HomeMy WebLinkAbout9206139- APPLICATION FOR VEGETATION REMOVALPLEASE 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. BYNNED
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 F MY KNOWLEDG .
`/.
SIGNATURE j lI� /,7 9�
DATE:
STATE OF F_LORIDA-,_COI-7N-T-Y=OF' ST. LUCIE
=xiP o e me, tie- undPrsi
gned authority, personally appeared,
who upon being duly sworn, deposes ( Pu�SASE PRINT APPLICANTS NAME) p ses and
a`sa7s that the information contained in the foregoing application is true
an,1 correct.
Sworn to and subscribed before me this
day of ,o
Notary Public, State of Florida at Large
My commission expires
FOR OFFICE USE ONLY
:APPROVED ( ) DISAPPROVED ( )
CONDITIONS:
fz SCANNED FEE: �UDY1Q
BY
t, Lucie County ST. LUCIE COUNTY No perms- rIwifed¢,
APPLICATION FOR VEGETATION REMOVAL 11,3Ay
PERMIT NO.:
REF. NO:
(Office_ U g. Only)
(Office Use •Only)
(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, Fort Pierce, FL 34982.
Please use your permit reference number (PR #) when making any inquiries or
picking up your permit. When Your
called. Please leave a phone number ewherermitlYouecan berreachedpickpbetween118:00
- 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
I surveys and photographs are required. .
B. If multifamily or non-residential, survey must be in
aerial for field surve an
the form of and photographscarreprequired,photographs. Three (3) copies of
all surveys
i
All surveys must show clearly the following information:
{
ENVIRONMENTAL PLANNER- I. Location and extent of vegetation on site;
DATE: 2. Common or scientific names of major groups of vegetation;
SITE INSPECTION: 3. Vegetation designated for removal and/or grubbing
' DATE- percentages); g (-numbers or
FINAL INSPECTION• 4. Vegetation to remain undisturbed;
DATE: a- Existing and proposed structures;
6. Driveway location
PLEASE ?vOTE: Site devel pment plans must have survey
scale io in a manner wiich illustrates the relationshipsprepared to the between areasofme
vegetation and proposed -site improvements.
r•
1
r
P-LEASE-PRINT. DO NOT COMPLETE SHADED AREAS. DATE:
PROJECT INFORMATION_
PROJECT ADDRESS:
SITE PLAN/PROJECT NAME:
21R, CC E, ED'
S-TIUNE COUNTY
1992 0CP 34 AM 11: 46
AUNTY HNELOPMENT
MOWN
SUBDIVISION-.-- LOT: BLK:
i -f -mmZf
.n- ---- 39
A 11*9 WAR
PROPERTY TAX ID 3-32 2? /A g? oo I -
PARCEL SIZE (ACRES OR SQ. FT.)
LEGAL DESCRIPTION: �ox
OWNER NAME: CC%'`
-ADDRESS:
CITY: STATE:
ZIP: PHONE #: x/o 7) AI&
CHECK APPROPRIATE BOX:
SINGLE-FAMILY/DUPLEX
MULTI -FAMILY
AN*-p N
NON-RESIDENTIAL
PUBLIC
PERMIT INFORMATION
DESCRIPTION OF VEGETATION REMOVAL ACTIVITY (LAND CLEARING AND/OR TREE
REMOVAL): 13 7fY Cm OQUPSE
.000,
NUMBER AND TYPES OF TREES TO BE REMOVED (AS APPLICABLE)
-PURPOSE FOR VEGETATION REMOVAL rl /p
DATE WORK EXPECTED TO BEGIN: /o
PATE WORK EXPECTED TO BE COMPLETED:
IQ #:0000
APPLICANTS NAME: vj2m C?
ADDRESS:
CITY: L STATE: j
ZIP: PHONE #: -Al