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09-9469
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9469 MOBILE HOME SET -UP Permit Number: 9469 Address: 37532 GILL AVE LOT 275 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- 0170 - 00000 -2750 Improv. Cost: 9,550.00 d� �_ _ l E,t i�r Date Issued: 8/25/2009 Name: FULTON, RICHARD & CHRISTINA Total Fees: 7,138.08 Address: 4113 COPPER VALLEY DR Amount Paid: 7,138.08 LAFAYETTE, IN 47909 -8059 Date Paid: 8/25/2009 Phone: 5 5b c, - q b',F, Work Desc: INSTALLATION OF 42 X 40 MOBILE HOME @q BMI LL M•: H. L `I AL 40.00 - •NNE IAN M•BILE 1,005.00 JAMES 0 MORTON ELECTRIC CO.,INC. MOBILE HOME SET -UP 60.00 WATER CONNECTION MOBILE H( 320.50 BMI LLC MOBILE HOME MECHANICAL 35.00 MOBILE HOME PLUMBING 40.00 BAHR'S PROPANE GAS & A/C, INC. MOBILE HOME TIF /SUB 99% 3,595.68 MOBILE HOME TIF /SUB 1% 36.32 PARK FEES SF 573.73 WATER METER RES 3/4" 306.25 IRRIGATION METER 306.25 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 IRRIGATION CONNECTION 266.00 �/� Yom'" /, O LL( to ' s 2`t7 be s , qvcfru t • ckt- M. :I HiM - MOBILE HOME ELECTRIC ' LI 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 662- for 441„ IPA etkikikti _ CO ∎TRA • 6 SIGNATURE PERMIT OFFI - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - _- - 1'. • • 1 1 1 { 1 J z J 1 j m �z a - a cn (n ❑ F- r x 1 Z 0 v O a 0 F U cn 1D w w m 5 U z O Q D 1- ..... ¢ ¢ w 5 w 0 Z o 4 o C- ❑ ❑ [ ❑ z m Z Z W w ` Y J N �^ F¢— (7 cc D • J O O sag ,::,_Es EC o LL c E; on w � z N= - ai >. Cy") fi ! n. (.. , — cl 4 sb. V Lo E . 7 0 . �l E In El g ❑ El L E` m3 ›.. 1111 Tv, �A u) p m o Z N A co w i� 0 Wa rg g. N ' cc U w .. J 00° 0 ¢ > ¢ • ° �O � cc w cc Q ¢ w w ° € o CC w w z LL z co M w M ¢ o 11! F- Z ¢ ❑ v w w .....5 ¢ O CC 2 u) w 1- z ¢ U O m ¢rn vl J F J /� Z m j = O F W .. Z Q J Q �n L _ F Z U �fl J w w m H U z G Q C >._ cc W CO w (77 Z p "' co -N..- El El Z ❑ m i r Y n -I p p w L O Q fLL _ l C n I � L ch. J/ `1J 1\- k-_ - --- ) . 9 � .1= L O .W - ' `9 1 0 T Lo U aj) I ❑ ❑ ❑ ❑ N (�� m Wa O �7 ^ V1 W F- m o Z N 2 w w L 0 wa ili a> 1-2 EO 'I Q ; U J C. T E.2 0p0 U 0 ¢ w Q ` O E Q w "' w w 1 - 0 Eo0 W LL Z F- W 7 Y Q > . m W W W z U LL Z J w 2 ¢p D � U 1— Z~ J > 0 0 J o Y ¢ a-- O rYZ ¢ W Q W m Q ¢ W x W �� = a O O 2 co cn H Z w i 0 'x J w Ts -0 a, 0 II' cii _ 1 ti City of Zephyrhills BUILDING PLAN REVIEW COMMENTS i I ntracto omeowner: i(._ Cate-Received: 9_" / - O' Site: 76 '� � i6G Permit Type: C-- 7/ - / / Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: E] t) 11 p p u/ ! , in,fe6 k - te41r5d aI Cr,0(6 e/ 0 ',1t s?f 41,11 k (Ad �D )) atte9Jj 2,. k kt Ltiff This comment sheet shall be kept with the permit and/or plans. / 6 e- o , I' ,,,\ „ Kalvin S ' tzer — "Ps Examiner Date !ntractor and/or Homeowner (Required when comments are present) P .NOTICE OF COMMENCEMENT 111111111111111111111111111111111111111111111111111111111111 C o 2009117370 t State of 'Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statues, k . o the following information is provided in this Notice of Commencement. `V r � 61 OM J - 1) Description of Property: Parcel No: 5/ - 25 -or (Po - OO t9OJ oz q 5 .. N `�� , y Nm� 70- R2/4--„„0 L i 62/ 2.O AK' T" Q-7,5' -37S-2a C4 L Av -c- 1 / e l-I c �G • 3 - S l t m •• tiler egal on of the property and street address if available) m IA (O 2) General Description of (L Improvements /� M(3 U� (0 ] (0 xi 51 -I 0 A GCD F` • i 3) Owner Information: Name % (`-/ 20 A y -- 04621, c 4tc4 1 o,_ -r-Q/J -. • 0 • 375'3a Giu e Q - xeH.us .0,‘2., ()A 0 m ( ; r t ) Address City State e x Interest in Property: x Name of Fee Simple Titleholder: 1 (If other than owner) 3 2 ` Address t City State ) Contractor: Name .8/'�'2 . ,r- )_L. C C N G 39 93R E' 9 040 V i' ! f-' s .t . .2.$ Oein/4 33 5 Address City State r I 7 Surety: Name ) v � 7V"" � a Address City St 0 . Co c a • ) rt 6) Lender: Name A m J Xm (0 - 1 �� J C 03...E.11 Address City State ff v A� r C 7) Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section �l D ) 713.13(1)(a)(7), Florida Statutes: 424 o IS p Name F.. m G1 V 17, 0 w G Address City State a Ur 3 8) In addition to himself, Owner Designates I 0 r Of to receive a copy of the Lienor's Notice as provided in section m 713.13(1)(b), Florida Statues. 9) Expiration date of Notice of Commencement is one year from the date of recording unless a different date is speciti “. Date - Signe ure of er State of Florida ,/461 .4 --*l _,_.„...._ � -_ County of SC.(C The foregoing instrument was acknowledged before me the IC. Ntf ..?.:Do 9 (Date), by . , l(CJIAR+C A 1.-700.4 "r CHOST7 N:K1.1. 11:5b4 (name of person acknowledging), who is personally known to me or who has produced D.A.- 3A► 31 -74 - /ace ., Sq l d -a r- (56.1-1. (type of identification) as identification. SEAL: •; " "'•• JEFF V.WREDE ''�� ., - MY COMMISSION 800 834696 NOTARI' � s =y'. EXPIRES: December 1, 2012 '. �� Bonded Thm Notary Public Underwriters STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AND OFFICIAL SEAL THIS DAY OF 2_0412_ PAULA S. O'NEIL, CLERK & �� COMPTRO OL LLL5R - BY D �� 4( IID , DEPUTY CLERK Pasco County Parcel: 34- 25 -21- 0170 - 00000 -2750 001 Page 1 of 1 Search Again Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections I Data Current as Of: II Weekly Archive - Saturday, August 15, 2009 Parcel ID I 34- 25 -21- 0170 - 00000 -2750 (Card: 001 of 001) I Classification 00 - Vacant Residential Mailing Address Property Value FULTON RICHARD A & CHRISTINA S Ag Land $0 4113 COPPER VALLEY DR Land $24,000 LAFAYETTE, IN 479098059 Building $0 Physical Address Extra Features $0 37532 GILL AVE ZEPHYRHILLS, FL 33541 -7794 Market Value $24,000 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 See Plat for this Subdivision •" Taxable Value $24,000 GRAND HORIZONS - PHASE THREE PB 53 PG 120 LOT 275 OR 6439 PG 623 Land Detail (Card: 001 of 001) Line 0 Use ODescriptionll Zoning II Units II Type II Price 0 Condition II Value 1 0200 MSUBM 00M1 6,000.00 SF $4.00 1.00 $24,000 Additional Land Information Acres II 0.14 Il Tax Area II 30ZH II FEMA Code 0 -- IIResidential Codell GDHZLP1 Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line II Description II Year II Units II Value No Extra Features Sales History Previous Owner II GRAND HORIZONS INC Year 11 Month II B ook /Page II Type II Amount 2005 II 06 II 6439 / 0623 II WD II $28,000 1995 II 12 3508 / 0207 II WD II $ 1989 II 12 II 1866 / 1678 II TR II $0 Search Again Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 34 &twn= 25 &rng=21 &sbb= 0170 &b... 8/25/2009 a: PASCO COUNTY, FLORIDA Permit No. 949 A � / Date Permitted /Vt Builder Name /Owner Name � L4 C Control # County Parcel No. 37-2 .S - 2 f - O (-10 nn bt000-- �7aSubDiv: Address /Location 3 53 Z 6— Y- -- 4_ Z 7 5 2e ►i Y -f+t;1 Ls Classification/Type of Use Q. rQ€ t44 rnab'k TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: Exempt [ Yes No How Determined Impact Fee Amount $ '3 , 32. d v Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single- Family Detached House Amount $ (057) Mobile Home (058) Other Residential 123) 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 $ 59 3 • "7 3 Exempt ❑ Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes ❑ No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By r 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 --W 90 q �, Date Received • f /— 0 Phone Contact for Permitting 51 / -- AO Owner's Name g) (° Y Y` ird ±C...,l f ; 1.1 'ra - (r If() a Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name, Owner Phone Number Fee Simple Titleholder Address n JOB ADDRESS , ,1 S3 O� ( k I- U c. LOT # ■1 .� SUBDIVISION ILc) fa y 1 k ( ) ( , 71)("f' ' PARCEL ID# * ,g 5 -(91 - 0 f30 -- X Yi.- ( . J 15 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED Elif NEW CONSTR ADD /ALT r SIGN 1 1 MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE SFR 1 1 COMM 1 1 OTHER 1 1 TYPE OF CONSTRUCTION I I BLOCK r •e.... •e.... OCK I 1 FRAME 1 1 STEEL 1 1 OTHER f R )� /e DESCRIPTION OF WORK Y , \ j ) r R\(A tO{ BUILDING SIZE L f p('L1b SQ FOOTAGE ) i(C0 HEIGHT I I BUILDING $ C Soo . 00 VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ j r 5 ,CEO AMP SERVICE PROGRESS ENERG Y� 1 1 W.R.E.0 / . ,� PLUMBING $ 5 SO . / I} 1 c :)cam I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N 11 GAS I 1 ROOFING 1 1 SPECIALTY 11 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES ENO BUILDER , , .. COMPANY I-) (n . 4... SIGNATURE Q ,i . lb cr, r UL REGISTERED Y / N 1 LL ) FEE CURRENT 1 Y/ N Address IIIIJJJJ {''`NZ`i _ , - (1 > License # I.r I -- L) SIGNATURE ( j 2 ; JL C tz_ ` ` - COMPANY C T FEE ( CURRENT 1 Y N 1 REGISTERED Address aG9 l ) l �* k {) ,. ! ^ f - 3 4 License # CI-C OO dt r `-f 3 PLUMBER (( 36 �, n A COMPANY rnr, L --L�.. SIGNATURE % J . V l� ` REGISTERED Y T i Y/ N 1 FEE CURRENT 1 +v / N 1 y� q t • - • e C ( V License # L!--44 -ern) /` ( q Address `�%�, �( `.J _ - • I MECHANICAL ( COMPANY h e5 SIGNATURE MECHANICAL ), �� REGISTERED PYIN FEE CURRENT I Y / N 1 Address Ligq) Ak 0 ` . C.'4.■- 11t, - 35" I License # 1... Ll_ J `C4—I q eiT OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I Address License # 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 NC 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'SIOWNER'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 days, the is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING LENDER OR AN ATTORNEY YOUR FINANCING, CONSULT WITH YOUR RECORDING UR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 13) Ne OWNER OR AGENT ` ' t wadi 1I. _ A CONTRACTOR ! I . le .' k`& _ L b cribed and swo ° e his S c ed and swornTor - r -, . -fo s q q '�. a - i ed b 1 / 74/ o 9 by r s 4 t odk''R by L,' � - oc1tCr Who is /are perms n known to me or has/have produced Who /are personally known to me or has /have produced l�Cr -s identification. �- as identification. i / /_fr�— / I -- • Notary Public ( -- - 2 - Notary Public fission No. I ission No. WZIT) J ,. 4'R,C .......... ...... .. t r S M vii n .." ` A,rp( /RICHARD S. MARTIi� RICHARD S. MARTIN Name of Notary typ P ed, rinte l - ,. , ed Comm# 0005354__ Name of Notary typed, printed or stamped # .„ 7 ,, Comm# 00053545 F L� ExW� 4/2/2010 z a° Expires 4/2/2010 5'� ^'' • Bonded by (800)432 - 4254 Bonded by (800)432 -4254 ,y a,�. Florida Notary Assn In, : = ^ '�a7 Florida Notary Assn.. Inc N From:B &H CDMSTRUCTIDM 08/19/2009 13:03 11316 P.002 /002 tj • PREVAIL ODES, FLORIDA BUILD G CODE, NATIONAL ELECTRIC CODE AND CITY OF 7.F � �DHIL L� �; ,,,„. p ��Ii ` faa 614%4, 4 p � .i __ 1Q Etl 1; ,4:764 9 n a w7TER 1113JJ Jac) _'A 4 5fs) Mod ft r,we 9y0/ : k r i� i yo k yD t 1-- /7 --4E---. ,z3 1 4. X0 0 / X51 „ec\- �0 .v RAM' .E It ;; JdiS"c Ar�cri � 6.1t 1 05( 9 .1v-ox.e c_...... y � xx /4" i r 1 �xengE Y! .ylr►fcAde" 4.--yv 40.2.4 ‘ • fide, ✓F c+-0Ry 0#56•061. ( `EA Se ' 11661) r k i 6, :) P 69 r .2 23 ?S'3/ 6 ;L C 4 3 G A cv ci h6R 12-0 �v�' 660 Iii f - 1 . 1 -__ I - 4\ - % 'I , 1 . 1 P igi . ',,:i - , a -. .., Q W pp g r rrrrr 1 . 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