316 10th St TREE25-0060 10.18.25 SCTREE REMOVAL PERMIT APPLICATION - EXHIBIT C: Tree Inventory and Site Plan 07.31.2025
SCALE: 1 SQUARE =PREPARED BY:
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:
l Show the location of all trees to be removed with an “X” l Show the location of all trees to be preserved with “[ ]”
l Show the location of all trees to be relocated with an "O" l Show all existing and/or proposed buildings
l Show property access during the project using arrows "↔" l Number all trees and list on EXHIBIT D: Tree Worksheet
(not required for new homes, vacant land or large projects)
EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
Community Development Division
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
FOR INTERNAL OFFICE USE ONLY
CLASSIFICATION ___________________
PERMIT # _________________________
TREE REMOVAL PERMIT APPLICATION - EXHIBIT D: Tree Worksheet 07.31.2025
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
Community Development Division
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).
ID DBH SPECIES "X"=
removing
"[ ]"=
preserving
"O"=
relocating COMMENTS (for use by City Staff)
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Revision Request/Correction to Comments **ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED. City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT #: _____________________
Revision to Issued Permit OR Corrections to Comments Date: ________________
Project Address: ____________________________________________________________________________________
Contractor/Contact Name: ____________________________________________________________________________
Contact Phone: ______________________________ Email: _________________________________________________
Description of Proposed Revision / Corrections:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
I_______________________________ affirm the revision/correction to comments is inclusive of the proposed changes.
(printed name)
Will proposed revision/corrections add additional square footage to original submittal?
No Yes (additional s.f. to be added: _____________________________)
Will proposed revision/corrections add additional increase in building value to original submittal?
No *Yes (additional increase in building value: $____________________) (Contractor must sign if increase in valuation)
*Signature of Contractor/Agent: _______________________________________________________
__________________________________________________________________________________________________
(Office Use Only)
Approved Denied Not Applicable to Department Permit Fee Due $_______________
Revision/Plan Review Comments_______________________________________________________________________
__________________________________________________________________________________________________
Department Review Required:
Building _____________________________________________
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities _____________________________________________
Public Safety Date
Fire Services Updated 10/17/18