363 7th Street TREE24-0049 09.23.2024 SC 29 ,,,, TREE REMOVAL PERMIT APPLICATION
FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach CLASSIFICATION
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
PERMIT#
Ji3�>r (P) 904-247-5800
PERMIT FEES
PERMIT REQUIRED FOR REMOVAL .t
Single-/Two-Family Residential $125.00
OF TREES 8 INCHES DIAMETER ATS ❑ Other $250.00
BREAST HEIGHT AND GREATER
SITE INFORMATION
ADDRESS 3 )TG ST'.
APPLICANT INFORMATION
NAME f6f Q 4 L L _ 0 OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS 3 CITY ?-I—. STATE fl— ZIP CODE 3s-�33
PHONE# _7f_4 - 3 7- 7� EMAIL Id* 7S L ,c
REASON FOR TREE REMOVAL
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 THE CITY OF ATLANTIC BEACH. rws"C. i i-y 1:9A e,
SIGNATURE OF OWNER or AGENT PRINT OR TYPE NAME DATE
Signed and sworn before me on this, day of 'f=�� �t�° Q�"' by State of le- oeAow
County of 4kW`
Identification verified: ���
Oath Sworn: ❑ Yes jzf Nom _' ,
Notary Signature
My Commission expires _
TREE REMOVAL PERMIT APPLICATION 03.15.2024
l` -
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
,}1r (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 COMMENTS(for use by City Staff
removing preserving relocating
3 g3 P�L�M
4 I C Cjj4-y
6
8 5 ) ?ALM
9 IK
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
TREE REMOVAL PERMITAPPL!CATION-EXHIBITD:Tree Worksheet 03.15.2024
I
1
REMTVE li I
'I y EXISTING
1
RFJ+R SETBACK l` SHED 1/ I 2p REAR SETBACK
20_ S�•
1 1II
ED
y I I i
I � 1
I y .p,12I '1 �Itit,q: I
1 - $ Im I I iSl Im
1 -N r4O� SETBPCK
pt'ffTL✓�R
'
I y �
l - GRAVEL DRIVEWAY y II
111 1 I 1 AREA SCHEDULE
— — �— SA\STIIiL YM.rgYBi Sid Gs
— � —� EPfTIW IYa BArICr 1 O5
L _— une°umlmvEa �
rtA � .azF
i]-GAR GARAGE -_ - _— X11•
2 i PROPOSED SITE_P_LA_N 1 EXISTING SITE PLAN
_ Y•xtria:tarir �s`
A1100{1-.10w•• A1100 •10•-0' :arAt MEw -
L QSCREMrIC: ❑PERYR ¢OR RBS)�
LOT COVERAGE CALCULATIONS 1 LOT COVERAGE CALCULATIONS pRl° ■ nrc xwas .tikp
EXISTING RESIDENCE _EXISTING RESIDENCE
LOT 6,500 SF 100% LOT 6,5D0 SF IGD% Ipp
. � y. • -'m
`\f Q
EXISTING HO USE 9166E 150°A E%ISTING HOUSE 916 SF 150%
PROPOSEOAOOITIOl 115951 118% EX ISTING BACK PATIO 222 SF
CONCRETECURB 945F ,6% EX ISTING CONCRETE DRIVE AND WALKWAY 4266F fi.fi% {��•al/
GRAVEL DRNEWAY 3025F 46% E%ISTING CARPORT 3915F 6.0%
GRAVEL WALKWAY 1D"F 15% EXISTING SHED 176SF 16%
} GREENSPACE 3667SF 561% GREEN SPACE 43]651 674%
PERVIOV6 4,2695F 657% PERVIOUS a37-F 674% 24.0133
IMPERVIOUS 2,2315F 343% IMPERVIOUS 2,i24SF 32fi% HALE RESIDENCE
S 363 7TH STREET,ATLANTIC BEACH,FLORIDA 32233 A 110 0