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1793 Park Terrace East TREE24-0058 12.11.2024 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNA!OFFICE USE ONLY } .? City of Atlantic Beach s� Community Development Department CLASSIFICATION 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# u;;s�r (P)904-247-5800 PERMIT FEES PERMIT REQUIRED FOR REMOVAL ❑ Sing le-ITwo-Family Residential $125.00 OF TREES 8 INCHES DIAMETER AT ❑ Other $250.00 e r BREAST HEIGHT AND GREATER - • SITE INFORMATION ADDRESS GOs'T APPLICANT INFORMATION NAME M i✓C7at­� t4 I C XOWNER ❑ LEGAL AUTHORIZED AGENT ADDRESS t-793 j_ — CITY � . STATE i l ZIP CODE 32-233 PHONE# —Z``j(Q — j�'p p - - EMAIL M-t�11*yLZ LlN`r.e��V REASON FOR TREE REMOVAL Pgrc 1N"T IAL' �t_ gLorti air 41Z rftck) I I"T�P-EE I5 D7 s&x-z7l TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST PLEASE ATTACH THE FOLLOWING EXHIBITS: *Additional information may be required,depending upon circumstances unique to individual applications ❑ EXHIBITA-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. S1 G NAT9 RE OF OWKtR or AGENT PRINT OWTYPE NAME DATE Signed and sworn before me on this a -day of 0 Lam' _ r�by State of f..--. County of V Identification verified: OL Oath Sworn: ❑ Yes ,�-"'�•_ CAMILA AViLALEiVAS MY COMMISSION k HH 575965 Notary Signature EXPIRES:July 28,2026 r y.F Dc F i My Commission expires_ TREE REMOVAL PERMITAPPLICATION 03.75.2024 s-rL'�ri; EXHIBIT A: TREE PERMITTING PROCESS r J City of Atlantic Beach �} Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P)904247-5800 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 certi 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 an 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 sire(s). Plans must account for all inches owed. • A MITIGATION PLAN MIDST 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 hermit 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 . M AA v- wiwt4k X01 z-r j?1 SIGNAT E OF APPLICANJ PRINT D TYPE NAME DATE TREEREMOVAL PERMITAPPLIC TION-EXHIBITA Tree Permitting Process 03.15.2024 r, EXHIBIT B: LETTER OF AUTHORIZATION City of Atlantic Beach z� Community Development Department r 80O Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 "Please complete if applicant is not the owner OWNER INFORMATION NAME MEC�p�.] [�IE��— `r'�— PHONE# '�L()k4 (o— 50 O ADDRESS �'T �j l�p�'Z�T�� �.SC+ EMAIL CITY �, STATE l ZIP CODE 3Z?-3-3 AGENT INFORMATION NAME PHONE# ADDRESS EMAIL CITY STATE 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) L IolujJ SIGNATLIR F OWNER PRINT OR TYPE NAME DATE SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE Signed and sworn before me on this�day of a L.�- by State of F7L Countyof DVVa Identification verified: V——L Oath Sworn: ❑ Yes o CAMILA AVILALEIVASf •: MY COMMISSION#HH 575965 Notary Signature "Foo EXPIRES:July 28,2028 � My Commission expires� V �.l t]i� , TREE REMOVAL PEIRMITAPPLICATION-EXHIBIT B.Letter ofAurhorization 03.73.24.24 ri5l�jr� EXHIBIT C: TREE INVENTORY and SITE PLAN City of Atlantic Beach r s Community Development Department FOR INTERNAL OFFICE USE ONLY 800 Seminole Road Atlantic Beach,FL 32233 CLASSIFICATION IPJ 904-247-5840 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 tN t9FT_ t PREPARED BY: SCALE:1 SQUARE= TREE REMOVAL PERMITAPPLIC4 77ON-EXHIBIT C.Tree inventory and Site Plan 03.7 5.2024 EXHIBIT D: TREE WORKSHEET rs � City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 ' ors yr (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 DSH SPECIES removing preserving relocating COMMENTS(for use by City Staff) 2 lYrt CJQ.1L 3 yy r. D pwlL 4 « ©C104- 5 OAIY-- 7 I�" O 44 tZr' PA,161, • 10 iZ'r PAJM r 11 �bt► �Dc�M i 12 ) " ?AAI,t / 13 !L; W Ca .L4- 0 14 1011 15 (5rr gyp. l r.•. 16yZ'r l7tn]� • 17 5 18 19 20 21 22 23 24 25 TREE REMOVAL PERWAPPLIC4TION-EKHIBITD:Tree Worksheet 03.15.2024 EXHIBIT C: TREE INVENTORY and SITE PLAN SAMPLE City of Atlantic Beach :, 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 pian 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 ,On 0 Show all existing and/or proposed buildings ■ !Number all trees and list on EXHIBIT D:Tree Worksheet E C E•H `• E-.-IES PA10ENTS{for use by Cir, Staff; r =;4ry 3 a eIocarng 1 C F'3 m 1 C Pa no / I F3rn / _ 13 E nz '4 LivQ Oak / Hcily 14 Fig: / ] 1 P3'rn Fr) / I,, Pam Caki .7 •a PREPARED BY: SCALE:1 SQUARE_ TREE REMOVAL PERMITAPPLICATION-EXHIWC,Tree Inventory and Site Plan 03.15.2024 EXHIBIT D. TREE WORKSHEET City of Atlantic Beach i' Community Development Department r 800 Seminole Road Atlantic Beach,FL 32233 SAMPLE (P)904-247-5800 List the species and diameter at breast height(dbh)of al trees identified on EXHIBIT C(attach additional pages as needed). 5L. ] 1 d -- 1-00 - lex 1 45 11 f.IAG t I H—fi I I I TREE REMOVAL PERMITAPPLKATION-EKH1B TD.Tree Worksheet 03.15.2024