142 Ocean Blvd TREE24-0019 04.04.2024 SC �sy ilj:r , TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USEONLV
N nJ City of Atlantic Beach CLASSIFICATION
1zs) Community Development Departmento. PERMIT#
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
PERMIT FEES
❑ Single-/Two-Family Residential $125.00
PERMIT REQUIRED FOR REMOVALa ae ❑ Multi Family Residential $250.00
OF TREES 8 INCHES DIAMETER AT 1�!
_ ❑ Commercial/Industrial $250.00
BREAST HEIGHT AND GREATER u- 8-
❑ Institutional/Other Non-Residential $250.00
SITE INFORMATION
ADDRESS N � Qcceir1 GW
APPLICANT INFORMATION
NAME C kc,rl e5 CQ��gr ❑ OWNER F11 LEGAL AUTHORIZED AGENT
ADDRESS 9901 138)(x} �� , S� �i X40 CITY jrfC •S'hV4t STATE rL ZIP CODE 3 ZZS�
PHONE# 1Oq —3�,_) -102,3 EMAIL CCQII9,&proul4eAa2- o.mtSmc.cow
TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information may be required,depending upon circumstances unique to individual applications
d EXHIBIT A-TREE PERMITTING PROCESS
Q 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 OFTREESAND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
azo� CQ,Q,Q0v' C kGrl QJ Ct. r 3/02�A
SIGNATURE OF OWNER or AGENT PRINT OR TYPE NAME DATE
Signeq,an,d sworn before m on this day of �iJa'7 by State of
%5 County of
Identification verified: ��� 0?JAJ
Oath Sworn: ❑ Yes ZNo
, Y Pq TERESA GOODROE
'°'• � to Signature
MY COMMISSION#HH 238641
''r•.•.• P' EXPIRES:July 8,2026
Commission expires
02 TREE REMOVAL PERMITAPPLICA TION 0 1.31.2023
,Kt==L'�r�y, EXHIBIT A: TREE PERMITTING PROCESS
City of Atlantic Beach
i Community Development Department
v~ 800 Seminole Road Atlantic Beach, FL 32233
oil 9 (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.
CJMA-�. &YAA) Ckcjr�QS 3/a-7/2.4
SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMITAPPLICATION-EXHIBIT A:Tree Permitting Process 01.31.2023
EXHIBIT B: LETTER OF AUTHORIZATION
City of Atlantic Beach
•r' Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P)904-247-5800
"Please complete if applicant is not the owner
OWNER INFORMATION l
NAME rfOAQ (pt PHONE# Z(Dl"1d Inq
ADDRESS H10 �L��b�'1 �G� 1 Ste,:fie. 1� EMAIL
CITY J q(,x'o+\ut11e, STATE ZIP CODE
AGENT INFORMATION ,1
NAME C kctr)ej CeIk r PHONE# 9O'�-ZG Z ��f1f
ADDRESS LiqCt 8,&j(r4 11?,� Sct:jf- taC EMAIL CGe�lt���vV�d6+1��pn1eS�AG,C°
CITY Jq(, onJ� t- STATE rL ZIP CODE 3 L15�
C gel E-S C,o_A6r 1 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)
//Z--, /t,-- SAA k s��►-�, pY.��, r `5/7,1 Z
SIGN TURF F OWNER PAINT OF�TYPE NAME L �. DATE
oV% Lt�.�� &-V-t ,U kL --
SIGNATURE OF OWNER#2 PRINT OR TYPE NAME DATE
Signed and sworn before me on this 2 day of ,4, by State of ll��!•
County of ut/,q
Identification verified:
Oath Sworn: ❑ Yes f'No
''' �= TERESAGOODROE N ary Signature
*= MY COMMISSION#HH 238641
`:'F o? EXPIRES:July 8,2026 M Commission expires t
•,•OF F�„
O2TREE REMOVAL PERMITAPPLICATION EXHIBIT B:Letter ofAut or¢ot�on
s
ri-=L�r,J EXHIBIT D: TREE WORKSHEET
City of Atlantic Beach
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 X (� O COMMENTS(for use by City Staff)
removing preserving relocating
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02 TREE REMOVAL PERMIT APPLICATION-EXHIBIT D:Tree Worksheet 01.31.2023
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Prepared by and return to:
Cowford Title,LLC
175 Durbin Station Court
Suite 701
St Johns,FL 32259
(904)801-2076
Order No CFQ24-046
Parcel Identification No 170202-0000
[Space Above This Line For Recording Datal
TRUST-11VE-JES SPECIAL WARRANTY DEED
This indenture made the 29th day of March,2024 between M.Catherine Pappas, whose post office address is 157 Cranes
Lake Dr.,Ponte Vedra Beach,FL 32082, David F.Pappas,whose post office address is 2101 Fox Tail Ct., St Augustine,FL. 32092,
and Janet D.Pappas,whose post office address is 12530 SW 14th Ave.,Newberry,FL.32669,each Individually,and as Co-Trustees
of The Ella Pappas Family Trust dated April 20, 1992, Grantor, to Providence Construction Company,a Florida Corporation,
whose post office address is 4901 Belfort Road,Suite 140,Jacksonville,FL 32256,Grantee:
Witnesseth,that said Grantor,for and in consideration of the sum of TEN DOLLARS(U.S.$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,Florida,
to-wit:
Lot 3,Block 30, ATLANTIC BEACH SUBDIVISION"A",according to the map or plat thereof, as recorded in Plat Book 5,
Page(s)69,of the Public Records of Duval County,Florida.
Grantors warrant that at the time of this conveyance,the subject property is not the Grantor's homestead within the meaning
set forth in the constitution of the State of Florida,nor is it contiguous to or a part of a homestead property.
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
Subject to taxes for the current year,covenants,restrictions, and easements of record,if any.
TO HAVE AND TO HOLD the same in fee simple forever.
And Grantor hereby covenants to warrant and defend the title to the land hereby conveyed from any and all lawful claims
which arise by,through or under Grantor,but against no others.
'Warranty Deed
File No.:CFQ24-046 Page I of 4
In Witness Whereof,Grantor have hereunto set Grantor's hand and seal the day and year first above written.
Signed,sealed and delivered in our presence:
Signed and Sealed in Our Presence: la Pappas Famil st dated pril 20, 1992
C
David F.Pappas,Individually, n as Co-Trustee
Witness Print Name:
Witness Address: (1
Witness Print Name: AGI 8w
Witness Address:r7S 1)4byn 51—A,c, G4--4*77-I
STATE OF FLORIDA
COUNTY OF ST.JOHNS
The foregoing instrument was acknowledged before me by means of(X)physical presence or()online notarization this 25th day of
Z,by David F.Pappas,Individually,and as Co-Trustee of The Ella Pappas Family Trust dated April 20, 1992.
otary Public CHAD A DEAN
S 'PUBi
Print,Type/Stamp Name of Notary ?2 �=Notary Public September
of Florida
// = Commission# HH 297873
/ �"oe My Commission Expires
Personally Known: OR Produced Identification: ... September 19, 2026
Type of Identification
Produced:
Warranty Deed
File No.:CFQ24-046 Page 2 of 4
In Witness Whereof,Grantor have hereunto set Grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
Sig Sealed in Our Presence: The a Papp Famil Trust dated Apri 0 19
By.
—^� M. Catherine Pappas,Individually,and as Co ru tee
Witness Print Name: --.�--)C--�
Witness Address:c
Witness Print Name: 60u�jee( Hcr NAY
Witness Address:l7,S :�>Igbs�h 6 ;I `f
STATE OF FLORIDA
COUNTY OF ST.JOHNS
The foregoing instrument was acknowledged before me by means of(X)physical presence or()online notarization this 27th day of
Mag20M. Catherine,Individually,and as Co-Trustee of The Ella Pappas Family Trust dated April 20, 1992.
Signature ryPublic
Print,Type/Stamp Name of Notary / ""�� CHAD A DEAN
.(PRY a���,
;_� °���Notary Public-State of Florida
Personally Known: OR Produced Identification: '= Commissions HH 297873
,,���dr� My Commission Expires
Type of Identification �'��n���`P`` September 19,2026
Produced: V—�3
Warranty Deed
File No.:CFQ24-046 Page 3 of 4
In Witness Whereof, Grantor have hereunto set Grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
Signed and Sealed in Our Presence: The Ella Pappas Family Trust dated April 20, 1992
& -
Witness Print Name: C�SSQ�,Ct�� Cl r rD By.
Janet D.Pappas,Individually,#dsCo-Trustee
Witness Address: ����V� �� �rr
W2lblob
Witness Print Name: 'rp,�_,
Witness Address: IBJ l,y ( t„o
STATE OF �LU�i��
COUNTY OF
The foregoing instrument was acknowledged before me by means of(X)physical presence or()online notarization this 9.6 th day
of March, 2024,Janet D. Pappas,Individually,and as Co-Trustee of The Ella Pappas Family Trust dated April 20, 1992.
Signature rotary P blic
Print,Type/Stamp Name of Notary
eAIhe- GC,i�'S
Personally Known: OR Produced Identification:
Type of Identification
Produced: F Z>L..
CAMERON CURTIS
* *_: MY COMMISSION#HH 347506
�'••...• EXPIRES:January 8,2027
Warranty Deed
File No.:CFQ24-046 Page 4 of 4