439 20th Street TREE24-0021 04.21.2024 SC rS%r�liy�, TREE REMOVAL PERMIT APPLICATION FOR INTERNAL OFFICE USE ONLY
s
J City of Atlantic Beach CLASSIFICATION
r 0Community Development Department
V~ 800 Seminole Road Atlantic Beach,FL 32233 PERMIT#
'!oil >t (P)904-247-5800
PERMIT FEES
j;4_ Single-/Two-Family Residential $125.00
PERMIT REQUIRED FOR REMOVAL ^ E] Multi-Family Residential $250.00
OF TREES 8 INCHES DIAMETER ATCommercial/Industrial $250.00
BREAST HEIGHT AND GREATER R ❑ Institutional/Other Non-Residential $250.00
SITE INFOR/MAATTIION 4,� ?foc J-S No J
ADDRESS IJ 1 Zo �/� ' � �� ctr��,
APPLICANT INFORMATION
NAME J�l� Z OWNER ❑ LEGAL AUTHORIZED AGENT
ADDRESS `4,2,q ( CITJ- () C '�Ch STATE ZIP CODE 3�
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PHONE# Z03 -,5(X- 309 S EMAIL O'�e("ri"1 n MaC. OUI)
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 OFTREESAND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
J-ess Ica- r ' Al a
SIG URE OF NE or E PRINT OR TYPE NAME D E
Signed and sworn before me on this 12 SI!L day of by State of
County of (A
Identification verified: '
Oath Sworn: ❑ Yes No
DEBORAH WERLING Notary Signature
MY COMMISSION#HH 422502
EXPIRES:November 17,2027 My Commission expires I I
02 TREE REMOVAL PERMIT APPLICATION 08.05.2021
EXHIBIT A: TREE PERMITTING PROCESS
,�. City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach,FL 32233
i w (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 -S. 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 within 7 days following the 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.
�- r �_
N RE OF A PLICANT PRINT OR TYPE NAME JI DATE
TREE REMOVAL PERMITAPPLIC4170N-EXHIBITA:Tree Permitting Process 03.151024
EXHIBIT D: TREE WORKSHEET
SS City of Atlantic Beach
si Community Development Department
J v 800 Seminole Road Atlantic Beach,FL 32233
owl, (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 1 r O COMMENTS(for use by City Staff)
removing preserving relocating
2 ai 4s
3 � MA&
4 ,` 11 l
5 ><p'' h(-�
6
7
8 �a
9 W&U
10 �pk Alh�
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
02 TREE REMOVAL PERMITAPPLICATION-EXHIBIT D:Tree Worksheet 08.05.2021
EXHIBIT C: TREE INVENTORY and SITE PLAN
City of Atlantic Beach
s Community Development Department FOR INTERNAL OFFICE USE ONLY
Y1 ;r
800 Seminole Road Atlantic Beach,FL 32233 CLASSIFICATION
Oil (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
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PREPARED BY: SCALE:1 SQUARE_
02 TREE REMOVAL PERMIT APPLICATION-EXHIBIT C:Tree Inventory and Site Plan 08.05.2021