MARCO ISLAND CIVIC ASSOCIATION

1770 San Marco Road #204, Marco Island, FL 34145

Telephone: 239-642-7778

Fax: 239-642-8663

ARCHITECTURAL REVIEW COMMITTEE

APPLICATION FOR DEED RESTRICTION REVIEW

1) OWNER-- Full Name___________________________________________

Address_____________________________________________

Phone #_____________________________________________

2) CONTRACTOR-- Full Name_____________________________________

Address_______________________________________

Phone #_______________________________________

3) JOB ADDRESS ________________________________________________

4) LEGAL DESCRIPTION-- UNIT________BLOCK_________LOT________

5) CHECK LIST FOR SUBMISSION OF PLANS:

_____A) 2 sets of plans to scale and with all dimensions including

elevation and floor plans, and pool if indicated.

_____B) Survey--sealed by a registered Florida engineer or land

surveyor.

_____C) Site plan (with scale):

1. Lot dimensions.

2. Legal description.

3. Location of all structures and dimensions of each--

including walls, balconies, and fences.

4. Setbacks all sides.

PLEASE NOTE: FINAL APPROVAL WILL NOT BE GRANTED UNTIL ACCEPTABLE SPOT SURVEY IS RECEIVED BY THE ARCHITECTURAL REVIEW COMMITTEE.

DATE PAID

FEE: Residential: $ 250.00 ____________

Commercial & Multi-Family: $400.00 ____________

Addition & Swimming Pool: $150 ____________

If construction has started prior to receiving MICA approval, the fee is doubled.

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MICA # Date Received_________________________

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