HomeMy WebLinkAbout09-9822 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9822
FIRE ALARM SYSTEM PERMIT
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Permit Number: 9822 Address: 4241 SKY DIVE LN
Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL.
Class of Work: FIRE ALARM SYSTEM Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 18-26-22-0010-08600-0000
Improv. Cost: 2,341.00 \ s
Date Issued: 11/30 •.'e Name: CITY OF ZEPHYRHILLS
Total Fees: 150.00'7 ' e ' Address: 4241 SKY DIVE LN
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1 /30/2009 Phone:
Work Desc: INSTA. FIRE : RM SYSTEM FOR SPRINKLER MONITORING (Alit Ab ci
• • •BA A - E ALA M 50.•0 - P I•N 50.00
FIRE PLAN REVIEW FEES 50.00
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FIRE ELEVATOR RECALL
Chapter 633, Florida Statutes, authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review, administrative fees, and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of $100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"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."
1
�� L . �.Ieni -
CONTRACTOR SIGNATURE rd 1 • IC R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT - Fire Marshal Office - 813- 780 -0041
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044
FIRE SERVICE USER FEES
Occupancy No.: ` w c
Plan No.: 0 9 Contractor: C J-�' J . �' )
Business Name: '1 - i ,�, Billing Address: �1 )0 't Nal
Business Address: ,� Ea ,; �►^6— ' . Z
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
_ PLAN REVIEW FEES _ INSPECTION FEES PERMIT FEE — FALSE ALARM FEE
— Site Plan N/C _ Annual N/C Sprinkler 550 —
ommerc 1st Alarm N/C
— Muni - Family /Cial .06 sf — 1st Re- inspection N/C Standpipes 550 — 2nd Alarm N/C
(Minimum Charge $25.00 _ 2nd Re- inspection 5100 Fire Pump 550 — 3rd Alarm N/C
El Plan Revisions DBL _ 3rd Re- inspection 5250 Hoods 4th Alarm 5100
— 4th Re- Inspection 5500 ire Alarm 550 — 5th Alarm $150
SPRINKLER SYSTEMS (Business dosed until LP Gas _ 6th Alarm 5200
0 - 25 Heads 550 violations corrected) Natural Gas 550 _ NON COMPLIANCE 5150
— 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks - per tank $50
STANDPIPE SYSTEM Hydro Undergrounds 545 Sparklers 5100
ti Per Riser 550 Hydrostatic Test 565 Per system Fire Works 5500
FIRE PUMP Acceptance Test $45 per system Camp Fire 525
El Per Pump 5100 Hydrant Flow 575 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct 550
0 - 25 Devices ( $ c 50) i FIRE ALARM SYSTEM Place of Assembly $50 Annual
ti! 26 plus Devices $ �� [) ystem Acceptance ,C Fire Protection 525
_ SUPPRESSION SYSTEMS . Recall Acceptance 550 Flammable Application 550 Annual
_ Wet $50 _ OTHER Waste Tire Storage 550 Annual
_ Dry 550 — Fire Wall/Smoke Wall $15 per wall Generator < KW 5100
_ CO2 $50
— LP Gas $25 per tank Generator >30 KW 150
Other 550 _ Natural Gas $25 per system Bio-Hazard Waste 5100 Annual
KITCHEN EXHAUST _ Fumigation Tenting $50
ll Hood/Ducts 550 _ Tent 10'x10' or greater 515 per tent Torch Pot/Applied $50
OTHER _ Fire Pump , 545 Haz. Materials 5100 Annual
— - LP Installation per tank 550 — Fire Suppression $30
— Fuel Tank Installation 550 _ System Acceptance
(Per Tank) 550 _ Exhaust Hood/Duct $30
Natural Gas Installation 550 _ Re - inspection DBL
(Per System) (other than annual) _
0 Spray Booth 550 El Inspection scheduled DBL —
and cancelled Tess than
24 hours
_ [ Of"
_ Construction Insp. N/C
— Emergency Vehicle Acs • 9 FALSE ALARM
PLANS TOTAL INSPECTION TOTAL `O PERMIT TOTAL TOTAL
GRAND TOTAL ?/
Comments: r � ',~
�.AL7AL1� f0M� !iO i'►IME111!111612't}M21
Date: 0
Insy 44\1A U NAt
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E-mail: kbarnett ;ci:;fre.zephyrhills.fl.us
Plan Review #: 09 -099
Project: Fire Alarm System
Number of Pages: 1 plus Spec Packet
November 24, 2009
I have received and reviewed the request to install a fire alarm system located at 4241
Sky Dive Lane and will allow the project to move forward. Please note that this review
does not eliminate any further requirements as the project continues moving forward. By
paying for permit, contractor acknowledges to comply with the items listed below.
Should anyone have any questions, please do not hesitate to contact the Fire Marshal's
office.
1. Provide zone map at panel
2. Provide documentation that monitoring company is UL Listed.
3. Date batteries
4. Label telephone jacks.
5. Label panel where breaker is located.
6. Breaker in panel shall be locked in the on position.
7. Double backflow preventor shall be monitored with tamper switches.
8. Knox box required. Application can be obtained from fire department.
Inspections Required:
1. Acceptance Test
At
41 RR ''•" ETT, FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
813- 780 -0020 City of Zephyrhills Fire 4 q Z , ' Fax -813- 780 -0021
Permit Application
Date Received I /7---„e s ( Co Permit =
�� �j Phone tact or it
Owner's Name �_ H / 7, 7�V ( i /�y Owners Phone Number f
Owner's Address
Fee Simple Titleholder Name Titleholder Phone Number
Fee Simple Titleholder Address 1
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Job Address 6 2 / / C�,L kg //) I T / /A2 Lot #
Sub Division Parcel #
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E Bio -Hazard Waste Storage - ANNUAL n Fumigation Tent
n Comm Exhaust Kitchen Hood /Duct n Hazardous Material (Tier II or RQ Facility) ANNUAL
n Controlled Bum n Hood Installation
I I Emergency Generator < 30 kw n LP /Natural Gas - Installation
n Emergency Generator> 30 kw I I LP /Natural Gas - ANNUAL Sale
ri Fire Protection Maintenance - ANNUAL I I Places of Assembly- ANNUAL
ItitriyI'Semi 177 tither
Sprinkler n ❑ ❑ ❑ n Recreational Bum
Fire Alarm n ❑ ❑ ❑ I 1 n Sparklers
Hood Cleaning n ❑ ❑ ❑ I I Sprinkler System Installations
Hood Suppression n ❑ 1:1 ❑ I ( I ( Standpipes (Sprinkler Sys)
Fire Alarm Installation n Torch Roofing/Tar Kettle
Fire Pumps n Waste Tire Storage ANNUAL
n Fire Works
I Flammable Application- ANNUAL ( ( Valuation of Project
n Fuel Tanks
I I Other: I
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Contractor Company I
Signature Registered Y/ N Fee Current L Y/ N I
Address / License # I
ELECTRICIAN Company I
Signature Re gistered Y/ N I Fee Current I Y/ N j
Address I 0;--g-gd---'/Q I License # I
PLUMBER (f�' Company I
Signature '' Registered Registered Y N I F ee Current I Y/ N I
Address I L.— —'. License # I I
MECHANICAL Company I
Signature Registered Y/ N I Fee Current 1 Y / N I
Address License # I I
OTHER ( Company I
Signature Registered Y/ N I Fee Current I Y/ N I
Address License #
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized (Or, copy of signed contract with owner)
If over $2500, a Notice of Commencement is required (Mechanical work over $5000)
Supply two (2) sets of drawings with applicable documentation
Allow 10 -14 days for review after submittal date. Parcel # - obtained from Property Tax Notice (http: / /appraiser.pascogov.com)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be ,subject' tc "deed "r 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.
CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 1
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.
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 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this
by by
Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
813 -780 -0020 City of Zephyrhills Permit Application
Fax - 813 - 780 -0021
Building Department
P+ r3 qi7 ! �'$7
Date Received //-41-1 Q Pho a Contact for Permit " g_...
r� -
Owner's Name sky P1 # ' - 61' 7 Owner Phone Number
Owner's Address I n / sk P 1 -cl' G1€ I Owner Phone Number l 1
d� "h l 1( r
Fee Simple Titleholder Namel Owner Phone Number I
Fee Simple Titleholder Address I I I
JOB ADDRESS 1 4g ( -Si t " �l\ )(t I LOT# I
PARCEL ID#1 I
SUBDIVISION I (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED t)j�I NEW CONSTR l ADD /ALT 1 I SIGN 1 I MOVE I DEMOLISH
T INSTALL I REPAIR
PROPOSED USE 1 I SFR I I COMM I I OTHER 1
TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL ( I / OOTTHER I J- I
OF WORK l/ - ,�.4 co - )(10.a. - 5,,ItitkICK B 1 t ) '( 'IL I
DESCRIPTION I 2/ 4 F
BUILDING SIZE 1 I SQ FOOTAGE I I HEIGHT I I
I I BUILDING $ g 3 LL / * � VALUATION OF TOTAL CONSTRUCTION
I ELECTRICAL $
1 1 1 AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C.
I I PLUMBING I$ I
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS 1 1 ROOFING I 1 SPECIALTY 1 I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 NO
COMPANY I I
SIGNATURE BUILDER REGISTERED I Y/ N I FEE CURRENT I Y/ N I
I
Address License # 1
ELECTRICIAN COMPANY I I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # 1 I
PLUMBER COMPANY 1 I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I I
MECHANICAL COMPANY 1 I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address _ License # I I
e., we t( s $'� �iaif 5 ' — I I
OTHER COMPANY
SIGNATURE / JJJJ� �pc ® REGISTERED I Y / N I FEE CURRENT I Y / N I
ss
Addre
•3 Ie ) l 1 / 1 Af , 93‘ t Y License # 1 EP 3.B 400 1 /-3 4 7 1 I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Budding 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 days, the 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT . CONTRACT°
Subscribed and sworn to (or affirmed) before me this Subscribed and swo rto'(praffrm.:I) • • re me t
by / /-. -0� by / / — - -
Who is /are personally known to me or has /have produced Who is /are personalty...known to me or has ave pro• uced
as Identification. �[c o as identification.
A tart' Public
Notary Public C
Commission No. Commission No.
' N•., B OBBIE S. SWETLAND
s;t � ;
Name of Notary typed, printed or stamped Name of �. = Ott •J 1 • ' Y 2012
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BEVERAGE
SERVING AREA 546
GATHERING AREA 4404
TOTAL 4950
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