HomeMy WebLinkAbout05-3859
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
3859
Permit Number: 3859
Permit Type: SWIMMING POOL RES,
Class of Work: POOUNEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 22,256.00
Date Issued: 2/17/2005
Total Fees: 287.50
Amount Paid: 287.50
Date Paid: 2/17/2005
Work Desc: SWIMMING POOL
Address: 5422 23RD ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: LARRY GEOHAGAN
Address: 5422 23RD ST
ZEPHYRHILLS, FL. 33542
Phone:
HOME TOWN OOLS
HOMEOWNER
HOME TOWN POOLS
BUILDING FEE
PLUMBING FEE
ELECTRICAL FEE
POOL STEEL
POOL PLUMBING/PRESSURE_
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) 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
"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 and Fee Must Accompany Application.
All work sh pe ed in accordance with City Codes and Ordinances
- ~-~
RA T PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 I
813-780-0020 FAX: 813-780-0021 DATE RECEIVED -;)....//../J! OS
PLANS REVIEW FEE
l~~pCW
~ BLOCK ~
12- 2Ce - 21- 00 1(0- roStO - CP20
L o..vr'1
5i 11.
PHONE
l~O - Ll{2~
OWNER'S NAME
JOB ADDRESS
"i
i
PARCEL 10 #
S1JBDIVISION 2'ftr /..I~/"f 5
(OBTAIN FROM PROPERTY TAX NOTICE)
LEGAL DESCRIPTION: LOT(S)
WORK PROPSED: ~EW CONSTRUCTION
o SIGN
o ADDITION o ALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o INDUSTRIAL ~MMING POOL o OTHER
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEP~TMENT APPROVAL
.sW1h\1'I\ I N l~ r fJt> I
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
~ILDIHG
" lJECTRICAL
~PLUMBING
o t"lECHANICAL
PERMITS REQUESTED
2. 1.[ 2S" fa ~ VALUATION OF TOTAL CONSTRUCTION
& (1) SET ENERGY
FORMS. ~)L'
pJ-J';L.
J)l)~
FORMS,
Z I 7 I 5'<.)
'... ~ C':>
'~ )..
2)- ~"
',7 .
AMP SERVICE
o FLORIDA POWER
o W,R,E. .
$
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
4:, J ~(
ere 05r- 'ft.1
BUILDER
SIGNATURE
***********************************************************
CQJ\1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
Ho~OWNlIL
-
-
SIGNATURE
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STATE CERT OR REGIST # elL oSfc '1C:.1
CITY PROCESSING #
PLUMBER
*********************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**************************"***************************************
OTHER
COMPANY
STATE CERT OR REGIST #
~....fITY PROCESSING #
SIGNATURE
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations, The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work, If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that the "owner", I cerify 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,
E, 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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 Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance,
A permit issued shall be construed 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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may 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 must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU END TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N E OF
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTIC COM
..j ~ ~~ 0<-... o-v0
f' SIGNATURE: OWNER OR AGENT \
STATE OF FLORIDA:;~"r/?./: PAS'O
COUNTY OF,~ CO OF
The foregoing ins rument was acknowledged The foregoing inst~~ment wa~ acknowledged
Bef me this day o~t I.,e, 20..Q.,? _ Before meJhis ~~h day of f':.1i6a"'AIA,'1', 20 ~
by , , ~ a ('air" Jr.rl' '"JC).~\e.. ~ s
.v (name of person acknowledged) / (name of person acknowledged)
~ho is personally known to me, or ~ho is personally known to me, or
Dwho
Owho has produced
j);-ype of identification)
and who Odid Q'fid not take an oath
1
taking ack owledgement
"............ ..........................."J
III" , LOUIS J, COLANDRIA JR.
oQil'inisslon # DOOO8S35I
. mpeB<Pires 412912
~i Bonded through
Hr.~\\# Florid 3 t' -' ~,Assn., lno.
........................... > , M ~..a .............
Signatu taking
Name~_~
: ..~ __''''1111
: '-"'~Rf,~\.."~ Bonded through :
: (800-432"254) FIoridtI ~~, Inc, :
I............................... J u ......1
state of
( ) 0 r; J 0\. NOTICE
~SC[)
OF COMMENCEMENT
County of
THE lfflDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
~.
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H'~ ,1;1,1
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12- 2(, -1,1- OOC{O - 00 500 - 00 2.0
2 .
able)
General Description of Improvement
1111111111111111111111111I1111111111111111111111111111111111
2005025283
O"ncr Information: ~amc ~ (")~ .
l\ddress ~t{22 25 ~ 5+- City rh4lls
State PL
3~~'1L.
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Rec: 10.00
IT: 0,00
_____~' Dpty Clerk
Rcpl: 854243
OS: 0, 00
02/10/05
Address
City State
I-IO;1/J{IOWN ~!!: 1;. c
o J'CtA<;,,{ S t City ,,~ ~-k/t/7>
(/
PL
3357G,
Contractor: Name
Address ~I
State
5 .
Surety: N.::lrne
Address
City
State
Amount of Bond: S
i~~1~~~IMA0N~,P1A1SCO COUNTY CLERK
w :::lI. am 1 of 1
OR BK 6224 PG 1277
6 .
Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or o:her documents may be
713.1J(1)(a)(7), florida Statutes:
designated by Owner upon whcm
served as provided by Section
Nt,mc
Address
City
State
8. In addition to himself, Owner designates
+ignature of O"ncr: -J 0Jv\..,L.., 1) 'i.~ <Jt.., ~ ~
, ) . 1
Sworn to and subscribed before me this / day of
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
<I, ~xp...i..rni .1'Jn dMte ot nut.ice of Commencement. (t.he explratiun dat.e is 1 yedr
fr~m the ~atc uf recording unless a different date is specified.)
20 Off
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NotClry Pub).,ic:
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Com..;.... Da 1 n If
My C::J~,;li s s ion Expires:
y PC93053048/A . . .
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Bonded ....
IIlortdII NoteIy AIM.. _
.................
.
RESIDENTIAL SWIMMING POOL. SPA ANDIOR HOT TUB SAFETY ACT
, " NOTICE OF REQUIREMENTS' , ','
,/
I ,~e) ackn~ that a new swimming pool, slla or hot tub will be constructed or installed at
i; i:( 'l.. 1.. ~ $"1' , ' '. and hereby affinn that one of the following
l"'-- Pdntllhilt~)
methods will be used to meet the requirements of Chapter 515, Florida Statutes:
(Please lniIIaJ the l11IIlhocKal to be used for _ Doon
The pool wiD be isolated from access to the.home by an enclosure t!;'at meets the pool barrier
requlrefllents of Florida Statute 515.29;
The pool wiD be equipped with an approved safety pool cov~ that complies with
ASTM F1346-91 (Standard Perfonnance Specifications for Safety Covers for Swimming Pools,
Spas and Hot Tubs);
All doors and windows providing direct access from the home to the pool and I~ed within th,e ,
enclosurelfence required by the Pasco Co~ Land Oe~elopment Cod~, Section 53~.4(0), will
{ \ \.-1 ::.: equipped - an exit alann that has a m,mmum sound pressure rating of 85 _ all0 /'
~ All doors providing, direct- access from. the.- .home to the pool and loc::ated within th,e
enclosureJfence required by the Pasco CountY Land .J:?eve1opment Code, ,Section 530.4(0), WIn
be equipped with self~oslng.self-l~tchirig devices ~ release ,mechanisms placed no lowe~
than 54" above the f1QO( or deck; , '_ ' , ' .
I UNDERSTAND AND AGREE THAT NOT HAYING AT LEAST ONE OF THE ABOVE INSTAl ~q AT
THE llME OF FINAL INSPECTION, OR WHEN THE POOL IS COMPl.ETED ,FOR CON I ty\CT
PURPOSES, WILL CONSTITUTE A VIOLATION OF' C1:tAPTER ,515, F.S. AND WILL BE
CONSIDERED AS COMMIlTING A MISDEMEANOR OF THE, SECOND DEGREE. PUNISHABLE BY
FINES UP TO $500 AND/OR UP TO 60 DAYS IN J~IL AS EST~L1SHED IN CHAPTER TIS. F.$.
./
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424.2.17.1.10 Where an apoveground pool strueture IS .
used as a barrier or where the baIrier is mounted on top .
of the pool structure, and the means of access is a lad- :
der or steps, the ladder or steps either shall be capable :
of being secured. locked or removed to prevent ac~. .
or the ladder or steps shall be surrounded by a barrier .
which meets the requirements of 424.2.17.1.1 through :
424.2.17.1.9 and 4242.17.1,12 through.424.2.17.1.l4. .
When the ladder or steps" are secured. loc~ or :
removed. any opening created shall not allow the pas- .
sage of a 4 inch diameter sphere. :
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I FURTHER UNDERSTAND AND AGREE THAT THE OWNER AND/OR CONTRACTOR WILL
COMPLY WITH THE FOLLOWING REGUlATIONS CONCERNING SWlMMIN~ POOL, SPA AND/OR
HOT TUB ENCLOSURES, IMMEDIATELY UPON COMPLETION OF THE SWIMMING POOL, SPA
OR HOT TUB, IN COMPLIANCE WITH SECTION 530.4(0), PASCO COUNTY LAND DEVELOPMENT
CODE: '
1. Construct around the swimming pool, spa or hot tub a MINIMUM FOUR FOOT, HIGH FENcE with self-
closing, self-latchlng gates. ,The fence must not have any gaps, openings, .indentations, protrusions, or
structural components that could aUow a young chDd to crawl under, squeeze through, or climb over the
fence. Gates must open' outward'away from pool area The releasing mechanism of the latching device
must be located on the pooIside of the gate Qnd so placed that it cannot be reached by a young child
over the top or through any opening or gap. No opening in the fence may be large enough to admit a
four-inch sphere" '
2. Construct a screen enclosure around th8 swimming pool, spa or hOt tub with self-clOsing, self-latchlhg
saeen doors. Latches on exterior Sae8n doors must be minimum 54 Inches from the exterior acx:ess.'
standing surface. All saeen enclos~ require Building Permit$.' ,
, (,
3.
Provide and utilize an approved safety swimming pool. spa or hot tub cover that c:omp!ies With ASTM
F1346-91 (standard Perfonnance SpeCifications for Safety Covers for Swimminp Pools, Spas and Hot
Tubs). S~ cover must be capable of beIng securely fastened over the swimming pool. spa or I;lot tI.1b ..
when not In use., '. ,
I A:JRnlER UNDERSTAND AND AGREE THAT one of the enclosures described above will be completed prior
to final Inspection of the pool, spa or hot tub. ' , ,
AOOmONALL Y, I FURTHER UNDERSTAND AND AGREE lHAT the owner will require hislher pool contractor
and hisJher screen enclosure contractor (If applicable) to requ8st and successfully paIS a final inspection
Immediately following the completIonlinstallation of the swimming pool, spa or hot tub. .
IF THE SIGNATURE of the Contractor, acting as agent for owner, appears belqw, the Contractor promises 'in
good faith to make the Owner aware of theabove-descrIbed requirements and penalties before commencing
construction.' .
-....
i, SWO, RN AND SUBSCRIBED BEFORE ME THIS , . ,J
30. DAY OF ,7\ r0 .2005 t
' ) ..~~&c2/~1 f,
I "r' '7 \..f..-
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I
OWNER-BUII.DER AFFIDAVIT
STATE OF FLORIDA
COUNTY OF PASCO
)
)
DEFORE me. the unders i,ned author it,.. pers ona 11,. appeared ) Ii ~ if (J eO Iltl a IJ II
, who being by me first duly sworn, under oath, deposos and state~
1
d S f 01 lows:
I do hereby swear/affirm:
'I
ThAt r own the property described flS
12-~-2-J -DO~D-ODS"OO - bD~ 0
..5 4 1.. 2...
:>--3 '2.c! -SIt '2z'~
Disclosure Statement
Stflt~ 1m.: rp<1uire!'l conr.truction to b,~ don~ hy licensed contrHctors. YOI1 have nppU,ed
for Il permit under an exemption to the law.
The exemption allows you, as the owner of
your property, to Act as your own contrnctor even though you do not hAve a license, You
must supervise the construction yourself,
family residence or 11 farm outbuilding,
You may build or improve a one-family or two-
You may also build or improve a commercial
building .?t 11 CO!'lt of $25,000.00 or ll?ss,
TIlt'" building must be for your own use And
occupancy. It may not be built for sale or lease. If you sell or lease a building you
have built yourself tdthin onp. year after the construction is complete, the law will pre-
sume that you built it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person as your contractor.
It is your responsibility to make sure
that people employed by you have licenses required by State law and by County or municipal
licensing ordinances, Any person working on your building who is not licensed must work
under your supervision and must be employed by you, which means that you must deduct
F,I,C.A, And withholding tax and provide Workers' Cc~pensation for that employee, all as
prescribed by la~', Your construction must comply with all applicable laws, ordinances,
builriing codes. -'lnd ~c:1ing ,::egu lcJt1 01;:; ,
That I havl'! read the fore?;oing, and am awnre of my responsibilities and liabiliti.es
for construction work on th~ above-described property and do hereby agree to ench of the
aforesaid stipulations,
FURTHER AFFIANT SAYETH NOT,
'i
~~e~~j~
642.-2- ~3 ~ sri-
Address
2tpR~ "=1-/A-
{-30-05
Date
SWORN to and subscr~ed before me
~ day of re.bL'I.Me(
y
9;!s:(JO
Notary Public
State of Florida
My Commission Expires:
<(ft9/~ol
at Large
.t(JV;S' 17;: @/.;J;1dr?/,4
~rint, Type, or Stamp Commissioned
Name of Notary Public
Personally Known ~ or Produced Identification
Type of Identification
~lMll"lon.DDIICIIf_
.....,...
IondId ......
PIartde Notary A8M.. ....
..................
"C93053047
/
PRIVATE SWIMMING POOLS & SPAS
REQUIRED INFORMATION FOR
INSPECTIONS & POOL APPLICATIONS
424.2 FBC-2001 p A\:') -CY'''-~ i3. ">
On Jannary 1,2002 the Applicant became responsible for con~::;:::Qa~. ~
appropriate sections of 424.2 F.B.C.
Specifically, Building Inspectors will be checking for the three levels of anti-
entrapment protection that you ar~ required to provide and issues of safety
protection.
1. ANTI-VORT~X COVERS, Mfg. --1:l.8'1'wMO Model No. ~
2. LOCKING COVERS on all suction inlets, Mfg. ~ Model No.
3. TWO MAIN DRAINS separated a minimum of 3 feet
4. VENT or VACUUM release device, Mfg. J::la.Y Wv4e,o
5. SAFETY BARRIERS, Mfg. Gu4-i ()Jfl.N Model No.
6. ALARM SYSTEMS for windows and doors, Mfg.
Model No. I '-!c.(/
J..t'"f\l~
....... Model No.
Applicants will be required to provide a layout showing
1. The pool with a Complete Plumbing Plan and location of all mechanical equipment,
show dimensions, pipe sizes, flow rates, suction and pressures.
2. The spa with plumbing plan
3. The decl{ with size"shape and relationship to house
4. Location of windows and doors that have access to pool from house
Applicants will be required to provide the following information with the above
1. Site specific drawings showing the length, width, depth, shape and pool egress
2~ VOlume.J 'I, 5'00 Gallons 1
3. P, ump Mfg. H:~ Model No.s~30'oX"AZ.Hp. J t... Turn Over Rate
4. Filter Mfg..l:Wt'tM t) Model No. ~ 3<02-0 GPM._
5. Pool Heater Mfg, Model No. Type
6. Skimmer Mfg. J4tt4JIfRiJ Model No. 10//2-
Applicants will be required to provide CERTIFIED ENGINEERING design to
424.2 Florida Buildin-g Code 2001 and ANSI/NSPI-5, 1995
* The applicant will provide two copies of all requested information; this information is
supplemental to the normal permitting material necessary at intake
oew #2 revised 5/8/02
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02115/2005 11:17 FAX 813 715 0824
ZEPHYRHILLS OPS eTR
~ Progress Energy
February 15, 2005
Hometown Pools, Inc.
11921 Orange 8t.
San Antonio. Florida 33576
SUBJECT: PROPOSED SPAlSWIMMING POOL CONSTRUCTION AT:
LOT 2 -SUBDMSION
5422 13ltD STREET
ZEPH'Y~ FLORIDA
Thank you for notifYing us of your proposed swimming pool construction at the above
location.
The pool proposed for construction at the ab()ve address does not conflict with any
underground or overhead facilities of Progress Energy. provided that the pool is installed
in the location shown on the attached si1e plan provided to us by the pool contract<l,r.
Please call Sunshine State One Call of Florida (1-800-432-4770) a minimum of 48 hours
before you dig.
If youbave any questions or require any additional information. please call OUl' ofl\ce at
(813) 783-6944.
Sincerely.
x=;~
Stephen F. Bunner
Senior Service Coordinator
SFB/mw
Progress Energy FlOrida, In~,
36453 fil....: Slvd,
Zephyrhill., "L 33042
I4J 001
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