HomeMy WebLinkAboutFL DEPT OF EP PAPPERWORKAL PROTECTION
FLOkMA DEPARTMENT OF ENVIRONbEkIN'
134eau'of Beaches and Coastal System
BCANNED
3900 Commonwe
r" alth Blvd— MS 300'
payffft 5L
Tallahassee, FL 32399-3000 BY
(8$0) 488-7708 '3t Lucie County
No. ofPagaAdadW.
FIELD PERMITPURSUANT TO S or
1,0�3 161.052,nORTDA STATUTES,'
to
4;1
Pf
-77
XONDMONS-I'Mis- Pmmift am obttihW'and dow not
.8W
mQuff ements or, 'di SAfirid, -.1%.uW: -
Wr
I . I 1 1, �, , �; '2 ,
Sri
, COB
0MGEN
YES NO
AND PUBLIC Mitt
DEP foorn 73-122 (Updated 0�%) ThibiCal�-Tifthaun Ojkl
S
I � AA V5
!A�V,Wpvepg* Cjv* Aft
DATE�:
no Wn=
field pannil, an iWEF
'Ao m�
I Of
d is
Cw
62-
A
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
Bureau of Beaches and Coastal Systems
3900 Commonwealth Blvd - MS 300
Tallahassee, FL 32399-3000 Pand(Numba-r -3tM --SL
(850)488-7708 No.ofPagesAaached. —*7
FIELD PERMIT PURSUANT TO SECTION 161.053 or 161.052, FLORIDA STATUTES
FINIDINGS OF FACT AND CONCLUSIONS OF LAW. The rcqu�—j for a-Ocm
j w-as"considered by the staff designee of the Department of
Environmental Protection and found to be in compliance with the requirernents of Chapter 6213-33, Florida Administrative Code (FAC.). Approval is
specifically limited to the activity in the dated location and by thcp'roi'c'ct description, approved plans (if any),,adached standard conditions, and any special
conditions dated below pursuant to Paragraph 161.053(5), Florida Statatca. This permit may be susp�ndcd�or revoked in accordance with Section 62.
4.100,17A.C.
PROJECT LOCATION:
PROJECT DESCRIPTION: (,i
SPECIAL PERMIT CONDITIONS: Tis Mmit is valid only after all applicable federal, date, and local permits are obtained and does not authorize
contravention of local setback requirennefits or zoning or building codes. Thh permit and public notice shall be Posted on the site immediately upon
issuance and shall rernam posted along with local approval until the completion of any ac" authonzed by this pennit Other special conditions of dus
pwrtit include:
er'rk1f1A'V ^�<k Z(A C7115 ?'V- 1�Ar'VV--rCD
STANDARD PERMIT CONDITIONS: The permitlec shall coniply wilh the attached I atandard fidd Frout conditions.
APPLICANT WFORIVIATION; I hereby certify that I am either: (I&) the owner of the subject properly gj (I b) I have the owners conscnt.to am=
lkis permit on omm's Wait' and that (2) 1 shall obtain any applicaW be== or permits which may be rcquircd by federaj, date, county, or munikipial
law prior to corrunowernent of the authorized work (3) 1 acknowledgc that-thc authorized work is what -1 requested-, and (4) 1 accept newnsiNlity for
compliance with all parait coriditions.
ApplicantsSignaturc Dhid, rs TcicphoncN*.(T72 F'�v��q
Appli.f.Print.d N., kW\-� A"O iCIV-, Add. 2-9 W N",, 21�P- —A Pk' (fql� Ink— sl
Irapplicant is an agent '�'Cc
prwfed� pwpeM omrner's ad&=r
DEPARTMENT FINAL ACTION AND FILING AND ACKNOWLEDGMENT. this field permit is approved on behalf of the Departnent of
Environmental Protection by thc�undcrAg�cd 9WTdcdgr=.,snd filed an this ddc� pursuant to section 120.52, F.S, with the undersigned designated
Deputy Clerk, receipt ofwhich is hereby i�bwwlodgcd.
?'Vi � ��Vl 1 0317" 0- t�PAJ I (�'X I / t i I 1A 6
�,. S1qffDej1gnr&E�ep41y Clerk Prin led N= r of Desig n eWDrpury Clerk — I - Date
PUBLIC NOTICE IS ON THE BACK OF THIS PERNUT. EXPOLATION DATE: C-7- 12.? 1 t �5
(Emergency pcfnu . ts issued pursuant to Section 62B-33.014, FA.C., am valid for no morethan nincly days and other fivIJ permits am valia �nom=
than 12 monifis., The staff design= may specify a shodcr firne limit)
EBAERGENCYIPMUMT:O YES ln�No� ApInovedplansucaffached: (�fm ONO
AND PUBLIC NOTICE CONSPICUOUSLY ON TM SITE
DEP form 73-122 (Updated 01106) MleCow-TallahassecOfflcel [Yeli�Cop.Mpplwantj 1PmkCw-StaffD�gneej