HomeMy WebLinkAbout14-15820 CITY OF ZEPHYRHILLS
� ' S33�5-8TH STREET
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BUIL[�ING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15820 Address: 6017 18TH ST
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: PARK HILL
Est. Value: Parcel Number: 02-26-21-0180-00000-0450
Improv. Cost: 5,870.00 OWNER INFORMATION
Date Issued: 12/05/2014 Name: BACK LULU JEAN REVOCABLE TRUST
Total Fees: 65.00 Address: 39038 CITADEL CIR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-2718
Date Paid: 12/05/2014 Phone: 813-715-0150
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
MI BAR ROOFING INC RER OF RESIDENTI L 65.00
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Ins ec ions Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF IN
FINAL_ [�L - L(, � 1 �
REINSPECTION FEES: Reinspection fees will com ly with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the followi g reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or correctior�s not made when inspections called d) work not ready for
inspection when called e) permit not posted n job site fi) 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 mana ement, state agencies or federal agencies.
"Warning to owner: Your failure to record a n tice of commencement may result in your paying twice for
improvements to your property. If you intend o obtain financing,consult with your lender or an attorney
before recording y�ur notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MON HS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTI N - 8 HOUR NOTICE REQUIRED
PROTECT ARD FROM WEATHER
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; • isas-7ao-oozo City of Zephyrhill Permit Applicatian Fax-813-780-Q021
Building Departmertt �'r� lf'"77'�
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Date Received
Phone Conta t far Permitting --
•�. �� i
.ac's Name ��L1. �- ��?r.l�- Owner Phane Plumber ��?� j - �I��
Owner's Address �c�. `� �, ' �"�,�, z. t Owner Phone Number
Fee Simple 7itleholder Name Owner Phone lVurnher � �
Fee Simpie Titleholder Address � 1
,iOB ADDRESS tt?� 7 ��f LOT# 'a
4ue�ivisia� ��-�'1� ��il) � p,a�c��i�# �2�Z6- Z �t5"w�3- uvJ�l - J
� (OBTAINED FROM PROPERTY TAX N07IC�j
WORK PROP05ED NEW CONSTR A D/AL.T �J SIGN Q MOVE � DEMOC.ISH
e INSTAL� � R PAIR
pRQPOSED USE � SFR � C MM Q OTHER �-Q.
7YPE OF CONSTRUCTION Q BLOCK, � F AME � S1"EEL � C7THER ��l��{
pESCRIPTION OF WORK "� � YZ�r�c�C '� ��iG- Z.'�
BUiL.DING SIZE ��� SQ FOOTAGE HEtGNT ^,_,
�it�S9a�L C�84119�@aNF�d�B�¢4l0�°c lmii i�6C�P��IIlepA8�lW11�J0l98BAM9NlI&Y�lMAU�9ldtl�IIRA0INlIIl9 i "p � n p9,qp NI�IIN41� �iY9�I�IhuM9110MBtl0�90�BP�fi19!�@
�� BUlLDlNG �� � VALU TiON OF TOTAL Ct3NSTRilCTION
I =.> ca"Z� ��`�� .
� �LECTRIGAL. ($ � AMP SERVlCE � PROGRESS ENERGY Q W.R.E.0
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��) PLUME3ING {$ - �
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� MECHAHIGAL �$ � VALU T10N OF MECHANICAL INSTALLATIQN
1
� GAS � ROOFING � �PECIALTY Q OTHER
FlNiSFiED FLdOR ELEVATIONS � � 1.00D Z(7NE AREA DYES �NO
E�9 ° '�' p � �� ��fl��Q�
BUILDER ! COMPANY ��� Vc�4" tl(au�k1�[L_� c
SIGNATURE �r� REGtSTERE4 {�/�FEE Ct1Rft NT Y N �
Address j�J��� („�5 �r �e CI �� c3 �J License# i(,,,�, �,j"���iJ;,i�,�
ELEC7RICIAN COMPANY
SiGNATURE REGISTEftED Y 1 N FEE GURRENT Y i N
Address License# �— I �
P1.UMBER COMPANY
. SIGNATURE REGISTERED Y/ N � FEE CURRENF Y 1 h!
Addrass License# � �
Pn�CHANlCAL COMPANY
�NATURE REGISTERED Y I N FEE CURRENT Y/(LI
Address I..s"cense# �� �
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OTNER COMPANY
$1vi3HTURc REGI,ri',"ERcD � Y i �t � FEE CURP.�NT Y/N '
Address License# � ! :
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RESIf1Ehl'FIAL. Attach{?�Plot Plans;(2)sets of Building Plans;(1) et of�nergy Forms
Minimum ten(1 Qj working days after submitta(date. Required onsite,Construction Plsns,Sanifary Facilities&1 dumpsfPr
CONiNfERCtAt. Atfacfi(3}sets af Building Plans;(1}set af Energy rms.
Minimum ten{10)working days after submitta!date. Required onsfte,Construction Plans,.Sanitary Facilities&1 dum�ster
AU commercial requirements must meet compliance `
51GN PERNIIT Attach(2)sets of Engineered Plans.
*"**PROPERTY SURVEY required for a1l NEW con trucfian.
-w..� �6 �" _��a�..�9' � ' , gpoaaaW �Prpkm�a�;;�11p9
rections:
Fili out application completely.
Owner&Cantractar sign back af application,natarized
!f over$2500,a Notice of Cnmmencement is required. (A/C upg ades over$5000)
" Agent{far the contractor)or Power of Attorney,(for the owner)would be someone with notarized letter from owner authorizing same •
OVER 7HE COUNTER PERMIITlNG (Frant of Applicafian Only)
Reroafs 6ewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Nat over Counter if on pubiic raadways..needs ROW
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NOTICE OF DEED RESTRICTIOtVS. The undersigned un erstands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. Th undersigned assumes responsibility for compliance with any
applicable deed restrictions. '
UhILICENSED CONTRACTORS AiVD CONTRACTOR R SPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be icensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the ow er 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 Coun�y 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 wh�ch they will be responsible If you, as the owner sign as the
contractor, that may be an indication that he is not properl licensed and is not entitled to permitting privileges in Pasco
County. •
TRANSPORTATION IMPACT/UTILITIES I�PACT AND R SOU�2CE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery F es may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing building , as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, t at such fees, as may be due, will be identified at the time of
permitting It is fu�ther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power releas�. 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 perrriit issuance in �ccordance with applicable Pasco County ordinances.
CO�lSTRUCTION LIEN LAW (Chapter 713, Florida Statu�es, 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 regulati g construction, zoning and land development. Application is
hereby made to obtain a permit to do work and install tion as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all wo k 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 gover ment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be i compliance. Such agencies include but are not limited to�
- Department of Environmental Protection-Cypr ss Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management Di trict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Na igable Waterways.
- Department of Health & Rehabilitative Servi es/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbesto abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use f fill�
- Use of fill is not allowed in Flood Zone"V" unle s expressly permitted.
- If the fill material is to be used in Flood Z ne "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at ti e of permitting which is prepared by a professional e.ngineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zon "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only t fill the area within the stem wall.
- If fill material is to be used in any area, I ertify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely ffect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued u der the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered rainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good ith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I underst nd that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or ot er installations not specifically included in the application. A
permit issued shall be construed to be a license to procee with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall i suance of a permit prevent the Building Official from thereafter
;equiring a correction of errors in plans, construction or vio ations 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( ) months after the time the work is commenced An extension
may be requested, in writing, from the Building Official fo a period not to exceed ninety (90) days and will demonstrate '
justifiable cause for the extension. If work ceases for ninet (90l conser,utive da���, th�;oh ;s cc^�i�er�d abar�oned.
WARfVING TO OVVNER: YOUR FAILURE TO RECORD A IVOTICE OF COMMENCEMEN� MAY RESULT IPV YOUR
PAYING TVNICE FOR IMPfaOVEMENTS TO YOUR PROP�ERTY. (F YOU IIVTEND TO OBTAIfV FIN�41VCIfVG, CONSULT
�����n�..�� �_��L��.�-{ n1? /.1!!I ,Q.T�(l�A1C!/ G�l1[?C SJC /T�S�'-icc.o �ii..i..� ,�n .ti� .•��. .; .._,
�.. .g�. v��� .�L" V��Y:CIVV i va,ii�i�v 91L�V� �.r4JiVl bi�1�VL�1Vdt�11.
FLORIUA JURA"f(F.S. '117.03)
OWNER OR AGENT ���- C� NTRACTOR ��Gt-����
Subscribed and s n to(or irmed) efore me this S bscribed and sworn to(or affirmed)b�efore me this
VZI�by�.v10�_�1��(GZ ��' by�n,�ric,l--P �h1a
�o i /are person�y° own to me o��as/have produced W is/ re personally i no�or has/have produced
as identification. as identification.
( �.� A����o_tary,Public �� r— ��d otary Public
Notary State Florwa
Commission No. ��' fi C mmission No. �t1b�tC,State of Ftorida
My Comm�sswn ' My Commission Expires u , 6
^O�No, EE828129
Name of Notary typed,printed r s amped N�me of Notary typed,printed or stamped ' • •
� �� ���il�Bar Roofina. Inco
� 15511 U.S. 3�1, Dade City, FL 33523 , State Cert Ronfer#CCC13Z9�92
Ph: 800/5fiZ-Z393 Fax: 352/567-4454 RCI Reg Roaf Consultant #�149
milbarCearthlink.net
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ROOF P OPOSAL a e 1 of 2
DATE. 07/21/14
U1;;J
TO' BACK, LULU JEAN REVOCABLE TRU T PH• 813/715-'FE15�0 (BILL CELL)
BACK, LULU JEA�I TRUSTEE
39038 CITADEL CIRCLE backconstruction a(�.verizon.net
ZEPHYRHILLS, FL 33542-2718
JOB SINGLE FAMILY RESIDENCE -
PARK HILL SUB
6017 18T" STREET
ZEPHYRHILLS, FL 33542
� SHIN LE RE-ROOF
(Scope of work does not include he aluminum pan roof or the 1:12 roof on side)
1. Tear off and haul away existing one-layer shingle roofing system.
2. Re-fasten the existing plywood roof deck in accordance with the Florida Building Codes
3. Provide and install the new 15 Ib. saturated felt paper(ASTM D-226) secondary water barrier in accordance with
the Florida Building Codes.
4 Provide and install new algae-resistant fibergla s shingles; Owner to choose shingle color from manufacturer's
standard colors. Provide manufacturer's limite shingle warranty Please see options on page 2
5 Replace all valley flashing and re-flash roof pe etrations. � -�S
e �' ,.
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6 Provide and install new lead boots for the plum�bing vents. ��
7 Provide and install new pre-finished aluminum�eavedrip white or brown)
Replace existing ridge vent with 55 I.f of new re-finishe inum ridge vent.
8. Repair/Replacement of any rotten or damaged wood (deck, fascia, trim, framing, etc ) will be completed on a cost-
plus basis above and beyond the contract pric . �$55.5o Per a'x8'x1/2"sheet of CDX plywood replaced, labor&materials, $27 75
per 1/2 sheet).
9. MilBar Roofing, Inc to provide a 5-year work anship warranty to the original purchaser that covers shingle roof
leaks; exclusions: storm damage, work done r damage by others, tree damage, and/or structural damage to roof
deck.
10 Owner to provide access to roof for delivery t uck for loading/unloading of roofing materials, access to electricity
11. MilBar Roofing, Inc. to provide General Liabilit and Worker's Compensation Insurance ($2,000,000 limit) and re-
roofing permit.
We propose to furnish material and labor,complete in accord nce with above specifications,for the Contract Sum of:
As stated in Options on Page 2.
Payment to be made as follows: Due Upon Completion.
� � ��il�ar Roof inq. Inc.
15911 11.5. �01, Dade City, FL 33523 , State Cert ftoafer#CCC1329092
Ph: �0�/562-2393 Fax: 352I5�7-4454 RCI f�eg Roaf Cansul#ant #�I49
milbarC��arthlink.n�t
Rt}OF P OPOSAL a e 2 of 2
DATE. 07i21 t14
TO: BACK,.LULU JEAN REVOCABLE TRU T PH: 813/715-1050 (BILL CELL)
SACK, LUl�U SEAN TRtJSTEE
39038 CITADEL CIRCL.E� backconstruction(�verizon.net
ZEPNYRFIILLS, FL 33542-2718
OPTIONS
1. ATLAS "GlassMaster" 30- ear 3-tab shin le ................................................................ Contract Sum 5 543.40
Provide and instali new ATLAS"Giassllllaster"34-year 3-ta algae resistant fsberglass shingles.
Provide ATLAS'30-year iimited shingle warranfy
Select color from standard colars.
2. IKO "Cambrid e" dimensional shin les........ ................................................................ Contract Sum 5 861.38
Provide and install new IKO"Cambridge" laminated dimen ional algae-resistant fiberglass shingles.
'��rovide IfCd's�imited�.ifetime shingle warranty -
,.i �(1/ , elect color from standard colors.
��� �����
3. CERTAI�IT�ED "�andmark Premium'° dicnen ionat shin le......................................... Gontraet Sum 7 628.08
Provide and instail new CERTAINTEED"Landmark Premi m" laminated dimensional algae-resistant fiberglass shingles.
Pravide CERTAINTEED's Limited Lifetime shi�gle warrant .
Select color from standard colors.
AUTNORIZED SlGNATURE. �ltt�ltt � �!l��t DATE.07/21I14
DAVID R.ABLA, PRES
ACCEPTANCE OF PROPOSAL: The above prices,specifi ations and conditions are satisfackory and hereby accepted. MilBar Roofnig, Inc. is
authorized to do the wofk as speCSfied. Paymen2 wil!be made as outlin d above invoiced amou�ts not paid in accordance with the payment terms shall be considered
delinquent,such as attomey fees,_court costs,etc.for callection of delinquesnt i voices inciuding irrterest. Owner to carry fire,tornado and other necessary insurance. Qur
workers are fully covered by Work{nan's Compenstioan Insurance. PRICE G OD FOR 30 qAYS.
SIGNATURE. � --=/I��'��-�''' DATE: 6 l
PRINTED: --�� — �
_ ' I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII III
NQTICE'OF COMMENCEMENT 2014191180 IIIIIIIIIIIIIII ,
MRI# �7s� ��
Permit No
Tax Folio No 02-26-21-0180-00000-0450
THE UNDERSIGNED hereby gives notice that improvementsI ill be made to certain real property,and in accordance with Section
713 13 of the Florida Statutes,the following information is prot�ided in thisNOTICE OF COMMENCEMENT.
! 1.Description of properiy(legal description)PARK HILL SUB U IT 1 PB 14 PG 70 LOT 45 RB 892 PG 458 OR 9089 PG 3811,
02-26-21-0180-00000-0450 �v�,
Address:6017 18�'STREET,ZEPHYRHILLS,FL 33542- 702 n� cn a
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2.General description of improvements:RE-ROOF m �
cn o..
3 Owner Information
� • N
i a)Name and address: LULU JEAN BACK RVOCABLE RUST, LULU JEAN BACK TRUSTEE � m�
39038 CITADEL CIRCLE, EPHYRHILLS, FL 33542-2718 I � co
' • N
i J
b)Name and address of fee simple title holder(if othe than owner). N/A �
c)Interest in property: OWNER � ��
4.Contractor Information �v° �� o
a)Name and address: MILBAR ROOFING INC. 1 9ll U.S. HWY 301 DADE CITY FL 33523 I'� ���
b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) c� m m �
...
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 owner upon whom notices or other documents may be served.
a)Name and address: � '-'D
N
b)Telephone No.: Fax No. (Opt.) � �°m D
8.In addition to himself,owner designates the following pers n to receive a copy of the Lienor's Notice as provided m Section ; W � �
713.13(1)(b),Florida Statutes: ' �i z
a)Name and address: ;(���
b)Telephone No.: Fax No. (Opt.) ;�•• �
9.Expiration date of Notice of Commencement(the expiratio date is one year from the date of recording unless a '�.,,.�w o
different date is specified): (�3 D
�
�
WARMNG TO OWNER. ANY PAYMENTS MADE BY T E OWNER AFTER THE EXPIRATION OF THE NOTICE OF � � ~o
�
COMMENCEMENT ARE CONSIDERED IMPROPER PA MENTS LJNDER CHAPTER 713,PART I, SECTION 713.13, � � o �
FLORIDA STATUTES,AND CAN RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A j F-��m
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST � �
INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN , CONSULT YOUR LENDER OR AN ATTORNEY BEFORE ;� �
COMMENCMG WORK OR RECORDING YOUR NOTIC OF COMMENCEMENT. � �
I �
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STATE OF FLORIDA I m
�
COUNTY OF �,7GJ 1 O.
ig ure of r wner's uthonzed Officer/Director/Partner/Manager
u TfiZ=�
Pri t Name and Title
The foregoing instrument was acknowle�ed before me thi / day of ��_ ,20 14 ,by
(��v J ���c,� as — (type of author' ,e.g , fficer,trustee,attorney in fact)for
f��,,,,,Jl�, �j� �,z,,j��� (name of party on beha f of whom instrum t w ecuted)
Personally Known �R Produced Identification Not Signature
Type of Identification Produced_ ame(print) ��
�c, e o Florida
_ ---AND- - My Commission Expi�es qugust 19,2016
Verification pursuant to Section 92.525, Florida Statutes. U der penalties of perjury, IQBp'�a�th�Q�ead the foregoing and that
the facts stated in it are true to the best of my knowledge a d e ef. � �
�( ig ature of Na I Person Signing(in line# 10)Above
� `
FORMS/NOC,rvsd2007
, , �. M�I�ar Roafina.Q Inc.
15911 A.S. 301, Dade City, FL 33523 State Cert Roofer#CCCI329092
Ph:80�/562-Y393 Fax: 352/567- 454 ftCl Reg Roof Consultant#UI49
mil6arLearthlink.net _�. �
OOF R POSAL a e�ot 2
DATE. 07/21/14
UI�:��
TO: BACK, LULU JEAN REVO ABLE T U T PH: 813/715-4@50(BILL CELL)
BACK,LULU JEAN TRUS EE
39038 CITADEL CIRCLE backconstruction(c�verizon.net
ZEPHYRHILLS,FL 33542- 718
JOB: SINGLE FAMILY RESIDE CE
PARI(HILL SUB
6017 18T"STREET
ZEPHYRHILLS,FL 33542
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