266 Poinsettia St TREE24-0053 10.25.2024 SC FREE REMOVAL PERMIT APPLICATION
City of Atlantic Beach FOR INTERNAL OFFICE USE ONLY
Community Development Department
FCLASSIFICATIONDC'1(C�C LFTj
yr 800 Seminole Road Atlantic Beach, FL 32233
(P)904-247-5800 PERMIT# C-�?�p — I
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PERMIT FEES
PERMIT REQUIRED FOR REMOVAL ' ?��y�C Single-/Two-Family Residential $125.00
OF TREES 8 INCHES DIAMETER AT ❑ Other
$250.00
BREAST HEIGHT AND GREATER 5 R'
SITE INFORMATION
ADDRESS
APPLICANT INFORMATION
NAMEo Ll-�
[]'OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS CITY
A-HAA te ?,),I STATE FL ZIP CODE
PHONE# �Q 4! ^ ! _ a EMAIL
REASON FOR TREE REMOVAL
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TREE REMOVAL PERMIT APPLICATIONPA AGE 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. 1 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.
SIGNATURE 0 ER or AGENT PRINT OR TYPE ME DATE
Signed and sworn before me on this day of 0
by State of
County of �✓[�.
Identification verified:
Oath Sworn: ❑ Yes
all 11 11111:111'1111
Notary Signature
TONI GINDLESPERGER
ZSM MY COMMISSION#HH 407122
?FOFF EXPIRES:October 6,2027 My Commission expires
TREE REMOVAL PERMITAPPLICATION 03.1 .
EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
d=
s� Community Development Department
"r 800 Seminole Road Atlantic Beach, FL 32233
��Ji3y1� (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 OF PP ANT PRINT OPOYPE NAME DATE
4 TREE REMOVAL PERMITAPPLICATION-EXHIBITA: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
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il9'/ (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"[I"
* 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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TREE REMOVAL PERMITAPPLICATION-EXHIBIT C:Tree Inventory and Site Plan 03.15.2024
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
y ) Community Development Department
`~ 800 Seminole Road Atlantic Beach, FL 32233
J;3»� (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).
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ID DBH SPECIES re oving preserving relocating COMMENTS(for use by City Staff
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TREE REMOVAL PERMITAPPLICATION-EXHIBITD:Tree Worksheet 03.15.2024
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THIS INSTRUMENT PREPARED BY
AND RECORD AND RETURN TO:
Judi Cowart,EsquireDoc#2022002592,OR BK 20082 Page 1700,
'Number Pages:2
Short, Setzer, Cowart,P.A. Recorded 01/05/2022 08:53 AM,
3948 3rd St. S. #187 JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY
Jacksonville Beach, FL 32250 RECORDING $18.50
DEED DOC ST $0.70
WARRANTY DEED
THIS WARRANTY DEED is made thisday of r 2021, between
Patricia L. Johnson, a married woman, ("Grantof"), whose post office address is 1908 Selva
Marina Dr.,Atlantic Beach,FL 32233, and Mary Jean Townsend,a single woman,whose post
office address 266 Poinsettia St., Atlantic Beach, FL 32233 ("Grantee"):
WITNESSETH, THAT the Grantor, for and in consideration of the sum of$10.00 (ten) and
other good and valuable considerations, to their hand paid by Grantee, the receipt whereof is
hereby acknowledged, grants, bargains, sells, aliens, remises, releases, conveys, and confirms
unto the Grantee all of her interest in that certain land situate, in Duval County, State of Florida,
as more particularly described as follows:
The Southwesterly 25 feet of Lot 542, SALTAIR SECTION 3,according to plat thereof as
recorded in Plat Book10,Page 16,of the current public records of Duval County,Florida.
Property Address: 266 Poinsettia St.,Atlantic Beach,FL 32233
Parcel ID: 170569-0020
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.
IN WITNESS WHEREOF, Grantor has signed and sealed these presents the day and
year first above written.
THIS INSTRUMENT WAS PREPARED WITHOUT BENEFIT OF TITLE EXAMINATION
OR SURVEY AND THE PREPARER MAKES NO REPRESENTATIONS OR WARRANTIES
AS TO TITLE, LAND DESCRIPTION, OR QUANTITY OF LAND.
Warranty Deed
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