HomeMy WebLinkAbout2004 01 20 Attached Handed Out by Captain Tolleson Under Agenda Item "F"Date: January 20, 2004
ATTACHED WAS HANDED OUT TO
BOARD MEMBERS BY CAPTAIN
TOLLE S ON UNDER AGENDA ITEM "F"
•
Page 1 of 2 NOV 1 4 2003
CITY OF WINTER SPRINGS, FLORIDA
F WINTER SPRINGS
Permitting - Dagmarie
1126 EAST STATE ROAD 434
WINTER SPRINGS, FLORIDA 32708-2799
Telephone (407) 327-1800 F~ct.327
Fax (407) 327-6695
Community Development
PERMIT MUST BE POSTED ON SITE
ARBOR PERMIT APPLICATION
ARBOR PERMIT NUMBER
~a-lomeowner:~ (c -1Ct ~ ~ ~!~ K2 ~
PERMIT FEE
Telephone: ~~ i ~~ :~ ~ 7 ~ ~c ~~ /
~,lOb location: ~ ~ `I Sh~dO~' ~~~~" ~ `~}2.G21(., Subdivision: ~ c ~ ~~ U~.~'
Address:
~l';~`(Y1-~ OAS ~~V~~ Telephone:
License #
General Liability Exp:
Workman's Comp Exp:
Single-Family ~ Development (acres) Number of trees to be cut
Land Clearing Land Filling
• 1 certified that the tree(s) to be cut fit into one of the following categories as checked:
1. Trees located on building and construction sites, and to be replaced.
2. Trees within ten feet of proposed, or existing structures and to be replaced.
3. Trees severely diseased, or severely injured, or dead. Gl 7h~~`'~
4. Trees that interfere with provision of public utility installations. Cl
5. Trees that have been approved by the City Forester to be replaced elsewhere on the property.
6. Trees that are exotic, invasive species (EPPC #1).
7. Sec. 5-4 (b) 6. As relates to governmental projects.
• I hereby acknowledge that the above information is correct and agree to conform to the City of Winter Springs zoning
regulations and building codes. I agree if any public property is damage, I wilt restore it to the original condition. I agree
that this application allows the Forester to enter my property for the purposes of inspection. '~'~~ (initials)
• 1 certify that any replacement plants will be installed within 30 days from the date of this application. I will be responsible
for arranging re-inspections, if ne essary.
Applicants name P~ ~ C 4~ ~C- I [~`1° (~ ~ Q !~
(please print)
SignaturE ~~!~,~~(..Q°~ L ~G{~.~
NOTE: All lots or addresses must be marked so as to be easily identified. For undeveloped lots, the lot lines and construction pad must
be clearly staked. For land clearing or undeveloped lots, a tree survey of ALL over 4" caliper must be submitted. Please indicate the
preventive measures that will be used to protect existing trees during construction. If an appointment needs to be scheduled for
Inspection due to limited access (fence, dogs, etc.), please call 327-1800 Ext.327.