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341 Seminole Road TREE19-0043 09.10.2019 SCTREE REMOVAL PERMIT APPLICATION �s , City of Atlantic Beach Community Development Department v 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 INSTRUCTIONS 1. Complete and sign this application. 2. Attach required exhibits as listed on application checklist. 3. Contact the Community Development Department if you have questions. 4. Submit the completed application and all required exhibits, along with application fees to the Permits Desk at Atlantic Beach City Hall. SITE INFORMATION FOR INTERNAL OFFICE USE ONLY PERMIT # T -K PC—_ t ❑ Legacy Tree $ 25.00 -� Single -/Two -Family Residential $125.00 ❑ Multi -Family Residential $250.00 ❑ Commercial / Industrial $250.00 ❑ Institutional /Other Non -Residential $250.00 �3ZZ.3 3 ADDRESS .�Y� Ste^-t/,u©G /fTL.ejN,�Tl/ SUBDIVISION BLOCK # APPLICANT INFORMATION RE# Sz-I R*(3 NAME STf1. �G-/��6�Ttj� S. �� T-� /2 EMAIL ADDRESS PHONE # LOT # S . 194.Tf 2 la H�6 • C� CITY ,yr�TjL,(S� STATE cL ZIP CODE 302073 :� A OWNER ❑ LEGAL AUTHORIZED AGENT 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 (Option 1) - PROOF OF OWNERSHIP: Copy of Warranty Deed that verifies record of owner (Clerk of Courts) EXHIBIT A (Option 2) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner EXHIBIT B - TREE INVENTORY and TREE PROTECTION PLAN EXHIBIT C - TREE MITIGATION WORKSHEET J� EXHIBIT D - TREE MITIGATION PLAN SITE PREPARATION CHECKLIST PLEASE PREPARE YOUR SITE AS FOLLOWS: ® Mark all trees identified for removal with RED or ORANGE flagging, paint or tape ® Mark all trees identified for preservation with BLUE or GREEN flagging, pain or tape © Mark property corners with stakes or paint © Barricade all trees to be preserved on the property at the dripline I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23 (PROTECTION OFTREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. ELl�i9B�r S. ��Tc� I SIGNATURE OF AP ICANT PRINT OR TYPE NAME _5ATE 02 TREE REMOVAL PERMITAPPLICARONO3.01.2018 Doc # 2019192967, OR BK 18903 Page 1388, Number Pages: 18, Recorded 08/19/2019 01:42 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $154.50 DEED DOC ST $1935.50 This instrument was prepared by: First International Title, Inc. 1999 N. University Dr., Ste, 300 Coral Springs, FL 33071 (954)7W5751 File Number: 146463-26 Revised 10106/93FL (conventional) Skey # Foliott 170434-0020 SPECIAL WARRANTY DEED THIS INDENTURE, made August 16, 2019, by and between Bank of America,N.A, 14405 Walters Road Sulte 200, Houston, TX, 77014, a corporation organized under and existing pursuant to the laws of the United States, hereinafter called Grantor, and ELIZABETH S PETER a single woman of: 341 SEMINOLE ROAD, ATLANTIC BEACH, FL, 32233 hereinafter called Grantee, WITNESSETH, that the said Grantor, for and in consideration of the sum of Ten Dollars in hand paid by Grantee and other valuable considerations, the receipt whereof is acknowledged, hereby grants, bargains, and sells to the said Grantee, forever, the following described land Inthe County of Duval, State of Florida, to -wit: Lot 279, PLAT OF SALTAIR, NO. 2, according to the Plat thereof, recorded in Plat Book 10, Page(s) 15 of the Public: Records of Duval County, Florida. The property is commonly known as 341 SEMINOLE RD, ATLANTIC BEACH, FL 32233 TO HAVE AND TO HOLD the above-described property with appurtenances, unto the said Grantee, and their assigns, forover, subject to covenants and restrictions of record, zoning and land use restrictions imposed by governmental authorities, and matters an accurate survey would reveal, AND SAID GRANTOR DOES hereby specially warrant the title to said lands and will defend the same against the iawful clarms of any person whomsoever claim by, through or under the said Grantor. IN WITNESS WHEREOF the undersigned Bank of America,N.A, 14405 Walters Road Suite 200, Houston, TX, 77014has caused these presents to be signed in its name by Its undersigned officers and k's corporate seal affixed this August 16, 2019. EXHIBIT A: LETTER OF AUTHORIZATION City of Atlantic Beach Community Development Department J 800 Seminole Road Atlantic Beach, FL 32233 ,09 (P) 904-247-5800 OWNER INFORMATION NAME S. ADDRESS ?y/ SSM //VCUG X -D CITY 1y77,4vV n C- iQ�STATE AGENT INFORMATION FOR INTERNAL OFFICE USE ONLY PERMIT # PHONE # — CELL # /q— ZIP CODE 3.Z2 3 3 NAME ,Du -.y PSI�2 PHONE # ADDRESS 1141 CELL # CITY Pd�,4TG STATE ZIP CODE 3,Z0 SZ is hereby authorized to act on behalf of the owner(s) of those lands described in the attached application and as described in the attached deed or other such proof of ownership as may be required in applying to the City of Atlantic Beach, Florida, 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) or Authorized Agent 4"d-� S g>)1y119 SIGNATURE OF OWNER PRINT OR TYPE NAME DATE SIGNATURE OF OWNER #2 PRINT OR TYPE NAME Signed and sworn before me on this day of Identification verified: Oath Sworn: ❑ Yes ❑ No by State of Notary Signature My Commission expires 02 TREE REMOVAL - EXHIBIT A: Letter of Authorization 03.01.2018 County of DATE EXHIBIT B: TREE INVENTORY and PROTECTION PLAN City of Atlantic Beach _ Community Development Department " 800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY 0)"19 (P) 904-247-5800 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 3" diameter at breast height (dbh) and greater. Please complete the following: • Note the location of all trees to be removed with an "X" • Note the location of all trees to be preserved with"[]" • Number all trees and list on EXHIBIT C: Tree Worksheet • Show all existing and/or proposed buildings TREE PROTECTION PLAN- (if you are doing construction on thesite)-Please sketch and identify in the area below or on a copy of a certified tree survey the location of the protective barricades to be installed prior to construction. Section 23-32(c) requires protective barricades to be installed around every tree or group of trees to be preserved. l S IAJ 3 PREPARED BY: ��— SCALE:1 SQUARE = 02 TREE REMOVAL -EXHIBIT B: Tree Inventory and Protection Plan 03.01.2018 1 syL` P _ EXHIBIT C: TREE MITIGATION WORKSHEET - � City of Atlantic Beach Community Development Department J V 800 Seminole Road Atlantic Beach, FL 32233 't 19' (P) 904-247-5800 List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT B FOR INTERNAL OFFICE USE ONLY PERMIT # ID DBH SPECIES X removing [ ] preserving O replacing COMMENTS (for use by City Staff) 1 Zd Pl�� X 2 $ P/ X I U'e0.ct 3 4 , . if e- 5 5 rr �t �� o 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 02 TREE REMOVAL - EXHIBIT C. Tree Mitigation Worksheet 03.01.2018 EXHIBIT D: TREE MITIGATION FLAN I'll % City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY (P) 904-247-5800 PERMIT # Please identify the location, species and size (caliper inches) of ALL trees to be planted for mitigation credit in the area below or on a separate site plan. Please include existing and/or proposed buildings and any street names for reference points. VO A) PREPARED BY: SCALE:1 SQUARE= 02 TREE REMOVAL - EXHIBIT D: Tree Mitigation Plan 03.01.2018