1245 Jasmine Street TREE25-0046 06.27.2025 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE OIVtY
`
City of Atlantic Beach
Community Development Department CLASSIFICATION
W ` 800 Seminole Road Atlantic Beach, FL 32233 PERMIT #
(P) 904-247-5800
PERMIT FEES
�Y �J 5ingie- 1 Two-Famiiy Residential $ 125.00
PERMIT REQUIRED FSR REMOVAL r
Other $ 250.00
OF TREES 8 INCHES DIAMETER ATOk
i
�~' " Please submit form in person
BREAST HEIGHT AND GREATER _.. or to buildng-dept@coab .us
SITS INFORMATION
ADDRESS � �' qt � � YZZ� � Cq `��.... ���--� �L 3 Z,2345
APPLICANT INFORMATION
NAME rq�' �i(��Q,�,� D/OWN ER ❑ LEGAL AUTHORIZED AGENT
IP
ADDRESS `yaintti[ S+Y( pCITY QA.�L bwl);e\ STATE ZIPCODE � Z2-a3
PHONE # ( 32-� ` �� 1� � L¢ EMAIL . � 1� �, 2:q�
REASON FDR TREE REMOVAL
(Wk-
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 Z) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner
❑ ExHIBiT C - TREE INVENTORY and SITE PLAN
❑
EXHIBIT D - TREE WORKSHEET
HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT,. I AGREE T4 COMPLY WITH ALL
PROV1SIO NS 4F CHAPTER 23 (PRO TECUON OF TREES AND NATURAL VEGETA TION) AND ALL OTHER APPLICABLE ODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
J 4i
�a�1GNATafC0170WN ERo AGENT PRINT DR TYPE NAME DATE
Signed and sworn before me on this clay of by State of
County of
Identification verified :
Oath Sworn: F7 Yes F No
Notary Signature
My Commission expires
TREE REMOVAL PERMIT APPLICATION Q3. 15.2024
Doc # 2021048856, OR BK 19600 Page 2376, Number Pages : 2 ,
Recorded 02/24/2021 10 : 38 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18 . 50 DEED DOC ST $2450 . 00
Prepared by:
Beth Murphy
Richard T.Morehead Title&Escrow,Inc.
444 Third Street
Neptune Beach,Florida 32266
File Number: 21B3329
00
07 3�ot)
General Warranty Deed
Made this February 19,2021 A.D.By Julia M.Rockwell,a married person conveying non-homestead property,whose post office
address is: 54005 Turning Leaf Drive,Callahan,Florida 32011,hereinafter called the grantor,to Kristina Gonzalez,a single woman,
whose post office address is: 1245 Jasmine Street,Atlantic Beach,Florida 32233,hereinafter called the grantee:
(Whenever used herein the term"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 corporations)
Witnesseth,that the grantor,for and in consideration of the sum of Ten Dollars, ($10.00)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,Florida,viz:
Lot 6,Block 223,Atlantic Beach Section"H",according to the plat thereof recorded in Plat Book 18,Page 34,of the Public
Records of Duval County,Florida.
Parcel ID Number: 171050-0120
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;that the grantor hereby fully 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 31,2020.
DEED Individual Warranty Deed-Legal on Face
OR BK 19600 PAGE 2377
Prepared by:
Beth Murphy
Richard T.Morehead Title&Escrow,Inc.
444 Third Street
Neptune Beach,Florida 32266
File Number: 21B3329
In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written.
Signed, sealed and delivered in our presence:
(Seal)
Ju M.Rockwell
Witness Printed Name �U? ��,-7/.� {�/�((/1�I/�yj Add ss: 54005 Turning Leaf Drive,Callahan,Florida 32011
Witness Printed Name
State of Florida
County of Duval
The foregoing instrument was acknowledged before me by means of X physical presence or[ ] online notarization this LV-h— day
of February,2021,by Julia M. Rockwell,a married person conveying non-homestead prope ho is/ar personally known to me or who
has produced -DA V" �S 4d G�1�J as identification.
a ublic loop
M Name•
My Commission Expires:
�q 00!Y Notary Public State of Florida
Elizabeth A.Murphy
c, My Commission GG 270979
op Expires 11/20/2022
DEED Individual Warranty Deed-Legal on Face
EXHIBIT Co. TREE INVENTORY and SITE PLAN
City of Atlantic Beach
ri Community Development Department FOR INTERNAL OFFICE USE ONLY
800 Seminole Road Atlantic Beach , FL 32233 CLASSIFICATION
(P) 904-247-5800
PERMIT #
� TREE I NVENTORY-P I ease sketch ars 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 fo I I owi nq :
■ Show the location of all trees to be removed with an "X" • Shaw the location of all trees to be preserved with "I ] "
■ 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
i
lip
Ir
e
I � �
j
3
i
I
PREPARED BY: . �� �-� SCALE: 1 SQUARE
TREE REMOVAL PERM ITAPPtICA TlON - EXH1BlTC; Tree in ventory and Site Parr 03. 15. 024
EXHIBIT D : TREE WORKSHEET
C
ity of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-580
List the species and diameter at breast height (dbh ) of all trees identified an EXHIBIT C (attach additional pages as needed).
nvri_ urlv_ 1101T_1D DBH SPECIES removing preserving relocating COMMENTS (for use by City SCaf#}
2
3
4
V�
$ P �
6
7
9
10
11
12
13
14
t
16
17
1 $
19
zo
21
22
23
24
zs
FREE REMOVAL PERM ITAPPL ICA T1DN - EXNfB17" D: Tree Worksheet 03. 15.2 024