1514 Park Terrace West TREE23-0022 04.20.2023 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
SITE INFORMATION
ADDRESS
APPLICANT INFORMATION
NAME A A %�yG�✓✓i
ADDRESS3o St:r�.ac,� ells Leti•-�
PHONE # — J7i 3 — —7 _
FOR INTERNAL OFFICE USE ONLY
CLASSIFICATION tjE123 CelS-TRIA
' CIN
PERMIT
I
PERMIT FEES
} Single- /Two -Family Residential
$125.00
❑ Multi -Family Residential
$250.00
❑ Commercial/ Industrial
$250.00
❑ institutional/ Other Non -Residential
$250.00
`[ OWNER ❑ LEGAL AUTHORIZED AGENT
CITY .Jk / STATE 1q- ZIP CODE _3ZZZ S4 -
EMAIL �vsT/r1/�(L(q l� V gv/Llf ,Co4A
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
�
K EXHIBIT C - TREE INVENTORY and SITE PLAN
C5 EXHIBIT D - TREE WORKSHEET
1 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.
SIGNATURE OF OWNER or AGENT PRINT OR TYPE NAME
Signed and sworn before mel on this day of
c Tim sem.► V-- —
`\�`��4111111/11//!/!/�/
Identification verified: "I`\i R i
by
xplres
Oath Sworn: ❑ Yes ❑ No 06/15/2025 n 41
Heather Messer _ Notary Signature
My Commission
V�'
HH 142824 ^QQ� My Commission expires
02 TREE REMOVAL PERMITAPPLICATION 01.31.2023 �,�r
�i!!OF
1111-11A5
D TE
State of
County of °k
EXHIBIT A: TREE PERMITTING PROCESS
_ City of 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 certify that you have read this
document and understand the permitting process.
BEFORE PERMIT ISSUANCEI
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.
r-- -
�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 prior to 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.
A4'rrl' [) i i n &C WP-- 3 /ao�
SIGNATUREOF APPLICANT PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMIT APPLICATION - EXHIBITA: Tree Permitting Process 01.31.2023
s EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
i -Y 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:
s Show the location of all trees to be removed with an "X" * Show the location of all trees to be preserved with"[ I"
• 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
2
/D
9
()
PREPARED BY: SCALE:1 SQUARE _
02 TREE REMOVAL PERMIT APPLICATION - EXHIBIT C.• Tree Inventory and Site Plan 01.31.2023
EXHIBIT D: TREE WORKSHEET
- City of Atlantic Beach
n Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
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
removing
preserving
relocating
COMMENTS (for use by City Staff)
2
3
4
Lt ,lc, Gs lL
5
/
6
! D
7e L- P- 11t
7
%2
5�L 4l
•
LIVE-
9
Z 2
10
77(
11
T"--
�-M Csn nne
1 O�
n-� i Cen�Le^�vil
Z 9
L�C1 Q 4 o/n�e-
Z
�1 ✓c Ou Cee.K
16
17
18
19
20
21
22
23
24
25
102 TREE REMOVAL PERMITAPPLICATION - EXHIBIT D. Tree Worksheet 01.31.2023 1
Arborist Solutions, LLC
Gene Washington
Certified Arborist
FL -5623A
904-610-1130
April 7, 2023
Mathieu Builders Inc
Dustin Brown
38W9`hSt
Atlantic Beach FL 32233
904-813-3661
Dear Mr. Brown,
Using your existing tree survey, I visited 1514 Park Terrace E Atlantic Beach, Florida 32233 to
evaluate the health and condition of each protected tree on the property.
There are a total of 15 protected trees on the property. 11 of those trees appear healthy with a
total of 189 inches DBH and will require mitigation if removed. I also found and condemned 4
trees with total of 87 inches DBH. These trees should not require mitigation if removed.
In addition to this letter, I have submitted a property diagram and a tree table with tree details and
problems found.
If you have any questions, please call me at 904-610-1130.
Sincerely,
Gene Washington
Certified Arborist
FL -5623A
Arborist Solutions Tree Table - Dustin Brown - 1514 Park Terrace E
Tree #
A
B
C
D
Diameter
Breast Common
Height Name Comments / Notes
Protected Trees Condemned
16 Elm Extreme Decline - Dead/Dying Top - Tip Dieback - Hazardous/Dangerous
18 Magnolia Extreme Decline - Massive Cavity from Ground to 4 ft - Dead Top - Hazardous/Dangerous
Extreme Decline - Large Cavity @ 8 ft - Hollow Under Root Flare - Dead/Dying Top -
29 Laurel Oak Hazardous/Dangerous
Extreme Decline - >50% Dead - Major Dead Limbs - Dead/Dying Top -
24 Live Oak Hazardous/Dangerous
Total
87 inches
1
Protected Trees Appear Healthy
15 Sabal Palm Appears Healthy
2
22
Elm
Appears Healthy
3
15
Sabal Palm
Appears Healthy
4
8
Elm
Appears Healthy
5
24
Live Oak
Appears Healthy
6
18
Sabal Palm
Appears Healthy
7
12
Sabal Palm
Appears Healthy
8
18
Live Oak
Appears Healthy
9
22
Live Oak
Appears Healthy
10
21
Hickory
Appears Healthy
11
14
Sabal Palm
Appears Healthy
Total
189 inches
Gene Washington 904-610-1130 Certified Arborist - FL -5623A April 7, 2023
MAP SHOWING SURVEY OF
LOT 4, BLOCK 3, SELVA MARINA UNIT NO. 2, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT
BOOK 27, PAGES 6 AND 6A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO. MATHIEU BUILDERS
1514 Park Terrace E
SITE BENCHMARK:
`a -SET NAIL/DISK (M5M —V){YY�� 8.LEV.=(6.63)
(s.ss) (
PARK TERRACE WEST
T (40' R/W)
6.99) 7.18 T
TEL CAN
c' PAVERS S1156'50
Arborist Solutions, LLC
Gene Washington
Certified Arborist- FL5623-A
April 6, 2023
1904) 610-1130
Protected Trees Cond
Protected Trees Aooeer Healt
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ti
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UNLESS iT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAWING SKETCH,
PLAT OR MAP 15 FOR INFORMARONAL PURPOSES ONLY, AND 15 NOT VAUD.
LEGEND
DA 7E' 3-15-23
1. Bearings are based on the RECORD PLAT.
3
2. This !s o BOUNDARY AND TOPOGRAPHIC SURVEY.
O DENOTES CONCRETE MONUMENT
JOB NO. 2023-45
J. Devotions shown thus (ISO) refer to North American Vertical Datum
X- DENOTES FENCE
F B. 14]2
of 7986, (NAVD 88).
hereon lies Zane: :Y"
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69
4. By Graphic plotting only, the property shown within
as shown on the Federal Emergency Management Agency (F.EM.A.), National flood insurance
0 DENORS IRON PIPE FOUND
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No7ED
_
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MELROSE SURVEYING AND MAPPING, INC.
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PROFE5510NAL LAND SURVEYORS
11437 CENTRAL PARKWAY, SUITE 107 L.B. No. 6295
hogs not been shown hereon.
A68REWA7701VS THAT MAY BE USED /N THIS SURVEY
JACKSONl4LLE, FLORIDA 32224 Tel. (904) 727-1226
7BBREVIA710N DEF/N1710N
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WS /S To Ccn1fY ]NAr IN[S SugV y IS A TRUE R�FESEN7ADLN OF AN AC/UA!
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LOT 15
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LOT 16
UNLESS iT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER, THIS DRAWING SKETCH,
PLAT OR MAP 15 FOR INFORMARONAL PURPOSES ONLY, AND 15 NOT VAUD.
LEGEND
DA 7E' 3-15-23
1. Bearings are based on the RECORD PLAT.
SCALE 1� 3
2. This !s o BOUNDARY AND TOPOGRAPHIC SURVEY.
O DENOTES CONCRETE MONUMENT
JOB NO. 2023-45
J. Devotions shown thus (ISO) refer to North American Vertical Datum
X- DENOTES FENCE
F B. 14]2
of 7986, (NAVD 88).
hereon lies Zane: :Y"
0 DENOTES 1/2- IRON PIPE SET
WTH CAP, LB. 8295
69
4. By Graphic plotting only, the property shown within
as shown on the Federal Emergency Management Agency (F.EM.A.), National flood insurance
0 DENORS IRON PIPE FOUND
page
Com . File 23-45.d_Wi
p
Program, Flood Insurance Rate Mop (F.I.R.M.) Community -Panel Number 120077 0409 J
No7ED
_
Drawn by WJM
Map Revised date : 11-2-18
S Unless otherwise noted, any portion of the parcel that may be deemed as Wetlands
by State or Govemmentol Agencies, has not been determined and any liability resulting
MELROSE SURVEYING AND MAPPING, INC.
therefrom is not the responsibility of the undersigned.
6. There may be Restrictions or Easements of Record evidenced by title examination that
PROFE5510NAL LAND SURVEYORS
11437 CENTRAL PARKWAY, SUITE 107 L.B. No. 6295
hogs not been shown hereon.
A68REWA7701VS THAT MAY BE USED /N THIS SURVEY
JACKSONl4LLE, FLORIDA 32224 Tel. (904) 727-1226
7BBREVIA710N DEF/N1710N
P.C.P. Permanent Contrd Point
ABBREV1A 77ON DERN171ON
L.B. Licensed Business
WS /S To Ccn1fY ]NAr IN[S SugV y IS A TRUE R�FESEN7ADLN OF AN AC/UA!
P. M. Permanent Reference Monument
R.L.S. Registered Land Surveyor
J.E.A. Jac_Rsonvllle Elxtric Authority
fg1D SiAtVEY, MADE UNDER MY 9,FJWT aN ANa P' AGC(FpAIM� WM INE
MINIMUM TEaysr,AL srAlmARac As ounuA=.D AlYI sET farm YATiff Ra'A
P. S. Point of Beginning
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(Ramal afA 93? s1a17-sL ROMA AWNSMAPI£ CWC AII?W NT m
P.T. of enc
P.R.C. Point of Reverse yCurvature
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f=/{V Right of Way
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9uAding Restriction Line
Radius
L= Arc Lenth equals
Ch.= Chord Beor/np & Distance equals
O= Delta o Cmiral Angle equals
8Y.'
WILLIAM J MELROSE; STATE OF FLORIDA, REGISTERED
B.R.L.
Esmt f°�^1e^t
LAND SURVEYOR, CERTIFICATE No. 5843
Cana Cancrefa