315 Plaza TREE240006 02.09.2024 SC TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
City of Atlantic Beach CLASSIFICATION
Community Development Department
800 Seminole Road Atlantic Beach,FL 32233 PERMIT#
- (P)904-247-5800
PERMIT FEES
❑ Single-/Two-Family Residential $125.00
PERMIT REQUIRED FOR REMOVAL N ❑ Multi-Family Residential $250.00
3
OF TREES 8 INCHES DIAMETER AT kw
❑ Commercial/Industrial $250.00
BREAST HEIGHT AND GREATER Jt
❑ Institutional/Other Non-Residential $250.00
SITE INFORMATION /� -�
ADDRESS '� Pt-^Zik /''+!`rte n!-T�c � l5 C-Ac- -t TL g u`� 3
APPLICANT INFORMATION
NAME , 'p E,JVIOWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS `�t� `�tL CITY �T�Ia�Tc� j�—SATE ZIP CODE 1,7_3
PHONE# is O- `F—(o t [_ — _ EMAIL (::7%N I 60— C
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 TH"ITY OF ATLANTIC BEACH.
SIGNATURE OF OWNER or AGEN PRINT OR TYPE NAME DATE
Signed and sworn before me on this 5kq day of F� zCV_y by State of_VA20 A
'J, _ffi!6'1 J� �L�E2.li11 _ County of bwaj
Identification verified: L
Oath Sworn: o
° � VANESSA ANGERS Notary Sige
* *' MY COMMISSION#HH 244118 -) ��C)
zfv
EXPIRES:March 23,2026 My Commission expires-
02 TREE REMOVAL PERMIT APPLICATION 01.31.2013
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 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 d and relocated must survive three (3)years following the date the permit is finaled.
SIGN PLICANT PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMIT APPLICATION-EXHIBITA:Tree Permitting Process 01.31.2023
� ,. EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
Community Development Department FOR INTERNAL OFFICE USE ONLY
`i 800 Seminole Road Atlantic Beach,FL 32233 CLASSIFICATION
;- (P)904-247-5800
PERMIT#'--reeEay Cobb Sp
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" 0 Show all existing and/or proposed buildings
Number all trees and list on EXHIBIT D:Tree Worksheet
!r
M
PREPARED BY: SCALE:1 SQUARE=
02 TREE REMOVAL PERMIT APPLICATION-EXHIBIT O Tree Inventory and Site Plan 01.31.2023
-. EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
- Community Development Department
`r 800 Seminole Road Atlantic Beach,FL 32233
��;-i=' (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)
1 d
2 n t�lr
3 rtl fn "
4 tv C
5 �1
6 LID'
7 Olt
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
02 TREE REMOVAL PERMITAPPLICATION-EXHIBIT D.Tree Worksheet 01.31.2023