81 Beach Avenue TREE25-0006 01.31.2025 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
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City of Atlantic Beach CLASSIFICATION W � }
s Community Development Department
V 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# TR 1=a 5 — C; 6,
(P)904-247-5800
PERMIT FEES
Single-/Two-Family Residential $125.00
PERMIT REQUIRED FOR REMOVAL ® Other $250.00
OF TREES 8 INCHES DIAMETER AT
�„� � *'Please submit form in person
BREAST HEIGHT AND GREATER
or to buildng-de�tt&coab.us
SITE INFORMATION
ADDRESS
APPLICANT INFORMATION
NAME ��Vy d ";�AQWA$OVX ❑ OWNER XLEGAL AUTHORIZED AGENT
ADDRESS 8 ( '�04iLU AV4 CITY 41""c_ STATE F-1 ZIP CODE 3aa
PHONE# a1)4- Vt I - 1+11 EMAIL Aey CaU4W_ ej)',4 e. co+�cas{ rLt+-.
REASON FOR TREE REMOVAL aJej- ,a s[o✓ ec.rea 011A �w►
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
ORDI E ITY OF ATLANTIC BEACH. `
SI TURE OF OWNER or GENT PRINT OR TYPE NAME DATE
Signed and sworn before me on this day of hu _ by State of �-Io\"6c-'
ftm(A T ccs yar(ANr\ Countyof 0UV4x1
Identification verified: e.1�U�ft l h
Oath Sworn: ❑ Yes ❑ N
Notary Public State of Florida
As, Makenzie Gonzalez Notary Signature
YYY�i My Commission HH 376821
Expires 3/21/2027 My Commission expires _TJ LI12-�>L)
TREE REMOVAL PERMITAPPLICATION 03.15.2024
EXHIBIT B: LETTER OF AUTHORIZATION LATE cx;'Ve
`. City of Atlantic Beach
'
Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
(P)904-247-5800
"Please complete if applicant is not the owner
OWNER INFORMATION
NAME A.C.. 5k-LytwW (��}►1P�. PHONE# q04— a to- 0%' Oj
ADDRESS -V1103. -Nj�ort. - 140— EMAIL
CITY , �ui,�le , STATE =(A ZIP CODE Aga 11
AGENT INFORMATION (ry1�
NAME �� .t. I�LVdir(�,�0/1 Loatrt fio1 1 4L.. PHONE# qa -
ADDRESS EMAIL d Cvl�VGtL�DK �CDW� ���'�.
CITY STATE ZIP CODE 3=11
* auiJ -�GWf* is hereby authorized to act on behalf of
Ck� 5� kf $ fta-� 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)
SIGN TORE OF OWNER PRINT OR TYPE NAME DATE
SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE
Signed and sworn before me on this. 2>4 day of t�yky(-r i LO 2-S by State of �14�ag.
A . ar-. 'ry- $ILeYtbi -ff- County of 0�*,Cea
Identification verified: f�� V�LaW1n
Oath Sworn: ❑ Yes ❑ No
=NotaryPublic of Floridazalez Notary Signature
HH 376821
2027 My Commission expires
TREE REMOVAL PERMIT APPLICATION-EXHIBIT B.Letter of Authorization 03.15.2024
t `tr, EXHIBIT D: TREE WORKSHEET
fs City of Atlantic Beach
1 Community Development Department
z 800 Seminole Road Atlantic Beach,FL 32233
' li" (P) 904-247-5800
List the species and diameter at breast height(dibh)of all trees identified on EXHIBIT C(attach additional pages as needed).
ID DBHSPECIES ^ X i F O COMMENTS(for use by City Staff)
removing preserving relocating
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9 ,416 ?AIw( X
10
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12
13
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TREE REMOVAL PERMITAPPLICATION-EXHIBITO:Tree Worksheet 03.15.2024
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