HomeMy WebLinkAbout13-14549 CITY OF ZEPHYRHILLS
' , 5335-8TH STREET
(sis)�so-oo20 14549
FENCE PERMIT
Permit Number: 14549 Address: 5040 17TH ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21400-0270
Improv. Cost: 2,499.00
Date Issued: 9/23/2013 Name: ESTRADA, RUDY
Total Fees: 40.00 Address: 5040 17TH ST
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/23/2013 Phone: (813)997-2004
Work Desc: INSTALL 66FT X 6 VINYL PRIVACY FENCE
LOWE'S HOME ENTERS IN (407)832-8085 FENCE 40.00
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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 con�ections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl 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
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CONTRACTO PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o��-►ov-w�v v��y v� c.cN��r���n�� � ������.�.rr��.....,..��
� ' Buildtng Department
/'^ � N i;., a
Date Received• . - Phone¢oMact tor Pe�nittin �! 7j Z 6 1 - -�'��l (v s
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Owners Name � � � t � Owner Phone Number
Owner's Address �� 1� T� s�T Owner Phone Number I
Fae 8lmpis Titleholdsr Name � Owner Phone Numbsr � �
Fee 8imple Tkleholder Address
JOB ApDR�33 �D �1t7 '1 Th S� Z k� � s � i 3 3 5�z �oT� Z�-2 S-��
SUBqNl1,810N i 7` at' Z<'.P�ti ��l/S PARCEL ID# � � ' Z-� " 2 J-Ota i� - 21�#1t c7 - C�Y.7G
(08TAINED FROM PROPERTY TAX NOTIaE)
WORI�;PROP0,8ED NEW CONSTR AqD/ALT Q SIGN Q [� DEMOLISW
INSTALL 8 REPAtR
PRORU$ED USE Q SFR � COMM � OTHER
TYPE OF CON8TRUCTInN Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF VYORK C� C����
BUILDINO 81ZE ---�- ---- _ 8 OTA�3E� HEIf3HT
BUI ING S � ' �
� LUATION OF TOTAL CONSTRUCT N � � 5�
[�ELECT � / a AMP SERVICE Q RGY W.R.E.C.
QPLUMBIN(3 � � t��j��
----- `� l�`C
MECHANICAL a VALUATION OF MECHANICAL INSTALLATION ��
__��
Q ROOFING Q SPECIALTY Q OTHER
F�NISHED FLOOR ELEVATIONS FL006 ZONE AREA QYES NO
G ��d ��
BUILDER COMPANY L ow�cS No.„t �eN`��2s ��l c.
SIGNATURE REGISTERED Y/ N FEE CURRE►� Y/N
Address O �O k O ��✓ ��A�d° �i"$�`� License# �C.r�o�, ( .S O �t7�-�
ELECTRICWN COMPANY
81GNATURE REC3ISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
810NA7URE REGISTERED Y/ N FEE CURREP Y/N
Address License# �
MECHANICAL � � COMPANY
SIONAIURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIONATURE REGISTERED Y/ N FEE GURRE� Y/N
/lddress L(cense# � �
RESID�NTWL Attach(2)Plot Plana;(2)seta of Buildtng Plans;(1)aet of E�ergy Fortns;R-O-W Pertnit tor new oonstructlon,
Minimam ten(10)warking days after submittai date. Requfred onsite,Constructlon Plans,Stormwat�Pians w/Silt Fence installed,
Sanitary:Fadlitles 81 dumpater;Slte Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)camplete sets ai�ultdir�g Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permft for new construcdon.
Minimwm ten(10)worlcing days after submittal date. Required onsite,Const�uctlon Plans,Sto►mwater Plans w/Silt Fe�rce Instaileo,
Sanitary Fadfltles 81 dumpster.Site Work Pertnit for all new pro)ects.All commercial requfrements must meet compliance
31CiN PERMIT Attach(2)sets of Engineered Plans.
"""PRbPERTY SURVEY required for ali NEW constructlon.
Directions:
Fill out appllcatlon completely.
Owner&Contractor stgn back of applicatlon,notarized
lf over s2500,a Notl�e of Commencement is requlred. (NC upgradea over;7S00)
'• Agent(for the contraator)or Power of Attomey(for the owner)would be someone with notarized letter from owner autho�izing same
OVER THE COUNTER P�RMITTIN6 (Front of Applicatlon Only)
Reroots if sh(ngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RLSTRICTtONS: The undersigned understands that this permit may be subJect to"deed"restrjctivns"
which cnay be more res�tric:tive than County regulations. The underaig�ed assumes responsibHity for compliance with any
appticable deed resMctivns.
UNLICEN�ED CaM��TORS AND COW"F�tACTOR RESPONSl81LITlES: if the owner has hired a ca�ntr�ctor or
contractors to undertake work, they may be required to be I(censed in accordance with state and�locai regulations. If the
cont€actor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor viotation
under state law. If the�owner or intended contractor are uncertain as to what licensing reqGirements may apply for the
intended work, tl�ey are advised to contact the Pasco County Building (nspection Divisfon--Licensing�tion at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portfons of the "contractor Bloccation that heliisaniot p�ope ly licensed Iand is not e tbNed t yper�mittingsprivil gesgn Pasco
contractor, that may be an indi
County.
TR�iNSP01�tTAT10N IMPi1CT1UTILITIES IMPACT AND RE80URCE t��CflV�E1��ngtEStion of newebuHdi�gsnchan�e of
that Transportation Imp�ct Fees and Recourse Recovery Fees may �pp Y ,� =-
use in existing buildings; or expansion of e�xuani�nQrstaindsgthat such fees,iasPmay be due willdbe identffied at he time�of
90-07, as amended. The undersigned als
permitting. It is further understood that Transportatfon Impact Fees and Resource Recovery Fees must be paid p�Ytir to
receiving a 'ce�ti�cate of occupancy" or flnal power release. If the project does not involve a certificate of occupancy or
final power release, the-fees must be paid prlor to permit issuance. Furthermore, if Pasco County WaterlSewer Imp�ct
fees ��a due,-they must be paid prior to permit Issuance in accordance with applicabte Pasco County ordinartces.
CONSTRUCTION LIEN 1.�V11(Chapter 713, Florida St�tutes, as am�ended): If valuatfon of work is$2,500.00 or more, I
ce�tify that I, the applicant, have been provided with a copy of the "Florida Construct(on Lien Law—Momeow►�er�s
Protection heiaownerP Ireertify that Ilhave blained ancopy of the above described document nd prompse ntgood fait�to
other than
deliver it to tFie"owne�"prior to commencement.
CONTRACTOR'S/OWNER`S AFFIDAVIT: I certffy that all the information in this appUcation is accurate and that alE 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 instailation as indicated. i certify that no work or instaltation Mas
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regutating
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 inte�ided work, arrd't�i�t it is
my responsibility to i en{tof Ern�ontmental Pr tect on Cypress &a�heads,SWetland Areasnand Enviro mentailyt 3ensitive
Departm
Lands,WaterlWastewater Treatment.
- SouthwesE Flo�ida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seav+ralis, Docks, Navigable Wateruvays.
_ pQpactrnent of Health $ Rehabiiitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septfc Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal-Auiation Authority-Runways.
I undecstand that tMe following restrictions apply to the use of fill:
Use of fill is not ailowed 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 p.lan 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 flll material is to be used in Flood Zone °A" in connection with a perrriitted building using stem waN
const�uction, I certify that flli will be used only to fili the area within the stem wall.
If fill materiai is to be used in any area, I ce�tify that use of such ��theiowner mayrbelcited for vi�olali�g,
properties. If use of fill is found to adversely �ffect adJecent properties,
the condi�ions of the buiiding permit issued uncier tMe attached permit application, for lots less than one (4)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the A6EMT F`�R TWE OWNER, I p�o nis�iundestand thatna�epahrat permit tmay be riequ�ir d fortielectrecal work,
this affidauJt prior to Eommencing constructio
plumbing,��signs, wells;poots; air conditioning, gas, or other installations not spec�icaliy induded in the applica�ion. A
permit issued shall be cAr�gtr�ed to be a Ifcensenor shaii i sua`ncehof a pe mitprevent thehBu ding jOfficeal from theFeafter
set aside any provisions of the tecFinical code ,
requiring a correction of errors in plans, const c tmmenced wi#hin sixamonths of permi P suaince uor�if wo'rk au h ezed by
un less t h e w o r k a u t h o r i�e d b y s u c h p e r m i t i s
the permit is suspended or ab��donhe Buildinerio��fali fo8a period notto ex tceed tn nety r(9Q) da.ys and will demonst te
may be requested, In writing, from t 9
th�job is considered abandoned.
justiflable cause for the extension, If work ceases for ninery(90)consecutive days,
WA��G Tq p�lyl�k�t�; YQUR FAILURE TO RECORP�A�T'�Y��,����O�T��.���p},��,CONY3 LT
PAYtNG TWICE FOR.INERROVEIVALNTS TO YOUR PROe �Q � T.
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FLORidA JURAT(F.S.117: �) __
CONTRACTOR
OWNER OR A(iENT this Subscribed and swom to(or atflrmed)before me lhis
Subsat and swo - (or iflrm b r bY
s ` _ h sJhave produoe �' Who Islare pe�sonally knovm to rne or hasfiad nPtiflca�tlond.
° s iden cBUon.
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' � ' Notary PubUc
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� y""' Commission No.
Commissl n, �"'> anaaiF� S ET►-AND _
�;�. Commission#EE 140709
*� 2016 d, rinted or stamped
Name of ' eoa3as-'o,9 Name of Notary tyPe P
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LOWE'S CONTRhCTaR UCENSE NUTABEtt . i' C�sH � + � t'..A;,"' � �'��
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iN97ALtnT10N 51REE"I AODREBS _ . , ,,��„;� ,. � • • STATE ZIP
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AtteEh copy,ct Lowe's Viityl:Fsttce�Estrmate sneet.a�a wi�ie�ir��con�ra��:� : . r . �
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FabH�c _.—..:_._.__:. ..._. �ans�l Item��._Y. . . � F�bric PaAel' ...— �' -Pbn�!Name` Piaket Item#—•,
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6aEes __.__. Gateg 6ates__._... . _. Gate�, --• •- '��ygf� ..
F�Eimatad Sheet u Estimeted Shee! U • Estimabsd Sheat n . . Fst4ma�ed.She�t L •, ` Gates .
Attached Attached Attec�A' ~ Att�ah+etl � •
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`• NO'11C TO;CLS�: M :Fedaral!aw roqul'a.as 6�yv�'s to•pro.vidayau W�thlhe:. ' . ' ..' . • .
PamPhtet t�inoveta Right�y sfg»ing��1's Cowtiace,Custoinar'a�krwr.ledQes� . � .'.'-�-� - . 1:--�
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having rscefwd a copy of 4fiis FtampF�ht Ac1oi�wp�ic k�p�an•IiNaetn{ng Custom0r � '•.+• �n��TQ��.: . . .
of tMs pelenLfMl rlak aFth�lead hssdrd expw.�ure frv►ri�r@FrBValtlon aetWKylb,bo� ' ' ��'
poMormocl In Cusloinor's dwaliing u�lt ' , `.�}'�IIC�hIA•!'�(•1RC�i,Fd� �„�'�A� ` �
PiiOTp RELEASE:Custort�r rants' o tdVve's en$�Lowe�'�eirt �� " ' �����^��', •,` � - .
9 t `, , P�Y�E�tho'NgMCto:L�ko p�iq�r,�t�s'bl:�,a''it:wbMc�erfar�ed�tlhe Pyamisss rel3ted.to this
Contract,�and iri+�voc�bly'gi�ants!o"l,owe s�IT'rlght;tltla c�nrl-int�r+as�iiti•and td,t�ie p'�btbg.i_"��t��fiti�5e'M:�II;Fiia�teits�aitt�`�ndtlFa::vv6rldwide.in pe'rpefiiitjr..'
Cu�tome'r suthoriied Lowe's tb 't�Y�i�ht�;t�sti',a�d'_,publl�lb.;�1,1e'�f�'o t�Pr►s`iif�'pii[Tt'sr�CU1`c'�,��#6iaib�lyr �„[I�agl�es•�i�h,YoGGe'�' may us�sUch
photographs :for'.-ai►y,iswFul purpose;itiCludiria;'b�iC'n�t:tl�ill�tbf;i1�;i�Ke n' •adveitisi ° i� f�
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Raaporisibility of 8iry'er. 1.Customer'�pree�to toc�te end identity.the proP�rty INtb;�r1s ard�im„de�ir,nd�e�ee;ucreo end�i�es wrncn fr�g'rii�ttcec me�von or
the ferk�here'undr.r.CCN►iprtir,r t►�re+�tk'eC�ustti�i�,r•�S aM�ly resportalble Yor.the Iobarli'o`ri�f tl��iert`�dascn'ffed�:in��'EotltrBCt.:CuatomAr'�i'ilf wise id�fand:indomnity
a'r1d hdd��fnf�s Lbwo's•1br aU daims',derri�rids.aclions.RabitiUes.losbes.coxl�anYJ•sxpe�(se9'(�pdttQin�;•,biit.xlot•I'rmited to,etttir�Oji�'I�iy?•in�cuirvel by'LGwC'S In r,pnrr�:tinn
Nfl�l ATI�/Clalfil�AIIR(J8O A►OtFIP,fWIRE}�R1PdR�&►1�lM1P.3})(11iI MP..IO,f.`AtIOfY Qf 38Id I611DB;CUG}OIIIAf II{Ii�6�I16j�(fq'.:((Y�'S�CCj�I.Nlp�{(dp�3��EC IR Ihlq COI1tf8Cf.,P.Cl15tOR18�
�.aprea"s;Lo p�vide Low9's or Jnstaller wRh a legal des�xiptian.a cdpyaf arty appliqbl�'site St1rVe 8�° • ',�4the�•dooumarits require.d.bY loc�L ar�d.gouetAmen4'U.�u.th�r►tir�tn�in
ell requlred permks. , �! �..�Y �.� _ ati
V'Vork Is t'o commai�4ce.upon rasaonablc av�lia ' o! Cdnlrsctor and/o'r•"a'vpilsbi' ot sn s
at�Heipatod 4o ba�1I"�1!"�'t1 f fv� �Q• `�-��,�,.� �`. Y. Peoipl ond@r oraus� or nads GooQ(s)wliiah is
at tl jfillp in datq�: Esllinatbd eofnpldl'on �date is�.�)F7�'��3.i� �... • C�, .y ffl(in dafe�.
Said estlmated substmrttiat�mpiefk,on da�e ks riot'o ths essence.'A statem'a'r�.of anycon'b'ngencie`s�•tfiat'vcroufdm9tel'lally'ch�rige said rhatect,sub�}ar��a!
iCortipisflnri date I��s foNow ' ,, _ _:�.:-.., .; ..
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This Contract prwldOs that•all claFme by Customer oc Lowo'�wrill b4'reeol�:od b�y.B,lAlO1N�`s.�A�tBi'�RA,TLDN..Customerand Lowa's(3NE UP TH�RiGH
rn.r.n T��olfa7 cn�nferce tf�is Contrace(EXCEPT for mattsrs:that m�y be,xAken.tb'Sl�IALL CWMS�COUI;�.Lnwa•s.antl Customer�s eights will kr
Uw fenca hereunAet Custortwr 89�e6 that Cucbomer'F36oICly ro�yonai�for f11C.l0i:alioh of th@ fe11CCt desCfi�.y.yy"y,•..v�•..,,�u�ea ai�u��,���.a�ri nu���uy��1 ail!!lA Ulr K11�Uw�w
And I'kyid F�asrnleas L�'s for all deims,QerrlAftUy..actlons,IiabllRles;krrsec, bCd 111 IFlis Eontr�,Customer wIN also defend.Irulemni[y.
.wtth Any cl8tm al ed or oth �s��►d Qx�ncea(lnd'udlnp,buf noMlimitOtl,•to,enpm fees (�U�ry� L ;
: �8 ervWSa.made hY snyane'apbut the{ooptiGn oP�aui�fenon,GusWiner is renppn�ble•for.en � � bY OWC'S n t�nnP.CllOn
ayrees to prpvlde Lowd's'or Installer with a tegal descxipUai,a copy pf any applitaWe site su and an ' Y s�ial wak desChbed in thi�Contre�trt.2.Customer
au required permlts. �Y• ..Y othoi'tloatmentS.�gyuired by��pi;dl and govpmrnantal attNoriliea!o obt�in
Work Is to opmmenCO upon rcasq bl�aysllal i� of Cohtraictor and/or availabBl ot a
dntlCipatad ta be. 1�H I fV '��y�� tY �Y sPecial ordor or custorat mad�app�(s��Ieh fs
Ifillo in daDe)• •Estinpit� c�p��lon data Is Y�►1.1�-1!�3 l`�5(�
Sald estimatod substartiel completion dete is�not , the essence_ A statemen#ot any'eor�tingenc�that��d materially chango sald e �mat�d'Subs art�al
co�tipletion date is as fpllowa: ,
... ,,,�; .,: ._::>,:';.:�. ,,�=;, .. .. . . . : ;•.�--,...::�..,.,..:,;.n..�n ,.;,::., .f.,.,- :� -:,:•.(tf�wl.baWe,•uigurl:arsta -
• tr�mnt-af.a,uch,.�Rpqn9e►t�16S),
This Contratt provid.s thdG�tl cratms by Custonwr or L,owe's yvill 4�i�,yola�ed by BJNpINO ARBITRq77pN.Cystomer ahd Lowe's,�GlVE UP THE RI(iHT
TO C30 TO COURT W ernforo�thls Contract�(EXCEPT for mattar's fhat may�be takan•te SMALL CL.AIMS CDUR7�.Lowio�s,and CustpM�a rfphts wtll be
detefmined by e N�UTRAL AR�TRATOR'and NOY a�.JUdg� qr,Jury, ,L�yKp;6",�q C����y a� omh� to a• FAIIZ•N�AIl�pQ,;g��y����on
pror�duses are SIMPLER AI�ID MORE I�IIy11T.ED THAli lW�s 7e�.pPl�lCqg�,�g�M,CpU�p����d!C}afo�s a�+e as orKpl+Ceabb pi any court Olde�end
are subJea to NER1�'LIMIT�RE1fIEW"BYA COURT,. �FOR�1010R�.��TAII'.a:Rev1EVV:{�*lCt�oR tit1��ARBITI�f0.�IW�1 A�RB�MENI;WANER'O�JlJRY
TRIAL ANp WAryER OF'CI.qSS'/[C�ryo,N ADSUDIiCATAi�h�o�,�{:in'tAi,Yremy-arid;Cond,ldo,ns.tif�Is�C
.. . ,�_� o�t� ,
DO NOTSIG�I•THIS_�QI�TF�lkCT UNTlL COM�L�,TE�4►Np� ,Y U�'' _ � �"'"`'�''—"
PAGES QF�I-HS•Ct]INTRq�CT., B�SIC3NIN.(?�:•�EtA�V;.iCp�,i',�R�A. ��,�E TEF�M�AND.�CO�IQIT.ION�C�t�1TA1, NED�O.N ALL
ANp AGREE TO•TNE TERMS AND CQNDinONS SEf.;FORTH ON�A��Q g�0�TH g ON RqCT Y uEARE EtvnT ED TO A
COPY OF THIS CONTf�tACT�AT TM�,T1ME OF 31GNATURE. ' � ` • � ' .
WITNESS QUR HAND(S}AND SEqL(S)BELOW�fHlB I��' DAY.OF . ..
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Lowe's Horrae CeMers, Inc.•' . � , .. . � � ` � – �'�--� .
.. _ . .�. . . . . . . ..
S �al' orAb� , ..,...- . . ,- . _.-._ry� _ . .
.-. ._ ' Co-owner or Wltness -.. . ,
Customer wcicnowlodgAa, ijrt of a teue aopy o(tfiis aontract�rhlch wa's complsbly Alled io�ior to.Cyst��ra exeowtion hsropf;You,}he buyer,may
oancef this transaetfon at xn�r:dino pMor!o midnight of tha,lhlyd bu�ir�ess dey akgr the date of thls transactlan.g�.th.•ath�p�.n���}oancsllatlon
form for an expianation of thls rtght .
#90795(Rev 12/1'0) FIL�CUPY . nz��'4nws•�.�o�t�e'randmapstMrdeslgn �
. sre m.gvbre0.traabf�rla M LF ColPOrrlion. '
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