HomeMy WebLinkAboutVEGETATION REMOVAL PERMIT5 2�/ 7
St. Lucie County
Community Development Dept.
2300 Virginia Avenue
Fort Pierce, Florida 34982
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(407) 468-1553 AA''^
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PART I - GENERAL INFORMATION
Applicant G,/ �/f : N ,rq 77 Phone No..V4<1/ %y i�- _1
Address`/ YE / `/ p P- Aiy 9, AI-e
Property Owner ✓X/pl Phone No.
r�
Address
Legal Description of
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property /%/ o G� S 46
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Section�vD-' , Township 3 5 S , Range/41 �
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Property Tax ID # 2 yo %- 2 l y-
Parcel size - Acre(s):
PART II - PROJECT INFORMATION
Check Appropriate Box.
Sin le-Family/Duplex ( ) Non -Residential ( s iO�IoGE:l�/'C-D
g
Multi -Family ( ) Public ( )
Description of Vegetation Removal Activity (Land clearing and/or
tree
/removal) / f ` A/
If
Number of trees to be removed (as. applicable)
Purpose for vegetation removal
Ao -Q AP4M � nmisra,,o;�
Contractor's Name
Contractor's Address
Contractor's Phone No.
Date Work Expected to Begin: -y�JP
K
Date Work Expected to be Completed:
Vegetation survey with photographs must be attached (See survey
requirements below)
PART III VEGETATION SURVEY REQUIREMENTS
A. If single family or duplex development, survey may be in the
form of hand drawn sketches accompanied by photographs.
B. If multifamily or non-residential, survey must. be in the
form of an aerial or field survey, accompanied by photographs.
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;
PLEASE NOTE: Site development plans must have survey prepared to
the same scale or in a manner that which illustrates the
relationships between areas of vegetation and proposed site4
improvements.
PART IV OFFICE USE ONLY
Date Received:
Approved ( ) Disapproved ( )
Conditions:
Environmental Planner: Date:
Site Inspection: Date:
Final Inspection:
-2-
Date:
PLEASE HAVE THE FOLLOWING ACKNOWLEDGMENTS NOTARIZED
I CERTIFY THAT: (Please check Box A. of B. )
A. ( v) I am the record owner of the above described
property.
B. ( )
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 THE BEST OF MY KNOWLEDGE.
�.�X�/
Signature ;..,., � � z � Date el I_//- 7 p 7Q
COUNTY OF ST. LUCI E ? 1 ', 9 STATE OF FLORIDA
Before me personally appeared 'T to me
well known and known to me to be the person described in and who
executed this instrument, and acknowledged to and before me that
executed said instrument for the purposes
herein expressed.
WITNESS my hand and official seal, this
My commission expires
CM/cm
PERMIT. VEG
A. D. , 19
day of
Notary Public - State of Florida ,4
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