Submit $100 Application Fee Online at: Florida Department of Agriculture and Consumer Services www.FDACS.gov Division of Aquaculture - or – Make Check or Money Order Payable to AQUACULTURE CERTIFICATE OF REGISTRATION FDACS and Submit with Application to: APPLICATION FDACS P.O. Box 6710 NICOLE "NIKKI" FRIED Section 597.004, Florida Statutes COMMISSIONER Tallahassee, FL 32314-6710 Aquaculture Certification Number: Renewals Only Applicant Name(s): Required Company/Organization Name: Optional: Must be a registered corporation Complete Mailing Address: Required Telephone Number: Email Address: Required Certificate coverage being applied for: Check and complete applicable options (upland facility and/or submerged land lease(s)). Upland Facility Location: facility address County of Facility: The upland facility is located on property that I OWN or RENT county of facility Production Facility Description(s): Please include type(s) of production units, size, quantity, and anticipated production below. Submerged Land Lease(s): List applicable submerged land lease number(s) to be covered by this certificate. If applicable, be sure to include completed authorized user agreement form(s) with the application. All applicants listing shellfish (oysters, clams or any other bivalve) as a product must also include a current Shellfish Harvester Education Training Certificate with the application. Please List the Aquaculture Products Being Produced Below: See attached Taxonomic List of Aquaculture Products By signing this document, I attest that the statements made herein regarding my business, legal property, production facilities and products are accurate and truthful. I certify that I and additional applicants listed above are 18 years old or older and I have authority to sign on their behalf. This application serves as notice of intent to comply with applicable Aquaculture Best Management Practices (Chapter 5L-3, F.A.C.) or interim permitting measures. The $100 annual certification fee is enclosed. Signature: Date: F&A Use Only Org. Code: 42 15 02 00 000 EO: A2 $100.00 Object Code: 001231 Fund Code: 2321001 FDACS -15106 Rev. 08/18 Page 1 of 3 TAXONOMIC LIST OF AQUACULTURE PRODUCTS Select the taxonomic families that that you are culturing at your aquaculture facility. If you are culturing a species that does not fall into any of the taxonomic categories listed, please write in the genus, species and common name in the Other Categories section at the bottom of page 3. FISH Order Acipenseriformes Order Muligilformes Acipenseridae – sturgeon Mugilidae – mullet Polyodontidae – paddlefishes Order Myliobatiformes Order Albuliformes Potamotrygonidae – freshwater stingray Albulidae - bonefishes Order Osteoglossiformes Order Amiiformes Osteoglossidae – arawanas Amiidae – bowfins Order Perciformes Order Anabantiformes Apogonidae – cardinalfishes (e.g., Banggai cardinalfish) Anabantidae – climbing gourami Belontiidae – gouramies (e.g., paradisefish, blue gourami, pearl gourami, moonlight gourami, Siamese fighting fish) Order Anguilliformes Blenniidae – combtooth blennies Anguillidae – freshwater eels Carangidae – jacks, pompano Centrarchidae – sunfishes (e.g., bass, bluegill, crappie) Order Atheriniformes Centropomidae – snooks Bedotiidae – Madagascar rainbowfishes Cichlidae – cichlids (e.g., angelfish, discus, oscars, blue Melanotaeniidae – rainbowfishes rams, African cichlids, tilapia, convict) Pseudomugilidae – blue eye rainbowfishes Coryphaenidae - dolphinfishes Telmatherinidae – Celebes rainbowfishes Eleotridae – gudgeons, sleepers Gobiidae – gobies (e.g., neon goby, zebra goby) Order Beloniformes Grammatidae – basslets (e.g., royal gramma) Hemiramphidae - halfbeaks Haemulidae – grunts, pigfish Helostomatidae – kissing gourami Order Characiformes Latidae – nile perch, barramundi Characidae – characins (e.g., pacu, tetras, Lobotidae – tripletails tambaquí, silver dollars) Lutjanidae – snappers Gasteropelecidae – freshwater hatchetfish Moronidae (Percichthydae) – temperate basses (e.g., sunshine bass, hybrid striped bass) Order Cypriniformes Opistognathidae – jawfishes Cobitidae – loaches Percidae – North American perches Cyprinidae – carps and minnows (e.g., koi, goldfish, barbs, Percichthyidae –Australian perches (e.g., Murray cod, danios, rasboras, redtail black sharks, rainbow sharks, red Chinese perch) fin shark, shiners) Pomacanthidae – marine angelfishes (e.g., Centropyge) Pomacentridae – damselfishes and clownfishes Order Cyprinodontiformes Pseudochromiidae – dottybacks Antherinidae – silversides Rachycentridae – cobia Aplocheilidae – African annuals Sciaenidae – drums (e.g., redfish, spotted sea trout) Cyprinodontidae – killifishes (e.g., Florida flagfish) Serranidae – sea basses (e.g., grouper, Anthias) Fundulidae – topminnows (e.g., mummichog, golden Sparidae – pinfish, porgies topminnow) Terapontidae – tigerperches or grunters Poeciliidae – livebearers (e.g., guppy, swordtail, platy, variatus, molly, gambusia) Order Pleuronectiformes Bothidae – lefteye flounders Order Esociformes Paralichthyidae – flounders (e.g., southern flounder) Esocidae – pikes Order Salmoniformes Order Gasterosteiformes Salmonidae – trout Syngnathidae – pipefish, sea horses Order Gymnotiformes Apteronotidae – ghost knifefishes FDACS-15106 Rev. 08/18 Page 2 of 3 Order Siluriformes MOLLUSCS Aspredinidae – banjo catfishes Class Gastropoda Auchenipteridae – wood cats Ampullariidae – apple snails Bagridae – naked or bagrid catfishes Strombidae – conchs Callichthyidae – plated catfishes Order Nudibranchia – sea slugs Ictaluridae – freshwater catfishes (e.g., channel catfish) Loricariidae – suckermouth catfishes Class Bivalvia Mochokidae – upside-down catfishes Arcidae – arks Pangasiidae – pangasiid catfishes (e.g., iridescent sharks) Ostreidae – oysters Pimelodidae – long-whiskered catfishes Pectinidae – scallops Veneridae – hard clams, sunray venus clams AMPHIBIANS Amphiumidae – amphiuma PLANTS Leptodactylidae – Central/South American frogs Freshwater plants Pipidae – dwarf clawed frogs Marine plants (e.g., seagrass, mangrove) Ranidae – true frogs (e.g., bullfrog, pickerel frog) Microalgae (e.g., phytoplankton, spirulina) Salamandridae – newts and salamanders Macroalgae (e.g., chaetomorpha, ulva, gracilaria) Sirenidae – sirens REPTILES CNIDARIANS (CORALS) Order Testudines Order Actiniaria – sea anemones Chelidae – Austro- South American side-neck turtles Order Alcyonacea – soft corals Chelydridae – snapping turtles Order Antipatharia – black corals Emydidae – pond turtles/sliders Order Corallimorpha – coral-like anemones Geoemydidae – Eurasian pond and river turtles Order Gorgonacea – sea fans Kinosternidae - mud and musk turtles Order Milleporina – fire corals Pelomedusidae – African side-neck turtles Order Scleractinia – stony corals Trionychidae – soft-shelled turtles Order Stylasterina – lace corals Ulmaridae – jellyfishes Order Crocodylia Order Zoanthidea – zoanthids Alligatorinae – alligators and caimens Crocodylinae – crocodiles CRUSTACEANS Class Branchiopoda ROTIFERS COPEPODS Artemiidae – brine shrimp Daphniidae – daphnia SPONGES LIVE ROCK Class Malacostraca Atyidae – freshwater shrimps Cambaridae – crawfish TRANSGENIC ORGANISMS Hippolytidae – peppermint shrimp If you are culturing a transgenic organism, please write in the Menippidae – stone crabs genus, species, and common name below. Mysidacea – mysids Nephropidae – clawed lobsters Palaemonidae – prawns (e.g., Macrobrachium spp., ghost shrimp, grass shrimp) Palinuridae – spiny lobsters Parastacidae – Cherax spp. Penaeidae – marine shrimps, (e.g., Litopenaeus, Farfantepenaeus and Penaeus spp.) Portunidae – swimming crabs (e.g., blue crab) Stenopodidea – coral shrimps OTHER CATEGORIES Xanthidae – mud crabs If you are culturing a species that does not fall into any of the taxonomic categories listed, please write in the genus, species ECHINODERMS and common name below. Echinoidea – sea urchins Holothuroidea – sea cucumbers Questions? Contact the Aquaculture Certification Program at: (850) 617-7600 FDACS-15106 Rev. 08/18 Page 3 of 3 .