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44 17th Street TREE25-0013 r , s >>'►.:, TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach CLA5SIFICAT6. �= •: Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 PERMIT I t�y�904-247-5= -f7PERMiTFEES � •, �ingle-/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 buldn -de tcoab.us SITE INFORMATION ADDRESS 4��I Z "Scree-t A Ilan tic .lead- fl_� .92 z33 APPLICANT INFORMATION NAME �� t )U C,K.IF ,�( Cg OWNER [] LEGAL AUTHORIZED AGENT ADDRESS Z "4 ST- CITY 11 , STATE F-71 ZIP CODE 3 -L773-7 PHONE -7 5-5- -5`t c/8 EMAIL �}ftl�Ii �`I�EG'-5(PCUA-tC 'T', f�lfc`� REASON FOR TREE REMOVAL N Ev) �Aom IF, 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. 1 AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23(PROTECTION OF TREESAND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. J AMI S F BUCKL&�` # G ATUIRE OF OWNER or AG T PRINT OR TYPE NAME DATE 9 Signed and sworn before me on this day of t by State of County off f Identification verified: n Oath Sworn: es FFA No . Y'a�B.. =National ERN Noate of Florida Notary Signature !. HH 284958i�' Ms Jul 7,2026Bonded al Notary Assn. My Commission ex ires - TREE REMOVAL PERMIT APPLICATION 0 .?_I. 074_ a EXHIBIT B: LETTER OF AUTHORIZATION '= City of Atlantic Beach J 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 JAMS �E#EAAI� �+ ADDRESS '�gql f ojl ADER.Sd111' D IV6 EMAIL tjl#1 ArC'kJey f�9mlll r6/n CITY l l t 00 :8,-f AC4 STATE ZIP CODE 32 1 �, AGENT INFORMATION } NAME 11 PS �U e,� i S PHONE# To tl - 7 St- r 4 ADDRESS EMAIL I t`t` 11�•�— C :/�$ crTY ` STATE 1 ZIP CODE 33 _— is hereby authorized to act on behalf of Arnes ; Buc KLE;! ``f SAS"ORAk1-sj 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) 4 IG ATURE O OWNER PRINT OR TYPE NAME DATE - /1) SANDRA E L=XLitc -'�"'-Zu CjQ D-e-L, 'ANDRA R_ nuc K LEy SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE Signed and sworn before me on this day of aijag 3 by State of t �j� County of V_ Identification verified: Oath Sworn: Yes Cj.No Y o" - i JYAAE KER:2,84958 Notary Public•Statelorida Notary re Commission M HH Ay Comm.Expires J ,2026 My Commission expiresBonded through National Ny Assn. - TREE REMOVAL PERMrrAPPLIC477ON-EVIELTrMcri-ARTnamrizurian � r V, EXHIBIT C: TREE INVENTORY and SITE PLAN City of Atlantic Beach s Community Development Department FOR INTERNAL OFFICE USE ONLY 800 Seminole Road Atlantic Beach,FL 32233 (P)904-247-5800 CLASSIFICATION 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"[]" 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 f iv -f-4 I PREPARED BY: SCALE:1 SQUARE_ TREE REMOVAL PERMIT APPLICATION'EXHIBrTC:Tree Inventory and Site Plan 03.15.2024 EXHIBIT D: TREE WORKSHEET City of Atlantic Beach s� Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 ..: (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 DBH SPECIES „X"= "Ir— COMMENTS(for use by City Staff) removing preserving relocating 1 l0" 0 • 2 101` 3 011% 4 5 1 ri OL�K- +w (a" ab k • 8 ►�" oak ° 9 11 o41L ° 10 t3 C)-&Y- ° 11 1" owe o 12 13� 04 K- i 13 '7 #I 0AY— • 14 17- 15 215 5-11 M4G,�ot1 ° 16 1 t" OAK O 17 121 041! ° 18 7-2 (A Y-- � 19 20 21 22 23 24 25 TREE REMOVAL PERMIT APPLICATION-EXHIBIT D.Tree Worksheet 03.15.2024 ^.n'saoo-szoz\tls lull.f)szoo-SmtWcri t�✓o+a szoz'W.ws\a\� l d0 L 133H5 0558-L4Z-'606(Hd) OSZZC V01H0'Id 'HOV39 3TILANOS)1OVP '3ARI0 SL��H H 008L -37VOg ZOZV Q S WVSa a1�iY S2I®�iS1��If1S QAtV'I .L�IJIAA.LV®�J :3„U 7NSM aNV LOA MMM a35N3011 VOI U V do TimLOLL MZOZ'O t8GfMd3S 3+xo Za%%H AD V@M YNNN1SS3 3111 ONN 3HILLVNOH 3HL L GMM n V HO'U 031V0'Z£lt-OM HE"1130tl0)am'NHId SHl Aa 3WW OW*dwo m LNpd HL 1ZLHC 81"oN S53NISfH ONMdYN A 9N117AH115 035N3On Ymtl07! 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