2016 Selva Madera Court TREE24-0023 05.02.2024 SC - ► TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach
Community Development Department CLASSIFICATION k±-
800 Seminole Road Atlantic Beach, FL 32233
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(P) 904-247-5800 PERMIT# 0 C
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PERMIT FEES
PERMIT REQUIRED FOR REMOVAL �: —�,
Single-!Two-Family Residential $125.00
OF TREES 8 INCHES DIAMETER AT Other $250.00
BREAST HEIGHT AND GREATER W, g'
SITE INFORMATION
ADDRESS 2016 Selva Madera Ct., ATLANTIC BEACH, FL 32233
APPLICANT INFORMATION
NAME John R.Greenwald ® OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS 2016 Salva Madera,Ct. CITY Atlantic Beach STATE FL ZIP CODE 32233
PHONE# 904 887-4803 T EMAIL jgrnwldl @Cimail.corn
REASON FOR TREE REMOVAL
Tree is currently in the middle of an outside deck that is damaged,hazardous. Instead of building the deck around the tree again,we
prefer to remove the tree. We have an abundance of trees on the property.
TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
. PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information may be required, depending upon circumstances unique to individual applications
❑ EXHIBIT A-TREE PERMITTING PROCESS
❑ EXHIBIT B(Option 1)-PROOF OF OWNERSHIP:Copy of Warranty Deed that verifies record of owner
❑ EXHIBIT B(Option 2)-LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner
❑ EXHIBIT C-TREE INVENTORY and SITE PLAN
❑ EXHIBIT D-TREE WORKSHEET
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL
PROVISIONS OF CHAPTER 23(PROTECTION OF TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF TH CITY OF ATLANTIC BEACH.
John R. Greenwald April 19, 2024
SIG TUR R•0�AGENT PRINT OR TYPE NAME DATE
Signed and sworn before me on this day of by State of . g
�. 6 V\V'N v , 1 County of I i .+-. �.
Identification verified: . ,r 1.,`z _ ' " ~� — ..
Oath Sworn: Yes "Y o
�► °, MARIE ELAINE HAMLER Notary Signature
Notary Public•State of Florida
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®oaP Commission#HH 421634 J
My Comm.Expires Sep 16,2027 My Commission expires
TREE REMOVAL PERMIT APPVCA A I? . 4
EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
This document provides a general guide of the tree removal permitting process. For complete information on
permitting procedures see Section 23-23. Please sign the bottom of this page to certi that you have read this
document and understand the permitting process.
�BEFORE PERMIT ISSUANCE
1. Submit Completed Application
• All trees on property must be labeled on Exhibits C and D.
2. Schedule Inspections
• All trees to be removed must be labeled with red or orange tape or ribbon and numbered per Exhibit C.
• If there is construction on property, a barricade inspection will also be done at this time.
Call for more information at(904)247-5847.
3. Mitigation Assessment
• Mitigation shall be in the form of preservation or relocation of existing trees, replacement with new trees or
payment into the tree fund. See Section 23-33 for more information.
• Staff will review the trees proposed for removal and send the applicant a Tree Permit Calculations sheet
which outlines mitigation that is owed.
4. Proposed Mitigation Replacement Plan
• Submit a mitigation replacement plan within 30 days of receiving the mitigation calculations.
• The proposed plan must include a site plan, proposed species, and size(s). Plans must account
for all inches owed.
• A MITIGATION PLAN MUST BE SUBMITTED AND APPROVED PRIOR TO REMOVAL OF IDENTIFIED TREES.
AFTER PERMIT ISSUANCE
5. Permit Issuance
• When the permit is approved, staff will place a sign in the yard and contact the applicant. This sign must
remain until the permit is finaled.
• If paying for mitigation, payment must be made within 7 days following the issuance of the permit.
6. Mitigation Replacement
• Replacement trees must be planted within 30 days of permit issuance or prior to issuance of a Certificate of
Occupancy or Certificate of Completion.
7. Final Inspection
• After trees are planted and/or construction is complete, a final inspection must be scheduled.
• Trees planted, preserved and relocated must survive three (3) years following the date the permit is finaled.
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SI APPLI NT PRINT OR TYPE NAME —DA7E
TREE REMOVAL PERMIT APPLICATION-EXHIBIT A:Tree Permitting Process 03.15.2024
EXHIBIT C: TREE INVENTORY and SITE PLAN
�. City of Atlantic Beach
- Community Development Department FOR INTERNAL OFFICE USE ONLY
800 Seminole Road Atlantic Beach, FL 32233 CLASSIFICATION
(P) 904-247-5800
PERMIT #
TREE INVENTORY-Please sketch an inventory in the area below or attach a site plan showing all existing trees on the
property below that are 8"diameter at breast height(dbh)and greater. Please complete the following:
• Show the location of all trees to be removed with an"X" • Show the location of all trees to be preserved with
• Show the location of all trees to be relocated with an"O" • Show all existing and/or proposed buildings
• Number all trees and list on EXHIBIT D:Tree Worksheet
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EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
Community Development Department PAGE 1 of 2
� 800 Seminole Road Atlantic Beach, FL 32233
'= rFsr (P) 904-247-5800
List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT C (attach additional pages as needed).
ID DBH SPECIES removing preserving relocating COMMENTS (for use by City Staff)
1 18" Sabal Palm ■
2 1o" Sabal Palm ■
3 12" Sabal Palm ■
4 12" Sabal Palm ■
5 28" Laurel Oak ■
6 12" Queen Palm ■
7 1o" Queen Palm ■
8 8" Sabal Palm ■
9 1o" Sabal Palm ■
10 12" Sabal Palm ■
11 12" Sabal Palm i
12 20" Magnolia ■
13 12" Sabal Palm ■
14 12" Sabal Palm ■
15 11" Sabal Palm ■
16 1o" Sabal Palm ■
17 24" Magnolia ■
18 18„ Live Oak ■
19 12" Sabal Palm ■
20 12" Sabal Palm ■
21 12" Sabal Palm ■
22 12" Sabal Palm ■
23 10" Sabal Palm ■
24 12" Sabal Palm ■
25 12" Sabal Palm ■
EXHIBIT D: TREE WORKSHEET
- City of Atlantic Beach
Community Development Department Page 2 of 2
800 Seminole Road Atlantic Beach, FL 32233
yrs (P) 904-247-5800
List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT C (attach additional pages as needed).
removing preserving relocating
ID DBH SPECIES COMMENTS (for use by City Staff)
26 12" Sabal Palm ■
27 12" Laurel Oak ■
28 14" Sabal Palm ■
29 12" Sabal Palm ■
30 18" Laurel Oak ■
31 10" Sabal Palm ■
32 14" Sabal Palm ■
33 14" Sabal Palm ■
34 12" Sabal Palm ■
35 13" Sweet Gum ■
36 12" Sabal Palm ■
37 14" Laurel Oak ■