CC-18-662 Inspection Worksheet
Miami Shores Village
10050 N.E' 2nd Avenue Miami Shores, FIL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-301752 Permit Number: CC-3-18-662
Scheduled Inspection Date: April 16,2018 Permit Type:, Commercial Construction
Inspector: Naranjo, Ismael
Inspection Type: Final
Owner: ,:BARRY UNIVERSITY _
Work Classification: Alteration '
Job Address:11300 NE 2 Avenue Renne M.Hall
Miami Shores,FL 33138-0000 Phone Number
Project:. BARRY UNIVERSITY Parcel Number 1121360000050-20
Contractor: COTTON USA LP Phone:'(941)402-2102
Building Department Comments
DRYWALL, PAINTING,WOOD&VINYL BASE. MOTTRAM Infractio passedComments
DOSS HALL DORMITORY: APARTMENT 1-A,B,C& D INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed '
I Re-inspection
Fee
F
No Additional Inspections can be scheduled until
re-inspection fee is paid. P
t
For inspections please call: (305)762-4949A rI113,2018
Page 23 of 23
/
Permit No. CC-3-18-662
Miami Shores Village .
on
1��w�u����ms
Wotk Classification:Alteration
Miami Shores,FILoa1u8-0000 Pertill Pennit,Status:APPROVED
Phone: <305795-2204
issue Date:3/22/2018 xpiration: 09/18/2018
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Renne M. Hall 1121360000050-20 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300NE2 Avenue
. '
MIAMI SHORES FL331Gi'662B '
Contractor(s) Phone Cell Phone Valuation: $ 9,750.00
COTTON USA LP (941)402-2102
Total Sq Feet: 800
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Window Door Attachment
Date Denied: Tie Beam
Type of Construction:DRYWALL,PAINTING,WOOD&Vll� Occupancy Load: Slab
Stories: Exterior: Termite Letter
Front Setback: Rear Setback: Framing I
Left Setback: Right Setback: Store Front Attachment
Plans Submitted:Yes Certification Status: Insulation
Certification Date: Additional Info: Drywall Screw
BoAd Return Classification:Commercial Final PE Certification
Window and Door Buck
Fees Due Amount Pay Date Pay Type Arnt Paid Amt Due Fill Cells Columns
CCF $6.00 Review Building
DBPR Fee $4.39 Invoice# CC-3-18-66787 Review Planning
DCA Fee $2.93 03/13/2018 Credit Card $50.00 $274.82 Review Electrical
Education Surcharge $2.00 03/22/2018 Credit Card $274.82 $0.00 Review Plumbing
Permit Fee $292.50 Review Structural
Scanning Fee $9.00 Review Mechanical
Technology Fee $8.00
Total: $324.82
/
In consideration of the issuance to me of this pennn. | agree to perform the work covered hereunder in compliance with all ordinances and mmu|ouiuno
pertaining thereto and instrict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
aumpxmo this permit | assume responsibility for all work done by mimo, myself, my ooent, vemonm. or employes. / understand that uepomua nonnim are
required m sLsoTn|cxL PLumB|wm mscHAw|oALvv|woo a DOORS,RooF|wo andSWIMMING POOL work.
OWNERScertify that all the foregoing informatio i accurate and that all work will be done in compliance with all applicable lawsmgu|unng
construction and zoning. Futhermore,I authorize the above-name c ractor do the work stated.
March 22, 2018
Authorized Signature:Owner / Applicant Contractor Agent Date
Building
�� U�����n������ ������ `
-- -� -' '^� — .- - - Copy
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Miami Shores Village
ARia 018
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 . B
Tel:(305)795-2204 Fax:(305)756-8972 �l 1�
INSPECTION LINE PHONE NUMBER:(305)762-4949 T
FBC-20- ( �,,
'BUILDING Master Permit.No. (� ( � `tD(/
o
PERMIT APOLICATION sub Permit No.
OBOILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL--
,
❑PLUMBING ❑ MECHANICAL, ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd AV
ICity: Miami Shores County: Miami Dade Zia:
'Folio/Parcel#: Is the Building Historically Designated:Yes NO x
r
Occupancy Type: Dorm Load: Construction Type: CBS Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Barry University Mottram DDSs Hall Phone#:305-899-3882
Address: 11300 NE 2nd AV
,city: Miami Shores State: Florida Zip:,33161
Tenant/Lessee Name: Phone#:
,Email:
r
CONTRACTOR:Company Name: Cotton Commercial, USA Phone#: 281-881'-8351
Address: 5443 Katy Hockley Cut-Off
Kat Texas 77493
City: Y State: Zip:
Qualifier Name: Jerry Haner
Phone#: ,
State Certification or Registration M CGC051967 Certificate of Competency M
DESIGNER:Architect/Engineer: N/A Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$9,750:00` Square/Linear Footage of Work: 800 sq feet
;Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition
'Description of Work: Drywall, Painting, Wood &Vinyl Base.
Mottram Doss Hall Dormitory: Apartment 1-A, B, C & D.
Specifycolor of color thru tile:
Submittal Fee$ Permit Fee$ 2C-1 CCF$ ;L CO/CC$
r
Scanning Fee$ Radon Fee$ DBPR$ ^�� Notary,$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
i
f �
* a
-Bonding Company's Name(if applicable) N/A
I Bonding Company's Address N/A
i'City State Zip
Mortgage Lender's Name(if applicable) N/A
Mortgage Lender's Address
City State Zip `
k
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the'standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing informationis accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO`YOUR PROPERTY. IE YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
rwhose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit isissu the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT C NTRACTOR
s
The foregoing instrumeAnt was acknowledged before me this The foregoing instrume was'acknowledged before me this
A;�day
,of. MAP .20 19 by day of 20 /g� J by
�WS�N 10iJ�fN "�� who is personally-known to L);,//!4 412-0,6w,' who is personally known to
me or who has produced as, me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: V - /1 Print: �A W AK)4 f?S O;S
Seal: �,�n� T L7
Notary Public State of Florida al:
JeffryJ Yao LA WANDA ROSALES
'�j a p19 My Commission FF 188481 My Commission Expires
? d 'Expires 11112/2018
October 5,2018 r
APPROVED BY ;:Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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DOVE ENVIRONMENTAL CORP.
MOW8910'MIRAMAR"PARKWAY, SUITE 200 MIRAMAR FL 33025 .'•'•.
Tel. (954) 374-9274 Fax:�(954)'639-7426 .•. '••• ••••:•
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.ASBESTOS TEST- REPORT- • • 0000•• "
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CLIENT" : AIR MD PAGE 00.000 1.06.9 6990••
ADDRESS 770'0 CONGRESS'�;AVE 111,9 000000 • 00
BOLA RATON FL,. 33487. DATE • ; : 12/12,/1.7 .0000*
PRpJECT'. •BARRY UNIVERSITY/PROJECT` NO: : 1.704474 SAMPLE. ID•
11300 NE', 4D, UNIT ';5 MIAMI SHORES FL 33,1`61 0.00 •• X0000•
CONSULT: F. THEIMERod� . %WV 0 � !
NVLAP "Lab Ce 1 ,
LAB NO'. 01 SAMPLE NO 001
'FRI/HOM YES%NO LAYERS 03 DATE !OF ANALYSIS: 12/.12•/1'7
DESCRIPTION- CEILING DRYNALL,A COMPOUND
ASBESTOS TYPE_: -NONE-DETECTED
W
OTHER -FIBERS 'c` 20W :.CELLULOSE 1 Q FIBER-GLASS
NON :FIBERS :60% MINERALS 1.0� PAINT
-------------------------------- -------------- ---------- -
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-- ----
LAB Na.` '02 SAMPLE NO- : 001:
`FRI/HOri YES'%NO. LAYERS:' ;03 DATE -OF' ANALYSIS: 12"/92/17
DESCRIPTION 'CEILING' DRYWALL `& COMPOUND
ASBESTOS TYPE: NONE-DETECTED
OTHER FIBERS 2QW.'CELLULOSE 1r6 .FIBER-GLA88
...
NON FIBERS "; 60% `MINERALS -1'0'� .PA•INT
-- --------- ----------
-L'AB NO,. 03 SAMPLE K6. : 0 0 S
FRI-/HOM YES/NO LAYERS: 03 DATE 'OF: ANALYSIS' 12/12/1.2
DESCRIPTION CEILING DRYWALL ,&-;COMP.OUND
t• ASBESTOS TYPE: NONE-DETECTED
OTHER' FI13 .20% CELLULOSE 10 FIBER GLASS
NON`' -FIBERS 60%= MINERAL'S 1,0%,.PAINT
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I Dove•Environmental-Cbrp'ozation,is solely;responsible:for analysis perforiried' on sample:content aupplied- tiy`
..,.,..
client and:is. TIVLAPiaccredited for Method' 40 CFR'Pt. '736, App. E to': Subpart,'.E EPA'/600/R-93'/116: Measurement.
Uncertainty informa.tion the;Laboratory. LaboratorY Reports will,be 'kept for a,
period.
eriod °of three (3) .years electronically=, Percentages' aria:di'sually, estimated:. Point count> 1perform.ed,at
clients;request ;only. ,Results relates--only to item lyzed
ana : 'This report 'should not'be';reproduced by 'client.
or anyone without writtenpermision from'bove,EnvironmentAl Corporation: All sampl'e`s *Mill "be'. stored for a:
, _pfi
__.
eriod' of 1 onth.. The use of'the -term ,NVLAP does -not constiNVLAP or`any agency,
of the .United"seit'a:Goyu
ernment. Floor-Tile'is non results only reflect sample:conten£.•.
Analyst 1 `R. Pepe Rairna'E ', PhD
LABORATORY" MANAGER
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1�'1r DOVE ENVIRONMENTAL CORP:. 0000
9010 MIRANIAR PARKUVAY 'SUITE 260 MIRAMAR FL 3%0251, 0 6 6 6.• 6 6 6 6..
"
Tel. (954) 374-9274'`Fax: (954) 639-1426 ••• •
6666..
6666..
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6666 ,
ASBESTOS ,TEST; REPORT' • • ••• •
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CLIENT AIR' MD PAGE- ••�••� '200.00: 0660.•
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ADDRESS: 77001CONGRESS AVE1`119 0.00•• •
BOCA RATON FL 33487 DATE' • • 1'It 0� oT 00000•
{f PROJECT: BARRY UNIVERSITY/PROJECT NO 1704474 SAMPLE: ID�•6 712511 ;0060;
11300 NE ,2ND AVE UNIT .5 MIAMI' SHORES ,FL,,3316:1- •• • 6••0• ' •
CONSULT: F. THEIMER, WtAP 'Lab, Code:, 1 Q205!0
LAB NO. 04 :SAMPLE N6. :r 004
FRI/HOM YES/NO` LAYERS': 04 DATE OF 'ANALYSIS_' 1 2/12'/1 7
DESCRIPTION : DRYWALL- -COMPOUND
,ASBESTOS TYPE: NONE-DETECTED
OTHER FIBERS 20w' ,CE WL6SE 5 FIBER-GLASS
NON FIBERS 65% MINERALS 1" PAINT` ,
LAB N0: 05 _ SAMPLE'"NO.;: '005
FRVHOM : YE8/90 LAYERS: 04. DATE OF`ANALYSIS: 12/i2/).7
;DESCRIPTION DRYWALL:A COMPOUND
:ASBESTOS-STYPE: NONE-DETECTED
OTHER FIBERS: : 20% 'CELLULOSE 5�' FIBER-GLASS'.
NON FIBERS: 65% MINERALS 10 ',PAINT'
----- 0.6'
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LAB NO. - 006
FRI/BOW : 'YES/NO LAYERS: 04 -DATE OF ANALYSIS. "12/12/17
6666._-� _
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,DESCRIPTION : DRYWALL & 'COMPOUND
SBESTOS TYPE: .NONE-DETECTED;
OTHER FIBERS. : 20% CELLULOSE 5�' FIBER-GLASS
'NON FIBERS 65% MINERALS' 10 PAINT'
Dove'Environmental Corporation•, p iljle>for janalysis performed on :sample content supplied by.
' is.solely res onspt 73,•6, A B to EEPA/6Q0/R-93/116.. Measurement
'client and is'NVLAP'accredited-for Method AO ,CFR, pp;, Subpart„
;Uncertainty information is.available by 'contacting the Laboratory_ ,Laboratory Reports 'will:beL kept for a
j period of three (3) yeais- -.e`lectrdn-i"dally'. 'Percentages_'are visually ?estimated. Point count performed at
clients,request only. Resul'ts.r'elates only: to item analyzed 'This report,should not be reproduced by .'client
or anY one without written .P ermision 'fr'om D-ode tiiV:rOnmeflt"-'Corporation: IAll,samples'will be stdfed.`for'a
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period of 1 month. The; ;use of the term NVLAP does not constitute endorsement by .NVLAP, :or" any agency
'of the United -States.'.GoverAment_ 'Floor-Tile is,non-homogeneous and' results only reflecb,sample content.
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Analyst 1 R Pepe Ramriath PhD
LABORATORY'..MANAGER•
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.DOVE ENVIRONMENTAL CORP.� 8910 MIRAMAR PARKWAY, SUITE'200,MIRAMAR fL 3302 '•...' 0090:0
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Tel.'(954)'374=9274 Fax:1(954) 639-7426 •..• •
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ASBESTOS TEST' REPORT '..•.• ;""� •••••
f 1 ;CLIENT ': 'AIR MD: PAGE ..�••� 3•••'•: ••••••
ADDRESS: 7700 !CONGRESS AVE- 1119- •••••• • •
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BOCA RATON FL :3,3487 DATE • • 1 �; 7 ••••!•
.PROJECT:, BARRY UNIVERSITY%PROJECT NO. : 17044.74 SAMPLE;ID •, D71-25111'
11:300 NE 2ND 'AVE ;UNIT 5, MIAMI SHORES FL 33161 '• ' •••0••
CONSULT: F. :THEIMER NVLAP lab Codi;: 102b5'3-_0
-LAB NO. 07 ` SAMPLE NO'.; 00.7
FRI/HOM YESINO LAYERS: 04 DATE OF ANALYSIS: 12/1+2%17
DESCRIPTION : `DRYWALL i& COMPOUND
.ASBESTOS TYPE :NONE-DETECTED'
'OTHER FIBERS 26� CELLULOSE; 5$>.FIBER GLASS:
NON FIBERS -65% MINERALS' 10%: PAINT
LAB''NO. 08 SAMPLE NO 008
YRI/HOM .NO/NQ "LAYERS: '02 DATE OF 'ANALYSIS_ '12/'12/17
DESCRIPTION VINYL BASEBOARD` & MAST_IC.
ASBESTOS TYPE': NONE-DETECTED
'OTHER FIBERS c 5�: CELLULOSE`
NON FIBERS 45$'MINERALS 1 O!k.RESINS
40% POLYMERS
------------------------------------=---- ---------------------- ---.---- --
-tAB N0, 0 9' SAMPLE NOt:- 9.09
FRI/HOM : .NO/NO LAYERSc '02 :DATE OF ANALYSIS_: 12/1x2/1,7
DESCRIPTION : VINYL BASEBOARD &;MASTIC
ASBESTOS TYPE: NONE-DETECTED:
OTHER FIBERS 5% CELLULOSE
'NON FIBERS [ 45% MINERALS iO%$ RESINS
40% POLYMERS
DbVb',Environmental,Corporation is solely'responsible for,analysis, performed', 'on sample,content suppliedby,
clid" t-'and is'NVLAP accredited!for Method+40 CF.R'Pt•. 7.36, App. -E to Subpart E'EPA'/,600/R-93/116. Measurement`
Uncertainty `information is available by conticting:tfie Laboratory: Labo=atdiy,, Reports will be kept for a
.,_ r. m—i .. . .. ,. ,,..
period, of,three- (3) -years electronically_ Percentages are .visually estimated': Point count perfo""rmed'at
clients request',;only_.ResuIts, relates only to item analyzed_< This: report should'not-be reproduced by client'
or'anyone,without written permision from,Dove Environmental Corporation. Alll samples will bestored for a
p" use of the term NVLAP does'not constitute endorsement by NVLAP or any -agency
x.`
eribd. 8f 1 month 'The r-Tile is riots-Yiomogeneous and.results only reflect sample content
of the United:-.States-'Government: FToo -
-------__===-=nae------=_-----=----------==m=>==--------------=-
,Analyst 1 R. "Pepe; Ra:f dth-; PhD
LABORATORY 'MANAGER 1
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NOW DOVE .ENVIRONMENTAL CORP:.. �,,,,
8910 MIRAMA 954) 374 9274 FaWit 954 639 7426 160 MWMAW FL 3302 •�. ...:
ASBESTOS 'TEST REPORT 0.900• •• 0000•
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` 60.00• • 6 0000•
CLIENT AIR MD -PAGE ••6••• 4••�•� 0•06,0
ADDRESS_ 7700CONGRESS'.;AVE 1 1.1.9 •••••• • •
BOCA RATON'.FL 3348,7: DATE • • • c: 1:f,1,?y/,1,7 0000••
PROJECT BARRY UNIVERSITY/PROJECT NO`_,: 1704474 SAMPLE ITS•, :. `}T112511' ;.,0.0
113,00 NE" `2ND •AVE UNIT '5'. MIAMI SHORES';FI; 33.161'' 00 0 900.0• 0 0
CONSULT: F:• .THEIMER NVLAP'lab Code: 1On!�3"=0.
LAB NO'-.- I io :SAMPLE NO 010
t
FRI/HOM; v NO/NO LAYERS' 02' DATE;'OF' ANALYSIS:` 12/12)1 7
DESCRIPTION; VINYL",BASEBOARD &; MASTIC y
t ASBESTOS TYPE NONE=DETECTED
OTiitR -FIBERS,> 5 CELLULOSE
NON •FIBERS; 45% 'MINERALS ibRESINS.
40'% POLYMERS
Dove,Environmental;Corporation is solely responsible for analysis performed 'on sample content supplied by
,client and:is'NVLAP "accredited jfor Method 40 CFR Pt..;736,, ,App. E to' Subpart.E EPA/600/R-93/116'. Measurement
'Unccrt'ainty information is a`vailabl'e•by'contacting the, Laboratory. Laboratory Reports', 'will.tie' kept'for.,a
period 'o.f'thee (3)syears electronicallg: °Percentages',`:aie visually: esfimafed. "Point count performedfaf
n.< ___... r._.
clients =request only..Results relates�only;'Eo "item analyzedr "This' report stould�not�tie:reproduced by client
or;anyone without wrAlen;permision from Dove:Environmental 'Corporatiorin All samples will be stoied foi a
r
;period of I month. -The"++ ;use of':the. ,term NVLAP does not constitute:'endorsement by, NVLAP','orany agency,
i ;;of the United .States;Government.. Floor-Tile is non-homogeneous-and results only,reflect.^sample content.
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A_ilal'yst 1 R. Pepe Ramnath,, 'PhD'
LABORATORY MANAGER..
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$910 Miramar Parkway, suite 200 Miraar ,33025 ' 0.0000
Tel(954374`9274)Fax(954-639-7429) '
E=mail:: Dovelabs(adove.comcastbiz.net sees.. '..•.: ss••..
Web Address: ,doyelabs.ord ...:.. • •
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CHAIN OF CUSTODY- BULK ASBESTOS •••••
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Dove Client'Naive: AiarMDDateZI `
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Address :.7700 Congress Ave.Suite:1119 Lab ID: , 4 •• •
Boca Raton,,FL 33487 Total Samples Collected: • � �, ••••e•
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