1296 Beach Ave TREE24-0036 06.08.2024 SC TREE REMOVAL PERMIT APPLICATION
FORINTERNAL OFFICE USEONLY
City of Atlantic Beach
Community Development Department CLASSIFICATION t��6-P LU
- 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# rVC-f—?-(—PdZ�P
(P)904247-5800
PERMIT FEES
PERMIT REQUIRED FOR REMOVAL Single-/Two-Family Residential $725.00
OF TREES 8 INCHES DIAMETER AT =; ❑ Other $250.00
BREAST HEIGHT AND GREATER 5C
SITE INFORMATION
ADDRES4? _
APPLICANT INFORMATION
NAME ❑ OWNER [ LEGAL AUTHORIZED AGENT
ADDRESS �' „ CITY STATE�4. ZIP CODE
PHONE# Lo� EMAIL Q ( /J
REASON FOR TREE REMOVAL
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TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information may be required,depending upon circumstances unique to individual applications
El 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
El EXHIBIT D-TREE WORKSHEET
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. 1 AGREE TO COMPLY WITH ALL
PROVISIONS OF CHAPTER 23(PROTECTION OF TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCAS OF THE 7 OF ATLANTIC EACH.
SIGNATIJRE OF OWN,
r GENT PRINT OR TYPF NAME DATE
Signed'and sworn before me on this d day of by State of �l
i'1 0 e;r\_ - _- County of
Identification verified: F' L
Oath Sworn: [] Yes
,. dEkRI SUl WMl Notar3oignature
'•: � +t 61YCOMMi35 ��
EXPIRES: 2027 �/ 7
My Commission expires r�
TREE REMOVAL PERMITAPPLIC47ION 03.15.2024
;;. EXHIBIT B: LETTER OF AUTHORIZATION
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
i (P)904-247-5800
"Please complete if applicant is not the owner
OWNER INFORM A ION /�
NAME PHONE# I' � `� 7` -�t'l r`
ADDRESS EMAIL
CITY _ STATO-,, !a ZIP CODE 7
AGENT INFORMATION
NAME J,Ar - PHONE# 9C&7''sC -
ADDRESS _ EMAIL
CITY - STAT .. . ZIP CODE
is hereby authorized to act on behalf of
., the owner(s)of those lands described
in the attached application and as described in the attached warranty deed or other such proof of ownership as may
be required in applying to the City of Atlantic Beach,for an application related to a Tree and Vegetation Removal Permit.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)
G
SWIGNATURE OFNEI PRINT OR TYPE NAME DATE
SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE
�
Signed and sworn before me on this LZ5 day of by State of 00-Hr. a- _
County of_ "tW 0 _
Identification verified: f IfY� VlU W- ✓I
Oath Sworn: [ Yes '`1`PYP `111 KASEYKING
MY COMMISSION#HH 352750
EXPIRES:January 23,2027
No ary Signature
My Commission expires
TREE REMOVAL PERMITAPPLICATION-EXHIBIT&Letter ofAuthorization 03.15.2024
$�=ZJ7, EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
it 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 certify 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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SIG E OF APPL CAN PRINT OR TYPE NAME DATE
TREE REMOVAL PERMITAPPLICATION-EXHIBIT A:Tree Permitting Process 03.15.2024
EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
t Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
0 (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 certify 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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SlQffATURE OVAPFLqNT TYPqNAW DATE
TREE REMOVAL PERMIT APPLICATION-EXHIBITA:Tree Permitting Process 03.15.2024
EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
r 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" 0 Show all existing and/or proposed buildings
Number all trees and list on EXHIBIT D:Tree Worksheet
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PREPARED BY: SCALE:1 SQUARE_
TREE REMOVAL PERMITAPPLICATION-EXHIBIT C.Tree Inventory and Site Plan 03.15.2024
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
(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)
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TREE REMOVAL PERMIT APPLICATION-EXHIBIT D:Tree Worksheet 03.15.2024