71 Coral Street TREE12-00100025 ApplicationTREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS
(1) Complete and sign this form.
(2) Attach the required supporting exhibits as listed on the application
checklist.
(3) Contact the Department of Community Development if you have
questions or need assistance completing the application or
determining which exhibits are required for your particular project.
(4) Submit this form, along with all required exhibits and payment to
the City of Atlantic Beach, and in the appropriate amount according
to the application fees listed to the right, to the reception desk at
the Building Department.
SECTION I - SITE INFORMATION
.. , City of Atlantic Reath
Department of Community Development
-�4 800 Seminole Road Atlantic Reach, FL 32233
(P) 904247-5840 (F) 904 247-5845
Single -/Two -Family Residential $125.00
r Multi -Family Residential $250.00
I-'• Commercial / Industrial $250,00
F- Institutional/ Other Non-residential $250.00
Application It TREE 12- 40 26
PHYSICAL ADDRESS X1 " 09AL ' rRU � T
if an address has not been assigned to this property, contact [lie A8 Building Deportment or 1904) 247.5926 to requesr an address.
SUBDIVISION tZL OCJA� BLOCK GIA,+ I —�t)
SECTION II -APPLICANT INFORMATION
LOT&7 JA �RE#
F_ OWNER RLEGAL AUTHORIZED AGENT*
NAME OF APPLICANT IA (4A-'CJ04V% .-+-.IUML,_ .
ADDRESS OF APPLICANT �'� fj &i(�'
PHONE GfC}tl—`11i< '7�%�CELL EMAILfIG'�+s'rrtiz5rr:/c1r�c��f. �f,►
SECTION III - TREE & VEGETATION REMOVAL REQUEST
I REQUEST THAT THE TREES & VEGETATION ON THE ABOVE DE5CRIBED PROPERTY AND INDICATED ON THE ATTACHED REQUIRED
EXHIBITS BE APPROVED FOR REMOVAL, A5 PROVIDED IN THE CITY OF ATLANTIC BEACH VEGETATION CODE, CHAPTER 23, FOR THE
FOLLOWING REASONS (check all that apply):
Vegetation (trees) are difficult to maintain /owner dislikes.
tv Trees are dead, diseased or so weakened by age storm, fire, or other injury so as to pose a danger to persons, property,
1'� improvements or other trees.
F- Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
F- Vegetation (trees) pose a safety hazard to buildings or structures.
r Vegetation (trees) completely prevent access or crass access to a lot or parcel.
Vegetation andlor trees prevent development or physical use. It is the intent of this provision that a permit shall be granted for
r the removal of vegetation and/or trees when the applicant has demonstrated an effort to design or locate the proposed
improvements so as to minimize the removal of vegetation and/or trees.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVIS NS OF CHAPTER 23, PROTECTION OF TREES AND NATURAL VEGETATION, AND ALL OTHER APPLICABLE
CODES AND 019111111NANCtS OF THE CITY OF ATLANTIC BEACH.
7 t+
SIGNA RE OF APPLICANT DATE
FOR1NTERNAt OFFICT USEONtY
FROW-AGE FZl FLU
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'free& Vegetation Removal Permit Applicotion versionumm.ng
86 Coral Street - Googie Maps
Goosle
-71
Address,WCoral Street
Addr¢>ti I, apprGOmale
Remove two palms at NE corner of property, and
replace with new palms at final landscape.
Page 1 of 1
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