HomeMy WebLinkAboutApplication for Vegetation RemovalAADJ �/o/a f, '/e55
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ST LUCIE COUNTY
APPLICATION FOR. VEGETATION REMOVAL 't;
c.a
PERMIT NO. a .. PR # :. ..
(Office Use Only)' (Office Use Only)'
REF. NO.:.
(Office Use .Only).`
.INSTRUCTIONS:
Please .provide the following. information in the space provided: Please be
sure to 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, Ft 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 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
e 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;
5. Existing and proposed sturctures;
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.
PLEASE PRINT. DO..NOT COMPLETE
SHADED AREAS.
DATE
P49JTECT,.INF.0RgATION
PROa$CT ADDRESS: :,
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SITE PI
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ROJECT NAME: Ki P,5 44EAI
SUBDIVISION: WI-4 I 1--G _7y
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PROPERTY .TAX ID f:
PARCEL SIZE (ACRES OR SQ. FT.) 572 r,9,_-AP,5
LEGAL DESCRIPTION:
Lf7_ 96 W141� cliry
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OWNER NAME:
ADDRESS:
CITY:
ZIP:
CHECK APPROPRIATE BOX:
SINGLE FAMILY/DUPLEX
MULTI -FAMILY
2011
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STATE: IL
PHONE 4D7 7- 0'76 1
NON-RESIDENTIAL
PUBLIC
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NUMBER AND TYPES OF TREES TO BE REMOVED (AS APPLICABLE)
1 PURPOSE FOR VEGETATION REMOVAL
DATE WORK EXPECTED TO BEGIN:
DATE WORK EXPECTED TO BE COMPLETED:
a ID #0000
APPLICANTS NAME: ^T'-P fV1
ADDRESS: -P, o,
CITY:
STATE: F��--
ZIP: 3¢9go PHONE #:
9
PLEASE HAVE THE FOLLOWING ACKNOWLEDGEMENTS NOTARIZED
.1 _CgRTI.F'Y THAT: (PLEASE CHECK BOX A OR Bj
A'• ( ) I AM THE RECORD OWNER'OF THE ABOVE DESCRIBED PROPERTY.
B• (X) 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 ALL INFORMATION. SUBMITTED.WITH.THIS APPLICATION IS TRUE AND
'COMPLETE TO TH BEST OF MY KN WLEDGE..
SIGNATURE DATE / 23 `�J •,
STATE OF FLORIDA CO Y. OF -
The foregoing instrument was ac owledged before me -this
19 by.'4 �a who is personally
who has 'Produ ed as
identification. -
SIG TURF OF N0
(seal) Type or Print Name of Notary
NARY PUBLIC Title
Commission Number '
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FOR OFFICE USE -ONLY
DATE RECEIVED:
APPROVED ( ) DISAPPROVED ( )
CONDITIONS:
ENVIRONMENTAL PLANNER:
SITE INSPECTION: DATE:' ---
DATE: f
FINAL IMPECTION: r
DATE: