1490 Selva Marina Drive TREE23-0030 06.14.2023 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
S� City of Atlantic Beach CLASSIFICATION J)FVR,�Eb LC7-
Community Development Department PERMIT# t G L�' J�
"r 800 Seminole Road Atlantic Beach,FL 32233
(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
r, Commercial/Industrial $250.00
BREAST HEIGHT AND GREATER �,w
❑
institutional/Other Non-Residential $250.00
SITE INFORMATION ADDRESS a', t, , L &.141
APPLICANT INFORMATION
NAME sc 5/OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS jtfq0 � VLA I;>^� CITY B&CkSTATE ZIP CODE 3ZM3
C�`'° r
PHONE# .:tC? EMAIL - Q r n , e, 0 AK-1, e6 hr
TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information may be required,depending upon circumstances unique to individual applications
El 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 TREESAND NATURAL VEGETATIOM AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
6 3
SIGNA NER or AGENT PRINT OR TYPE NAME DA
Signed and sworn before me on this day of TUIe f 23� by State of
+ Zbn es County of b))ZDA
Identification verified: F-7L l (�.
Oath Sworn: ❑ Yes ❑ No --
VANESSA ANGERS Notary Signat
* *: MY COMMISSION#HH 244118
EXPIRES:March 23,2026 My Commission expires
•.FOF F�O.`
02 TREE REMOVAL PERMIT APPLICATION 01.31.2023
1
EXHIBIT A: TREE PERMITTING PROCESS
is E City of Atlantic Beach
' (L
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 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.
,,.' 'fit--• �6i ��
SIGNAT E PP NT PRINT Oft TYPE NAME DA
02 TREE REMOVAL PERMIT APPLICATION-EXHIBIT A:Tree Permitting Process 01.31.2023
s=-��'�r, EXHIBIT C: TREE INVENTORY and SITE PLAN
�. City of Atlantic Beach
sy 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" G Show all existing and/or proposed buildings
Number all trees and list on EXHIBIT D:Tree Worksheet
all I X
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PREPARED BY: SCALE:1 SQUARE=
02 TREE REMOVAL PERMITAPPLICATION-EXHIBIT C.Tree Inventory and Site Plan 01.31.2023
EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
i 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 removing preserving relocating COMMENTS(for use by City Staff)
T
1 1
i,)-*, Y. -
2 j,00
3 7%%
4 31
5
6
8 6 Ma
9 aX
10 ( � k
11 D
07 PAwowl't"
12 ..111
13 , aL
i Y J w, k z
14 4' 3
ivc al x
15 41 1 �
16 q X'
17
18 33" v
19 17%x k
20 -by A x
21
22
23
24 � X U
25 vb C u 3
02 TREE REMOVAL PERMIT AP (CATION-EXHIBIT D.Tree Worksheet 01.31.2023
Doc # 2023085921 , OR BK 20661 Page 1146, Number Pages : 2 ,
Recorded 05/01/2023 11 : 51 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $18 . 50 DEED DOC ST $19250 . 00
Prepared by and return to:
Jon C. Lasserre
Attorney at Law
Rogers Towers, P.A.
960185 Gateway Boulevard Suite 203
Amelia Island,FL 32034
904-398-3911
File Number: R5036-809439
Title File Number: PV23-09/6374696
Consideration: $2,750,000.00
[Space Above This Line For Recording Data]
Warranty Deed
This Warranty Deed made this th day of April, 2023 between MICHAEL K. DIAZ AND
KELLY A.DIAZ, husband and wife("the Grantor")whose post office address is 130 5th Street, Atlantic Beach,
FL 32233 and GEORGE JONES,N AND LEANNE H.JONES,husband and wife(the "Grantee")whose post
office address is 593 Timber Bridge Lane,Atlantic Beach, FL 32233:
(Whenever used herein the terms "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 NO/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 4, Block 8, SELVA MARINA UNIT NO. 4, according to the Plat thereof, as recorded in Plat
Book 30,Page 28, of the Current Public Records of Duval County,Florida.
Parcel Identification Number: 171981-0000
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.
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 taxes accruing subsequent to December 31, 2022.
DoubleTime®
OR BK 20661 PAGE 1147
In Witness Whereof,Grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
"GRANTOR"
Witness am -. i y
Witness Name:_ i� ��, r�, r +� r Michael K. Piaz
Witness Name:
Kelly A. WZ
aAA44-a-e
Witness Name: �� ray a iLlw
State of Florida
County of
The foregoing instrument was acknowledged before me by means of [X] physical presence or L] online
notarization,thifPS th day of April,2023 by Michael K.Diaz and Kelly A. Diaz,husband and wife,who[j are
personally known or[X] have produced a driver's license as identification.
�&aaae-j(?
[Notary Seal] Notary Public
Printed Name:
INE DENNIS
_.. Commisebn#HH 129116 My Commission Expires:
Exams July 19,2426
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FL Standard Warranty Deed-Page 2 DoubleTimeO