Get FL Mulching Permit Application - Charlotte County 2017-2024

Permit CHARLOTTE COUNTY MULCHING PERMIT APPLICATION Job Address Parcel ID Lot Block Subdivision Property Type Residential Commercial Contractor or Owner/Builder Contractor License Mailing Address Phone Tree Preservation I certify that ALL native trees over 4 caliper on the above-described property are to remain preserved/protected according to the methods set forth in the Charlotte County Buffers Landscaping and Tree Requirements Section 3-9-100. trees over 4 caliper will be removed and no soil excavation clearing or filling will occur. Please initial Yes No Removal of any tree s over 4 caliper requires a separate tree removal permit. See Section 3-9-100 d 4 below. Additional Comments/Conditions Per Section 3-9-100 Buffers Landscaping and Tree Requirements d Tree removal 4 Absolutely no speculative clearing is allowed* Applicant must have either a building permit or final site plan approval prior to County staff authorizing any clearing or tree removal activities. I agree to assume full responsibility for the mulching of said vegetation and for compliance with all applicable County and State regulations. Environmental Inspection Fee 55. 00 For properties in which the total area to be mulched exceeds 1 acre the submittal of a current protected species assessment and FLUCCS map will be required* Applicant s Signature Date Authorized County Official Date A final inspection may be conducted by staff to ensure compliance with all of the applicable permit conditions. Affidavit of Applicant I the undersigned being first duly sworn depose and say that I am the owner attorney attorney-in-fact agent lessee or representative of the owners of the majority of the property described and which is the subject matter of the proposed application that all answers to the questions in this application and all sketches data and other supplementary matters attached to and made a part of the application are honest and true to the best of my knowledge and belief* I understand this application must be complete and accurate before the application may be considered and that if I am not the owner of the property I have attached a notarized authorization from the owner s to submit with this application* State of County of The foregoing instrument was acknowledged before me this day of by Month Year who is personally known to me or has produced as identification and who did / did not take an oath. Signature of Notary Signature of Applicant or Agent Printed Name of Notary Commission Number Property Owner s Consent I property owner of print name do hereby give permission to file this application to allow the use of this property for. trees over 4 caliper will be removed and no soil excavation clearing or filling will occur. Please initial Yes No Removal of any tree s over 4 caliper requires a separate tree removal permit. See Section 3-9-100 d 4 below. Additional Comments/Conditions Per Section 3-9-100 Buffers Landscaping and Tree Requirements d Tree removal 4 Absolutely no speculative clearing is allowed* Applicant must have either a building permit or final site plan approval prior to County staff authorizing any clearing or tree removal activities.