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2. Description

   Any citizen, property owner or official of the city may nominate a tree to be designated as a heritage tree due to its size, age, historic, aesthetic, or cultural significance, and possession of the following characteristics: The tree is a native tree, has a diameter breast height of at least 36 inches; and, the tree is known or proven to be a part of the history of the city or the culture of its people as documented in books, periodicals, or other documents.

   If located on private property, the owner’s approval is needed for Heritage Tree designation. To nominate a tree, fill out the following. Please include photograph(s) and any additional documentation you believe to be pertinent.

4. Location of the Tree
6. Diameter of trunk at 4.5 feet above ground
8. Species/Common Name
10. Why is this tree special?
12. Nominator's Name
14. Nominator's Phone Number
15. Nominator's E-mail Address
17. Nominator's Address
19. Address2
21. City
22. State
23. Zip
25. Is the tree on Private Property?*

    1. Yes
    2. No
27. Owner's Name
29. Owner's Phone Number
30. Owner's E-mail Address
32. Address1
34. Address2
36. City
37. State
38. Zip
40. Pictures Upload*
41. Pictures Upload2
42. Pictures Upload3
44. Pictures Upload4
45. Pictures Upload5
47. Owner's Signature

49. State of Florida

    County of _________________

    Sworn and subscribed to me on this ____ day of ______________, 20____, by _________________________________

    _________________________________, by means of physical presence, who provided __________________________

    _____________________________ as identification.

    _____________________________________

    Signature of Notary

    My Commission expires: __________________________

51. If you have questions about this form, please call the Planning & Conservation Department at 904-310-3480. Nominating a tree provides recognition of a tree’s intrinsic worth and value to the community.
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field