYF~ltlIHSURANCE,II<<:. 'I;,rlf .:~\" ... ~ ~<; ~ z: ~ ~ ~ ~ "TJ ~ - ~ '\ rn ~ C -t..J ~ 0 '\..,; ...... ',< ~ ~ 4l: ,.... - ~ i ~ '\ ~ ~ ,~ ~ n (' \:101":) J1 s: C> r-l~ r't)~ <gm ~~ ,...' '!I 00 .'ft:p~ l\) " IIcrU\ ~~~ ~ 10 1'-0 \.Oc" a-=- ~ ::J ~ c:....:. ~ OJ ~ =1 OJ(\) -<.t> ..~ ~l'- tb~~ n ~ Eb ~, ~ ~ lit: ~ ~ .. ~ ..., ('1', } ?a . - ~ -. } ~ ~..(i) V\ f' C"/ C} ~ 'J fT\ ' ...... c::) t: 0- ~ . 0- (SCiJ ~ 11~~~~~~ ~ it>.. ~-<> ~ ttt~f ~N ("'~ t't. t:l, "tJ ~) ........ ::t 11 C"'\ '-J~ "'" ;.. .... (" (', ...VI C'- ~ ~ ~ ~ ~ ('\\ ~ ~ ~ ... ~ ~ ~ t- o:::. (tl u .... Ii \' -J , 'P ~ ... ,..,.-...... ~r.""" . ........ ,.,.. T ''''''." , r-, "'",' d'l" -'~'-'-~~.-- ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name ) -;- I ,J .~. , .<:'.',.i/ --, ,.," /'/ ... ('"r" &'/1 /, I .1,,-- i" /./. _' ~).<;,- .I t.' ( ./~/ Classification Address ~ I Owner/Manager -J /",('" v Business Phone "7 ';1./ - l;t: -: -2 :.,'- Emergency Contact Phone ,)~t:'~~~ <- 71J- f?Sf:5tf, Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION ~ FINAL I o OTHER o ANNUAL OBI-ANNUAL >&-J A~PROVED 0 NOT APPROVED o COMMERCIAL CHECK Listed below are items which must be complied with before this occupancy can be approved by the Fire Department. o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code. Inspect. Date ;7/r / fi'> ,.'., - Inspect. Time /' <::c...._;',.":'" Fire Oept. 10 # -1- '7 - ( --- L r-:--- Re-Inspect. Date , ..) , Inspecto~ Name '~"J /' 17,' 1.-' ~' / C9..- l> Owner/Manager Signature Clfl,t(1...., C-;{o~ ./(:'1.({./\..----- Title j . This building has been checke~/by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes, While Copy . File Yellow Copy . Bid, Depl. Pink Copy - BuslnellS