St. Johns County Board of County Commissioners
Neighborhood Bill of Rights Program
4040 Lewis Speedway
Saint Augustine, Florida
32084
Phone: (904) 209-0579
Fa
x: (904) 209-0580
Please complete the attached application and file it with the County Administrator’s Office:
Cheri Ng
St. Johns County Administration
4040 Lewis Speedway
St. Augustine, FL 32084
Fax: (904) 209-0580
Email: chering@sjcfl.us
Once your application has been submitted you are required to schedule an appointment with the St.
Johns County Geographic Information Systems Department (GIS) at (904) 209-0760 to define the
boundaries of your association. Your application will be approved once all information has been
verified and the boundaries have been defined. Your association will receive notification of approval
by email or telephone.
Email will be the preferred method of notification for all land use changes and County projects,
however, St. Johns County will send out postcards to those who are not able to provide an email
address.
Thank you for registering your association with St. Johns County.
ST. JOHNS COUNTY APPLICATION FOR
REGISTRY OF NEIGHBORHOOD ORGANIZATIONS
AND ASSOCIATIONS
Name of Organization or Association (indicate which):
____________________________________________________________________________
E-Mail Address ______
___________________________
not available
Authorized Representative (Please Print)
Name: _________________________________________ Phone (Day): ________________
Address: ____________________________________________________________________
City: ___________________________________________State: ___________Zip: _________
Alternative Representative:
Name: _________________________________________ Phone (Day): ________________
Address: ____________________________________________________________________
City: ___________________________________________State: ___________Zip: _________
Number of Homes: ________ Number of Residents: ________ Numbe
r of Members: ________
Type:
Formal Informal
[ ] Homeowners Association
[ ] Informal Group
[ ] Neighborhood Association
[ ] Condominium Association
[ ] Umbrella Organization
(Courtesy Notifications Only)
Please check here if your boundaries include the entire County
[ ]
Boundary: Contact the GIS Divisio
n at (904) 209-0760 to establish the boundary of the
neighborhood the association encompasses. Registration will not be approved without it.
________________________________ ________________________________
Representative (Print Name) Representative (Signature)
Date Stamp [ ] Approved for Registry
Received
_________________________________
Cheri Ng, Growth Management
_______________________________________
Date
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signature
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