358 4th Street TREE23-0025 05.25.22023 SC TREE REMOVAL PERMIT APPLICATION FOR INJERNALOFFKEUSE WAY
City of Atlantic Beach CLASSIFICATION _ l�
Community Develop ment Department
800 Seminole RoadAtlantic Beach,FL 32233 PERMIT# TO Ej 22, ?
(P)904247-5800 --
PERMIT FEES
ingle-/Two-Family Residential $125.00
PERMIT REQUIRED FOR REMOVAL -w= ti
rl Mul -Family Residential $250.00
OF TREES 8 INCHES DIAMETER AT Commercial/Industrial $250.00
BREAST HEIGHT AND GREATER
Institutional/Other Non-Residential $250.00
SITE INFORMATION rr
ADDRESS S 14 13&0
APPLICANT INFORMATION
NAME 1�� S c17� c1�5�..
M16 `IER LEGAL AUTHORIZED AGENT
ADDRESS ?d 5- Z--a.5 fi o c S Z�A • CITY ` ��. %3 uk STATE � ZIP CODE r
PHONE# Q 0 L1- -7/&- `�a `� EMAIL Ck-FA 5 I q&v g. Q6/. COVVq
TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
PLEASE ATTACH THE FOLLOWING EXHIBITS:
53*Additional information may be required,depending upon circumstances unique to individual applications
HiBIT A-TREE PERMITTING PROCESS
L EXHIBIT B(Option 1)-PROOF OF OWNERSHIP:Copy of Warranty Deed that verifies record of owner
rl EXHIBIT B(Option 2)-LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner
M).V�MIBIT C-TREE INVENTORY and SITE PLAN
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 OF TREES AND NATURAL VEGETA770N)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CwEATLA C BEACH.
'J'' c. J
SIGNATURE OF OWNER or AGENT PRINT OR TYPE NAME DATE
Signed and sworn before me on this—�� day of- by State of Vw Aa
County of IDJ/wLrr1
Identification verified: ' L
Oath Sworn: M Yes rl No
Notary Signature
VANESSA ANGERS I
MY COMMISSION#HH 244118 My Commission expires 27312y2*
° EXPIRES:March 23,2026
OZ TRIEEREMOVAL PERM
EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
Community Development Department
•r
800 Seminole Road Atlantic Beach,FL 32233
(P)904247-5800
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:fif 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)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 PIAN 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 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.
1& rim son s _
SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMITAPPUCATION-EXHIBITA Tree Permitting Process 01.31.2023
s
y - _
A R
B-O- -S"i 07-A P E
C 0 N S ULj- I NG INC
April 2.5,202:3
Aii44n Forsyth
3G�i'aurth Strr4efr
Atlantic Unch,Morido 32233
RP'. Tari Evaivation of 2V A►mtrican gim
On April ZQ M-31 oval i ated a 31`American Mm Incwed at;158 Fourth St it There,is decay present on rho
upper cmnupy with carp deadwwd up to S". Thom arr sighs rif past sterna daamap and Ube 1M.is coveroo
with Wixteria< This vim wr opx itself around the host and can xtranglr the limbs and they product a thick
foliage that carr Aade nut the tragi!weakening it, Ther*ix a large Mity with ialernal decay prownt in the
towr i/3 of tho main trunk. This is a pkthugen derMWing the ttrtc-raW structure and vm=lar•Wyty a QI the
"W, Thin true Is Imtod Z4'from th-house with taTpts of thr huusr;children"x play area,feta lard
neighboring house.
The Iikalihond of fIltum.Is ir-rmirent.the likolihMki ofimpact Is very,likely and the MrISNUVascl of failure
are roar#ma: 1 recummund rcmaval.
Ifyou havc any questions or no*d odcLl un4 Information,plraxe do not ht-sitrrte to contact mer
J3s� alty�xar�>x�tt�i�.
saw
Werk
Scott Richonas
ISAC*rtifired Arboriot#FL-6352A
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
v r (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)
fod m
2 r OL ✓
4 a j' (JI`AV'L V
5 p► /ten ✓
6 I 1 a/AM ✓
7 !b CL ✓
8 id" /0 ✓
9 Padrm
10 1k />vIJ >/
11 1 I� CL U r(0-'/ C�IL ✓
12 �I r� 1a �,.I,�, �✓
13 �'� '' Pli/)'VY► V
14 /J 'OL/ VI ) 1/
15 °,
See- P-
021 M
se s L�
16
17
18 f '' POI/r� V
19 q �C./nom
20 l y A/ty" V
21 '' P0,1 fM
22
Lc�rs�vl
23 I� '` ja)
/ ✓
24 !I `' r'' (/!°YY ✓
25 / OL/to
02 TREE REMOVAL PERMrfAPPLICATION-EXHIBIT D.Tree Worksheet 01.31.2023
IT, M_
Y���s�� EXHIBIT C: TREE INVENTORY and SITE PLAN
` City of Atlantic Beach
Community Development Department FM INTBWAL GFFKE USE ONLY
' M 800 Seminole Road Atlantic Beach,FL 32233 CLASSIFICATION
(P)904247-5800
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" 0 Show the location of all trees to be preserved with"[Y
• 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
CAki
l0 0-e
PREPARED BY: tAel /,la�.i SCALE:1 SQUARE_
02 TREEREMOVAL PERMITAPPLICATION-EXHIBITC Tree Inventory and Site Plan 01.372023
5!18/23,4:25 PM Detail by Entity Name
Denarimem of State / Division of Comoralions f Search Recufas / ^§gg[ch ty,Entity Name f
DSII by E /Name
Florida Limited Liability Company
A.KA.VENTURE,LLC
Document Number L230001329W
Fl=UBM Number NONE
Date Filed 0320/2023
State FL
Status ACTIVE
825 EAST COAST DRIVE
ATLANTIC BEACH,FL32233
M"YAddim
825 EAST COAST DRIVE
ATLANTIC BEACH,FL 32233
I
FORSYTH,ALLISON W
825 EAST COAST DRIVE
ATLANTIC BEACH,FL 32233
L�
Name&Address
Title MGR
FORSYTH,ALLISON W
825 EAST COAST DRIVE
ATLANTIC BEACH,FL 32233
No Annual Reports Filed
03!20/2023—Florida Limited Li b ty Yew image in PDF format
sroa oewnmt or sate .oor co.oera:
https://search.sunbiz.org/Inquiry/CorpomtionSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrdef=AKAVEIVTURE 1.230... 1/1
Prepared Kant]-teturn-to:
Maria Coutu
Atlantic Coast Title&Escrow
1925--9 The Greens Way;Suite 100
Jacksonville Beach,FL 312-50
(904)3124934
File Number i 2013m21519
Will Call No,:
fSpaceAbove%g Line:For kmading Data)
Warranty arranty Deed
This Warranty Deed made this 13th day of April,2023 between Brittany J. Hanson a/k/a Brittany I Hansen, a
single Woman and Kirsten N.Benkertj a married woman whose post office address is 1373 Dancy Street; jacksoriville,
FL 32205, grantor, and ASA. Venture, LLC, a Florida Limited Liability Company whose post office address is $19
East Coast Drive,Atlantic Beach,VL 32133,grantee:
(Whenever used herein the term"grantor"atfid "gnwaEt" include all the parties to this instrument and the heirs; regal representatives, find assigns of
individuals,and the successors and assigns ofcarobral;onsi trusts and trustees}
Witnesseth, that said grantor, for and in consideration of the sunt of TVN AND NO1100 DOLLARS ($10.00) and other
good and valuable,considerations to said grantor in hand paid by said grantee, the receipt whereof 19 hereby acknowledged,
has granted, bargained, arid sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
gituate,lying and being in Duval County,Florida to-wit.-
Lot ZIj and the West One4lalf of Lot 10, Block 9, Plat No. i Subdivision "A" Atlantic Beach,
according to the plat thereof as recorded in Plat Book 5, Page 69, Pub- lie Records of Duval County,
Florida.
Parcel Identification Niimbefr: 169922-0000
Said property is not the homestead of the Grantor under the laws and constitution of the State of Florida in that
neither Grantor or any members of the household of Grantor reside thereon.
To'gether with All the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining:
To Have and to Hold,the same in fee simple forever;
And the grantor hereby covenants with.said grantee that the grantor is lawfully seined of said land in fee siniple; that the
grantor has good tight and lawful authority to gel!and convey said land,that thegrantor hereby fishy Warrants the title to said
land and will defend the same against the lawful claiing of all persons whomsoever, and that said kind it free of all
encumbrances,except taxes accruing subsequent to 1261/1011.
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written,
Signed,sealed and delivered iii our presenee
_ --
-0/".
Witness Brittany J.Hanson Ana-Brittany 1.Hansen
Printed
itnes ;
Printed Nasiie����
Witness Kirsten N:Benkert
rated Marne: r l
r }
r r
ess
Primed Naine
State df Florida
County of Duval
'Me-foregoing instrument was acknowledged before the by meads of hysica presence or U J online notarization,this-
13th
hisLath day of' 1,2€}23 by Brittany J.Hanson a/k/a Brittany J:Hansen and Kirsten N.Benkert Who U are personally
knau�n or� have produced driers'licenses aG identification.
[Seal) Notary Public
Print.Naine Maria.DiMgAino Ctztitu_ _--
My Coininission Expires .
t Mtetery Nblit-State Of FW&
Tltilfl5414i! hH N136
tity tai mw€xWesApr 20;2016
'-
file 05-
Wwtanty Med Pagel
MAP SHOWING SURVEY OF
LOT 21, AND THE WEST 1/2 OF LOT 19, BLOCK 5, PLAT No. 1 SUBDIVIc
ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5, PAGE 69, OF THE CURRI
RECORDS OF DUVAL COUNTY, FLORIDA.
BENCH MARK:
NAIL & DISK, Ll
N EDGE OF PA'
F 0 U R T H S T R E E T ELEVATION = 7,
40' RIGHT-OF-WAY (PAVED PUBLIC ROAD) (NAVD 19811 DA
CENTERLINE OF R/WLX'N?s
"p, 109 5"HOL lb
--'%'MGE OF PAVEMENT_
1.
5 166X x x
'X
12 PA75 ELBX '75.03' �19' x 0 wm ,b 1"ShELB
'Nc�
sv 75.00 12"PA
x 74.97' (IRON T(
3 x
SET 1/2- IRON 01' r 25.00'_
PIPE, (LB 3620) ro X/I x_�9' 117-PA /' 9�
7,.8
x 12*PA X 7.7 FOUND 1/2" IRON I
x PIPE, (NO CAP) I
lb�p
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x xx a X-
RAILROAD TIE—
Alp
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x x WOOD M8 -PA
x ll'P I STEPS N
10"PA"
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CONCRETE STEPS, '\*
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x
TYPICAL OF (3) x MR WOOD
28,2 DECK
4' WF x 24-,16-LA
11.0, 2.6' ,3.8' 9.6' f
0 11.9'x 8.5 f
1-STORY VINYL SIDI G
0
RESIDENCE No. 358
12"PA FINISHED FLOOR ELEVATION 10.21 N
0)
x *VERED —
11.0,x 26.9'/"zCONCRETE .20. 9 6,8.1
x x r 1 A/C 0
13'PA x RAILING
J.C') 13- 8.25 -
W LLI 0
BRICK 0 U-
$6 C%j t_4
NL 0 T 23 is lr, C) d x
'00 do > -t
x
x
7 14' PROPANE� _J�A� 0
I l'PA x <
[ii
x 8.0
13"PA Lij
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x
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X10'PA
x 10
All 6,Vf ck x A
cck "v
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x
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AGE
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x 2 . ,/'I X
1 4�P A�
D C
ON LINE— 5�6kl`o A'W"' 06 ON LINE--__
6' WF 25.00 02 .00'
FOUND IR FOUND 1, 2" IRON
PIPE, (NO CAP) 75.00' PIPE, (NO CAP)
74.92' (FIELD)
LOTI -� � I f- I
24 LOT 22 LOT 20
11.. III FAr $�, J� J�trJ 8.1 X U
CONCRETE STEPS, 16 X' 11 a.t k w
TYPICAL OF (3) xx MB WOOD i
�� tie r 28.2 DECK ��.' I
4' WF x .f ! @�1°24",16"LA
j 11.0' 12.6'
1-STORY VINYL 131DI G
i - N RESIDENCE No. 358 us !
1
2-PA FINISHED FLOOR ELEVATION = 10.21 a 9
x�� /�/ ED � SII
1.0' 26.9 CONCRETE 20.8' 8.1
! Rw 9.6tikx x 4 1 A/CID J. 13`PA x 6.9 1 RAILING p
t(1 �w W O 13` O,i 8.25 LL-
W � I
1 "i BRICK
` am Ob
PROPANE 13.6' 10 Ln (/} I
11"PA'�'e� x <
,� iI
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x"8.a o �g �" I Ll- .
;. 13"PA 21 ELMLJ
CONCRETEtit A,
) I
m 6
Lm � . I
9rPJk i' 12"PA __ ...__._. - 8 .. ....- �• I
�6 8.05 f— 'b !
s 0'PA
0 '16 8..
11" {A PX 12*p j Ih' c"sv/ ARAr�E j
23.5' pix
` D 1 14"PA ;Qt ,3.2`C I
ON LINE aD ON,LINE 6 I
x '3' Sg.00, 6' WF 25.00 ; 0.1` 25.00'
- FOUND 1 2" IRON - - - -
PIPE, (NO CAP) 75.00, FOUND 1/2` IRON - -
J0 PIPE, (NO CAP)
__... a 74.92 (FIELD) I i
LOT 24 IA ._ LOT 22 LOT 20
I
I I I
I I I
LOT COVERAGE CALCULATION TREE LEGEND
LOT AREA = 11,250 S.F. ()12"ELM = ELM
BUILDING AREA = 1,761 S.F: 012•HOL - HOLLY
GARAGE = 552 S.F. 12`LA - LAUREL OAK
GREENHOUSE = 97 S.F.
EAST CONCRETE DRIVE= 1,652 S.F. 12"PA = PALM
WEST CONCRETE DRIVE= 302 S.F.
WOOD DECK = 108 S.F. TREE INFORMATION SHOWN
COVERED CONCRETE = 32 S.F. HEREON ARE NOT PROVIDED
A/C PAD = 7 S.F. FROM A LICENSED ARBORIST.
CONCRETE STEPS = 25 S.F. TREE DIAMETER SHOWN HEREON
BRICK = 475 S.F. ARE MEASURED AT AVERAGE
RAILROAD TIES = 15 S.F. CHEST HEIGHT.
TOTAL IMPERVIOUS = 5,026 S.F.
EXISTING LOT COVERAGE = 44.7%
SYMBOL LEGEND ABBREVIATION LEGEND GENERAL SURVEY NOTES
FIRE HYDRANT BFP BACK-FLOW PREVENTER
LIGHT POLE ((c_)) CALCULATED 1 THIS IS A BOUNDARY AND TOPOGRAPHIC SURVEY WITH TREE LOCATIONS. 5. NO UNDERGROUND INSTALLATIONS, IMF
GV lab GAS VALVE WF
(FlELD)WO D MEASUREMENT 2. INTERIOR ANGLES AS PER FIELD SURVEY AND AS LISTED BELOW: LOCATED EXCEPT THOSE SHOWN HERE
WV►d WATER VALVE CLF CHAIN LINK FENCE C � A=89'58'03"; B=90'00'00"; C=89'51'39"; D=90`10'18" 6. NORTH PROTRACTED FROM PLAT.
HAIFENCE
VF VINYL FENCE 3. BENCHMARK USED IS A SET MAG NAIL & DISK, LB 3672 HAVING AN ELEVATION OF 7. THE PROPERTY DESCRIBED HEREON LIE
Q CLEAN OUT CONC. CONCRETE 7.88, AND WAS ESTABLISHED BY GPS OBSERVATION USING SPECTRA PRECISION SP80 HAZARD) AS WELL AS CAN BE DETERI
UTILITY POLE WW RIGHT-OF-WAY
PLAT BOOK 1..1/1-2 EQUIPMENT AND RUNNING TRIMBLE VRS SOFTWARE IN N.A.V.D. 1988 DATUM. No. 12031C0409J, REVISED NOVEMBER
—� GUY ANCHOR ORB OFFICIAL RECORDS BOOK 4. THIS SURVEY WAS PREPARED WITHOUT AN ABSTRACT OF TITLE; THEREFORE THE 8. NO BUILDING RESTRICTION LINES, AS F
PG PAGE
Q BOLLARD MB MAILBOX UNDERSIGNED MAKES NO GUARANTEES OR REPRESENTATIONS REGARDING INFORMATION
WMA WATER METER OHE OVERHEAD ELECTRIC LINE SHOWN HEREON PERTAINING TO EASEMENTS, RIGHT OF WAYS, SETBACK LINES,
GR 19 GAS RISER PVC POLYVINYL CHLORIDE PIPE AGREEMENTS, RESERVATIONS, OR OTHER SIMILAR MATTERS.
RCP REINFORCED CONCRETE PIPE
CR N CABLE RISER EL ELEVATION
ELBW ELECTRIC BOX INV INNVER ESV ELEVATION
SIATION
GN PC POINT OF CURVATURE FILE: 2023-0587
PT P0p17 OF TANGENCY OF CURVE ORAWN BY: KJC-P
[�T TRANSFORMER PCC PONT OF COMPOUND CURVE
® MANHOLE PRC POINT OF REVERSE CURVE SCALE: 1" = 20' 1500 ROBERTS DRIVE, JACKSONVILLE BEACH, FLORIDA 32250 (PH) 804-241-8550
L:\D\Shared\.-2023 Project Folder\2023-0587 (358 4th St.) BW Topo Tree\2023-0587.dwg -