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460 Whiting Lane TREE23-0028 06.05.2023 SC 4 . p TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY � City of Atlantic Beach CLASSIFICATION r Community Development Department "Y 800 Seminole Road Atlantic Beach,FL 32233 PERMIT# "�r7;3l�f (P)904-247-5800 PERMIT FEES �° ;.•, . Single-/Two-Family Residential $125.00 PERMIT REQUIRED FOR REMOVAL ' ' ❑ Multi-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� l L � r �/] I �•. ADDRESS `�G O W `1 l i1A1 l_LL�Qir A f` G1/Ate_ �t�ok) �� 3 a�� APPLICANT INFORMATION I NAME I C � yvN �� f� °� OWNER ❑ LEGAL AUTHORIZED AGENT ADDRESS 160 W h l+ r4 A nlc. CITY STATE TL ZIP CODE 3;3 3 PHONE# 90, 321 EMAIL (nC.�0.c'G S3 �L . cop% 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. I 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. R aj j 0� a/yj P IAGV-I C%�kIRes+ S GNATURE OF OWNER or AGENT PRINT OR TYPE NAME DATE Signed and sworn before me on this 3D day of �`7 by State of County of ' ;Ai( Identification verified: L_ Oath Sworn: ❑ Yes z• 'P" VANESSA ANGERS Notary Signatu '* *" MY COMMISSION iIHH244148 �:E. `e;° EXPIRES:March 23,2026 I My Commission expires 1z312_o'z(C. 02 TREE REMOVAL PERMIT APPLICATION 08.05.2021 t EXHIBIT A: TREE PERMITTING PROCESS City of Atlantic Beach 1 Community Development Department �~ 800 Seminole Road Atlantic Beach,FL 32233 ���ors�vr (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 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 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 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. hOA4 GkA R� SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE 02 TREE REMOVAL PERMIT APPLICATION-EXI IBITA:Tree Permitting Process 08.05.2021 EXHIBIT B: LETTER OF AUTHORIZATION City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach,FL 32233 (P)904-247-5800 "Please complete if applicant is not the owner OWNER INFORM /A+T,IONrr ((tt .. II p� U NAME `d N N /���"I PHONE# �CJ�� 325 . ` ADDRESS q( �(6�Q w h l i /� AN EMAIL 0)G hiqres+o$3 I mACD1 12 �� [ Ql ti! �Ir G f[7P ZIP CODE CITY STATE 3 2t a 3 AGENT INFORMATION NAME PHONE# ADDRESS EMAIL CITY STATE ZIP CODE 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) -ciz &)-7 D� C PAxe_�t 5--a-a3 a - SIGNAL F OWNER PRINT OR TYPE NAME DATE NAT F OWNER#2 PRINT'OR TYPE NAME DATE Signed and sworn before me on this day of by State of__ _'" ' G � r County of Identification verified: Oath Sworn: ❑ Yes ❑ No VANESSA ANGERS Notary Signatur ;, �= My COMMISSION#HH 244118 23 20 Z(o �'lF oe ARES: 23,2028 My Commission expires •• oar;;.. 02 TREE REMOVAL PERMIT APPL 5.2021 t . EXHIBIT C: TREE INVENTORY and SITE PLAN All, s,, City of Atlantic Beach Community Development Department FOR INTERNAL OFFICE USE ONLY r 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 etJGG "01c, L9 oc� r n q J . O � f0 aSC % v LIV I 1 a Ova- %C)I PREPARED BY: SCALE: 1 SQUARE= "I c GpX Y 02 TREE REMOVAL PERMITAPPLICATION-EXHIBIT C:Tree Inventory and Site Plan 08.05.2027 rr='� EXHIBIT D: TREE WORKSHEET ' City of Atlantic Beach (11 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 re oving preserving relocating COMMENTS(for use by City Staff) 2 it 3 "1 13 A 4 M C-e,I,Allo 5 �® " 6 I' L-We- QAV- 7 4®'" C 8 a, ,K CeDP. 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I Atl OYean� gg McZ0.9LGON - oA =__ adw A421'09 I a -0 rr ti ^- —� — i SURVEYORS CERTIFICATE: LB#78e3 1 HEREBY CERTIFY THAT THIS BOUNDARY SURVEY ISA TRUE SERVING FLORIDA AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION.NOT VALID WITHOUT A RAISED TARGET 6250 N.MILITARY TRAIL,SUTE 102 EMBOSSED SEAL ANDjWMth Digitally signed by Kenneth).Osborne WEST PALM BEACH,4 33407 Date:8116.07.02 SURVEYING I LC PHONE(561)640.4800 (SIGNED) Osborne "":58-"00' STATEWIDE PHONE(800)226-4807 STATEWIDE FACSIMILE(800)741-0576 KENNETH J OSBORNE WEBSITE:http:lltargetsurveft.net PROFESSIONAL SURVEYOR ANO MAPPER#6415 e Prepared by and return to: Doc#2020284377,OR BK 19504 rage 2375. Ruth McDonald Number Pages:2 Ponte Vedra Title,LLC Recorded 12121!2020 10:34 AM, 50 AlA North,Suite 108 RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Ponte Vedra Beach,FL 32082 COUNTY RECORDING S18.50 DEED DOC ST $$2275.00 File Number: 20-2483 (Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 15th day of December,2020,between V.Allison W.Forsyth,an unmarried woman,whose post office address is 1738 Selva Marina Drive,Atlantic Beach,FL 32233,grantor, and Michael J. Charest and Lynn H.Charest,husband and wife,whose post office address is 1135 Linkside Court West,Atlantic Beach,FL 32233,grantee: (Whenever used herein the teens "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,lying and being in Duval County,Florida,to-wit: Lot 8, Block 12, Replat of Part of Royal Palms, Unit Two A, according to the map or plat thereof, as recorded in Plat Book 31,Page(s) 16,of the Public Records of Duval County,Florida. Parcel Identification Number: 171451-0000 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except as specified herein. Warranty Deed Page 1 oft In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. TWO DIFFERENT WITNESSES HAVE SIGNED BELOW(THE NOTARY MAY BE ONE OF THE WITNESSES) AND NEITHER WITNESS NOR THE NOTARY IS RELATED TO THE GRANTOR OR HAS A BENEFICIAL INTEREST IN THE SALE OF THE PROPERTY DESCRIBED IN THIS WARRANTY DEED. Signed, sealed and delivered in our presence: fitness 1 Signature Ruth K. McDonald � �--- Witness I Printed Name V.Allison W.Forsyth Witness 2 Signature / Witness 2 Printed Name State of Florida County of St.Johns The foregoing instrument was acknowledged before me by means of(X)Physical Presence or Online Notarization,this 15th day of December,2020,by V.Allison W.Forsyth,an unmarried woman,who(,kL)is personally known to me or ( )has produced as identification. ROT'S'c."Ku' "a`JOTARY PUBLIC o „ateG;'hrica Ruth R'cDon`ld hiGt� GiC ?; " t�siG�=Uc 5ioz�; Tinted Name: ° <: Car, b w= ;,, ��T, xpires'+a� My Commission Expires: _ Grciec Warranty Deed Page 2 of 2 �^-O-I o y Aav�vvaaozzm`-o°� pmt 2 C -1sz9c���cia m �I:_ �''ta� T&mi m mA=Amm cn m c oo Am mI ©ssi z (9» m�z pTmg V. pi mB ` A o •im o�xdt,ttyo >Ci��T RICO S�'+�m zz a < m ozo oc<a oci"7 mm z �zc z 4 AzzxA ym� M O ymZ y (n �� o- ��m->bm2m22 O r z Iii c m s £x c C<' vG��S yT-�x.2},Tyr2m��2m�2�nO�yx2yo No HNAyoT A AO Dpym r-tn aaZg pOAcmac mm n g: _'w m a°z�ppmo` Oo2 y cAm�2cm y a `I 3 o9]a�a 2m� S2b AViT A �mG Omyc�y Q I �m�y y�O2m bZm OC 11 b �� m m > S�9A y m oNSO T n mZIm< �O� p�lyy 'G Z A r p� h IM1 r M1 SCALE 1.=30' m 0 ` AAs �p may M1 wp I wo _ M ZO,gI LON—j_l� ----------- Pon Cn Rg 2�z a n1-; J Op 00 z SY`ly Z 00 tg j OD om to -- —a—e .sa a2 C py�� C Cn i +.0C�;• O �n UN ,om'a r- i - m it -�+-�- 9£'66£ 2m '00 w O M 20,91 LON M..ZO.gLLON mn 59'08 ro y _ a ,59'09 ANM>satl Km � M,ZO,9t-LON m a�d'��NIi1xM IR _-- oyoaIibHdsv _ rr __ j M„Z0,9GLON v ; 7,� SURVEYORS CERTIFICATE: La u7893 IHEREBY CERTIFY THAT THIS BOUNDARY SURVEY ISA TRUE SERVING FLORIDA AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION.NOT VALID WITHOUT A RAISED TARGET 6250 N.MILITARY TRAIL,SUTE 102 EMBOSSED SEAL AND R1C�'Mth J Digitally signed by WEST PALM BEACH,FL 33407 Kenneth).Osborne SURVEYING LLC PHONE(561 690.4800 Date:2018.07.02 (SlGNEOJ Osborne 17A958-0.400 STATEWIDE PHONE(800)226.4807 ----- — STATEWIDE FACSIMILE(800)741.0576 KENNETH J OSBORNE WEBSITE:http:lltargetsurveying.net PROFESSIONAL al1RVEYOR qN0 MAPPER ryag75