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88 5th Street West TREE25-0024 04.05.2025 SC �sylAi/ TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach CLASSIFICATION Pp vi Community Development Department PERMIT# 800 Seminole Road Atlantic Beach,FL 32233 (P)404-247-5800 PERMIT FEES x❑ Single-/Two-Family Residential $125,00 PERMIT REQUIRED FOR REMOVAL. ;;K,.•. . r � ❑ Other $250.00 OF TREES 8 INCHES DIAMETER AT ,- '**Please submit form in person BREAST HEIGHT AND GREATER or to building-dept@coab.us SITE INFORMATION ADDRESS 88 W 5th St,Atlantic Beach,FL 32233 APPLICANT INFORMATION NAME Zachery Lopez OWNER ❑ LEGAL AUTHORIZED AGENT ADDRESS 88 W 5th St CITY Atlantic Beach STATE FL ZIP CODE 32233 PHONE#► (808)635-3074 EMAIL lopezzachery@gmail.com REASON FOR TREE REMOVAL The frees are adversely affecting the value and the usability of my property.In addition,the trees create excessive maintenance. TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST PLEAS``ATTACH THE FOLLOWING EXHIBITS; *Additional information may be required,depending upon circumstances unique to individual applications X❑ EXHIBIT A-TREE PERM1TfING PROCESS ❑Q 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 x❑ EXHIBIT C-TREE INVENTORY and SITE PLAN ❑x EXHIBIT D-TREE WORKSHEET I HEREBY CERT I YTtIAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL PROVI5ION5 F CF APTER 23(PROTECTION OF TREES AND NATURAL VEGETATIOM AND ALL OTHER APPLICABLE CODES AND ORD}N ES H CITY OF ATLANTIC BEACH. ZACHERY LOPEZ SIGMA F NERo AGENT PRINT OR TYPE NAME DATE Signed and sworn before me on this tL 446 day of M 1015 by State of D'044'a Countyof ]i��t�gY � Identification verified: Oath Sworn: © Yes [] No ' L- VICTORA I; MY COMMISSIOH 47020ary S ure EXPIRES:Fe1,2028 w,...o�. ommissionexpiresZ TREE REMOVAL PERMfTAPPLICATION 03.15.2624 ri ----------------------------- Scanned with m CamScanner :: EXHIBIT A,: TREE PERMITTING PROCESS ,' ?\ City of Atlantic Beach Community Development Department i� r 800 Seminole Road Atlantic Beach, I-32233 1 9' (P)904-247-S800 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 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. f. 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 In ection • Aft r tr es are planted and/or construction is complete,a final inspection must be scheduled. r Iant , preser ed and relocated must survive three(3)years following the date the permit is finaled. ZACHERY LOPEZ 3 2(p Zs SIGNAT E OF PP ICNT PRINT OR TYPE NAME DAT TREE REMOVAL i PPLI ICU EXNIRITA-Tree Permitting Proress 03_IS.2024 ----------------------------- Scanned with m CamScanner ;: le America THIS INSTRUMENT PREPARED BY AND RETURN TO: John H. Gullett, II Title America Real Estate Closings,Inc. 10448 Old Saint Augustine Road -- Jacksonville, FL 32257 904.262.6400w Fiza: T31927 Property Appraisers Parcel Identification(.Folio)Numbers: SALE PRICE:$134,800.00 SPACE ABOVE THIS LINE FOR RECORDING DATA WARRANTY DEED THIS WARRANTY DEED,Made the day of July,2014 by Shane Randall,Trustee of the Shane Randall Revocable Living Trust dated January 5,2409, whose post office address is 3511 Granada Ave.,San Diego,CA 92104 herein called the Grantor,to Zaehery Lopez,An Unmarried Man whose post office address is 88 West 5th Street,Atlantic Beach,FL 32233-3402,hereinafter called the Grantee: (Wherever used herein the terms 'grantor" and grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals,and the successors and assigns of trust) W I T N E S S E T H: That the grantor,for and in consideration of the sum of TEN AND 00/100'5($10.00)Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises,releases,conveys and confirms unto the grantee all that certain land situate in Duval County,State of Florida, viz.: The Easterly 41.5 Feet of Lot 4,Block 76 of Section"H"ATLANTIC BEACH,according to the Plat thereof as recorded in Plat Book 18, Page 34, of the current Public Records of Duval County,Florida. Subject to easements, restrictions and reservations of record and to taxes for the year 2014 and thereafter. TOGETHER,with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD,the same in fee simple forever. AND,the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land,and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except taxes accruing subsequent to December 31,2013. IN WITNESS WHEREOF,the said grantor has signed and sealed these presents the day and year first above written. Signed,sealed and delivered in the presence of. Shane Randall Revocable Living Trust dated January 5,2009 Witn ss#I Sign Lure Wi #1 Printe� BY: 5L6ji�ZbrifA ndall,Trustee Witness#2 Signature Witness#2 Print Name STATE OF CA COUNTY OF ��--�•.xt Qty l� The foregoing instrument was acknowledged before me this day of July,2014 by Shane Randall,Trustee of Shane Randall Revocable Living Trust dated January 5,2009 on behalf of the trust,HeLW is personally known to me or has produced LAcrryg as identification. SEAL Q� S&-e-4 Cts Notary Signature My Commission Expires: 1 '12 Printed Notary Signature 4YA-41 File No,:T31927 , CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of On J)"2- 2�4 before me, (Here insert name and title of the officer) personally appeared L>h CjL& T7CY Q I US -E' who proved to me on the basis of satisfactory evidence to be the personw'whose name is/afe subscribed to the within instrument and acknowledged to me that he/SKtkf executed the same in his/Woaeir authorized eapacity(ipl,and that by his/llpzltWr signature(#)on the instrument the personK,or the entity upon behalf of which the personKacted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. �, B.MATtil3 Ciatarttntntt 1Vo.20037M NOT75R1r PtlB6iC.C/kIFt7RN1A WITNESS-my hand and official seat. slw tuoocounm oammliairtegrea,karhMtt2,2ot7 (Notary seal) Signature of bhc ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM .4ny acknowledgment completed in California must contain verbiage exactly as DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must he i,� properly completed and attached to that document. The only exception is if a V�. GXTCAJL)�. ) document is to be recorded outside of California,In such instances,any alternative (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something that is illegal for a notary in California(i.e.certi ting the outhorked capacity of the signer).Please check the (Title or description of attached d t continued) document carefully for proper nararial wording and attach this form i/required. a State and County information must be the State and County where the document Number of Pages Cilmelit Datc signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. (Additional information) • The notary public must print his or her name as it appears within his or her commission followed by a comma and than your title(notary public). • Print the Dame($)of document signer(s)who personally appear at the time of --- notarization- CAPACITY CLAIMED BY THE SIGNE • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. ❑ Individtiat(s) halshe(dwy,-is Jane)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and phomgrapbically reproducible. impression must not cover text or limes.If seal impression smudges,reseal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) Signature of the notary public must match the signature on file with the office of ❑ Atforre r-Fact the county clerk. 4 Additional information is not required but could help to ensure this ❑ T s) acknowledgment is not misused or attached to a differeut document. ❑ er 4 Indicate title or type of attached document,ent,number of pages and date. 6 Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Seat"). • securely attach this document to the signed document 2008 Version CAPA vl2.10.07 800-873-9865 www.NotaryClasses.com EXHIBIT C: TREE INVENTORY and SITE PLAN City of Atlantic Beach 1 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" 0 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 X, 3 IG 2 'I N )tr et PREPARED BY: ZACHERY LOPEZ SCALE:1 SQUARE= N/A TREE REMOVAL P1=RMIT APPLICATION-EXHIBITC.Tree Inventory and Site Plan 03.15.2024 ----------------------------- Scanned with m CamScanner-: EXHIBIT D: TREE WORKSHEET }� City of Atlantic Beach Community Development Department v V~ 800 Seminole Road Atlantic Beach,rL 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"— I) — 0 ^ COMMENTS(for use by City Staff) removing preserving relocating 1 17" MAPLE • 2 20" OAK • 3 16"+lt MAGNOLIA 4 20" MAGNOLIA • 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TREE REMOVAL PERMITAPPtICATION-EXHISITO,Tree Worksheet 03.]5.2024 ----------------------------- Scanned with m CamScanner-: