PMT50 - Professional Mangrove Trimmer

Environmental Protection Commission of Hillsborough County
Roger P. Stewart Center
3629 Queen Palm Drive · Tampa, FL 33619
Ph: (813) 627-2600 · Fax: (813) 627-2630

www.epchc.org

PMT50 - Professional Mangrove Trimmer
Registration and Renewal Form

This Environmental Protection Commission application is for registration of a Professional Mangrove Trimmer in Hillsborough County as provided in Chapter 1-14, Mangrove Trimming and Preservation, Rules of the EPC. The fee for this application is $50 for new registration and $25 for annual renewal. If you have any questions please contact the Wetlands Management Division at 813-627-2600.

1. Applicant Information

First Name *

Last Name *

Company Name/Title (if applicable)

Street Address *

City *

State *

Zip Code *

Telephone Number *

Email Address *

Website:

Select the type of registration you are applying for: *

$50 (New Registration)

$25 (Renewal)

2. Qualifications

Please includes copies of certifications or licenses. *

Certified Arborist (International Society of Arboriculture)

Professional Wetland Scientist (Society of Wetland Scientists)

Certified Environmental Professional (Academy of Board Certified Environmental Professionals)

Certified Ecologist (Ecological Society of America)

Landscape Architects (Florida Statutes)

Qualifying under Section 1-14.08, Rules of the EPC (Please attach appropriate documentation)

Submit Document

You can include copies of your certifications or licenses in this section. You can upload ONE FILE for additional documentation or combine multiples documents you may have into one file to submit with the application. Click on Browse to search for the file on your computer, then select Upload. 🛈

4. Terms of Agreement

I hereby certify that the above information is accurate and that I will notify the Environmental Protection Commission (EPC) of Hillsborough County’s Wetlands Management Division of any changes in my certification or qualifications that could affect my status as a Professional Mangrove Trimmer in Hillsborough County. I also acknowledge that my status as a Professional Mangrove Trimmer in Hillsborough County does not automatically qualify me as a Professional Mangrove Trimmer in other Counties which may have their own criteria. I also acknowledge that my Professional Mangrove Trimmer status may be revoked for any violation of any lawfully adopted mangrove trimming or wetland regulations, including Chapters 1-11 and 1-14, Rules of the EPC, which I have read and am familiar with.

Signature of Owner or Authorized Agent (use your mouse to sign name on line in block below) *

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Printed Name of Signature: *

Date (MM-DD-YYYY) * +