110-114 Jackson Road TREE18-0041 FINAL 07.11.2018 TREE REMOVAL CALCULATIONS
1
City of Atlantic Beach
Community Development Department
11 800 Seminole Road Atlantic Beach , Florida 32233 -5445
Phone : (904) 247-5826 Fax : (904) 247-5845 Email : Building-Dept@coab .us
Permit : TREM & O041 Applicant : Dustin Brown
Address : 38 W 9" Street Atlantic Beach FL
Site Address : 110 Jackson Rd Phone : 904-813 -3661J013 Copy
RE# : 172137-0000 Email : Dustin@Mathieubuilders . com
TREE REMOVAL CALCULATIONS
REMOVED Legacy (non-oak) Legacy (oak) Oaks Palms Others Total
Protected Trees Removed : 0 0 10 0 0 10
Mitigation Needed : 0 0 5 0 0 5
Trees Removed: 10" Oak
MITIGATION Legacy (non-oak) Legacy (oak) Oaks Palms Others Total
Credit for Trees Preserved: 0 0 0 0 0 0
Credit for Trees Relocated : 0 0 7 . 5 0 7 14 . 5
Credit for Trees Planted: 0 0 0 0 0 0
Total : 0 0 7. 5 0 7 14. 5
Trees Preserved: None for credit.
Trees Relocated: 7 . 5 " Oak, 7" Crape Myrtle
Trees Planted: None for credit.
*Planted Legacy Tree species receive DOUBLE credit when replacing non-Legacy Trees . The Legacy Tree list includes Bald
Cypress ; Southern and Eastern Red Cedars ; Winged and Florida Elms ; Live and Sand Live Oaks ; Hickory ; Pecan; Pignut
Hickory; Loblolly Bay; Southern and Sweetbay Magnolias ; Red and Florida Maples ; and Tupelo .
ADDITIONAL MITIGATION REQUIRED (Mitigation Needed -- Total)
Legacy (non-oak) Legacy (oak) Oaks Palms Others Total
New Trees Planted : 0 0 0 0 0 0
or
Payment Into Tree Fund* * : $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $ 0 . 00 $0. 00
or
A Combination of the Above * * * *At least 50% of mitigation must be onsite .
Additional Notes : Mitigation is 1 inch preserved or planted for every 2 inches removed . Tree Fund rate is $ 123 . 00 per inch. Also
preserving 22" Pine, 24" Oak, 10 " Palm .
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of application submittal .
APPROVED O!
DENIED Fz7zwn
M 116
TPO ADN NIS TOR DA E
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r�Ott TREE REMOVAL PERMIT APPLICATION
ra City of Atlantic Beach
Community Development Department
' -� 800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY .
"aIt ( P) 904-247-5800 PERMIT # 116 " 00wgl I
INSTRUCTIONS ❑ Legacy Tree $ 25 .00
1 . Complete and sign this application . Single- / Two-Family Residential $ 125 .00
2 . Attach required exhibits as listed on application checklist. a Multi-Family Residential $ 250 .00
3 . Contact the Community Development Department if you have questions .
4. Submit the completed application and all required exhibits, along with ❑ Commercial / Industrial $ 250.00
application fees to the Permits Desk at Atlantic Beach City Hall . ❑ Institutional / Other Non - Residential $ 250.00
SITE INFORMATION
ADDRESS �/U G�.Sd RE# / 7Z 4 3 7 - 0666
SUBDIVISION 6135 PO4n rS SID r BLOCK # LOT # cg�
APPLICANT INFORMATION
NAME bu� 511d '6re, , 1A EMAIL ® USrIN jl9 MATy19 (JaUI brf) CRS
ADDRESS ) yr G1 fJ� S �- CITY �j STATE Ftp ZIP CODE Z' Z'7.3
PHONE # CELL # ?D Sf 9 I3 3 6 (a t ® OWNER VLEGAL AUTHORIZED AGENT
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 (Option 1 ) - PROOF OF OWNERSHIP: Copy of Warranty Deed that verifies record of owner (Clerk of Courts)
EXHIBIT A (Option 2) - LETTER OF AUTHORIZATION : Please complete if the applicant is not the owner
® EXHIBIT B - TREE INVENTORY and TREE PROTECTION PLAN
® EXHIBIT C - TREE MITIGATION WORKSHEET
❑ EXHIBIT D - TREE MITIGATION PLAN
SITE PREPARATION CHECKLIST
PLEASE PREPARE YOUR SITE AS FOLLOWS :
Mark all trees identified for removal with RED or ORANGE flagging, paint or tape
Mark all trees identified for preservation with BLUE or GREEN flagging, pain or tape
Mark property corners with stakes or paint
Barricade all trees to be preserved on the property at the dripline
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT, I AGREE TO COMPLY WITH ALL
PROVISIONS OF CHAPTER 23 (PROTECTION OFTREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH . /�
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UIGNATUf E OF APPLICANT PRINT OR TYPE NAME ATE
02 TREE REMOVAL PERMITAPPLICATION 03. 01 .2018
EXHIBIT A: LETTER OF AUTHORIZATION
City of Atlantic Beach
Community Development Department
„ rg 800 Seminole Road Atlantic Beach , FL 32233 FOR INTERNAL OFFICE USE ONLY
� Jtt ��' ( P) 904-247-5800 PERMIT # I
OWNER INFORMATION
NAME All / SQ Al FV T# PHONE #
ADDRESS / 73 SG/JQ � �. � � 0. /►- CELL # &j y - Q
CITY , f`Q /j ��L /�e ��� STATE ��i ZIP CODE
AGENT INFORMATION
NAME S /� �f✓Gulp PHONE # /
ADDRESS 38' G.j s� CELL #
CITY /'I �1C�, 2 // L � � � �� STATE �Li ZIPCODE 3 tZ33
A� is hereby authorized to act on behalf of
`oAK .S'y Tff the owner(s) of those lands described
in the attached application and as described in the attached deed or other such proof of ownership as may be required
in applying to the City of Atlantic Beach, Florida, 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) or Authorized Agent
� caw a
44 l y
SIGNATURE OF OWNER OR LEGAL RrPKSENrAjVE PRINT OR TYPE N( AME DATE
LA) 7 � q C%/
SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
Signed and sworn before me on this i day of by State of i ! t 0
County of
Identification verified : Driver
Oath Sworn : ® Yes ® No
Notary Signature
My Commission expiFOW'4��
s DONNA =BARTLE71
Thfj
02 TREE REMOVAL - EXHIBITA: Letter of Authorization 03. 01 .2018 ° EXPIRES :tarMay 14 , 2021
I
EXHIBIT C : TREE MITIGATION WORKSHEET
City of Atlantic Beach
r Community Development Department
U "r 800 Seminole Road Atlantic Beach , FL 32233 FORINTERNALOFFICEUSEONLY
� Iey 3 a ( P) 904-247-5800 PERMIT #
List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT B
It X 11011.
ID DBH SPECIES COMMENTS (for use by City Staff)
removing preserving replacing
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3
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8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
02 TREE REMOVAL EXHIBITC: Tree Mitigation Worksheet 03. 01 .2018
Z ! � r f, EXHIBIT D : TREE MITIGATION PLAN
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY
f ( P) 904-247-5800 PERMIT #
Please identify the location, species and size (caliper inches) of ALL trees to be planted for mitigation credit in the area below or on a
separate site plan . Please include existing and/or proposed buildings and any street names for reference points .
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PREPARED BY: l® SCALE : 1 SQUARE =
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02 TREE REMOVAL - EXHIBIT D: Tree Mitigation Plan 03. 01 .2018
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DESCRIPTION ACCOUNT CITY PAI% D
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TOTAL FEES PAID BY RECEIPT : R5592 $ 206 . 50