1320 East Coast Drive TREE2-0039 08.24.2022 SCTREE. REMOVAL PERMIT APPLICATION'
City of -Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233.
(P) 904-247-5800
'PERM ITRE:QUIRED FOR'REMOVAL
OF -TREES 8, -INCHES •DIAMETER -AT
BREAST HEIGHT AND GREATER
SITE 1114F f#MATM
FOR INTERNAL OFFICE LISE'ONLY
CLA SSI FI C4TI ON,
PERMIT #�2 O�J�
PERMIT FEES
Single-: Two-FamilyResi.dentlal $125.00
Multi -Family Residential -$250.00
Commercial/ Industrial $250.00
1`7 Institutional/ Other Non -Residential $250.00
ADDRESS 1320 je 9-_5 T G�i�.5%� ��161CfI lql Zl�%�G
APPLICANT INFORMATION
c Nt�7�41�
NAME CfaR.STV—C C� Ta'2LIG7-7 .C.4G 0 OWNER LEGAL AUTHORIZED AGENT
ADDRESS//6q6) 5u_RF3ijeD O CL.6 CITY�j�C,Csp��l9/LL� STATE FL ZIP CODE
PHONE# I Ln"Ll— ajO3- 35�� EMAIL �IX 1 GO TQC® mA/L .G�n
TREE REMOVAL PERMIT APPLICATIONVACKAGE CHtECKL1ST
PLEASE ATTACH THE FOLLOWING -EXHIBITS:
*AddW:on-al unique to individual zppkatians
>� EXHIBIT A.- TREE PERMITTING PROCESS
0. EXHIBIT B (Option 1) -PROOF OF OWNERSHIP::Copy of Warranty. Deed that verifies. record ofowner .
F EXHIBIT B (Option 2) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner
0 EXHIBIT C - TREE INVENTORY and SITE PLAN
11 EXHIBITD - TREE WORKSHEET
I HEREBY CERTIFY THATALL INFORMATION -PROVIDED IN THIS.APP.LICATION IS CORRECT. I.AGREE-TO'COMPLY WITHALL
PROVISIONS OF CHAPTER 23 (PROTECTIONAFTREESAND_NATURAL J/E15ETAT1OJ11)ANDALL OTNEKAPPL-ICABL-E�CODES AND
ORDINANCES OF THE CITYflf. ATLANTIC BEACH.
24
�i2 •- �dtGJ _ /� a
PRINT OR TYPE NAME DTE:
Signed and sworn before me on this. day of Al AL i ,i , i t , 2qD�rd by
Irk-ntificatinnarPrH1pd- QL_
Oath:Sworn: ',Q Yes kNo
'—\ 1; ,::•+��:' JENNIFERJOHNSTON
• `, MY COMMISSION # HH 057579 i Eta r 1 ure
o` EXPIRES: October 27, 2024
Banded Ttn Notary Public W demkoft
;-'= y Commission expires
02 TREE REMOVAL PERMIT APPLICATION 08.05.2021
State of rL
Co.u.nty of. VLA_ V `l..
EXHIBIT A: TREE PERMITTING PROCESS
n; City of Atlantic Beach
1 Community Development Department
u 800 Seminole Road Atlantic Beach, FL 32233
urf1� (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.
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) 2.47-5847.
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.
AFTER PERMIT ISSUANCE
S. 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 DATE
TREE REMOVAL PERMIT APPLICATION - EXHIBIT A: Tree Permitting Process 08.05.1021
' EXHIBIT R: LETTER Of AUTHORIZ ATION,
City of Atlantic Beach
-A.-� Community Development Department
800 Seminole Road Atlantic Beach. FL 32233
P: 904-247-iR00
"Please complete if applicant is not the owner
OWNER INFORMATION
NAVE "AkLA ,WtKGS -4 U 14T�4�CU iZtbb Eft
E, qrJ i?f?,.7�7CJZ
ADDRESS 1-3 /_ �. 1��OA,
,1 Y%Q_
CITY Tj C' 1'7 eAc j
EMAtt JUA"W! (r GiJ 414,0. C,>4
S -A-E R1 •'ul' CODE 37iZ33
AGENT INFORMATION
i NAME T.—y�Gk1�Wi4Sr�ii WN ONE
_ 2
�i
A _'rjRESS — - _ — — --.�:AIL�Id.IWIt�(CsS�I�O�ii(.�l7tr-tPrs4•
CITY STA- 21:CODE Cot
�G t `i` <,CL4w A(F, is hereby authonzea to act on behalf of
tnr ownerrs) of thr_se Ends descrihPd
in the attached apphcatwn and as desarbed in the at.ached warn -;y need or other such proof of ownership as may
be required in applying to the Gq of Atlantic Beach, for an application related to a Tree and'vegetation Removal Per -nit.
1 NEWBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: S,pnaturc of : •c perty Ow
ncr s
SICNATUR O OWAER f' �I1." C" "� PE NA\tE DATE
PFI': CIF ryPtNAME O• -t
Sw�rtrd en.l rwLwn ixlW r me un Ihrs � unr by Siete ut
IMZI,
Idenvficjtic,n vptrriectC
01
Oath Sworn "�S 5 — 1'1L -
hotmy S,gnatur" PETER W. SCHWAB
Commissionerp IRES August 18.2023 MY COMMISSION 9GG366623
EXP
n2 rot. VUN'VAI VtHMII AYrC:Gr7uN ^._�,' .. , � .• •.
EXHIBIT D: TREE WORKSHEET
M' ay 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 identified on EXHIBIT C (attach additional pages as needed).
iD
DBH
SPECIES
X
removing
[)
preserving
D
relocating
COMMENTS(forusebyCityStaff)
2
r
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
02 TREE REMOVAL PERMIT APPLICATION - EXHIBIT D: Tree Worksheet 08.05.2021 1
%A EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
Community Development Department FOR INTERNAL OFFICE USE ONLY
800 Seminole Road Atlantic Beach, FL 32233 CLASSIFICATION
(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 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
PREPARED BY: SCALE: 1 SQUARE _
02 TREE REMOVAL PERMITAPPLICATION -EXHIBIT 0 Tree Inventory and Site Plan 08.05.2021
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SITE PLAN
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.sheet One (1) of Two (2) Sheets SPECIFIC PURPOSE SURVEY
TOPOGRAPHIC INFORMATION, ABOVE GROUND IMPROVEMENTS, AND
TREES SITUATED ON A PORTION OF LOT 21, LESS AND EXCEPT THE
SOUTH 4 FEET THEREOF, BLOCK 1, SELVIA MARINA UNIT No. 1, A
SUBDIVISION ACCORDING TO THE PLAT THEREOF RECORDED AT PLAT
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MAP DATE: OCTOBER 27, 2021
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JONATHON B. BOWAN
STATE OF FLORIDA
REGISTERED LAND SURVEYOR
CERTIFICATE No. 4600
FO,UNDAR /8
LB 7337
Prepared by.
A&J Land Surveyors, Inc.
5847 Luella Street
Jacksonvile, Florida 32207
T 904.346.1733
F 904.346.1736
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JONATHON B. BOWAN
STATE OF FLORIDA
REGISTERED LAND SURVEYOR
CERTIFICATE No. 4600
FO,UNDAR /8
LB 7337
Prepared by.
A&J Land Surveyors, Inc.
5847 Luella Street
Jacksonvile, Florida 32207
T 904.346.1733
F 904.346.1736