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1890 Live Oak Lane TREE25-0009 02.10.2025 SC =L`1r,�, TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFIrF USE ONLY S+ City of Atlantic Beach fl Community Development Department CLASSIFICATI0/� Deve-1 o ped 800 Seminole Road Atlantic Beach, FL 32233 PERMIT# Tit 6 6 2 S •Od© (P)904-247-5800 _ PERMIT FEES PERMIT REQUIRED FOR REMOVAL r, [P/Single- Two-Family Residential $125.00 r OF TREES 8 INCHES DIAMETER AT - ❑ Other $250.00 BREAST HEIGHT AND GREATER SITE INFORMATION ADDRESS f O L/V f Gs9 K L N OVA L- 3 -2-2- 3 7 APPLICANT INFORMATION NAME f�p IS Lid yj I-/-D .? '[NOWNER ❑ LEGAL AUTHORIZED AGENT ADDRESS j I✓10 L/ VC 0�4 k LN CITY A7 L ltG ff STATE 1= I ZIP CODE 32-2-33 PHONE# (10) ) 7) 2 0 9 EMAIL V-c-oy In REASON FOR TREE REMOVAL VA-1-F2 D4 )r- L&4,4,-A 0yv S7-,02 Nc Tf/1,f2F 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 ORDINANC OF HE CITY OF ATLANTIC BEACH. 0 1 VI-)'e-,;b rJ 2 -,SIGNATURE OF W or A ENT PRINT OR TYPE NAME DAT 61 `Signed and sworn before me on this day of_ 2�ZS by State of County of Identification verified: - Oath Sworn: ❑ Yes j ?``��` i'= MICHELLE L.WEIPPERT Notary Signature *' *= MY COMMISSION#HH 614640 EXPIRES:NOVember20,2028 My Commission expires TREE REMOVAL PERMITAPPLICATION 03.15.2024 EXHIBIT A: TREE PERMITTING PROCESS City of Atlantic Beach r j1 Community Development Department �r+ 800 Seminole Road Atlantic Beach,FL 32233 W119 -' (P)904-247-5800 This document provides a general guide of the tree removal permitting process. For complete information on I 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. SIGNATURE OF APP ANT PRINT OR TYPE NAME DATE TREE REMOVAL PERMIT APPLICATION-EXHIBIT A:Tree Permitting Process 03.15.2024 s: P EXHIBIT C: TREE INVENTORY and SITE PLAN City of Atlantic Beach +� ri Community Development Department FORINTERNAL OFFICE USEONLY �r 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 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" 0 Show the location of all trees to be preserved with"[]" a Show the location of all trees to be relocated with an"0" 6 Show all existing and/or proposed buildings a Number all trees and list on EXHIBIT D:Tree Worksheet U (7 i I � i i t 1 PREPAREDBY: �p V/N�/�'N SCALE:1 SQUARE= TREE REMOVAL PERMITAPPLICATION-EXHIBIT C.Tree Inventory and Site Plan 03.15.2024 EXHIBIT D: TREE WORKSHEET City of Atlantic Beach yr+ Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 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 1 2k Ing 4fi r 61- 6A e_ 2 5o'I L I vF_ cn< a 3 -ZN W A'TJ=(L 6 A V2 4 1211 lvAi!`e 6A-� 5 2'' W A—t gla- G A le- 6 G6 12i1 W (L vpk V A 7 ,A 1L v 9 1( Iz? C-N` eL-k T QT C-1 U IVX P 10 3 r1 {Yl A N d CL-T- -A+ ST tk rti P 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TREE REMOVAL PERMITAPPLICATION-EXHIBIT D:Tree Worksheet 03.15.2024