HomeMy WebLinkAbout43057-Z Town of Southold
�9 0 5/22/2019
P.O.Box 1179
o -
�' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40400 Date: 5/22/2019
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 675 (aka 220)Champlin Pl, Greenport
SCTM#: 473889 Sec/Block/Lot: 34.-3-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/14/2018 pursuant to which Building Permit No. 43057 dated 9/21/2018
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE, AS APPLIED FOR
The certificate is issued to Pinkwater, Susan&Searby, Sally
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43057 01-02-2019
PLUMBERS CERTIFICATION DATED
u o e Signature
�goFEncK�oTOWN OF SOUTHOLD
BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 43057 Date: 9/21/2018
Permission is hereby granted to:
Pinkwater, Susan & Searby, Sally
675 Champlin PI
Greenport, NY 11944
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
675 (aka 220) Champlin PI, Greenport
SCTM # 473889
Sec/Block/Lot# 34.-3-30
Pursuant to application dated 9/14/2018 and approved by the Building Inspector.
To expire on 3/22/2020.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
Bu ector
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and-sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of I%lead.
5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and`pre-existing"land uses:
1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic
features.
2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is
denied,the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00,
Swimming pool $50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00.
2. Certificate of Occupancy on Pre-existing Building- $100.00
3. Copy of Certificate of Occupancy-$.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00,Commercial$15.00 r
Date.
New Construction: Ip"4 t o Old or Pre-existing Building: (check one)
Location of Property: (2-2-0) 67S- C_A-Na v m,4 r% I fAC2 �g r��r,to n.f-
house use No. Street Hamlet
Owner or Owners of Property: rt fie,r Sa\\ r
Suffolk County Tax Map No 1000, Section 3y Block C3-L-> Lot 3
Subdivision ��.�0�✓1 G Filed Map. 3-5-7 Lot' _AlAg 171
Permit No. Date of Permit. Applicant: -
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: 9//
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ 0
pp scant Signature
Town Hall Annex ® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 117
Southold,NY 119711-0959 ® roger.richertCa)town.southold.ny.us
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Pinkwater / Searby
Address: 675 Champlin PI City: Greenport St: New York zip, 11944
Building Permit#. 43057 Section 34 Block 3 Lot 30
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: Vue Electric License No: 5230-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 1 Ceding Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks 1
Disconnect Switches 2 Twist Lock Exit Fixtures TVSS
Other Equipment In ground swimming pool to include, bonding, control panel, 2-GFCI circuit breaker
1-pump,low voltage pool lights,"Pentar"control unit,pool heat pump
Notes,
Inspector Signature: Date: January 2 2019
81-Cert Electrical Compliance Form.xls
1
OF SOUIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT.
courm,��' 765-1802
INSPECTION
3 (2 ) 7
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE 1 / INSPECTOR r
F SO
aO �lHp�o
TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm��' 765-1602
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULAT O
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATE INSPECTOR
R A14 rl
r
c� SHERMAN ENGINEERING&CONSULTING
n S 14 NELMAR AvENUE ST AUGUSnNE,F,32054
631.831.3872
F .5
��NC GOA
November 15, 2018 DD
Building Department MAY — 7 2019
Town of Southold
53095 Route 25
Southold, NY 11971 TOWN 6F SOUTHCa;li�
Re: Pool steel inspection; Permit#43057; Pinkwater
SCTM 1000-34-3-30
Building/Zoning Official,
This certification is for the foundation steel installed at the above referenced property on
or about October 30, 2018. The rebar was installed in substantial compliance with the
approved design with #4 bars at 10" each way throughout the bottom and #4 bars at 10"
horizontal and 5" vertical in the walls. All steel was spaced to be in the middle of the 8"
concrete shell with appropriate laps and intersections tied in accordance with acceptable
building practices.
This certification is limited to the installed structures and does not include, nor does it
address plumbing, electrical, site placement, or any other aspect of construction. Please
contact me if you have questions or require clarification for this certification.
Very truly yours
Sherman Engineering & Consulting, P.A.
Matthew Sherman, P.E. N Y
sy
W
X83584
RIFE S S INP
CIVIL ENGINEERING DESIGN SITE PLANNING PERMITTING
FIELD 'INSPECTION REPORT I DATE COMMENTS
AII q/ S
FOUNDATION(IST)
--------------------------------------
'FOUNDATION(2ND) r"
z
� O
ROUGH FRAMING& y 0
PLUMBING
1
O
INSULATION PER N.Y-. y
STATE ENERGY CODE
?� 10YA14 .dol/ - ,
FINAL
ADDITIONAL COMMENTS
0
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN MALL Board of Health
SOUTHOLD,,NY 11971 4 sets'of Building Plans'
TEL: (631)765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
Southoldtownny.gov PERMIT NO. 'Check
Septic Form
N.Y.S.D.E.C.
Trustees,
C.O.Application
0 Flood Permit
Examined .2016 Single'&Separate
Truss Identification Form
Storm-WaterAssessment Form
Contact: /�1
Approved ,20 Moi3o► ui �,ar�
Disapproved a/c t3►.,�e�eve i5
Phone: Cel co3i-�y - 2++fie
Expiration 20 AV
D 1M V
- B '1 ipector .
SEP 1 4' -2010 APPLICATION F DING PERMIT
BUTLDING DE1T. - Date_ 20- IT
�`e�t,>,,r•q, °�-�a i` Yf`:'t.D'
'INSTRUCTIONS-
a.This application MUST be completely filled'in by typewriter or in ink and submitted to the Building'Inspector with 4
sets of plans,'aocurate plot plan to scale.Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises,relationship,to•adjoining premises or public'streets or
areas,and waterways.
c.The work covered by this application may not,be,comenced before issuance of Building•Permit.
d.Upon approval of tm
his application,the Building Inspector will issue a Building Permit to the,applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
e.No building shall be occupied'or used in whole oi'in'pari for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy. r
f.Every building permit shall 'expire if the work authorized has not commenced within 12 months after the date of ,
issuance or has not been completed within 18 months from such date.'If no zoning amendments or other reguiii ons affecting the
property have been enacted in the interim,the Building Inspector may`authorize,-in writing,the extension-of the'permit for an
addition six months.Thereafter,a new permit shall be required.
APPLICATION IS HEREBY MADE to the Building Department.for the.issuarice of a-Building,Pern- t pursuant to the
Building Zone Ordinance of the Town of Southold;,Suffolk County,New,York,and other applicable Laws,Ordinances or
Regulations,for the construction of bWldirigs,additions,.or alterations or for removal ordemolition as herein'described.The' ''i '
applicant agrees to comply with all applicable laws,ordinances,building code, housing code,and regulation"s,and to admit
authorized inspectors on premises and in building for necessary inspections.
gn
(Siature of applicant or name,,if,a corporation)
.
O max 0i(2-0SINe\Al r MSl(AnA ila(t`�
' (Mailing address of 6pplicant) �—
State whether applicant is owner, lessee, agent,architect, engineer,general contractor, electrician,plumber or builder, .
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a.corporation,signature of duty'author"ed'officer
/ - -
(Name and title of corporate oe f cer)
Builders License No. 3-717. 1— +1
Plumbers License No.
.Electricians License No.
Other Trade's-License No: '
1. Locatio of land on which pro osed work will be done:
67�' 22® ham o ace c �¢
House Number treet Hamlet'
County Tax Map No. 1000 Section 3`1 Block
_ 3 ''-Lof'_' • �o
►1 U
Subdivision l��n �T C�a rn AI n Filed Map No. X31 Lot 17 ,-/,�, 17
2. State existing use and occupancy,of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
escri tion)
4. EstimatedCostFee
(To be paid on filing this application)
5. If dwelling,number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial,or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing'structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front # # i Rear I �,
Depth Height Number of Stories
8. Dimensions of entire new construction:.Front Rear Depth S'
Height Number of Stories
9." Size of lot: Front Rear Depth
.,..
10. Date of Purchase J-hAl Za/(o Name of Former Owner e��9
11. Zone,or use district in which premises are situated -y O• ;
12. Does proposed construction violate any zoning law,,-ordinance or'regulation?-YES' NO✓
13. Will lot be re-graded?YES NO Will excess fill be removed from premises? ,YES NO
14.Names of Owner of premises Susan ?�n �oc�s
r Address 1yo.W. 'ASF wy Phone No. y17 8&y-533
Name of A" ''ite6t. 5,0.\1.a S ear b4 -Address ?,Vo w q e 5-1, z/•ioaz,Phone No,
Name of Contractor- Address —Phone No.
15 a. Is this property,within„100-feet of a.tidal wetland or a freshwaterwetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO_�
*IF YES,D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey,to scale,with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
18:Are there-Any covenants and restriction's with respect to this property? * YES NOA/_
*IF YES,PROVIDE A COPY.
STATE'OF NEW YORK)
SS: _
COUNTY OF )
�a-� �• ^ ��� being duly sworn, deposes and says that(s)he•is the..applicant
(Name of individual signing contract)above named,
(S)He is the
(Contractor,Agent,Corporate Officer,etc:)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best_of his knowledge and bel' t a he work will be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of__fcM t4j3 7Z - _201F r ;
ALEXANDRA M. BINDER
otary PubligOTARY PUBLIC--STATE OF NEW
Signature of Applicant
No 01B16375744
Qualified in Suffolk C- -yY
My Commission Expires 05-//29-2022
r
Scott A. Mussell
,��°�v�FQ� ST�O�]C�.I��J WA\TJE]k
SUPERVISOR � � ( �
l��l[A\1�A\G�]EI��ICJE1�'7C'
SOUTHOLD TOWN HALL-P.O.Box 1179 0 � T
53095 Main Road-SOUTHOLD,NEW YORK 11971 ® r� Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
®[3/B, Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑13/C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑[ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑MIrE. Site preparation within the one-hundred-year f loodplain as depicted
on FIRM Map of any watercourse.
El[:] /F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces,
L
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANTY(Ptoperty Owner,Design Professional,Agent,Contractor,Othe) S.C.T.M. # 1000 Date
1 i � District
NAME �qY\�P� �CfGIS t,l�C 0
WIW Section Blocl Lot
FOR BUILDING DEPARTMENT USE ONLY `**
Contact Information t Al, l/&j Lai —77,/9--?w () 9
Reviewed By: &�A
1 - - - - - - - - - - - - - - - - -
- - - - - - - Date_
Pro_petty Address/Location of Construction —
Work: — — — — — — —
i / \ Approved for processing Building Permit.
�75 ( �7 01 (,�Q>�J/,��.r7 f'�/stG e Storm\\,ater Management Control Plan Not Regwred.
G>'e e_",ao7_4f AA Stormwater Management Control Plan is RegUired.—
® (Forwaid to Engineering Department for Review)
FORM * SMCP-TOS MAY 2014
Fal Q DECav�!LDEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
DEC 2 -oVilri8Hall Annex - 54375 Main Road - PO Box 1179
o'
Southold, New York 11971-0959
13.
.I)R12 gone (631) 765-1802 FAX(631) 765-9502 `
TOWN OFSO1TT� =ger:richert@ own:southold.tiy us
APPLICATION FOR ELECTRICAL INSPECTION,
REQUESTED BY: Joseph Pistcatello Date:-12/20/18
Company Name: Vue Electric
Name: Joseph Pistcatello _
License No.: ME 5230 email: joe@vueelectric.com
Address: 365 Kirkup Lane, Mattituck, NY 11952 ,
Phone No:: 516-805-2606 (c)'-631-740-5699 (o)
JOB SITE INFORMATION: (All Information Required) '
Name: Pinkwater,_Susan & Searby, Sall
Address: 675 Champlin PI, Greenport, NY 11944
Cross Street:
Phone No.: 516-805-2.606 (c) 631-749-5683 o
Bldg.Permit#: 43057 _ email: " P
Tax Map,District: 1000 "Section: 34 Block: Lot:. 30
BRIEF DESCRIPTION OF WORK(Please Print Clearly)
new pool
Circle All That Apply: ;
Is job ready for inspection?: Y6� / NO Rough In✓ Final
Do you need a,Temp Certificate?: YES/ NV Issued On
Temp Information: (All information required)
Service,Size 1 Ph 3 Ph 'Size: , A #•Meters . Old Meter#,
New Service - Fire Reconnect- Flood Reconnect- Service Reconnected -Underground - Overhead
]#-Undergrdund Laterals_ 1 2 H Frame Pole Work done;on Service?. Y N. -
Adclitional-Information:
- PAY1 jENT DUE WITH APPLIGATION''
82-Request,for Inspection Form.xls
I
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SURVEY OF
LOTS 17, 18 & 19
MAP OF
JOHN G. CHAMPLIN
SECTION No. 2
FILE No. 337 FILED OCTOBER 23, 1873
SITUATE
GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-34-03-30
SCALE 1"=20'
MAY 28, 2015
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PHONE(631x127-2090 Fox(631)727-1727
THE DUSTME OF RIGH75 OF WAY OFF=LOCATED AT AWUNO ADDRESS
AHD/OR EASEMENTS OF RECORD.tF 1586 Main Road PO Box 16
ANY,NOT S "ARE NOT GUARANTEED. JamesporE,New York 11947 Jomesyort New York 11947
a a.
AP R VED AS NOTED
DATE: gP # ��� OCCUPANCY OR
FEE: . �BY: USE IS UNLAWFUL
NOTIFY BUILDING DEPARTMENT AT WITHOUT CERTIFICATE
IFICATE
765-1802 8 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: OF OCCUPANCY
I. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2:ROUGH -FRAMING & PLUMBING
3. -INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW RETAIN STORM WATER RUNOFF
YORK STATE. NOT RESPONSIBLE FOR PURSUANT TO CHAPTER 236
DESIGN OR CONSTRUCTION ERRORS.
OF THE TOWN CODE.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
ELECTRICAL
INSPECTION REQUIRED
,SOuTHOI D i OWN PLANNING 60ARD
uvc n9r.
ENCLOSE POOL TO CODE
UPON COMPLETION
'BEFOREINAT _''''
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16'x40' Gunite Pool
With 162 sq, ft. patio General Driveway
GENERAL HOUSE AREA AREA
Binder Pools, Inc. Phone:631-749-2110 Designed by:
PO Box 1960 Judy Card Designed P/NKIMATER
Shelter Island NY 11964 Fax: 631-749-3529 9/17/2018 for:
2'x4'top platform
w/(3)12"steps
18"x18"corner
seat
2 skimmers
polaris 40 ft autofill
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10 12 ft. 18 ft.
2 main drains
16'X40' Gunite Pool
Side view
Binder Pools, Inc. Phone:631-749-2110 Designed by:
SCALE: 1/8" = 1' PO Box 1960 Judy Card DesignedLPINIKWATER
Shelter Island NY 11964 Fax: 631-749-3529 9/13/2018 for:
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10.5"
{— 12"
Coping Pavers
Mortar 4" Compacted Sand
6" Tile
12" Bond
Beam
" Marble Dust
Concrete
#4 rebar (4) #4 rebar
10" o.c. throughoutcont. through
verticals 5" o.c. where �" bond beam
water depth- exceeds 5'
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12" TO 36" Radius
Compacted Soil
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4" min. thick
° Gravel base � j's�
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08350
tD1ADDI0RM ALIMMY OR AM=TO NS DR VX AMD RSM DOCNIIf]VIS 6 A NOLAIKIN OF SEC 1109 OF ME MY4 EDD6M IAN OFEL
JOBDAT 10.26binder Typ Pool g R �► SHERMAN ENGINEERING
DATE: 10.26.16 J'
SCALE: AS NOTED T//�yyy &CONSULTING P.A.
Cross Section O {�' y 70 MAGNOLIA DUNES CIRCLE
DRAMANG NUMBER SEC & ST AUGUSTINE,FL 32080
y v 631.831.3872
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