HomeMy WebLinkAbout09-9878 CITY OF <ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9878
MOBILE HOME SET -UP
Permit Number: 9878 Address: 7812 KAY MARIE AVE LOT #319
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET -UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34 25 - 0180 - 00000 - 3190
Improv. Cost: 9,700.00 ) 1 f � �. . , ::;
Date Issued: Name: G ND HORIZONS
Total Fees: 7,148.08 Address: 7645 GREEN SLOPE DR LOT 230
Amount Paid: 7,148.08 ZEPHYRHILLS, FL. 33542
Date Paid: 12/14/2009 Phone:
Work Desc: MOBILE HOME SETUP 27 X 48
. I
JAMES 0 MORTON ELECTRIC CO.,IN I' MSBIL H• L i , � r a 05
.
:MI LL - AL 40.00 ANN •N �:IL 1,005.00
C. MOBILE HOME SET -UP 60.00 WATER CONNECTION MOBILE HC 320.50
BMI LLC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00
BAHR'S PROPANE GAS & NC, INC. TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
WATER METER RES 3/4" 311.25 IRRIGATION METER 311.25
IRRIGATION CONNECTION 266.00 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
PARK FEES MH 573.73
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MOB L HSM P
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: 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
NOTICE: In addition to the requirements of this permit, there may be 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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
ONTRACT: - Si 7 URE PERMIT OFFI O
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO •
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ,5/412 LLC,
Date Received: / 2 — 6 — 6 9
Site: 76(2. A /
Permit Type: Z 7)C ` 8 44d6/ 1 1 e Approved w /no comments: ❑ Approved w /the below comments: l`" Denied w /the below comments: ❑
1) 41! 5 ,, , sit"
,9cce '',,
This comment sheet shall be kept with the permit and/or plans.
- 1
Kalvin witzer — Plans aminer Date ontractor and/or omeowner
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9878
MOBILE HOME SET -UP
Permit Number: 9878 Address: 7812 KAY MARIE AVE LOT #319 - ) 0
Permit Type: MOBILE HOME ZEPHYRHILLS, FL.
Class of Work: MOBILE HOME SET -UP Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34- 25 -21- 0180 - 00000 -3190
Improv. Cost: 9,700.00
Date Issued: Name: GRAND HORIZONS
Total Fees: 7,148.08 Address: 7645 GREEN SLOPE DR LOT 230
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: MOBILE HOME SETUP 27 X 48
77: .775,11
: L 'ICAL 4000 W ` •N IS N Ts : 1,005.00
JAMES 0 MORTON ELECTRIC CO.,INC. MOBILE HOME SET -UP 60.00 WATER CONNECTION MOBILE HC 320.50
BMI LLC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00
BAHR'S PROPANE GAS & A/C, INC. TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
WATER METER RES 3/4" 311.25 IRRIGATION METER 311.25
IRRIGATION CONNECTION 266.00 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
PARK FEES MH 573.73
teLl
tj 0C Cdr
Pe e s°
Lk( D; 6 1'
•:IL •M -
MOBILE HOME ELECTRIC
MOBILE HOME A/C
MOBILE HOME PLUMBING
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: 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
NOTICE: In addition to the requirements of this permit, there may be 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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
6 1g-- /10
CONTRACTORS SIGNATURE PERMIT OFFI •-
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
la:
-- t
_11'11 It PASCO COUNTY, FLORIDA
(;lttl )' /� d
Permit No. `� 8 7�/
Date Permitted
Builder Name /Owner Name _ fejAcj-- Control #
County Parcel No. 3V - 2S V 06c)00- 3/ SubDiv:
Address /Location 7A( Z Kay Mare .4t 22/
/II X3 /9
Classification/Type of Use /d�i %e
TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit:
Exempt Li Yes E No How Determined
Impact Fee Amount $ 3, 6 3 2 i 0 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single - Family Detached House Amount $ ,ej,¢
(057) Mobile Home
(058) Other Residential
J123) Collection Fee
Exempt Yes [] No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ $ 73. 73
Exempt _ Yes 111 No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt E Yes No How Determined Total Amount /
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By a f • Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813-780 -0021
Building Department qt)
Date Received j2,-- g--` Phone Contact for Permitting a/ 3 ' I -- / L •
111111111111111 - Q -
Owner's Name ( -o2 rr New, 2t Poo) P5 Owner Phone Number - 7.&9- 1 () (0
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ,
JOB ADDRESS 93/9 'tS' y cY 1 ► J. . k LOT # 3 f c
SUBDIVISION W 1-'QI r'3 (j Zr"lr PARCEL ID# 9i ^ (9 S 2( J dea - Q " `5/ 90
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE a] SFR 1 1 COMM I I OTHER I I
TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 I STEEL OTHER rims L i'',''i1'
DESCRIPTION OF WORK en C)\); )-P_ hciw , 1 f ork i h. ---\ nn
J X L/ c j SQ FOOTAGE I , '
BUILDING SIZE � / c?� �° HEIGHT
I I BUILDING $ C VALUATION OF TOTAL CONSTRUCTION
J, C i , C)
I I ELECTRICAL $ ` AMP SERVICE S LC,, 1.. PROGRESS ENERGY I 1 W.R.E.C.
i l
I I PLUMBING $ )) C'C C)
I I MECHANICAL $ c - C � J VALUATION OF MECHANICAL INSTALLATION
I I GAS I I ROOFING I I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ENO
BUILDER L ! . COMPANY - 2 --L0
SIGNATURE t. L REGISTERED Y / N 1 FEE CURRENT 1 Y / N
Address J" 6''.._c3 ' oZ ({-' 1 . ' /449{1 1 it � Li License # 1-t+ C x C /9(4
ELECTRICIAN ' COMPANY I ,-"f (' Y) (L_ 1 c@jt'- f. 1 Q.
SIGNATURE ' t.[ \ PY REGISTERED Y / N I FEE CURRENT I Y / N
Address b oil f 1 l j -2 r ! j ( (kj , Z IS . S3 J Ll 0 License # c 5
PLUMBER ! COMPANY r V u l /..-ill
S IGNATURE t ■ ( \\Q.__ REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
Address vvvv E; :;1 - f'_i ; ': JLIr e. License # ._f-- f/ - 0(..! e) 7 9 L
MECHANICAL ';' COMPANY < C l 1 r�
SIGNATURE J I/ t;_ k `5 j. REGISTERED I Y/ N 1 FEE CURRENT I Y! N
Address 440 / pie (t, 4 '2445 .=355 License # / Cc 4,/ / L
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address License # F
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/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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)
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" restrictions"
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 of the "contractor Block" of this application for which they will be responsible. If 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.
- Army Corps of Engineers - Seawalls, Docks, 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, 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 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 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 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 clays, the ob is considered abandoned.
j
WARNING IC OWNER: IMPROVEMENTS YOUR PROPERTY. T IF YOU INTEND E MAY RESULT IN YOUR
TO OBTAIN FINANCING, CONSULT
PAYING TWICE FOR IMPR
WITH YOUR LENDE - OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F:S. 1- ` } -. = �
�t { � I CONT /i __ tiaa . ''
OWNER OR AGENT /4 _ 1t11 Subs riled and f orn to or . Firmed) befo a me this
Su ibed and sworn 0 or ;f be ore me this
I 2 - Mo 'k by Lt So-- c,alc.,J` IL Sr OR by ` -tSQ-' toiraL0•-
Who is /are personally known to me or has /have produced Who is /pre personally known to me or has /have produced
as identification. e---L D'-__ as identification.
a-IL-09- r- ,
8/-:144k---- `' � _ Notary Public
N otary Public \,....
Commission No.
mission No. ( � . . ,.. ..,
I L Q 1 •••••• RICHARD S. MARTIN ICIr.Qke S 4.Ir� ^ Rig Hann s MaRTIM
i '• �a 00 0535452 Name of Notary typed, pr or stamped ,.,
,,�7
typed, printed or sta $ de :' a ` 'aYF ' Comm# DD0535452
'
Name of Notary typ p u * Expires 4/2J2010 a� `'` expires 4/2/2010 .
b (800)432 _ �` Bonded by (800)432-4254 • Bonded �O ' Florida Notary Assn. Inc : ' ' aai n ' Florida Notary Assn.. Inc
111111111111111111111111111111
2009174970
NOTICE OF COMMENCEMENT Rept : 1276965 Rec: 10.00
DS: 0.00 IT: 0.00
12/08/09 Dpty Clerk
Permit No. PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
Tax Folio No34 -95 -_ at- sat e - ? 1 12/08/09 0 1 PG 1259
1
OR BK z 1 259
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following infonnation is provided in this NOTICE OF COMMENCEMENT
I .Description of property (legal description): t _ �C u�.� .► 3 LQT
C C' I _ �
a) Street (job) Address: VIZ L�1�lL 'j _ 4e 3 / ? • r i al.t - r E 1
2.General description of improvements tN2i a
3.0wner Information - _ - - - - -- `,
a) Name and address:(�C �' -�( 5 P � ^ n S ) ( =. D Rr t I i i�
b) Name and address of fee simple titleholder (if other than owner) L-
c) Interest m property
4.Contractor Information -- - - - -___ r --
ft
a) Name and address: _ - _ i " li 1 � 5�
Q 01 alt
b) Telephone No.: D � �J° 2/4 /L� ,y Fax No. (Opt.)
S.Surety Information
a) Name and address: 8 • : 1 • , • CO
b) Amount of Bond: THIS IS TO .CERTIp!- J AA TH€-FOREGOING IS A
c) Telephone No Fax No. ((.pt) i j'`_ a
6.Lender - ! UMENT
a) Name and address: ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WIT' ' .AL THIS
Phone No. ve,..2 E
7. Identity of person within the State of Florida designated by owner upon whom notic � itlt , ®•w . � ; , . t 2:
a) Name and address: , 1 C • ' PTROLLER
b) Telephone No.: Fax No. (Op t.)' 4IP�& 11111li1
8.In addition to himself, owner designates the following person to receive a copy of the . ' -. .. • . ' I CLERK
L
713.13(1)(6), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.) -
9.Expiration date of Notice of Conunencement (the expiration date is one year from 'the_date of recording finless a'different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF'
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPkOVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE'JORSITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
. STATE OF FLORIDA t ,
COUNTY OF „ ao .05''' N ;. ;;u 10. � 1 � t (t IP I1 ■
3 ure Siture of owner Owner's Authorized Officer/Director /Partner /Manager
ti ` 4 0560784
OF ( Y e
rti° . X f85 „�
?! 6121/201 U Print Name
The foregoing instrument was acknowledged before me this I day of � ?�nb.0 , 20 61 by 4.21-` '�
b oor as Kne > e of authority, ty, e.g. officer, trustee,
attorney in fact) for _ - r; zen e_ (name of party on ehalf of whom instrument was executed).
Personally Known OR Produced Identification Notary Signature j— , (4-i—e-K,
Type of Identification Produced Name (print) (? 'IC C /4 . /
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that 1 have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMSMOC,rvxuf2007 j l ' f n C.44/k/ . k n
0 1 _ >,?' ' Signature of Natural Person Signing in lint # 10) Above
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�::.n/xnL rLwmi}|1Mb DATE: 12/16/09 TIME 15:40 •
P4SCO COUNTY FLORIDA @NTRACT8R Or
' PAGE: 1 OF 1
AME: G�AND HORIZON S LLC ISSUE OFFICE: D
0DR: 7645 GREEN SLOPE ^ -~ . RECEIPT NUNBR: 01165286
/ST: Z FL 3 E ^"` OFFICE: DADE CITY
]R: RESOURCE FEE FOR Z CH[CK # 1712
#9876; 9877� 988
TOTAL AMOUNT: 8.16
�CNT COMPNY ACCOUNT CENTER AMOUNT '
L14 B450 - ..2 - 2 2.72 * DESCRIPTION/P[RMT DATA DR/CE
L14 B450 - 363000 - 2 2 ^***** SOLID WASTE FEE 60
L14 B450 - ".:.',6'5000 00 - 2 2^72 *72 * ***** SOLID WASTE FEE 60
. ***** SOiTD WASTE FEE 60
i:CEIVED BY
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