Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
Not for Archaeological Research. Contact Division of Historical Resources for a 1A-32 Permit.
Date of Application: _________________
Title of Project/Study: _______________________________________________
Keywords (3-5 keywords to quickly identify project subject & scope): ______________________________
Section I. Contact & Background Information
Applicant/Principal Investigator Name: _____________________________________________
Address:
Phone: _____________________ Email Address: _________________________
Affiliation:_____________________________ Occupation: ___________________________
If student, Major Professor’s Name: _______________________________________________
Address:
Phone: ______________________ Email Address: _________________________
Additional investigators to be Authorized under Permit:_______________________________
Name
Phone
Email Address
DRP-046
Rev. 11/05/2013
1 of 7
Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
Have you or any of the above-listed investigators above previously had an FPS
research/collecting permit? Yes No
If Yes, give permit number(s) ___________________________________________________
Qualifications: Provide background summary or curriculum vitae for principal and additional
investigators. Identify training and qualifications relevant to the proposed project, including
previous research projects.
Are any other state or federal permits required for this activity? If so, please explain.
Section II.A. Scientific Research Information: Please answer all questions. A scientific research
proposal may be attached and referenced to provide additional detail for the questions in sections II.A
and II.B.
If known, in the space below please list the names of all State Parks to be included in this
permit. If unknown, proceed to next question.
If unsure of specific parks to include, select one or more of the boxes below.
All State Parks All District 3 Parks (Central)
All District 1 Parks (Northwest) All District 4 Parks (Southwest)
All District 2 Parks (Northeast) All District 5 Parks (Southeast)
DRP-046
Rev. 11/05/2013
2 of 7
Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
Activity Type (Check all that apply)
Research:
Monitoring or inventory that does not include handling or collection of specimens/natural
objects
Temporary capture and handling/marking specimens and release in place undamaged
Collection:
Natural objects/specimens will be collected and vouchered at a museum or scientific institution
Natural objects/specimens will be collected and destroyed through analysis or discarded after
analysis
Other
Explain:
Project Start Date:_____________________ Project End Date:__________________
Objectives of the Study: (Where appropriate the objectives should be stated as a specific
hypothesis to be tested)
Describe the return benefits this project will provide to the Florida Park Service:
Describe the importance or contributions this project has to conservation/science:
DRP-046
Rev. 11/05/2013
3 of 7
Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
Scientific Method and/or Procedures (describe each in detail where applicable)
1. Proposed Study design:
2. Methods:
3. Equipment to be used:
4. Number of sites or location in EACH PARK:
5. Safety or procedural protocols:
6. Describe the analytical techniques/data analysis that will take place as a part of this study:
DRP-046
Rev. 11/05/2013
4 of 7
Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
II.B. SCIENTIFIC COLLECTING INFORMATION
Complete this section if project will include handling or collection of specimens or natural objects
Describe why handling or collecting of specimens is necessary in lieu of field observation or
photography:
Description of species or samples to be collected (describe each in detail)
1. Taxonomic name or group, if applicable:
2. Number of specimens or samples for each species or natural object, per PARK:
3. Frequency of sampling in each park during the permit period:
4. Percent of each park’s overall population to be sampled:
5. Size / volume of each specimen or sample:
6. Other parameters that will provide information for review purposes:
DRP-046
Rev. 11/05/2013
5 of 7
Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
7. For collection involving the potential for non-target lethal by-catch or negative impacts to
fauna or flora, please describe methodologies and considerations for limiting the negative
consequences related to impacting non target-species:
Please complete for each institution that will receive and permanently retain specimens or
samples:
Institution Name and Address: _____________________________________________________
Responsible Official Name: ________________________________________________________
Title: __________________________________________________________________________
Phone #: ______________________________
Email Address or Website: _________________________________________________________
Institution Name and Address: _____________________________________________________
Responsible Official Name: ________________________________________________________
Title: __________________________________________________________________________
Phone #: ______________________________
Email Address or Website: _________________________________________________________
Above Organization(s) has agreed that all collected specimens described in section IIB will be
deposited and maintained as outlined in the General Guidelines and Standard Conditions For
Scientific Research and Collection Permits (condition # 32) Yes No
If No, Explain:
III. PRODUCTS AND DELIVERABLES
Describe the expected publications, reports, and materials. Include information regarding whether or
not GPS coordinates, GIS maps/shapefiles, voucher numbers, photos, models, raw data, etc. will be
generated as part of this study and list which ones will be made available as part of the required final
report for this permit. Be specific and thorough.
DRP-046
Rev. 11/05/2013
6 of 7
Division of Recreation and Parks
FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Application for Scientific Research/Collecting Permit
Place a check in each box below: I have read and agree to abide by the
Florida Park Service “Application Guidelines and Requirements For Scientific Research And
Collecting Permits”
Florida Park Service “Standard Conditions for Scientific Research and Collecting”
Return application to appropriate FPS Permit Coordinator. Contact information may be found at
our website, https://www.floridastateparks.org/experiences-amenities/research-collecting.
DRP-046
Rev. 11/05/2013
7 of 7