Florida Department of Agriculture and Consumer Services Florida Forest Service
OPEN BURNING AUTHORIZATION Center/District Sunset County Date TIME Agriculture – Pasture
Agriculture – Range Mgmt.
Agriculture – Stubble
Agriculture – Sugarcane
Agriculture – Citrus
Land Clear – Non-res w/ ACI
Land Clear – Non res w/o ACI
Land Clear – Res w/ ACI
Land Clear – Res w/o ACI
Silviculture – Disease Control
Silviculture – Ecological
Silviculture – Hazard Removal
Silviculture – Prior to Seed
Silviculture – Site Prep
Silviculture – Wildlife
Customer Number FIRING TECHNIQUES
Start Time End Time Continuation Of
Responsible Person Aerial Ignition Head Backing Ring Flanking Spot
Approved Denied
Auth. # D.O. Initial Supervisor Approving
Phone Number Acres Piles COMMENTS:
Landowner Same as Responsible Person Firm:
Other Person:
LOCATION Latitude
Deg: Min: Sec:
Longitude Phone Numbers: Home: Deg: Min: Sec: Bus.: Cell: Certified Burn Broadcast Burner Pile Burner Section-Township-Range
Yes No
Cert. # Cert. # S T R FMIS AUTHORIZATION:
Center/District Sunset County Date TIME Agriculture – Pasture
Agriculture – Range Mgmt.
Agriculture – Stubble
Agriculture – Sugarcane
Agriculture – Citrus
Land Clear – Non-res w/ ACI
Land Clear – Non res w/o ACI
Land Clear – Res w/ ACI
Land Clear – Res w/o ACI
Silviculture – Disease Control
Silviculture – Ecological
Silviculture – Hazard Removal
Silviculture – Prior to Seed
Silviculture – Site Prep
Silviculture – Wildlife
Customer Number FIRING TECHNIQUES
Start Time End Time Continuation Of
Responsible Person Aerial Ignition Head Backing Ring Flanking Spot
Approved Denied
Auth. # D.O. Initial Supervisor Approving
Phone Number Acres Piles COMMENTS:
Landowner Same as Responsible Person Firm:
Other Person:
LOCATION Latitude
Deg: Min: Sec:
Longitude Phone Numbers: Home: Deg: Min: Sec: Bus.: Cell: Certified Burn Broadcast Burner Pile Burner Section-Township-Range
Yes No
Cert. # Cert. # S T R FMIS AUTHORIZATION:
FDACS-11488 04/09
NICOLE "NIKKI" FRIEDCOMMISSIONER
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