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46 15th Street TREE25-0023 04.04.2025 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach CLASSIFICATION Community Development Department r 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# (P)904247-5800 -_- PERMIT FEES ❑ Single-/Two-Family Residential $125.00 PERMIT REQUIRED FOR REMOVAL © Other $250.00 OF TREES 8 INCHES DIAMETER T AT ---- u F Please submit form in person BREAST HEIGHT AND GREATER or to buildng-deptacc SITE INFORMATION ADDRESS 4te rS-41, al (a +l cl e APPLICANT INFORMATION NAME bu.lrm ce_ TVA Setwr cc- &ogp OWNER PrEEGAL AUTHORIZED AGENT ADDRESS a"7+2 :, I) aEj ;S+N. CITY ;fQCk6Ljnd;lIe STATE r-1 ZIP CODE ,L . PHONE# Q — — EMAIL REASON FOR TREE REMOVAL 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 ❑ EXH1131T 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 TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. i G�2 V f, Ivy (/ ATURE OF OWNER or AGENT PRINT OR E AM DATE Signed and sworn before me on this./2k,V day of1"4arc , r7.ba5 by State of 'P'L- County ' LCounty of Identification verified: Tym,_(5 Oath Sworn: © Yes ❑ NO RE BRITAINYHOLLORAN Notary Public-State of Florida Commission#HH 521821 otarySign tore y Comm.Expires Apr 29,2028 d through National Notary Assn. ] My Commission expires TREE REMOVAL PERMIT APPLICATION 03.15.2024 f EXHIBIT A: TREE PERMITTING PROCESS City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 - (P)904-247-5800 This document provides a general guide of the tree removal permitting process. For complete information on 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 J� 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 S. 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. r-� bUranCe 3 dg�4OdS` SI RE OF APPLICANT PRINT OR PE NAME DATE TREE REMOVAL PERMIT APPUCATION-EXHISITA:Tree Permitting Process 03.15.2024 EXHIBIT B:LETTER OF AUTHORIZATION ION City of Atlantic Beach Community Development Department SM Seminole Road Atlantic Beach,FL 32233 (P)904-247-5800 "MOM c=Oeft If applicant Is not the owner OWNER INFORMATION NAMEU. J�1 �. ,f� i� + �ry5 PHONE 4 ADDRESS �� /5EMAIL CITY �Cn"I!U STATE ZIPCODE J7223 AGENT INFORMATION NAME Durance TreeSewice PHONE# 904-449-2"g ADDRESS 277 N 8o4vlan St,Jacksonville,FL 32211 EMAIL Dumncetreeservice@yahoo corn CITY lattMville STATE PL ZIP CORE 32211 Durance Tree Service __ _ is hereby authorized to act on behalf of Zs„yv6kh V and Shan' i ( 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 NERESY CERTI T TALL RWKIRMATION PAWDED i5 CORRECT.Signature of Property Owner(s) • �K SIG E OF ER l PRINT ORTYPE NAME DATE N TUIE OFaW9Ek#2 PRINT OR TYPE NAME DATE Signed and sworn before me on this Q, day of GY 1 2 J by Slate ref__F Lo f t'de,- lnrtokh� Qrnd h rri dd-e5 _ county Of xVa- Identification verified; &I � cviowvt Oath Swom., Q Yes [INo CAYYM JOFIt�CN ��ri i CMW*Nion*HH24M IaotarytSlgnature�— F E4*95 July 20.2= MY Commission expires ,? J _ TREE RP, VAL PVW APPLI ATIW ElU &L of&iiw&4tion al15.2424 y EXHIBIT C: TREE INVENTORY and SITE PLAN t City of Atlantic Beach Community Development Department FOR INTER"OFFICE USE ONLY 800 Seminole Road Atlantic Beach,FL 32233 (P)904247-5800 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 -0 Number all trees and list on EXHIBIT D:Tree Worksheet )L33 C f Ll `"1 0 �S��, 01 f Lq91 - tC'C I Xlar v-) 16'�'4� PREPARED BY: SCALE:1 SQUARE_ TREE REMOVAL PERMIT APPLICATION-EXHIBIT C:Tree Inventory and Site Plan 03.15.2024 } EXHIBIT D: TREE WORKSHEET City of Atlantic Beach Community Development Department a 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). re oving preserving relocating ID DBH SPECIES COMMENTS(for use by City Staff) 1 10-12" Sable palm 2 10-12" Sable palm • 3 10-12" Sable palm 4 10-12" Sable palm 5 10-12" Sable palm 0 6 10-12" Sable palm r 7 10-12" Sable palm • 8 10-12" Sable palm • 0 CI 11 g'►G ; e- A\ 8 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TREE REMOVAL PERMITAPPLICATION-EXHIBITD.Tree Worksheet 03.15.2024