HomeMy WebLinkAbout11-12648 . ,
CITY OF ZEPHYRHILLS �'
5335 - 8TH Sl72EET
�si3��so-oo20 12648
BUILDING PERMIT
Permit Number: 12648 Address: 38939/ 41 C AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14-26-21-0010-02500-0100
Improv. Cost: 4,000.00
Date Issued: 12/27/2011 Name: SNELL ENTERPRISES INC
Total Fees: 55.00 Address: P.O. BOX 1147
Amount Paid: 55.00 SAN ANTONIO, FL 33576-1147
Date Paid: 12/27/2011 Phone:
Work Desc: RE-ROOF WITH SHINGLES 3 TAB 25 YR
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TAPE JOINTS ROOF INSP
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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 inspections called d) work not ready for
inspection when called e) permit not posted on job site � 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• a�s-7so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received Phone Contact for Permittin -
Owners Name !� N J� t l I Owner Phone Number
Owner's Address �� 1� - � 1� �I Owner Phone Number �—
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS d ' � D I � � � � LOT # �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN O Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTtON OF WORK J�. L 1/ J O p V 1 C K tiJ S ✓ -� I�
BUILDING SIZE � SQ FOOTAGE � HEIGHT
OBUILDING $ �o ��� � VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License #
OTHER COMPANY la��l `t GLC �''t r.'�. /`� O�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address 0 D � � 0 8 �i. - ✓ 3 S� License #�U ��� 9 9
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 Fadlities & 1 dumpster; Site Work Permlt for subdivlsions/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 8 1 dumpster. Site Work Permlt 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 52500, a Notice of Commencement is required. (A/C upgrades over E7500)
" Agent (for the contractor) or Power of Aflomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 owne� 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 appiication 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 buiidings, change of
use in existing buildings, or expansion of existing buiidings, 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, wili 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 ce�t�cate 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 appiicant, 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 ce�tify that all the information in this application is accurate and that all work
will be done in compliance with all applicabie 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 instailation 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 8� 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 instal►ations 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 Ofticial 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) � ,/ � ,//
l �� CONTRACTOR � JQ�O�
OWNER OR AGENT Subscrlbed and swom o(or affirmed) before me this
Subscribed and swo to (or aHirmed) before me this bY
by
Who is/are personally known to me or haslhave produced Who is/are personally known to,me or has/have produced
as identlficatlon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
� � � � s���� Proposai/Contract
s�.� � � • , ��.
P.O. Box 1188 • 33010��
San Antonio, FL 33576 -��ec�cdce�,
� (352) 588-ROOF (7663) • (813) 782-1330 �saedc� &
� 1-866-407-0559 • Fax (352) 588-9763 7�ca.sc�c�
www.scottblackmanroofing.com
����� email: blackmanroofing@aol.com Date �
�e 05795?
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name �t ti > k t ll Street
Street ��`� -- 3� �� � /��C' Ciry
City 2 tA�`�v � ��l S State Zip
State Zip Owner of Properry
Phone Number _(' ��' l7,��j� Fax Phone Number Fax
W� reby propose to furnish all the materials and perform all the labor necessary for the completion of:
Remove existing shingle roof ❑ Replace bad fascia boards at $�'.� per foot
❑ R move existing built-up roof ❑ Replace 1 x decking at $ per foot
.� Dry-in with ❑ 15 Ib. �0 Ib. ❑ Install feet of ridge vents
❑ Dry-in with a fully adhered underlayment $ ❑ Install modified bitimen (granulated) torch down roofing
� Install new galvanized valley metal additional bla
, white or other color
Ins all new lead boots nstall 25 yr. fungus resistant 3-tab shingles
Q In 11 new roof jacks ❑ Install 30 yr. fungus resistant dimensional shin les
9
Install new drip edge, color ❑ Shingle manufacturer color aG�
� ❑ I tall new flashing as needed ❑ Install TPO, white rubberized roofing membrane
lace plywood at $ J �s �� per sheet ❑ Other:
� Repair rotten trusses at $ Z� per foot
"Woodwork is an additional charge, see pricing above
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of $�� ����
with payments to be made as follows: Payment due in full on COmpletion, unless otherwise noted. Thank You.
Credit cards accepted, additional 3% charge.
'Not responsible for satellite signal when satelite is reinstalled "Not responsible for A/C & electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will _ � E-v.^..r-----
be executed only upon written orders, and will become an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents or delays � Officer/A ent Scott Blackman Roofin
beyond our control. Owner to carry fire, tornado and other necessary insurance 9 9
upon above work. Workers' Compensation and Public Liability insurance an above NOt2: ThIS proposal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor Extreme caution should be —
used during and after construction for debris and nails missed during within days.
cleanup.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. Y e au rized d e ork as
specified. I have read the back of this Proposal/Contract, which contains Florida Statue . 01-713. . Pay nt il ade as
outlined above. Client gives permission to drive on driveway to deliver mater'
Accepted Sign ure
Date Signatur
A��C�F�C)IN(a T� FL�RIDA'� �C�N�°TRIJ��"`It�� L���N l��t/V
{sE�T�o�s �� �.00� -�� �.�7, F����aa �T�T����g �rNOS� �r����
W4RK QN YC�UI� PR(�PEF�TY �F� PRt�VIC�E �/IAT�RIALS Af�L� �F�F=
NCJT PAID IN FULL HAVE A F�IGHT �"(� ENF{�RCE TH�IR CL�IIVI ���
F'AYMENTAGAINST YC�UF� PRC�PE�TY. TF�I� �I....A11�/I IS KNt�VVI� �;� �?
�4NSTRUCTItJR1 Lf�N. IF �'CJ�F� ���1��A�T�1� C.�F� ��
SUBCONTRA�TC�R FAIL� �� ��`� ��JB�C}NTRA��C���
�lJ�-�UBC4NTRACTC}F��, C�F� IViAT�F�I�I� �U�F'�_I��� ����
NEGL�ECTS TQ �/IAKE �TH�R [�EC�ALLY F��C��1�F�ED PA�`M��IT�. � �w��
PEQPL� WHC� ARE �V11�D MC�N�� ��Y �_C��K �T�`� `����.1��
PRC7PERTY Ft�R PAYMENT� �VEN IF 1��� F�A�/� �AI(� ���F�
�C�NTRACTtJF� IRI F�1LL., �F Y��1 F�IL �T� �'�`l `���_.��
�QNTI�A�TCJR, YC�UR �QNTRA�T�R Ii�AY �LSC� N�V� A �IE�� ��
l��IJR PR{�PERTY. THI:� MEAN� IF ��I�N �� ��L��� �'��..�F�
PRC�PEF�T� Gt�ULD BE �C�I�L A(�AIRI�� YC��R �IL�. �� F�A�" ���
LAB�R, MAT�RIAL.�, C�R C�THER S�RVI��� TI�AT `��.��,.��
CC)NTRA�Tt�R QR A SU�C(��T�AGTC�R MAY NAV� F�IL�� T� �'��'
FLC�RIDA'S CQNSTRUGTI(�f� �.IEN LA1�l I� ��M���� �[�C� �� ��
REC�C�MMENDED THAT iNHENEVER A�P��IFI� �'F�C��I.._ M F�I���.
YOU C�N�ULT AN ATTCJRNEY,
Pa�co County Parcel: 14-26-21-0010-02500-0 l 10 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, December 24, 2011
Parcel ID 14-26-21-0010-02500-0110 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than S units
Mailing Address Property Value
SNELL ENTERPRISES INC Ag Land $0
PO BOX 1147 Land $10,227
SAN ANTONIO FL 33576-1147 Building $26,805
Physical Address - See All 2 addresses (First Extra Features $0
Shown)
38939 C AVE 7ust Value �37,032
ZEPHYRHILLS FL 33542-5244 Assessed (Non-School Amendment
1 � $37,032
L@Qdl D@SC�IDtIOn (First 4 Lines)
MOORES FIRST ADDITION PB 1 PG Taxable Value $37,032
57 EAST 1/2 OF LOT 10 TOGETHER
WITH EAST 1/2 LOT 11 BLOCK 25
OR 6298 PG 1113
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
1 0800 MULTI FAMT OOR3 6,016.00 � $1.70 1.00 $10,227
Additional Land Information
Acres 0.14 Tax Area ZH FEMA Code � Residential Code ZHL LP7
Buildina Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1982 Stories 1.0
Exterior Wall i Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,040 $44,491
2 FQP 112 $941
Extra Features (Card: 001 of 002)
Line Description Year Units Value
� No Extra Features
Sales History
Previous Owner LEWIS GLADYS REVOCABLE TRUST
Year Month Book/Page Type Amount
2005 � 03 6298 / 1113 WD $78,000
2000 07 4402 / 0650 WD $0
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=14&twn=26&... 12/27/2011
Pa"sco County Property Appraiser - Physical Address List for: 14-26-21-00... Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 14-26-21-0010-02500-0110
Displaying 2 records View in groups of: 10 25 50 1(�0 500
Street Number Street Name � Unit
38939 C AVE
38941 C AVE
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 12/27/2011 11:16:08 AM
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Bonilla, DptY Clerk
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NOTICE OF COMMENCEMENT �� 6 2� 9 3
Permit No
Property Identification No ��- 2(p- 2 J_ bb! V'—�? C-!�//!7
THE [JNDERSIGNED hereby gives noUce that improvements wil] be made to certain real property, and in accordance with Section
713 13 of the Florida Statutes, the following information is provided in this N q TICE OF COMMENCEMENT
�o•r�i ✓ ,:�r- /9-����. /��/P�S'7 �4st %v�` �T
1 Description of property (legal description :) p 70 'fZ.er w i�'L� .P // / /04� � O }'& P6 ///�
a) StreetAddress: 3� C,4,rt �p� �/ 3 3 S'f.� ,� 3 j /
2. General description of improvements: /Q e .-oo�� :✓� �3.vl�.a { i i( ..y '
3 Owner Information /
a) Name and address: � � '�.-, ���� ch �� , f y� e �O 6a,� J� �� .�Scn � �, � � �'i' /
b) Name and address of fee simple trtleholder (�f other an owner) i 33S?(a
c) Interest in property D�+.� 2✓
4 Contractor Information n
R a) Name and address:S�v'�`�l4c�i.. a,.,Q,�,,��„� /�-p/.S v.� l/� f,` h�y,,,� � f 3 j�-'j (
b) Telephone No. 3 S�- —S�c 7 c'o co 3 Fax No (Opt.) 3�"�-- b�r ?�0 4� `;
5 Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No. Fax No. (Opt.)
6 Lender
a) Name and address:
Phone No
7 Identity of person within the State of Florida designated by ow�er upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No. Fax No. (Opt.)
8. In addition to himself, owner designates the following person to receive a copy of tl�e Lienor's Notice as provided in Section
�13 13(1) (b), Florida Statutes:
a) Name and address:
b) Telephone No. Fax No. (Opt.)
9 Expiration date of Notice of Commencement (the expiration date is one yeaz from the date of recording unless 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 IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE T E FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER N O Y BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COM CEMENT.
w
STATE OF FLORIDA � Z �-� �
iL
COUNTY OF PASCO -L � O � � � � �
ignat o wner or Owner's Authorize Officer/Dir [or/Partner/Manager V z� �� J U
� P�^ < rr) o// Ci. � p Z at �" �'�
PrmtName
,/� J� ( // O� �Z� ~ '�N'.
The foregoing instrument was acknowled� , e ,, d be me this c� �' day of t!/e� , 20�, by /( Gh cJ /(.Qi I O Z
as (��J h.,Z.f� e of authorit , e. officer, trustee, attorne �"` ~�� � �
�tYP Y g� Y s — u � L(Y (j L)
in fact) for (name of party on behalf of whom instrument was executed). � x O O� '
1 � , � � � t-- } U �y, �
Personally Known � OR Produced Identification _ Notary Signature �i�iS�s^' �}� d� Y
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Type of Identification Produced Name (print)- aL ���� p
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Verification pursuant to Section 92.525, Florida Statutes. Under penalties of per eclare that ave re d e foregoing and tha[ 4 ' C� (} �>- , d��
the facts stated in it are true to the best of my knowledge and belie£ ,i � p p�� �
Or-�z�
,�L '� tti v� Q w
Si ture of tural Person Signmg Above � f� �=t- �
FoaMSiNOC rvsazoo� � �,,, _ � � �
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�� � Nofary puDlic State of FlOrida
, Scott C Blackman
P My Commission DD796572
p��,d' Expires06/10/2012
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