HomeMy WebLinkAboutCity of Cape Canaveral Permit and Survey 2015'grVEttpt -
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Beaches and Coastal Systems
i 3900 Commonwealth Blvd - MS 300 PenayNnnsba: 8 0 3 013 9.�
FL�y Tallahassee, FL 32399-3000
(850) 488-7708 No. ofPaSmAuached:
FIELD PERMIT PURSUANT TO SECTION 161053 or 161.052, FLORIDA STATUTES
FINDINGS OF FACT AND CONCLUSIONS OF LAW: The request for s permit was considered by the staff desig m of the Department of
Env'rommenW Protection sad femd to be in compliance with the requimucitts of Chapter 62B-33, Florida Administrative Code (FAC.). Appm%W is
specifically limitod to the activity in the stated location and by the project description, approved plans (if any), a#wJW dandard conditions, and any spoeial
mrditima stated below paean! to Paragraph 161.053(5), Florida Statutes. This permit nay be suspended or revoked in axonlance with Section 62•
4.100,FAC.
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PRQIECT DESCRIPTION: y-kfrLi Vu`QYai_.Lrt.r3y .•_ y r tkr2a:, S e*j il�C GMvDr� Alrr.s)iF CIA'r nt'7
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SPECIAL PERMIT ... 1 . ..', ia: This permit is valid only star all appGobk lodoat, state, and loal permits are, obtained and does nal aeth wine
contravention of loud setback mgwxmwds or wring or build mg coda. This p:mdt and pubbo notice dog be posted on the rte imxwdW* upon
issuance and shed tuna o period along with local approval until the completion of any activity adlno¢ad by this permit. Other special conditions of alio
Permit include: ti
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t,4e41K ROOM Cum /�x,�rl.Vtc litlAh,eti,Y-� CJili�.�krl �Lra
STANDARD PERMIT CONDITIONS: The pemniCee dull comply with the attached Mandond field peon it conditions.
APPLICANT INFORMATION: I hairy am* that I am either. (Is) the owner ofthe subod property g (lb) I hove the owners consent to secure
this permit on the owvnels bduK and that (2)l aha0 obtain any sppliesbk heonace or permits which may be required by federal, Mate, wanly, or municipal
kw poor to comnatconad of the authorized work (3) I oubawledge that the Kdhwtmd work a what I requested; and (4)l accept responsibility for
compliase with all pewit cotditiora.
Aptdicsofa S*mWm _ yN,Dab tnt'L 44 t4 Telephone No. (3e t
Applicam'a Rimed Nrns R"}F2�.t Jk. kT�tvv Address,Y.o- Pow 37-4_ CWT -C "t-rak. r 32Q zo
Ifapplicant is an agent
prided wore of owwer property comer's addrca prapry e.war adephrn m.
DEPARTMENT FINAL ACTION AND FILING AND ACKNOWLEDGMENT: This field permit is approved on bold" of the Depatmnt of
Environmental Protection by the urdcregrad staff designee, and filed on this due. pursuant to enation 12052, FS, with the mdersigrned d=Vwbd
Deputy Clerk, receipt of which is hereby aclmowledged.
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V JtaB s,.n cory Ckr* Arsrled None �J�yClerk Dae
PUBLIC NOTICE IS ON THE BACK OF THIS PERMIT. EXPIRATION DATE• ;� ?Oc \S
(Emergency permits issued pperum mat to Section 6213-33.014, FAC., are valid for no mom flan ninety days and o Ialld p-amf6 am valid for ro latae
than 12 months. The staff desigrrec nay specify s darter Isere !mit)
E AERGENCY PERI&T:13 YFB X NO Approved plus ae Ntaehed: ❑YES *NO
AND PUBLIC NOTICE CONSPICUOUSLY ON THE SITE
DEP form 73-122(Updated olloti) FhieCopy-TaBahasve0j9cr) (YellowCwy-Applicapal (PedrCaPySM!lD-dv%erj