HomeMy WebLinkAboutApplication for Vegetation Removal4
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CE� `11r, q _i ri t APPLICATION FOR VEGETA ION REMOVAL
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PR $: PERMIT NO.: /'�"/—�
(Office Use nly) (Office Use Only)
REF. NO:
(Office Use Only)
INSTRUCTIONS:
Please provide the following information in the space provided. Please be
sureto -Print or Type all required information. For assistance in
completing this application, please contact the St. Lucie County Department
of Community Development - Planning Division, at (407) 468-1576, during
regular office hours ('8:00 AM 5:00"PM), Monday through Friday.'
All applications for Vegetation Removal Permit must be 'submitted by 4:30
P.M. each business day in the Zoning Division, Room 201, St. Lucie County
Administration Building„ 2300 Virginia Avenue, Fort Pierce, FL 34982.
Please use your permit reference number (PR #) when making any inquiries or
picking up your permit. When your permit is ready for pick up, you will be
called. Please leave a phone number where you can be reached between 8:00
5:00, Monday through Friday.
VEGETATION SURVEY REQUIREMENTS:
A. If single family or duplex development, survey may be in the form of
hand drawn sketches accompanied by photographs. Three (3) copies of all
j surveys and photographs are required. .
B. If multifamily or non-residential, survey must be in the form of an
aerial for field survey, accompanied by photographs. Three (3) copies of
all surveys and photographs are required.
All surveys must show clearly the following information:
1. Location and extent of vegetation. on site;
2. Common or scientific names of major, groups of vegetation;
3. Vegetation designated for removal and/or grubbing (numbers or
percentages);
4. Vegetation to remain undisturbed; is
5. Existing and proposed structures;
6. _Driveway location
PLEASE.. NOTE.: Site development plans must have survey prepared to the same
scale or in a manner which illustrates the relationships between areas of
vegetation and proposed site improvements.
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PLEASE PRINT. DO NOT COMPLETE SHADED AREAS. DATE 5 y
PROJECT INFORMATION
PROJECT ADDRESS: SW CORNER ENTRADA AVENUii-YBANYON DR.Z*E
SITE PLAN/PROJECT NAME: DR. LEONARD M. HOLTZMAN (OFFICE BUlT,T)TNal
SUBDIVISION: RIVER PARK UNIT 3 LOT: 1 & 2
BLZK: 135
WN
ZS
PROPERTY TAX ID #: 3419-520-0002-000/6
PARCEL SIZE (ACRES OR SQ. FT.) 0.442 arra
LEGAL DESCRIPTION: LOTS 1 AND 2 BLOCK 135, RIVER PARK UNIT 3, ACCORDING
TO THE PLAT THE RECORDED IN PLAT BOOK 12, PAGE 22 OF THE PUBLIC _
RECORDS OF ST. LUCIE COUNTY, FLORIDA.
OWNER NAME: PHILLIP J. PICKTHALL and KATHLEEN M. PI
ADDRESS:
DRIVE
CITY: PORT ST. LUCIE STATE:
ZIP: 34952 PHONE #: (407 )878-5478
CHECK APPROPRIATE BOX:
SINGLE-FAMILY/DUPLEX
MULTI -FAMILY
( 1 NON-RESIDENTIAL
( ) PUBLIC
o1v
FLORIDA
PERMIT INFORMATION
DESCRIPTION OF VEGETATION REMOVAL ACTIVITY (LAND CLEARING AND/OR TREE
REMOVAL): TREE REMOVAL AND GENERAL SCRAPPING OF LAND TO CONSTRUCT OFFICE nTTTT T I.Tn
NUMBER AND TYPES OF TREES TO BE REMOVED (AS APPLICABLE) SIX TREES TO BE
REMOVED. TWO MELALEUCA TREES (UNDESIRABLE SPECIES) AND FOUR SLASH PINE
TREES. THESE TREES ARE IDENTIFIED AND LOCATED ON THE BOUNDARY/TOPOGRAPHIC
SURVEY AND THE -LAND PLAN.
PURPOSE FOR VEGETATION REMOVAL TO CONSTF
AND PARKING LOT TO ACCOMODATE BUILDING.
DATE WORK EXPECTED TO BEGIN: WITHIN SIX MONTHS OF COUNTY APPROVAL
DATE WORK EXPECTED TO BE COMPLETED: WITHIN 18 MONTHS OF COUNTY APPROVAL
ID #:0000
APPLICANTS NAME: DR. LEONARD M. HOLTZMAN
ADDRESS: 784�SE _PRIMA VISTA BLVD.
CITY: PORT ST. LUCIE
STATE: FLORIDA
ZIP: 34952 PHONE #: ( 407 ) 879-1788
R _ #
9 at
PLEASE HAVE THE FOLLOWING ACKNOWLEDGEMENTS NOTARIZED
I CERTIFY THAT: (PLEASE CHECK BOX A OR B)
A. ( ) I AM THE RECORD OWNER OF THE 'ABOVE DESCRIBED PROPERTY....
B. { XX) I_AM NOT THE RECORD OWNER OF THE ABOVE DESCRIBED PROPERTY..
AND I HAVE AUTHORITY TO ACT AS AGENT FOR THE RECORD OWNER.
I CERTIFY THAT .INFORMATION SUBMITTED WITH THIS APPLICATION IS TRUE AND
COMPLETE TO T BE OF OWL DGE.
? SIGNATURE DATE:
STATE -0F FLORID COUNTY OF ST. LUCIE
Before me the undersigned' authority, personally appeared,
�e�arc� K U'O � , -1.C. who upon being duly sworn, deposes and
(PLEASE PRINT APPLICANTS NAME)`
says that the information contained in the foregoing application is true
and correct. '
Sworn to and subscribed bye-foo'ree) me this 2-,2: day of ""- _ 19�Q
SbIZ`�ar-.�✓�;.y ----t .Notary Public, State of Florida at Large
i -
My commission expii+@T,4 RY PUBLIC,. STATE OF FLURIDA.
MY CO,
' HONHEO TMRU NOTARY PUHLIC VND£RW RiTERB.
FOR OFFICE USE ONLY
APPROVED DISAPPROVED ( ) A r
CONDITIONS:Fish 5�X 0ty&5 -bo be Yaokoyed' and 01.4-0 rode
al 49 ` 15 7 / a') p o _ l snoM o r9'M o VC-d �u
ENVIRONMENTAL PLANNER: DATE:
SITE INSPECTION: —DATE:—
FINAL INSPECTION: DATE:
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