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1655 Selva Marina Dr TREE25-0054 8.8.25 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY City of Atlantic Beach CLASSIFICATION Community Development Division _ 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# T���zJOC) '—j--4r " (P)904-247-5800 `- PERMIT FEES ❑ Single-/Two-Family Residential $125.00 PERMIT REQUIRED FOR REMOVALy ❑ Other $250.00 OF TREES 8 INCHES DIAMETER AT 7, t BREAST HEIGHT AND GREATER " **Please submit form in person or to building-dept@coab.us SITE INFORMATION ADDRESS 1655 Selva Marina Drive APPLICANT INFORMATION NAME Barnett Custom Homes ❑ OWNER ❑X LEGAL AUTHORIZED AGENT ADDRESS 1415 3rd st N CITY Jacksonville Beach STATE FL ZIP CODE 32250 PHONE# 904-229-6622 EMAIL Gregg barnettcustomhomes.net REASON FOR TREE REMOVAL Palm tree is located inside the building footprint- Magnolia is dangerously close to the house and the owner is concerned that if the tree fell that it would kill them as the tree is under their master bedroom 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 Q EXHIBIT B(Option 1)-PROOF OF OWNERSHIP:Copy of Warranty Deed that verifies record of owner 0 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 HAPTER 23(PROTECTION OF TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND ORDINANCES THE CITY O TLANTIC BEACH. GNATUROWN or A NY PRINT OR TYPE NAME DATE Signed and sworn before me on this day of e by State of County of P" iAA��L Identification verified: Oath Sworn: ❑ Yes ❑ No V A or(: ,��yir'v�•.,. TIFFANY RUMBACH NO ig tUf ':°• ���=: Notary Public State of Florida da Commission#HH 374732 ' ortti°P My Comm.Expires Oct 23,Z02fi My Commission expires Bonded through National Notary Assn. TREE REMOVAL PERMIT APPi EXHIBIT A: TREE PERMITTING PROCESS City of Atlantic Beach Community Development Division 800 Seminole Road Atlantic Beach,FL 32233 ss (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 - 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) 247-5822. 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. 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. SIGNATURE OF LICANT PRINT OR TYPE NAME OF APPLICANT DATE TREE REMOVAL PERMITAPPLICATION-EXHIBIT A:Tree Permitting Process 07.31.2025 E HIBI`I' B: LETTER F AUTHORIZATION u City of Atlantic Beach CommunityDevelop mentDivision r 800 Seminole Road Atlantic Beach, FL 32233 COM (9) 904-247-5800 **Please complete if applicant is not the owner OWNER LNFORMATION NAME Chad and Mary Beth Ji)hnson PHONE;4 954-448-2462 ADDRESS 1655 Selva Marina Dr _ EMAIL johnsonc nfl,jagu�irs-corn STATE FL ZIPCODE 32233 CITY Atlantlt Beach — AGENT INFORMATION NAME f PHONEz ADDRE t 1` EMAIL k IvET CITY STATE f� ZIP CODE .� is hereby authorized to act on behalf of /A the owner(s)of those lands described in the attach ed appiication and as described in the attached warranty deed Or other sur-h proof of uwnershl p as in a y 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 15 CORRECT:Signature of PropertyOwner(s) NATUROFfb;Lp R P INT OR PE NAM DA 7 SfGNATl1RE OF OWN FR#2 PRINT 0R TYPE NAME DATE � Signed and sworn before me on this_ day of.. by State of 1 - Cots my of Identification verified' aLY w Oath Sworn: Yes No ;-;tt` e�•t HE.4TNERM-4RIEpA:29M9755] . .. +; VY COMIAWI N 4 HH - '• EXMFkM rt 0, Notary Signature My Com rnission expires TREE REMOVAL PERMITAPPLICA ETON-EXR19fF&tetter ofAuthorizotior)07.31.2025 655 5LVA MARINA SRI V A7LAN71 C 5EACH, L®R A N �Q NOTE: LOT ELEVATION AT FRONT AND REAR BPL 15 11.0' WITH A o'. GVRRENT ZONING R5--L H10H POINT OF 13.0' IN THE GENTER OF THE LOT. TOPOGRAPHIC o N MAX.IMPERV.COV. 45% TOTAL VARIATION DOES NOT EXCEED 2' THEREFORE CALCULATED Jim GRADE AVERAGE 15 NOT REQU I RED. �y w LOT WIOTH 150' LOT SIZE 28500 SF MAX.50.FT.IMPERVIOUS 12825 5F 5 !o ' 50" a 150.00' FIRST FLOOR HTD. 4048 5F 2 GAR GARAGE 565 5F 11.0- Q v CART SARAGE 305 5F 10.3 m OUTDOOR LIVING d DINING 555 5F •O N ENTRY PORCH 4515F 4.00 n X 11.0 20' SRL �apppppQQpQp ~ z SERVICE SLABS 56 5F -- -- 8 -- -- -- v o pO�O POOL,POOL DECK 23215F `I a FIREPIT 10.3 �\ p Lu 0000 PAYER DRIVES 2358 5F 11.0 1 o0 AND MLK5 x o �' � `� ~ Reynold Digitally S� o Z M w o x 12.0 o N b Re nol TOTAL IMPERVIOUS 10965 5F by y y o LOT GOV.IMPERV. 385 G LL O 4 g 00 12 12 YARD DRAIN D Peterson o © ® q $� ® o OL x 2. ,0.3 Date:202�6)__ ��oo EXI5TIN6 RESIDENCE 4080 5F 12X12 YARD DRAIN Peterson SO n EXIST.DRIVES E WALK5 1555 5F TOP 10.3 2�O 76 09:43:21 -0 �� EXIST.SHED Q SLAB 255 SF I D. B4559 PEr RS wsoN a"m Nos"me po I QQQ()Q�ppp� a EXIST. IMPERVIOUS 6220 SF 101I •OO E. N0,27.32 � IMPERVIOUS INCREASE 4745 5F x I � xm ne saunne xar N:� a wx nclna�a an:a 8 1 DRAINAGE NOTES: N 11. THE COVERED PORCH AND STOOP SHALL BE SLOPED AT MIN. 1% AWAY FROM STRUCTURE. AT THE 51TE 15 LOCATED IN FLOOD ZONE "X" I `., I, +R - CONNECTION POINT OF THE PORCH AND STOOP,THE BA5E FLOOD ELEVATION TBO D ci ra r TYPICAL ELEVATION DROP SHALL BE 4 INCHES. LOT DRAINAGE -TYPE Brl I a 1 x 113 d1 2. GROUND ELEV. AT FOUNDATION SHALL BE MIN. 61N W s 10 FIN15H FLOOR OF NEW RE51DENGE 15145 I O FIN, FL. 1 O D X I ELEV. - 14.5' I Q BELOW F.F. ELEV. gQ Z 4 aJ 3. DOWNSPOUTS ARE TO BE CONNECTED TO UNDERGROUND BUILDING HGT - 30'-1" r r Z Q 1 12. � DRAINAGE 6" SOCK DRAIN PIPE � � a GRADE +I DRAINAGE LEGEND z 4. SITE SHALL BE GRADED TO CONVEY IMPERVIOUS SURFACES TO Q O W 1 I 13 33` 1 61N SOCK DRAIN THE RETENTION AREA 0 U) C7 61N SOCK DRAIN 1 / 1 Q 2 Z bi EXI5TING GRADE ELEVATION x 5.1 1 > U (12. } 13. 035) 03.0) 02.0)1 115) NEW GRADE ELEVATION I j (5.-!) 1_I6� U) UJ U o URT ET 13_16' { I1 LO Z W ry N 12X12 YARD DRAIN -- -- 12X12 YARD DRAIN X 1- TOP 10.95 13.0) 40' 5RL m 03,0) U) INDIGATE5 DIREGTION OF DRAINAGE TOP 10.95 1 .$ I02.0) (12.0) 113 x 10. t (12.0) Lu 98 ' I 0 SYMBOL LEGEND 1 es'iewwa (11.16) V 8 ; x a- DRAINAGE LEGEND 00.0 00.0 (IO.ib) ? : aw oeserNmx-a�rwe8eev m.�.o U' .8 (9.161 x ;, (alb) N PRE-FLOW ARROW f- PROPOSED SPOT EL. REVISIONS M Kw�snaaaazv�noxe�eHmx-gree eav�roxeenuo X 8.0 (5.16) X 0 �'" (5.16) 8, PJ. \ / 4'V- POST-FLOW ARROW X TO BE REMOVED ... 8.0 "' N 110 56' so" o (000) EXISTSPOT EL - - PROPOSED SHALLOW SWALE KAvim O TREE PROTECTION --- 61N SOCK DRAIN PIPE RADIO PLOT DATE: 07/162025 DRAWN BY: KG GRAPHIC SCALE CHECKED BY: RDP 20 D 10 20 40 BO SCALE: AS NOTED JOB NO.: 71801.00 S SHEET NO. ( IN FEET ) N 1 inch = 30 Pt. v EXHIBIT D: TREE WORKSHEET i City of Atlantic Beach 4 Community Development Division 800 Seminole Road Atlantic Beach,FL 32233 jY (P)904247-5800 List the species and diameter at breast height(dbh)of all trees identified on EXHIBIT C(attach additional pages as needed). ID DBH SPECIES re oving preserving relocating COMMENTS(for use by City Staff) 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TREE REMOVAL PERMITAPPLICA TION-EXHIBIT D.Tree Worksheet 07.31.2025 RIGHT-OF-WAY/ EASEMENT PERMIT APPLICATION ' City of Atlantic Beach Building Department FOR INTERNAL OFFICE USE ONLY - = 800 Seminole Road,Atlantic Beach, FL 32233 PERMIT# Phone: (904) 247-5826 Email: Building-Dept@coab.us *' information required to process 'ERMITTEE I SIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES" Job Address 102 , RE# Homeowner �/�, Associated Building Permit# CONTRACTOR Name of Company 40M Phone Address J 'T I arCity: State Zip Qualifying Agent l l 54. i' V State Certification/Registration# Email ob Site Contact Number Worker's Compensation Insurer s11. 13v ulA "OR Exempt F-1 Expiration Date Describe in detail the type of work to be performed: v • Permittee declares that prior to filing this application they have ascertained the locati n of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Public Works Director, any or all said poles, wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Beach or FI�(da Department of Transportation Standards and be performed under the supervision of 6 �LAI I (Project Superintendent) with(Company Name) CAJ� e 0 • All materials and equipment shall be subject to inspection by the Public Works Director. • All city property shall be restored to its original condition as far as practical, in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the holder will, at all times, assume all risk of and indemnify, defend and save harmless the City of Atlantic Beach from and against any and all loss, damage and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. • The Public Works Director shall be notified 24 hours prior to starting work and again immediately upon completion. "In lieu of signed,sworn and notarized signatures of the property owner, agent and/or contractor,and under penalties of perjury, I declare that I have read and examined the foregoing application and that the facts stated in it are true and correct." C'. Qar SIGNAT OF CO R PRINT OR E NAME OF CONTRACTOR DATE Right-of-Way Easement Permit Application 05.14.2025 �r. REVOCABLE ENCROACHMENT AGREEMENT City of Atlantic Beach Building Department 800 Seminole Road, Atlantic Beach, FL 32233 *ALL information required to process Phone: (904) 247-5826 Email: .uiIdin&DeptLWcoab.u; REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach, Florida,a municipal col;koration organized nd existing under the laws of the State of Florida, hereinafter referred to as "CITY" and nW��Tt CL�� of Atlantic Beach, Florida, hereinafter referred to as"USER". WITNESSETH: That the CITY does hereby grant USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as Any facility maintained, repaired, erected, and/oro,'.talled in the exercise of the privilege granted remains subject to relocation or removal on thirty(30) days' notice by CITY to USER, said notice to USER shall be given by certified mail, return receipt requested, to the following address [ o sS • In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above described easement or property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating, replacing or adding to of the utilities and facilities of the CITY or franchise utility provider. • The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes, Land Development Code and all other land use and code requirements of the CITY, including City Code Section 19-7(h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." • The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach Public Works Department,for said change within 30 days after the day of completion. • This permit shall inure to the benefit of, and be binding upon,the USER and their respective successors and assigns. • USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of easements, public right- of-ways and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. t � (S (bate) Signed before me this day of in the County of Duval,State of Florida,hiorscxnally appeared "AL'v�^•., TIFFAN`!RUMBACH Notary Public State of Florida Commission d".4?2�7?2 My Comm.Fx;ires Oct 2?.20251 personally Known OR [ ]Produced Identification Bonded through Nation&Mot?ry Assn. My commission expires: Notary Signatu e: ' UU 6 Department Approval: Revocable Encroachment Agreement 12.11.2024 Public Works Department Date