1767 Park Terrace West TREE24-0046 08.23.2024 SC TREE REMOVAL PERMIT APPLICATION - - FOR INTERNAL OFFICE USE ONLY
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City of Atlantic Beach CLASSIFICATIONDEY-61-67'fb 1,01-
b Community Development Department
u 800 Seminole Road Atlantic Beach,FL 32233
PERMIT#. I (ZF�2-q 0
YJl;y)r (P)904-247-5800
_ PERMIT FEES
PERMIT REQUIRED FOR REMOVAL °' _ [] Single-/Two-Family Residential $125.00
OF TREES 8 INCHES DIAMETER AT ❑ Other $250.00
BREAST HEIGHT AND GREATER ", U A,, V- "
SITE INFORMATION
ADDRESS 0(or I-7Cra
APPLICANT�INFORMATION p
NAME _ , ` C '`n � e.�.�, S-I-�• '� ❑ OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS 76-7 7 CITY A 4-C•"'I beccq$TATE 'FL ZIP CODE
PHONE# 010 C1-" -7 I EMAIL '�C�`I S_
5 .
REASON FOR TREE REMOVAL "�6\ C o
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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
❑ 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 CERTIF THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL
PROVISIONS OF HAPTER 23(PROTECTION OF TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES THE CITY OF ATLANTIC BEACH.
SIGNATURE or AGENT PRINT OR TYPE NAME DA
Signed and sworn before me on this day of ��� by State of
1
Countyof
Identification verified:
Oath Sworn: ❑ Yes
=ot?"Y•°"��-.: TONT GINDLESPERGER
MY COMMISSION#HH 407122 Notary Signature
;.. .Q EXPIRES:October 6,2027
FOF Ft�.:
My Commission expires
TREE REMOVAL PERMIT APPLICATION 03.15.2024
EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
bin r) Community Development Department
`' V~ 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 anted, preserved and relocated must survive three(3)years following the date the permit is finaled.
SIGNATURE OF APPLICANT PRINT OR TYPE NAME DAT
TREE REMOVAL PERMIT APPLICATION-EXHIBITA:Tree Permitting Process 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 "X I O COMMENTS(for use by City Staff)
removing preservinq relocating
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TREE REMOVAL PERMITAPPLICATION-EXHIBIT D:Tree Worksheet 03.15.2024
,t Rill. EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach,FL32233
(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 PERMITAPPLICATION-EXHIBIT D:Tree Worksheet 03.15.2024
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Doc # 2024147700 , OR BK 21117 Page 1764 , Number Pages : 2 ,
Recorded 07/10/2024 02 : 07 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18 . 50 DEED DOC ST $9450 . 00
Prepared By and Return To:
J. Riley Williams, PLC
2141 Park Street
Jacksonville, FL 32204
Order No.: 24-0729-20
Property Appraiser's Parcel I.D. (folio) Number:
172020-0380
WARRANTY DEED
THIS WARRANTY DEED dated June 20, 2024, by John Park Pace and Elaine M. Pace, husband and
wife, whose post office address is 168 Wildhurst Ave NE, Roanoke, Virginia 24012 (the "Grantor"), to
Martin Edward Stein, II, whose post office address is 1 Independent Drive, Suite 3120, Jacksonville, FL
32202 (the "Grantee").
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this instrument and
the heirs, legal representatives and assigns of individuals, and the successors and assigns of
corporations)
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten And No/100 Dollars
($10.00) and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants,
bargains, sells, aliens, remises, releases, conveys, and confirms unto the Grantee, all that certain land
situated in County of Duval, State of Florida, viz:
Lot 21, Block 12, Selva Marina Unit No. 8, according to the map or plat thereof, as recorded in Plat Book
34, Page(s) 85, of the Public Records of Duval County, Florida.
Subject to easements, restrictions, reservations and limitations of record, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise
appertaining.
TO HAVE AND TO HOLD the same in Fee Simple forever.
AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in
fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the
Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of
all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing
subsequent to: 2023.
Page 1 of 2
OR BK 21117 PAGE 1765
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first
above written.
Signed, sealed and delivered in presence of:
Witness Signature John Park Pace
Printed Name of First Witness Elaine M. Pace
2141 Park Street
Jacksonville FL 32204
Mailing Address of First Witness
Witness Signature
fin.n, &0"— /
Printed Name of Second Witness
2141 Park Street
Jacksonville FL 32204
Mailing Address of Second Witness
STATE OF �(C'n'A
COUNTY OF
The foregoing instrument was executed and acknowledged before me by means of Physical
Presence or Online Notarization this_"day of 11A c % , - C)"L41 by John
Park Pace and Elaine M. Pace who provided U d as identification.
Notary Public
Print Name:
KINSEY BASFORU t
My Commission Expires:
Commission#HH Ob?.237
P: Expires November'11,2024 ;r
�OFFt°'' Bonded ThruTroyFainInsurance tlo0.0) 5%Of9
Page 2 of 2