We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

Request DEP Pre-Application Meeting - Central District

*Please note: This form is only for projects located in the Central District (Brevard, Indian River, Lake, Marion, Orange, Osceola, Seminole, Sumter, or Volusia County).

1. Person requesting Pre-Application Meeting: *This question is required.

Please enter an 'other' value for this selection.

2. Contact Info:

Potential applicants name: *This question is required.

Title (if applicable)

Company Name (if applicable)

Street Address *This question is required.

City *This question is required.

State *This question is required.

Zip

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

Project Details

2. What type of authorization do you need?

Please enter an 'other' value for this selection.

3. Describe your project, including project location (at least county if exact location is unknown). Please provide as much detail as possible.

4. Please upload any additional documentation.

File: {{filename}} delete

Scheduling Request

5. Please note, that this is a suggestion and does not guarantee an appointment at the requested date and time. Also, please choose a date at least two business days from today. Someone from the Central District will contact you to confirm your appointment. *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Time *This question is required.