FW-08-334Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP -75962
Permit Number: FW -2 -08 -334
Scheduled Inspection Date: July 18, 2011
Inspector: Bruhn, Norman
Owner: CHARLES, RHONA
Job Address: 265 NW 92 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number
Parcel Number 1131010331160
Building Department Comments
wood fence on back of proterty only along the alley.
Passed
Failed
7r /W
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 15, 2011
For Inspections please call: (305)762 -4949
Page 35 of 35
Miami Shores VillageJm 11 RE10,4
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 (�
Permit No. 6 ' 08-33 9
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING / cc
OWNER: Name (Fee Simple Titleholder) hO nt -c Ch Q,ei,7ione #: -775 q�
Address: a to Lj .,n i W i t 3-n 6`j- L
City: (`j, t G(AUI.V. State: ei U`' I Zip: ° /-S—
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 5 1
City: Miami Shores County: Q (,91'— Miami Dade Zip: 3 3 /
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: iG -;�+/ (Q �'1 Phone #:
Address:
City: State: Zip:
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ f' Square/Linear Footage of Work:
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: t 1 't.. K✓"`
* * * ** * * * * * * * * * * * * * * * * * * *** *** * * * * * *** Fees `* *** * * * ** * * * ** x**** * *** **** * * ** *** *** ** **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 60
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is 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. IF 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
whose prope is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first «ection ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection not be ap ov nd a reirlsspection fee will be cged.
Signature
er or Agent
3
The foregoing instrument as acknowledged before me this
day or t , 20 IA , by i\iA . Cx4
who is personally known to me or who has produced L)
As identification and whQ` J liX
.yam
m
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
an oath.
• o : ti
a. -' e,,
r```'�`•
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Sign:
Print:
My Commission Expires:
Zoning
Clerk
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Bill To
RHONA CHARLES
265 NW 92 ST
MIAMI, FL 33150 -2230
[ Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Date Fee Name
03/27/2008 Revision Fee
03/27/2008 Scanning Fee
03/27/2008 Notary Fee
Invoice Number: FW -3 -08 -31401
Invoice Date: March 27, 2008
Permit Number: FW -2 -08 -334
Fee Type
Calculated
Calculated
Fixed
Fee Amount
$35.00
$3.00
$5.00
Total Fees Due: $43.00
MAR 3 1 2008
U115
Thursday, March 27, 2008
"b\lak* kr6v0.
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle). Building Roofing
Owner's Name (Fee Simple Titleholder) occov► q C t- ail e
Owner's Address ' i /U W z free $
Permit No. F 0603 3 Li
ter Permit No.
Phone # ',' ° 4. -- z 7 -�
City MO/1'11S (l °r f -State PI
Zip 337/S0
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
County Miami -Dade Zip
NO
0O m e o u) n e f-
Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For
Type of Work:
Describe World
❑Alteration
Square / Linear Footage Of Work:
['New
❑ Repair/Replace 11:1 Demolition
C'-r4 )
e �.
47
** * * * * * * * * *** * * * * * * * * * * * * *** * *** ** : Fees *** * * * * * **************** ** * *** * * * ** *** *** **
Subm ' $ Permit Fee $
'tea
Notary y •(0 Training/Education Fee $
Scanning $ [J•l " Radon $
Bond $ Code Enforcement $
Structural Review. $
DPBR $
W i R � 2 0 Double Fee $
Total Fee Now Due $
CQJ�`1�
CCP $ CO /CC
Technology Fee $
Zoning $
10-(X)
)
See Reverse side -
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is 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. IF 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
whose property is subject to at 1ment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspectio hich occ . rs en (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not 'I ' � roved a re !! spection fee will be charged.
Ark ii ' L
Signature "l
Own. or Agent
Signature
Contractor
The fore ing instrument as acknowledged before me 'F The foregoing instrument was acknowledged before me this
day of 1r , 200! , by / A $) k. , 4 LC Y Lo , day of , 20 _, by ,
who is personally known to me or who has produced 65-1 who is personally known to me or who has produced
Xidentification and who did take 4k,gth.„,3 as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
6 o~ c NOTARY PUBLIC:
\fr ` boo es
n
c,
if-
.1�s. tsva
Ana```o.,
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *a * * * * * * * * * * **** ::x•x************* **** ***** * * ** *** * ******* *** ****** * ****
Sign:
Print:
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 07/10/07)
Plans Examiner
Engineer
Zoning
3NDI .
*it wtt L.
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
ICE, , IiVE
F 2 7 2008
Permit Type (circle): j ttilding Roofmg
Owner's Name (Fee Situp t eholder) 11 c t )C (i1 ) k t f- Phone #
Owner's A dress .,�. 6, S-71+ 10 `'1!.C/ t:0
City Y /CAA) .i, State R �-
Tenant/L.essee Name Phone # �) /0 /V
Permit No. Fiki 0 U 't33
aster Permit No.
Zip 3 3 is 6
Job Address (where the work is being done) 3 42.10
City Miami Shores Village County Miami -Dade Zip li
1
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name ti i 11 Q. O U)1') Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency NO.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 5 0 Square /
Type of Work: ['Addition ['Alteration
Describe Work:
( 4ref'
['New
vr be
epair/Replace • 0 Demolition
********** * ** **** *** * ********* * ****** ** Fees** ** * *** * * *** * * * ****** * * * ** x ****************
Submittal Fee $ Permit Fee $ / 0 °'® CCF $ •0 b CO /CC
Notary $ J , (i Training/Education Fee $ 6215 Technology Fee $ ZS[)
Scanning $ ` -6° Radon $ DPBR $
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 111. V 0
See Reverse side -
Bonding Company's Name (if applicable) •
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address s ,'
City State ; Zip
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is 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. IF 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
whose 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 is issued. In the absence of such posted notice, the
inspection will not b pproved and a r spection fee will be charged.
6
Signature 11e4
Owner car Agent
Signature
Contractor
The foregoing instrument wwa acknowledged before me this 2.'7 The foregoing instrument was acknowledged before me this
dt7
day of Rio , 20 , bylDML caw/0 , day of , 20 _, by
who is personally known to me or who has produced rl' 'Pa J who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
' `" MONICA LISSETH DIAZ
MY COMMISSION # DD 483995
Sign: E
ti "i ` Banded 7hru Notary Public Underwriters
Print: -
As identification and who did take an oath.
': .
My Commission Expires:
Sign:
Print:
My Commission Expires:
************ ***: x****************************************** ***** ***+x****** ******** ***** * *** * **:x*** ** ** **** ***
APPLICATION APPROVED BY:
(Revised 07/10/07)
Plans Examiner
Engineer
Zoning
LOCATION SKETCH
ir:n/2
-1 NERERY • CEICTIPY : •THAT . THE ATTACHED
SKETCH `REPRESENTS .'A RECENT SURVEY' MADE
- --?a..w..'UNDER My' DiRECTlON"`ANO"I TRUE AiiD co
',. RECT TO THE BEST Of .1111 KNOWLEDGE AND
oi-LlRf.,+. :..
COVED
THERE ARE NO.ENCROACNMENT:S..
J.e2 1.3
a i
•
SURYEYOR1►
11111
A. /
(4\\J 92ND
SIRE.
f 11 IN MIAMI 5/-1011'
_
f-STO r `r •
Li _sI`
;V
STEcP.. T olwnat 1'
5vr WAL.k
N W 92ND STREET
75° R- -LIV I34PAVEME! T
LOT DETAILS
SCALE 1" s
1
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Parcel Number
V -2 -08 -334
Type.: Fence/Wall
Lion: Wood Fence
*us; APPROVED
2008 . Expiration: 08 /30/2008
Applicant
265 NW 92 Street
Miami Shores, FL 33150-
1131010331160
Block: Lot:
RHONA CHARLES
1
Owner information
Address
Phone
CeII
RHONA CHARLES
265 NW 92 ST
MIAMI FL 33150 -2230
Contractor(s)
HOME OWNER
Phone
CeII Phone
Valuation:
Total Sq Feet
$ 1,000.00
75
Approved: Yes
Comments:
Date Approved: 2/28 /2008 : Yes
Date Denied:
Type of Construction: Wood Fence
Classification: Residential
Additional Info:
Fees Due
CCF
Education Surcharge
Notary Fee
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$5.00
$100.00
$3.00
$2.50
$111.30
Total I Amt Paid 1 Amt Due
$ 0.00 $ 0.00
Payment Type:
213 Niip n A DA
Available Inspections :
1
Inspection Type:
Final
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this
permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
March 03, 2008
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
Monday, March 3, 2008
1
If
Owner's Side
5'-O" MAX
• •••
•
•• •• •
• • • •
•
• •
• •
• • ••• • •
• •••
.'• •• ••
• • • . • •
••• • • • •
• • • • •••
WOOD FENCES • •
• •• •,.•
• • • •
•: • • •• •
• • • . •.• •
•
• •
.. i ... •
•
• Wad • !. � • • • . • •. •
2" X 4" Wood fall
I "X6 "orI "X8"
Wood pickets
ete
2'-0"
_ -- I I -III=
PERMIT #: z+i 1
C&--Z1111
DATE
Miami
APPROVED
ZONING DEPT
Shores Village
i _'z
/ -�:fY�
7
BLDG DEPT
AME
SUBJECT TO COMPLIANC = '' T -j ALL
STATE AND COUNTY RULES AND REGULATIONS
Wood Posts
4' -0" High or Less = 6' -0" O.C.
5' -0' High or Less = 5' -0" O.C.
2915 Fences
2915.1 Wood fences,, so located on .a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minirnum specifications.
(a) Fences not exceeding 5 feet In
height shall be constructed to:meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts speced 5 fee: -0 inches on
centers, having a fiber stress .of
1200 p.s.i. in bending, and shall be
embedded 2 feet -0 inches into a
concrete footing 1 foot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply With the
provisiogs of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet In height respectively -shall be
constructed as provided to
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
• .centers.for these heights.
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. FW-2-08-334
Issue Date: Not Issued
Expires:Not Issued
Folio Number:1131010331160
Owner's Name: RHONA CHARLES
Owner's Phone:
Job Address: 265 92 Street NW Total Square Feet: 75
Miami Shores, FL 33150-
Total Job Valuation: $ 1,000.00
Contractor(s) Phone Primary Contractor
HOME OWNER Yes
Planning and Zoning Criteria and Comments
Approved: Yes
Comments:
Date Approved: 2/28/2008 : Yes
NAME:
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATEMENT
11606- (J ,e1' s
ADDRESS: a g i1 iJ
e/Z
06 -'
RE ERNE
F 2008
DATE: 6),/,,2 ye)
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two- family residence. You may
also build or improve a commercial building at a cost of $25,000:00 or less. The building must be
for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built for sale or lease, which is a violation of this exemption. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed
by you have licenses required by state law and by county or municipal licensing ordinances. Any
person working on your building who is not licensed must work under your supervision and must
be employed by you, which means that you must deduct F.I.C.A and with - holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction
must comply with all applicable laws, ordinances, buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold title to, the above property and I am planning on doing this construction
•
2. I understand tliat as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application.
Initial eJ
3. .I have an understanding of the 2004 FBC .& FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial k.
4. I understand that the building official and inspectors are not there to design,
alter or give advice on how to meet code —. only if the structure meets the
minimum code.
5. I understand that as an owner- builder, that any contractor disputes with sub -
- contractors and myself must be handled in a civil court with the advice of an
attorney. The department will not mitigate'any contract disputes.
Initial i-' p —`'
6. I understand that if I compensate any person or company for work performed
they are required to have a business license in the county. If for any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company.or person.
Initial el,(L.
7. I understand that if any person gets injured on my construction project—they are
entitled to workmen's compensation. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
loss of wages during recovery from injury.
Initial
8. I understand that under state and local laws I can not do any Electrical,
Plumbing, Heating, Air & Roof work on my property with out first obtaining
the proper permits by licensed contractors.
Was acknowledged before me this 2,7 day of re6 , 20 08
By Ria' f C%4✓lk3
who was personally known to me or who has
Produced there License or �, J 1v�s'f L. as identification.
AFFIDAVIT
'STATE OF FLORIDA)
COUNTY OF DADE)
The undersigned Afhant, l) Ci/')C•' f ('J 7 4 if thSes
(property owner)
attached survey, performed by
(name of surveyor's company)
performed on , is an accurate representation of the existing conditions and
(date of survey)
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the
property without first providing a survey less than six (6) months old. The Affiant, as property owner, further
agrees to remove or obtain permits for any structures which now may exist on the property which are not
permitted -or which may violate zoning or building code regulations. The Affiant further understands that the
existence of any such structures may affect final inspections as applicable to this or other permits..
Further, Affiant sayeth naught.
?/L&,.. F. (�/)4 /6fe).3
Affiant/Property owner
Witness(sign and print) Witness(sign and print)
SWORN TO AND SUBSCRIBED before me this 7 day of Fib.
Affiant is personally known to me, _produced 0:At p2LQ as identification.
4L0---
Notary
.461%, VALERIE J. BIERIIY
E '• %.4. MY COMMISSION # DD 620186
: o; EXPIRES: December 6, 2010
' ('641;11 eonded Thru Notary Public Underw tiers
41 y
OFFICE:
... • -4201 LEJELSNE RO.
CX:IRAL GABLES FLA. 3314111
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ACCORDING TO THE PLAT THEREOF AS -RECORDED W PLAT DOOk AT FADE No. ?
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PUBLIC .RECOWDS OF FADE: COUNTY. •P I. Olt IDA; _
DATE FOR , ,rat 6- -- =7.1-73 nt:
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