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385 9th Street TREE22-0057 12.28.2022 SCTREE REMOVAL PERMIT APPLICATION }` J City of Atlantic Beach s� 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 SITE INFORMATION FOR INTERNAL OFFICE USE ONLY CLASSIFICATION Lf9_Ejj2?�L-CT PERMIT #�,L�� 095"+ PERMIT FEES Single -/Two -Family Residential $.125.00 Multi -Family Residential $250.00 ❑ Commercial/ Industrial $250.00 ❑ Institutional/ Other Non -Residential $250.00 ADDRESS 9T*1 APPLICANT INFORMATION NAME n � ��� S MI t t7 (Z A C� tPTr Y UVIN I� G?_VCril T1ece SEg.ylc.fS ❑ OWNER ® LEGAL AUTHORIZED AGENT ADDRESS O core a vIU�j1,1✓ Lpo r_- CITY ST. -A, U & STATE Ft- ZIP CODE 377 0c) 3 PHONE# q0'1 X31„ gta8� EMAIL 1'Yli� 1 �(1DifMafi. t.oifYl _ 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 TREES AND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. SIGNATURE OF OWNER o GENT PRINT OR TYPE NAME DATE. Signed and sworn beef/ore me on this _ �� day of .%?C-0122& C 24 ZZ by State of r`©J b County of D vuaL Identification verified: F/or r (%u i ve o Oath Sworn; es •.o MARIACARLA FERNANDEZ o y Ari Notary Public, State of Florida Commission# HH 298807 My comm. expires Aug. 9, 2028 02 TREEREMOVAt PERMITAPPLICATION 08.05.2021 Notary Signature My Commission exp€re� /C`� �%5� 2©Z41- EXHIBIT A: TREE PERMITTING PROCESS City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 r,;J� (P) 944-247-5800 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 certify that you have read this document and understand the permitting process.. BEFORE PERMIT ISSUANCE 1. Submit Completed Application • Ali 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 Pian 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, 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 6Z-1 SIGNATURE OF APPLIC T A&IA-/ A^*174F1'' PRINT OR TYPE NAME 92 TREE REMOVAL PERMITAPPLICATION - EXHIBIT A: Tree Permitting Process 08.05.2021 DATE EXHIBIT B: LETTER OF AUTHORIZATION City of Atlantic Beach s, Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 "Please complete if applicant is not the owner OWNER INFORMATION NAME "C Z I N- pINKSTA.r-r- PHONE # ©IO - ALA - S ADDRESS GTM STae AGENT INFORMATION STATE F L ZIP CODE :22,7 NAME I r� AC+.j k D.�z.C7�F-1. /U\11 ,% GR U) ME: SEgVl c , PHONE# qo4 Ca -St, glo8j ADDRESS 0 CtACTAL %jI t AG6 Ll+r1i✓ EMAIL rna ro,c ,Cfp hoYtma�� C.an� CITY t:i �� iu STATE ZIP CODE 3Z o M r 4a cti•t moria na ra Ut`rs G t2GEn1 1-k ER-'► M S 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 warranty deed or other such proof of ownership as may be required in applying to the City of Atlantic Beach, 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) SIGNATIURE OF OWNER PRINT OR TYPE NAME DATE ' ' ?U414V�nft _ &ev Q. PRINT ORTYP AME Signed and sworn before me on this K day of ✓�C'�ii% % Ir by Xmr 304n �570_hl�_ Identification verified: "<nrr (* .JITi 1 y5 ArC.P%iy— (n,tt�Cz2 DATE State of of -juyal z Oath Sworn:s rl o��y p°m MARIACARLA FERNANDEZ : � Notary Public, State Of -Florida Notary Signature. Commission# HH 298807 A My comm. expires Aug. 9, 2026 My Commission expires T ( 7C�?(g• 02 TREE REMOVAL PERMITAPPLICATION- EXHIBIT & Letter ofAuthorization 08.05.2021 EXHIBIT C: TREE INVENTORY and SITE PLAN City of Atlantic Beach l Community Development Department FOR INTERNAL OFFICE USEONLY 800 Seminole Road Atlantic Beach, FL 32233 CLASSIFICATION -'.7 _n (P) 904-247-5800 PERMIT # TREE INVENTORY -Please sketch an inventory in the area below or attach asite plan showing all existing trees on the property below that are 8" diameter at breast height (dbh) and greater. Please complete the following: 0 Show the location of all trees to be removed with an "X" 9 Show the location of all trees to be preserved with"[ I" Show the location of all trees to be relocated with an "0" • Show all existing and/or proposed buildings Number all trees and list on EXHIBIT C Tree Worksheet 1� k106) 7q 7- i x U RS 64 J�e �3 L I SCALE:1 S(�UARE= PREPAREl? BY: MALACHI D1tAGiF'F,15A'QVKT1r1WD AalWAIST *-'VL-9yibR Ln 02 TREE REMOVAL PERMIT APPLICATION -EXHIBIT C: Tree Inventory and Site Plan 08.05.2021 EXHIBIT D: TREE WORKSHEET PAGE 4 °r- _' City of Atlantic Beach CommunitY Development Department 800 Seminole Road Atlantic Beach, FL 32233 ''`L;sas3r, (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 COMMENTS (for use by City Staff) removing preserving relocating 1 RN R t� 1EAST'sittJ SSD GE AR 0 3 lN" LAUREL OAK 4 1&1 VitcKOR"I • 5 t0" PALM • 6 11'% CW FRR`I LAU ESC L. 7 0141 t69AR ° 8 20" PALM 9 t L„ PALM 10 1 ,' LOU EL OAK ° 11 PA LM ! 12 q,t HICK0011 ° 13 11„ pALW1 14 1 1" L ouR6L OAK 4► 15 1O" MA(,NoLtR ° 16 t V �Ay 17 12" PALM 18 21" LWE oAK ° 19 20 18" LA-UREL 0A K. 21 22 01% {.1NKNONIt�i 1t''r tRE6 • 23 20 i>A LM • 24 " t-t A ckP.�E RRy 25� 2a" PERMITAPPLICATION -EXHIBIT D: Tree Worksheet 08:05.2021 02 TREEREMOVAL s=L'1 EXHIBIT D: TREE WORKSHEET PA C.,6 F 2 - City City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233. 01 v%' (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 COMMENTS (kr use by City Staf) removing preserving relocating 2- a 20,E PALM 0 2S" PIN'E 0 30 u 'C'(�l Ltd • 3z " A l., 1 1l 1 13 14 1 1 1 1 1 ' 0 1 2 211 2 I - EXHIBIT D: Tree Worksheet 08.05.7091 02 TREE REMOVAL PERMITAPPLICATION