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1739 Live Oak Lane TREE20-0023 FINAL 07.24.2020f s y''\%TREE REMOVAL CALCULATIONS City of Atlantic Beach v Community Development Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 J;31>`' Phone: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept@coab.us Permit: TREE20-0023 Applicant: Shaycore Engineering Address: Site Address: 1739 Live Oak Lane Phone: RE#: Email: TREE REMOVAL CALCULATIONS REMOVED Legacy(non-oak) Legacy(oak)Oaks Palms Others Total Protected Trees Removed: 21 0 0 0 0 21 Mitigation Needed: 10.5 0 0 0 0 10.5 Trees Removed: 21"Magnolia MITIGATION Legacy(non-oak) Legacy(oak)Oaks Palms Others Total Credit for Trees Preserved: lt1 \ V 0 T9, O 0 0 10 Credit for Trees Relocated: 0 0 0 0 0 0 Credit for Trees Planted: 0 0 0 0 0 0 Total: lil \0 0 1'9 d 0 0 10 Trees Preserved: 2-5"Oates' a(p f Trees Relocated: None for credit. Trees Planted: 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 2.6* or Payment Into Tree Fund**: 0.00 0.00 0.00 0.00 0.00 $384.80 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 $148.00 per inch. *Per Section 23-33(f)(2)c: "When a legacy tree is removed, at least twenty-five(25)percent of mitigation shall be provided on site in the form of replacement."(25%of 10.5=2.6)on 76.; 6( -14" Gj..,7! 'Zy 17.G Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of application submittal. APPROVED n DENIED TPO ADMINISTRATOR DATE it. TREE REMOVAL PERMIT APPLICATION 34 City of Atlantic Beach is? Community Development Department FOR INTERNAL OFFICE USE ONLY 800 Seminole Road Atlantic Beach,FL 32233 f P)904-247-5800 FILE# 1(c'1GLe'-z3 INSTRUCTIONS Legacy Tree 25.00 1. Complete and sign this application. 0 Single-/Two-Family Residential $125.00 2. Attach required exhibits as listed on application checklist. 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 El Commercial/Industrial 250.00 application fees to the Permits Desk at Atlantic Beach City Hall. El Institutional/Other Non-Residential $250.00 SITE INFORMATION ADDRESS 1739 Live Oak Lane RE# 172020-0180 SUBDIVISION Selva Marina BLOCK# 10 LOT# 4 APPLICANT INFORMATION NAME Dr. Joe Czerkawski EMAIL czerkawj@hotmail.com ADDRESS 1739 Live Oak Lane CITY Atlantic Beach STATE El ZIP CODE 32233 PHONE# 904-762-8913 CELL# 904-762-8913 X OWNER LEGAL 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 O EXHIBIT A(Option 1)-PROOF OF OWNERSHIP:Copy of Warranty Deed that verifies record of owner(Clerk of Courts) El EXHIBIT A(Option 2)-LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner X EXHIBIT B-TREE INVENTORY and TREE PROTECTION PLAN X EXHIBIT C-TREE MITIGATION WORKSHEET EXHIBIT D-TREE MITIGATION PLAN SITE PREPARATION CHECKLIST PLEASE PREPARE YOUR SITE AS FOLLOWS: X Mark all trees identified for removal with RED or ORANGE flagging,paint or tape EI Mark all trees identified for preservation with BLUE or GREEN flagging,pain or tape X Mark property corners with stakes or paint O 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 OF TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. Y"-- Joseph J Czerkawski MD Jun 3,2020 Joseph J Czerkawski MD(Jun 3.202019:02 EDT) SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE 02 TREE REMOVAL PERMIT APPLICATION 03.01.2018 Pages from 02 Tree Removal App FINAL 01 .28.2020 Final Audit Report 2020-06-03 Created: 2020-06-03 By: Jason Hulsey(jason@shaycore.com) Status: Signed Transaction ID: CBJCHBCAABAAI8anXsCPpKMuiAbkH1Qlvi2eUgkQglLX Pages from 02 Tree Removal App FINAL 01 .28.2020" History 5 Document created by Jason Hulsey(jason@shaycore.com) 2020-06-03-10:36:18 PM GMT-IP address:45.30.199.226 Icy Document emailed to Joseph J Czerkawski MD (czerkawj@hotmail.com)for signature 2020-06-03-10:36:58 PM GMT t Email viewed by Joseph J Czerkawski MD (czerkawj@hotmail.com) 2020-06-03-11:02:11 PM GMT-IP address:98.231.64.33 b© Document e-signed by Joseph J Czerkawski MD (czerkawj@hotmail.com) Signature Date:2020-06-03-11:02:56 PM GMT-Time Source:server-IP address:98.231.64.33 O Signed document emailed to Joseph J Czerkawski MD (czerkawj@hotmail.com) and Jason Hulsey jason@shaycore.com) 2020-06-03-11:02:56 PM GMT 111 Adobe Sign o l-m-r 1 f Cash Register Receipt Receipt Number 15 V r City of Atlantic Beach R12411 os >%' DESCRIPTION I ACCOUNT I QTY I PAID PermitTRAK 384.80 TREE20-0023 Address: 1739 LIVE OAK LN APN: 172020 0180 384.80 TREE MITIGATION 384.80 TREE MITIGATION 11200003660000 0 384.80 TOTAL FEES PAID BY RECEIPT: R12411 384.80 Date Paid: Friday, July 24, 2020 Paid By: CZERKAWSKI JOSEPH J Cashier: CT Pay Method: CHECK 2162 Printed: Friday,July 24,2020 9:12 AM 1 of 1 t O c+> i9 IP.P. r C o \r""'-- T'c? 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