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1810 North Sherry Drive TREE21-0053 09.23.2021 SCTREE REMOVAL PERMIT APPLICATION City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 PERMIT REQUIRED FOR REMOVAL OF TREES 8 INCHES DIAMETER AT BREAST HEIGHT AND GREATER FOR INTERNAL OFFICE USE ONLY CLASSIFICATION bW('i LUPO LCI_ PER MIT#'QCL�2,1- DOG3 PERMIT FEES ngle- /Two -Family Residential $125.00 ❑ Multi -Family Residential $250.00 ❑Commercial /Industrial $250.00 ❑ Institutional /Other Non -Residential $250.00 SITE INFORMATION ADDRESS ,_1I D �h e(rV Dfiy e N ar+h A4- l oni C (3,rcnoh �-1. APPLICANT INFORMATION f)hl NAME CSP nes +�r � -Solt rry)etrbei NER ❑ LEGAL AUTHORIZED AGENT ADDRESS Ux j q CITY (bi (`'iQMbJ dj STATE (24 ZIP CODE j f qo2 PHONE # ~i EMAIL ©61 I1) r o h d 11 d S i1r1 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. 1 AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23 (PROTECTION OF TREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH, TURE OF OWNER or AGENT ��✓�SfGnc� � I�hII,� 9-�5-�I PRINT OR TYPE NAME DATE Signed and sworn before me on thi �J day of A� by State of �LD� I�— OVNON6' 1 Gk-"(Coupmutft�, si Identification verified: Oath Sworn: Yes ❑ No Notary My Commission expires 02 TREE REMOVAL PERMITAPPLICATION 08.05.2021 pETE LOFTIS Comm�sExni es Aug 15, 2025 My Comm• P Assn. ed through National Nom ta�',�' EXHIBIT A: TREE PERMITTING PROCESS City OT Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (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 certi that you have read this document and understand the permitting process. 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) 247-5847. 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. 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. PRINT OR TYPE NAME 02 TREE REMOVAL PERMITAPPLIG4TIOIV - EXHIBIT A: Tree Permitting Pro vtlj'A`�Ate of F1occup ,'oAY aue�J••, otary Qubhc ' NN 155501 Commis 15 , 202 Tres Aug cess 08.05.2021 1°11ough Natio°ai NotarY $0°ded thr�2 EXHIBIT C: TREE INVENTORY and SITE PLAN City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 FOR INTERNAL OFFICE USE ONLY CLASSIFICATION PERMIT # TREE INVENTORY -Pleases eLc 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: • Show the location of all trees to be removed with an "X" • Show the location of all trees to be preserved with "[ ]" • 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 SCALE: 1 SQUARE= � �3 a Z� X 3 15 too Lo t� k S-% L&B COO} X� X 00 4 �( Z31 20 helli G Zq G C z [23] 02 TREE REMOVAL PERMITAPPLICATION - EXHIBIT C: Tree Inventory and Site Plan 08.05.2021 EXHIBIT D: TREE WORKSHEET City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 List the species and diameter at breast height (dbh) of all trees idened on EXHIBIT C (attach additional pages as needed). ID DBH SPECIES X I 1 O COMMENTS (for use by City Staff) removing preserving relocating Ca1C ` 2 r l OC 14 a 3 1 e" oca1L • 4 11 " 00.1E • 5 Ito ockk ` 6 10u OGIL - 7 g CtX 8 10` dcc\evo% 9 103 L 10 1 ():Oc 11 ,� Lives 12 13 C 1 Vim. - 14 15 16 17 18 lZ�� rn s 19 3LP" ©cQIL 20 9" L% O�\� • 21 �3'� Live Ocxtc 22 0z Live. C7c) i..Y. 23 1qt' L1v%P, 0o L ` 24 3 s Lives Da1� 25 C) a t! i Ut C7 A,4 02 TREE REMOVAL PERMIT APPLICATION - EXHIBIT D: Tree Worksheet 08.05.2021