1745 Beach Ave TREE24-0051 10.10.2024 SC TREE REMOVAL PERMIT APPLICATION
ss� City of Atlantic Beach FOR INTERNAL OFFICE USE ONLY
a Community Development Department CLASSIFICATION
1 800 Seminole Road Atlantic Beach,FL 32233 PERMIT#
;; >r (P) 904-247-5800 -
PERMIT FEES
PERMIT REQUIRED FOR REMOVAL f' _ ❑ Single-/Two-Family Residential $125.00
OF TREES 8 INCHES DIAMETER AT ❑ Other $250.00
BREAST HEIGHT AND GREATER w
SITE INFORMATION p
ADDRESS 17`f S
APPLICANT INFORMATION
NAME hra bs CG-Ae,,A a, G7• .7s, ❑ OWNER [kfEGAL AUTHORIZED AGENT
ADDRESS ` s rs CITYC AFS u�Jl l STATE FL ZIP CODE
PHONE# goy _29 - S EMAIL
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 TREESAND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
�(-a--V C - " Ck m C� , 7-4
5 GNA URE OF OWNER or AGENT PRINT OR TYPE NAME DATE
Signed and sworn before me on this C day of �XO by State of�1DrrG1Ot _
` L�f County of kuy&A
Identification verified: _ 15LOAt
Oath Sworn: ❑ Yes ❑ {#gYA�j , JANEE CEZANNE WYATT �
Notary Public•State of Florida _C
r Commission#HH 372507 Notary Si grl tore
2. r
:faF : My Comm.Expires Apr 2.i, 2027
Bonded through National Notary Assn.
row My Commission expires !�
TREE REMOVAL PERMIT APPLICATION 03.15.2024
EXHIBIT B: LETTER OF AUTHORIZATION
City of Atlantic Beach
� S,1
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
•ufts� (P) 904-247-5800
"Please complete if applicant is not the owner
OWNER INFORMATION
NAME �11Y5 �tacl All, L14 PHONE# 90Y - 7Nt- 36&S
ADDRESS 6G7 Vrr+ ��►Ia� _ _ EMAIL___p#,? (j n A 2 MI .Lo KI _
CITY �JO A uIt STATE S ZIP CODE 7221 b
AGENT INFORMATION
NAME /40rA le (,av rc rs~. (o• am PHONE# �u y -29` -sss-q
ADDRESS �9,SU �,�, A,, 4 / EMAIL �y ® �ora�er?n,kn, cow
CITY c� �#�� STATE Fl_ ZIP CODE
Pura it, (143 ho"t'�V'"° (0. ►ic _ is hereby authorized to act on behalf of
Ann t(t V-1W 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)
-C Oa _ \C� \A CA-Cme-L� C\ a CA 2--A
SIGNATURE OF OWNER PRINT OR TYPE NAME DATE
SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE
Signed and sworn before me on this day of Al ZOW by State of
r1 County of_ ��+✓&-I
Identification verified: 41.5
Oath Sworn: ❑ Yes ❑ O. e
:•otrAY Ate•, JANEE CEZANNE WYATT a—
?• Notary Public-State of Florida
Commission#HH 372507 Notary Sign u re
;FaF My Comm.Expires Apr 21,2027 '
Bonded through National Notary Assn. My Commission expires
TREE REMOVAL PERMITAPPLICATION-EXHIBIT B:Letter ofAuthorization 03.15.2024
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 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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SIGNATURE OF4PPLICANT PRINT OR PE NAME DATE
TREE REMOVAL PERMITAPPLICATION-EXHIBIT A:Tree Permitting Process 03.15.2024
EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
s� Community Development Department FOR INTERNAL OFFICE USE ONLY
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800 CLASSIFICATION
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
-F -1 -F -F
PREPARED BY: — SCALE: 1 SQUARE=
TREE REMOVAL PERMIT APPLICATION-EXHIBIT C:Tree Inventory and Site Plan 03.15.2024
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
a s] Community Development Department
'a 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 (� O COMMENTS(for use by City Staff)
removing preservingFrelcating
2 17h Pal A^ k
3 1.7
4
5 h ?al w` k
6 17 to
7 17 It
Palms.
8 171, PA I V^
9 10 PC,Iif.,
10 loll PrAl V- k
11 17t. fAI ,- k
12 �I�� PAIr►. jr
13 l t' PAA IM k
14
15 17 Palo, k
16 t-7 to Palm T
18 tt
19
20
21
22
23
24
25
TREE REMOVAL PERMIT APPLICATION-EXHIBIT D:Tree Worksheet 03.15.2024
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