Fillable Form 10459 Beach Raking (Town of Fort Myers Beach)

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Form 10459 Beach Raking (Town of Fort Myers Beach)

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4/13/2016 Town of Fort Myers Beach Page 1 of 2
2523 Estero Blvd Fort Myers Beach, Florida 33931
Phone: 239-765-0202 Fax: 239-765-0591
Town of Fort Myers Beach
Mechanical Beach Raking Permit Application
Business Name: _______________________________________________________________________________________________
Business Owner Name: _______________________________________________________________________________________
Phone Number: _______________________________ Email: ________________________________________________________
Business Address: _____________________________________________________________________________________________
Please list all additional employees conducting Mechanical Beach Raking :
1. ________________________________________________________ Cell: ____________________________________
2. ________________________________________________________ Cell: ____________________________________
3. ________________________________________________________ Cell: ____________________________________
4. ________________________________________________________ Cell: ____________________________________
5. ________________________________________________________ Cell: ____________________________________
Please list ALL locations to be Mechanically Raked (attach additional sheets if necessary):
ADDRESS Property Owner/Manager/Presiden
t
I, _________________________________________ do attest that the above information which I have submitted
to the Town of Fort Myers Beach is accurate and complete. Any inaccurate or incomplete
information submitted may cause the approval to void and may further void or invalidate any
permits issued based on that approval. I agree to comply with the Town of Fort Myers Beach Land
Development Code and any other applicable codes and certify that to the best of my knowledge, the
information submitted for this permit is true and correct.
SIGNATURE: ________________________________________________________________Date: __________________
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4/13/2016 Town of Fort Myers Beach Page 2 of 2
2523 Estero Blvd Fort Myers Beach, Florida 33931
Phone: 239-765-0202 Fax: 239-765-0591
Section 14-6 (c) of the Town of Fort Myers Beach Land Development Code requires a permit for any
mechanical beach raking. Complete this application and provide:
1. A site plan of the properties to be raked. Aerial photography from the Lee County
Property Appraiser (www.leepa.org
) will be acceptable. If access to the subject property is
required through an adjacent property, the applicant must also supply a notarized letter of
consent from the adjacent property owner to access their property.
2. A copy of liability insurance with this application. Any business that conducts mechanical
beach raking shall be required to carry $1,000,000 in liability insurance and name the Town
of Fort Myers Beach as an additionally insured. Mechanical beach raking conducted by a
property owner or a condominium on their property only is exempt from the requirement
to carry liability insurance.
3. A Restricted Beach Vehicle Permit Application will also be required. The permit
application can be downloaded from the Town of Fort Myers Beach website
at http://www.fortmyersbeachfl.gov/DocumentCenter/Home/View/350
. The Vehicle
Permit will be issued concurrently with the Mechanical Beach Raking Permit provided that
the vehicle is less the maximum ground-to-tire pressure of 10 p.s.i. as required in LDC
Section 14-6 (c).
4.
A copy of a beach raking permit from the Florida Department of Environmental
Protection. Contact the DEP at (239) 344-5627 or (850) 488-7708.
5.
Permit fee of $25.00 per property raked.
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Form 10459 Beach Raking (Town of Fort Myers Beach)

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Completed 14 July 2020

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