334 2nd Street TREE25-0047 07.24.2025 SC Docusign Envelope ID:50l9F386-E777458F-9300-FDD985125719
TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
t City of Atlantic Beach CLASSIFICATION
7) Community Development Department
r, Vr 800 Seminole Road Atlantic Beach, FL 32233 PERMIT#
(P) 904-247-5800
PERMIT FEES
❑ Single-/Two-Family Residential $125.00
PERMIT REQUIRED FOR REMOVALf
°""""" ❑ Other $250.00
OF TREES 8 INCHES DIAMETER AT "
tr
"Please submit form in person
BREAST HEIGHT AND GREATER or to buildin -de t@coa_b.us
SITE INFORMATION
ADDRESS 334 2nd St. Atlantic Beach, FL 32233
APPLICANT INFORMATION
NAME Barry Darnell CBC056685 ❑ OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS 14559 Philips Highway CITY Jacksonville STATE FL ZIP CODE 32256
PHONE# 904-982-6301 EMAIL Justin@PrattGuys.com
REASON FOR TREE REMOVAL
Palm is rotting out
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. 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.
LLnt'Ll Barry Darnell July 17, 2025
S ATURE OF OWNER or AGENT PRINT OR TYPE NAME DATE
Signed and sworn before me on this 17___day of J u 1 /1 2025 by State of FL
Barry Darnell County of Duval
Identification verified:TLDL
Oath Sworn: ❑ Yes ® No
Notary Public State of florid• _romsmgis�
------------------
Justin Belichis
���t My Commission HH 285777 NOture
Expires 7129/2026
Mysionexpires_7/29/2026
[a TREE REMOVAL PERMITAPPLICATION 06.24.2025
Docusign Envelope ID:5019F386-E777-458F-9300-FDD985125719
EXHIBIT B: LETTER OF AUTHORIZATION
City of Atlantic Beach
Community Development Department
~� v 800 Seminole Road Atlantic Beach,FL 32233
(P)904-247-5800
**Please complete if applicant is not the owner
OWNER INFORMATION
NAME Michael Failor PHONE# 617-429-6932
ADDRESS 334 2nd Street EMAIL
CITY Atlantic Beach STATE FL ZIPCODE 32233
AGENT INFORMATION
NAME Barry Darnell PHONE# 904-982-6301
ADDRESS 14669 Philips Highway EMAIL Justin@PrattGuys.com
CITY Jacksonville STATE FL ZIPCODE 32266
Barry Darnell of Pratt Guys Inc. is hereby authorized to act on behalf of
Michael Failor 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)
Lea .
ed•�y/ Michael Failor 7/17/2025
1WrNAT WWNER PRINT OR TYPE NAME DATE
SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE
Signed and sworn before me on this 17 dayof July 20266 by State of FL
Michael Failor Countyof Duval
Identification verified: FLDL
Oath Sworn: ❑ Yes ® No angry v96x984W x vwx66
Juerno a6pCM6
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TREEREMOVAL PERMITAPPLICATION-EXHIBITS:LetferofAuthorization 06212025
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