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Home My WebLink AboutSUBMITTED PAPERSOFFICEUSE ONLY - DATE FILED: I 1 PLAN REVIEW FEE: RECEIPT NO.: _ j s�® PERMIT NUMBER I Q� CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 2. 3. 4. 5. 9. 10. Z-v- 11. ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 1 SCANNED 2300 Virginda Avenue e� BY FL Pierce, FL 34982-5652 St. Lucie County 772462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE r. PRO.TF.CT INFORMATION LOCATION/SITE ADIr PROJECT NAME:%1 PROPERTY TAX LEGAL DESCRIPTION (attach extra sheets if necessary): PLAT BOOK // L� 6. PAGE NO. 7. BLOCK NO. 8. LOT NO.2 PARCEL SIZE (ACRES/SQ FT.): SOO LOT DIMENSIONS: COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: SETBACKS (ACTUAL) FRONT:% BACK: s RIGHT SIDE: LEFT SIDE:_ 12. TYPE OF CONSTRUCTION (Check all appropriate boxes) KNEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION RESIDENTLAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: j /It p / T DUyCeL1KQ0\ 14. SQ. FT OF CONSTRUCTION: ZZ X V 15. SF. FT 1 st FLOOR: 16. VALUE OF CONSTRUCTION: $ —e �/00 91 The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNER INFORMATION NAME: M& / 6 14 -e 6V ADDRESS:• $36 2/7 S / 5,n 'It� CITY: STATE: ZIP: ' PHONE (DA TIME): I� f L) 7 (f ��1 � Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): (__) CONTRACTOR INFORMATION ST. of FL REG.CERT #: e, 4�— 13 Z A BUSINESS NAME: STATE: QUALIFIERS NAME: E&26,t/-4' 4 65,h,1� ADDRESS: %10( AIL-Ci!4-e—A (� CITY: _) r�1°11''ll STATE: PHONE (DAYTIME): (J FAX NO. ARCHIT/ENGINEER ADDRESS: CITY: PHONE (DAYTIME): L_) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: ZIP: ST. LUCIE COUNTY CERT #: 1' C7 l j r Email: ZIP: ZIP: ZIP: ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. 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 separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. STATE OF FLORIDA COUNTY OF �1&bh The foregoing instrument was acknowledged before me this /0 day of 7 201L_, by who is personally known -L or has produced as identification. Signature of Notary KATHL Commission No. YCOMMI E03N 8642 EXPIRES; February 17, 2015 41F -Wl BOnded Thru Budge Nctmy su* STATE OF FLORIDA COUNTY OF AY, -,Al'1 The foregoing instrument was acknowledged before me this day of Z 20_//, by who is personally known .1i or has produced as identification. Signature of Notary �g0.Pa�PiG�i b iaP�NWENVAUGHN (Seal) :, :1Y COMMISSION # EE 038642 72 NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions See appropriate permit rheeldio-It. �OFFICE USE ONLY �,_% B'. _-: I 1 • Q1 �� SECTION TOWNSHIP J r% RANGE MAP NO. ZONING �1� O /� LAND USE FIRM MAP # LOT CVG % 1TFLR ELV TAZ NO. MAX HGT FLOOD ZONE CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER a,�I SEWER SPRDWMERS STORMWATER LOT OF REC After 111990 LOT SPLIT REQUIRED LOT spur APPROVED LOT OF REC Before 111990 REPORT HABITABLE RADON PERMIT C FEE FEE CODE AREA LIBRARY PUBLIC BID PUBIC BLD PARKS BRACT IMPACT MACT FEE 11RACT FEE FEE CORRECTION FEE GENERAL R CREDIT Y N LAW ENF SCHOOL ACT BRACT BAPACT FEE FEE FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADNIVARIANCE FEET MACT REQUIRED FEE FEE SPECIFY MECHANIC. ROOF NON -CONFORMING MISCELLANEOUS SUBS ELECTRIC GAS LOT OF RECORD FEES REQUIRED PLUMBING FEES DATE SENT TO ADDRESSING: 1 1 FRONT ....r..,..,,. ZONING , vlvrm.., SUPERVISOR I vt7lrw T PLANS REVIEW VEGETATION REVIEW SEATURTLE REVIEW MANGROVE REVIEW REVIEWS N r � ST. LUCIE COUNTY ' BUILDING & ZONING 2300 VIRGINIA AVENUE • FORT PIERCE, FL 34982-5652 F�ORIOp' 661462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County -is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. ryl,R-rWEUD C-. LP-904IK Property Owner Name Property Owner Sipature Date STATE OF FLORIDA, COUNTY OF 5±-f 1 l Z_ ACKNOWLEDGEDBEFOR��EMETHIS DAYOF 2OV. yyy_- BY f Y 14.E e . J �(� WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. trRY Pu �° ; ••• ;�% KATHLEEN VAUGHN * * MY COMMISSION # EE OW2 EXPIRES: February i7 qns reoF F1.°?\ Bonded Thru Budget Notary gery s SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (SEAL-) NOTARY PUBLIC TITLE COMMISSION NUMBER conTinenT Continental Florida Materials Inc. 17 2 2 2E 13450 W. Sunrise Blvd., Suite 430 �a Sunrise, FL 33323 16 E I D E L B E RG C E M E N T G ro u p Tel: (954) 858-0780 CAUTION! I Freshly mixed cement, mortar, UNLOADING Drivers are prohibited concrete or grout may cause skin injury. Avoid from delivering concrete except under the rI j fFlctlnn� p�i contact with eyes where possible and wash truck's own power, and where site conditions exposed skin areas promptly with water. If any permit the safe and proper operation of his l�� a �? ►� �1�� tf �� IIIZ� .t .1 �y{� li }�� I'l ff �/� — /t,/els cement mixtures get into eyes,, rinse immediately equipment. Drivers are not permitted to and repeatedly with water and get prompt medical add water to the mix nor to go beyond the treatment. Sawing, or grinding of concrete curb line, except upon the authorization of masonry units may result in the release of dust the PurchaseriPurchaser's Agent and his i o . 1 11, f' .'_ 'r . �i t i i ; :;'•f I particles which, without the use of proper eye or acceptance of risk for any loss or damage. respiratory protection, could cause eye or nose I acknowledge that I have received and irritation. The Material Safety Data Sheets for accepted the materials listed on this ticket. J+) ;l'`e :`• the products sold by Continental Florida I understand and agree to the terms on Curb line crossed at Purchaser/Purchaser's Agent request. Initials of Purchaser/Purchaser's Materials Inc. are available upon request. both the front and back of this ticket. Agent TOTAL g WATER Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser's YARDS ON TRUCK / GALS OF WATER ADDED ADDED Agent request. to 9 s 7 6 a a a s 1 ARRIVAL TIME START POUR TIME FINISH POUR TIME LEAVE JOB TIME P.O. NUMBER/ ORDERED BY I ZONE SOLD TO QUANTITY QUANTITY QUANTITY PRODUCT THIS LOAD ORDERED DELIVERED CODE Truck # I Plant # I Slump Calcium ' I Air Entrain I Super Plas. Due at Job PURCHASER/ PURCHASER'S AGENT .' l JOB NUMBER TIMETICKETED DELIVER TO I DATE TICKET y . I n G .` h Concrete Disposal: PRODUCT DESCRIPTION UNIT OF UNIT MEASURE PRICE Use of Concrete Drivers Name ❑ CONCRETE TESTED SUBTOTAL TAX TOTAL EXTENDED PRICE yds Delivery Instructions CUSTOMER 1. WARRA-NTY: The materials sold by Continental I , Materials Inc. (hereinafter "Continental') are warranted tot it from the date of delivery to be free from defects in material. This warranty is exclusive and is in lieu other warranties (whether written, oral or implied), including _._, _darranty or merchantability or fitness for any particular purpose. Continental's liability under any circumstances will not be greater than the purchase price of the materials supplied, the purchaser must examine the material upon delivery and before installation to discover any defects, latent or otherwise, and Continental will not be liable for and other damages including, but not limited to incidental, indirect, consequential, special or delay damages. loss of profits, or any other damage's arising out of the breach of any obligations under this agreement. Purchaser further agrees that no claims may be fled under this warranty unless and until any indebtedness to Continental is paid in full. 2. EXCLUSIVE REMEDY: Purchaser further agrees that its exclusive remedy against Continental in the event the goods, materials or services supplied by Continental are alleged to be defective and/or are alleged to have caused purchaser to suffer personal injury, loss of life, property, damage or economic losses as a result of breach by Continental of any and all of the foregoing express or implied warranties, or as a result of any negligence, strict liability, or other tortious conduct or statutory violation by Continental, shall be limited to, and shall not exceed the purchase price of the goods, materials, or services purchased from Continental by purchaser and purchaser agrees that Continental shall not be liable to purchaser for any other damages including, but not limited to, lost profits, lost wages, indirect, incidental, consequential, compensatory, special, delay, punitive or any other damages, including damages for pain and stiff ering, mental disease, medical or funeral expenses, any other similar damages, or anyattorne! fees or costs incurred by the purchaser in connection with pursuing any claim, demand or cause of action against Continental for breach of any obligations under this agreement, breach of the express or implied warranties delineated above, negligence, strict liability or other tortious conduct committed by Continental in connection with its sale to the purchaser's use of goods, materials or services sold by Continental. 3, DIZE DATE: Payment for all credit sales is due by the 10th of the month following the purchase date. The Purchaser agrees that all past due accounts will accrue interest at 1.5 % per month. 4. COLLECTION COSTS: Purchaser agrees to pay attorneys' lees and costs of collection incurred by Continental prior to judgment, in obtaining judgment, or appeal, for bankruptcy and for post -judgment collection'procedures. Venue of any action between the Purchaser and Continental shall be Broward County, Florida. 5. N IX.0 _QEILOC..ATLQ_N..S: The purchaser agrees to order the mix needed by product code and accepts full responsibility to determine the location for the readymix concrete. 6, DEL.IVERY SITE CONDITIONS: Continental reserves the right to determine whether the site; for delivery requested by the Purchaser is suitable for such delivery and Continental may refuse to deliver to a site if Continental is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred where adequate access for delivery cannot be obtained. 7. UNATTENDED DELIVERY SITE: Where delivery of.products is to be to an unattended site. Continental will not be liable for any loss or damage to products, property or for unsigned delivery tickets. 8. DELAYS: Continental shall not be liable for any delay in delivery or non -delivery resulting from any cause beyond its control including but not limited to plant and delivery equipment breakdowns, industrial stoppages or shortages of raw materials. If Continental is unable to gomplete delivery, of N)) parLof an der, the-Purch'aser shalra�cept"such part of -the order as Continental is able to deliver. and the Purchaser shall pay for the part delivered pro rota at'the same rates as the whole i�the order agreed to be sold and the same terms of payment. 9, gU�AVTITIE9: This type and quantity of products delivered and detailed on theldelivery ticket must be checker! by')fhe buyer'at the time of delivery for compliance with the Purchaser's order. Variations between actual quantities delivered and those shown on the delivery ticket must be noted on all c¢pfes of the delivery Picket signed by the Purchaser. Invoice charges will be based on the quantities of products shown to be supplied as per the delivery ticket. Any claim for alleged 441ort delivery of products must be made in writing within seven (7) days of delivery: otherwise it will be accepted by Purchaser and in the absence of any claim the Purchaser shall,be liable to pay for the full quantity of products listed on the Continental delivery ticket. I 10 _M)NIMUM LOAD CHARGE: All prices quoted are based on loads of not less than five yards. There will be a short load charge on bath delivery, less than five yards. One call back without charge will be allowed on pours exceeding ten yards. 11.WAITING TIME: A maximum of sixty minutes per 10 yard load will be allowed at no charge. After sixty minutes there will be 'jycharge of $1.50 per min. 12,ENVIRONMENTAL CHARGE: A $5.00 per load environmental charge will be assessed. 11SPECIFICATION: Unless specially ordered, Continental concrete is manufactured according to the provisions of ASTM C-94. Specifications for Ready Mixed Concrete, and block is manufactured according to the provisions of ASTM C-90, Specifications for Concrete Masonry. Continental is not responsibielr concrete to which the Purchaser (without the approval of an authorized agent of Continental) has added or requested Continental to add any water, admixture or additive or 'i6re' the Purchaser has mishandled the concrete after delivery. 14.TECHNICALASSISTANCE: Continental accepts no responsibility for claims arising from technical advice or assistance provided' the Purchaser. Advice and assistance provided by Continental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects, engineers or other t h6ical experts. 15.SAFETY DATA: The Material Safety Data Sheets for the products sold lay Continental are available upon request. 16.MODIFICATION OF TERMS: No employee or agent of Continental has the authority, in the absence of an express writing, to ma any statement, including restricting or modifying or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no sucYY,,�employee or agent making any such statements shall be acting on behalf of or with the consent or agreement of Continental. These conditions may only be altered or varied to! riting signed by an Officer of the Company and no other employee nor any other person has authority to alter or vary any or all of these terms and conditions. Some of Continental Divisions' terms may vary due to industry standards but all changes must be approved by an Officer of the Company. 17.TERMS: The Purchaser as indicated in this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation expif s. These terms contained herein supersede any and all terms previously given to Purchaser that conflict with the terms herein. If, at the request of the Purchaser, Continental Florida Materials Inc. enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of the Purchaser for a specific project or job, all of the terms set forth herein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase order notwithstanding any term or provision in the written contract or purchase order to the contrary and, if there is a conflict with terms and/or provisions of the written contract or purchase order, the terms herein shall prevail and be determinative. 'St Lucie County Ins _,bons 2300 Virginia Avenue Ft Pierce;,FL 34982 F� OR (772) 462-2172 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT# 1110 9-S JOB ADDRESS �o� ill rio�tcl'�u Out BUILDER MdPkJ PEST CONTROL CONTRA PEST CONTROL LICENSE.#.: Yw, nm We, the undersigned, hereby certify that we have pretreated the above -described construction for subterranean termites in accordance with the standards of the National Pest Control Association. . Square feet of area treated: �5 60 Percentage of solution: t 95 01r, Date of treatment: // - /S -11 ❑ Footing ❑ 1st Treatment ❑ Re -treat Slab ❑ 1st Treatment ❑ Re -treat ❑ Driveway ❑ 1st Treatment ❑ Re -treat ❑ Pools ❑ 1 st Treatment ❑ Re -treat ❑ Other' ❑ 1 st Treatment ❑ Re -treat Chemicals used: EeobC)dw 7G Total gallons used: 19�'C) Time of Treatment: 8,00 A /A FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. ❑ Perimeter for Final Inspection NOTE: Udj Signature of exterminator There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection fee charged. Revised 6113102 dmg — 10_0' —1 SET I.B, I lL i•. f i> w LL.I o Qr.0 m r-- p I C� U Z o N Q r Lu m � N d- Z { M N Z 3? FND. N. & W. #L.B.4223 w O N z Q SS 10.3' i T—� 8141 PAWNG SVAFE I.B. zS' cv CD' 6.2 s-i1IES,T N :FiI-AR e� r •;r 6, 4 v 1 d M M N r� I.B. Oil d( LOCATION MAP NOT TO SCALE L SYMBOLS 0 - ELECTRIC BOX 00.00 X - EXISTING ELEVATION -' CENTERLINE FND. 5/87 I.B.-- CAP #L' .B.4223' `- LEGEND: A/C - AIR CONDITIONER SET - SET 5/8" IRON BAR,. CAP#4459 CONC. - CONCRETE I.D. - IDENTIFICARON ; I.P. - IRON PIPE SURVEYOR'S NOTES E.O.P. - ECGE OF PAVEMENT O.H.W. - OVERHEAD WIRE 1. SURVEY OF DESCRIPTION AS FURNISHED BY CLIENT, UNLESS OTHERWISE NOTED. FND. - FOUND I.B. - IRON BAR 00.00 X - EXISTING ELEVATION 2. LANDS SHOWN HEREON WERE NOT -ABSTRACTED FOR EASEMENTS, '. BUILDING R/W - RIGHT-OF-WAY DRAINAGE FLOW SETBACKS, AND/OR RIGHTS -OF -WAY OF RECORD BY ACCURIGHT LAND,SURVEYING, INC. CAN - CABLE BOX ATT - PHONE BOX (� - CENTERLINE 3. ELEVATIONS SHOWN HEREON ARE RELATIVE TO NATIONAL -GEODETIC VERTICAL DATUM (P) -DENOTES DISTANCE, ANGLE, BEARING BY FURNISHED DESCRIPTION OF 1929, SEE SURVEY FOR REFERENCE BENCH MARK, UNLESS OTHERWISE NOTED. (F) - DENOTES MEASURED DISTANCE, ANGLE OR BEARING 4. THERE ARE NO ABOVE GROUND ENCROACHMENTS, UNLESS OTHERWISE NOTED. (C) - DENOTES CALCULATED DISTANCE, ANGLE OR BEARING 5. UNDERGROUND ENCROACHMENTS ARE NOT LOCATED. A LEGAL DESCRIPTION 2, BLOCK "B", HOLIDAY OUT IN AMERICA. AT ST. bli�tE INC., ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 14, PAGE 28, PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA �. FLOOD ZONE INFORMATION• PROPERTY LOCATED IN FLOOD ZONE: AE BASE ELEVATION 9.0 COMMUNITY PANEL NO.: 120285 0313 F - DATED: 08/19/1991 STREET ADDRESS 10725 SOUTH OCEAN DRIVE #3VT JENSEN BEACH, FL., 34957 BOUNgRRY SURVEY ACCURIGH,T'_ L'AI�I'D-'i,SURVEYING, INC. LICENSFQ, BUSINESS N EARLE R. STARKEY - PROFESSIONAL LAND SURVEYOR REGISTRATION NO..4459 - STATE OF FLORIDA SURVEY NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED LAND SURVEYOR AND MAPPER 6 z F! W W OC CD t r "r Z O 1-1 N o c ra W H 4i z 3 w R 6 W cam.) 2 U o n U Vi " W ti Q W �4 NW W ONZ � k Q W A� qc::� :3RJ W I oaf to J