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PL-08-21-2115 Z � � � t �� 1\ � .t ti � � li\S ��. ' s\\� � \ ':1 � � l . t��1�z;. �C 1 �:�1��,�� . � t \ l\ ��, � � \ 1 ` 1 � � � �\S�� Z 3 � \ ��8�� .. �� \� �\ �\2��`� � \� 1�2��a�t��\l��S � '�� `� �t �� e\i, ��,•�a ;� ��. �� z .\,;.;,;,. �' �\�\��»�l��\�\�a�4 ��\.��o�� .:'\� �`��',�h �; '" �'� �11�1t1[SriQC�S�/!'�8�� Z '� ��t \ 1 � �� L� �� ' � ��•��i x �` � �t 4� a utis �{� ��`i}si��V`��`5i�1��°�� ' �3�� \� � � i �� 1QOS0 NE 2 Ave � � �,��\�� k �v t� ��, ti �� .� `€� Miami Shores�L 33138 � �� a��V�� e � l� t \� ��0� �`Z�� ; 305-795-22Q4 � � t ` `\�� .��^�"�� \ a�,��,� ��" �;, � �� t -� \ � � �A �\..,.,,�� l�x: < ,,. ,�� ..J,��Z,r.�:� �a�� > > � � �� .��; EXp11'�fiiOf1: t}T f 2Q�2Q�22 ` ��,. � ��, � � � � �:...,.. �,.. b:.� lc�eati�n Address ��N.�� m�m �� m.��.. ��_� �„�.� _m._ ._. ��. �.� . .�_,..e _�. �� N �_�_� ��.,.._.�s l 22�NE 9�S'T,miami shor�s, F�3313� E � � .��a. . �� f. �. � Contacts �a ,�.�e�..�e_�....�m.m�a.r�_.�.. _ . _�_._�.eu.� _�,...M.,.�._,. �._ � THE OUVINE�ROUP HC��ES L�C C}e�ner SOUTHERN SEFTIC AND�IFT STATION Contractor � 293 NE 61 ST,MIAMI,F�33137 CQRP � 13usiness;3053t105174 ROBERTC?Rt�DRIGU�Z � 1204U SW 11�S1", M(AMI,FL 331�6 � �usiness:3Ct559�8266 SOUTMERNSEPTICCORPOftATION@Gil�l AIL.COM � Danie(Catour �gent ; 5935 NE 2�VE,Miami,FL 33137 f danie(@latourdesign�com �� m.... _...._..�......._.......,...�....�....,...,.�._._.._...�..___.w.w...��.,....,. n_�...__...m. ,.....m......n. . _._.._.. .....,........�.,.. _._., � . � w, �.�.�_�� lrrs e€tron�� u� ; Descriptictn:installation of new septic system. ; Valuatton. �8,50Q.00 � �� "�.""�""` �ll �,i�� , ; � � = � 1 � �t \ � � � t��'�� ` 'Fo4al Sq F��t: 0,00 �� ` �� `'� � : ��' \. .t � ��;,., ....�. .:> �........ �..,,�. .,.,...: � ��. �.��,� �..> F�es Amaunt payments �ate P�id Amt Paid Application Fee-Other $5Q.Q0 Total Fee� $328.5$ CCF $5.40 Cr�dit Card Q�/32j2021 $32$,5� DBPR Fe2 54.�� DC�Fee $2.98 Amount C}u�: $0.00 Ed�acation Surcharge $1.80 Permit Fee $��7.�� Scann€ng Fee $9,Q0 Technofogy Fee $7.44 l`�tal: $32$.5� uil �n � nfi y ln consideration of the issu�nc�:to me of this pe€mit, I agree to perform ths work cover�d hereunder in eompli�nce wifh �li qrdinances and regul�tions pertaining th�r�to and in strict confarmity with the plar��, drawing�, sfatem�nts or specification� submitted to the pe�per author�ties e�f Nliami Shor�s Viliag�. In aecepting this permit k ��ume re�ponsibility for aIi work done by eith�r mys�lf, my agent, servar�fs, ar employes. f understand th�t�eparate p�rmits ar�required for ELECTRICA�, PLllNfBING,NIECHAIVlCA�,WINDOWS,DC}C}RS, ROC}FENG ar�d SWlMMING PO��work. QWN�R� �F�IDAVlT: I certify thaf eIl the forego€ng informatian is a�curate and that all work will be don� in compli�nce with ali applicabke laws r�gul � eonstr �on and zoning. Futhermor�, I authorize the above named contractor ta do the wark sEated. � �° ``` t ,� � i�t�''��=r t��' � �� m��''si',�� c"�. �" ��-� �� orized�ign�tura:Qwnee I App(ieant f Gontracto�°'` t Agent ��1�' � __ 4Vl�rch 31,2022 Pag�2 gif 2