465 Inland Way TREE12-00100014 0 1/1.-
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° r t` j CITY OF ATLANTIC BEACH
s
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Nom_ _.
:4J1 9
Application Number 12- 00100014 Date 4/09/12
Property Address 465 INLAND WAY
Application type description DEV REV TREES /VEGETATION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
SINGLE FAMILY TREE APPLICATION
Owner Contractor
LEWIS TODD IRA OWNER
1930 TARA CT
NEPTUNE BEACH FL 32266
Permit DRTV FEE PROCESSING
Additional desc .
Permit Fee . . . .00 Plan Check Fee . . .00
Issue Date . . . 4/09/12 Valuation . . . . 0
Expiration Date . 4/10/13
Other Fees TREE REMVL SNGL /TWO FMLY 125.00
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 125.00 125.00 .00 .00
Grand Total 125.00 125.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
. City of Atlantic Beach APPLICATION NUMBER
r �, � Building Department (To be assigned by the Building Department.)
800 Seminole Road 12- 00100014
- F,? Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 Fax (904) 247 -5845
04/09/2012
- fin 0 - E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 465 Inland Way Department review required Yes No
Budding
Applicant: Staar Russell Planning & Zoning
Tree Administrator x
Project:
Tree Removal for New SF Construction Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ 125.00 /paid Dept Signature eh
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: El Approved. ❑Denied.
(Circle one.) Comments: Removing 255.0o" Oaks, 49.00" Hardwoods, 54.00" Palms, for TOTAL of 358.00 "; Requiring 217.00"
mitigation, of which 176.00" is met by preservation of on -site trees. Remaining 41.00" is to be
BUILDING installed /met prior to issuance of final CO for new SF.
PLAN ■ • ING E}tca - 2 4 Pr A,;',� 04/10/2012
Reviewed by: ''�'�'� ate:
TREE ADMIN.
Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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'J ` CITY OF ATLANTIC BEACH
J
.v 800 SEMINOLE ROAD
J r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
, ,,01319 '�'
Application Number 12- 00100014 Date 4/09/12
Property Address 465 INLAND WAY
Application type description DEV REV TREES /VEGETATION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
SINGLE FAMILY TREE APPLICATION
Owner Contractor
LEWIS TODD IRA OWNER
1930 TARA CT
NEPTUNE BEACH FL 32266
Permit DRTV FEE PROCESSING
Additional desc .
Permit Fee . .00 Plan Check Fee . . .00
Issue Date . . . 4/09/12 Valuation . . . . 0
Expiration Date . 4/10/13
Other Fees TREE REMVL SNGL /TWO FMLY 125.00
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 125.00 125.00 .00 .00
Grand Total 125.00 125.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
4111. a,
1
Y TREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS /, `- r City of Atlantic Beach
Department of Community Development
(1) Complete and sign this form. I;:; '‘s Department 800 Seminole Road Atlantic Beach, FL 32233
(2) Attach the required supporting exhibits as listed on the application ` ;„,I , (P) 904247 -5800 (F) 904 247 -5845
checklist.
(3) Contact the Department of Community Development if you have Y Single / Two Residential $125.00
questions or need assistance completing the application or s
r M - Famil Residential $250.00 I
determining which exhibits are required for your particular project. 1
(4) Submit this form, along with all required exhibits and payment to r Commercial / Industrial $250.00 I
i
the City of Atlantic Beach, and in the appropriate amount according r Institutional / Other Non - residential $250.00
to the application fees listed to the right, to the reception desk at
the Building Department. /� /� O � (L
Application # TREE
SECTION I - SITE INFORMATION /� pp
PHYSICAL ADDRESS 465- 1 b iGlt1( 1A�� / N /fa t c- L�PcCC - -�1 1 L-
if an address has not been assigned to this iperty, contact the AB Building Department at (904) 247 to request an address.
SUBDIVISION cA�ea-. a..60- C.IN t '�- FC9c�1/' BLOCK LOT j q RE # 1 CJ i 4p 3 (537
SECTION II - APPLICANT INFORMATION OWNER r LEGAL AUTHORIZED AGENT *
NAME OF APPLICANT / ` `S iafr �G LI,• GI - / 2 � e. ADDRESS OF APPLICANT 4 1 /447L/1 Q �VGI
6 r . �•�wu" r � c g 1 3Z2
HONEgag-Z70 -8 /V dj
CELL "4- 5 (,7J( EMAIL 5S pa✓'`�9�tR! / .Govt01
( 6,cttat eC 66 I-2g3/ weeed.�Gu�tM
SECTION III - TREE & VEGETATION REMOVAL REQUEST
I REQUEST THAT THE TREES & VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED REQUIRED
EXHIBITS BE APPROVED FOR REMOVAL, AS PROVIDED IN THE CITY OF ATLANTIC BEACH VEGETATION CODE, CHAPTER 23, FOR THE
FOLLOWING REASONS (check all that apply):
✓ Vegetation (trees) are difficult to maintain /owner dislikes.
✓ Trees are dead, diseased or so weakened by age, storm, fire, or other injury so as to pose a danger to persons, property,
improvements or other trees.
✓ Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to pu' n ty ' -es.
✓ Vegetation (trees) pose a safety hazard to buildings or structures. /5' C 0
✓ Vegetation (trees) completely prevent access or cross access to a lot or parcel. APR 0
Vegetation and /or trees prevent development or physical use. It is the intent of this provision t It a permit s oee gtW ?ed
R the removal of vegetation and /or trees when the applicant has demonstrated an effort to desi • : ocate the proposed
improvements so as to minimize the removal of vegetation and /or trees.
1 HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO CO ` ``'
WITH ALL P • OVISIONS OF C • TER e • OTECTION OF TREES AND NATURAL VEGETATION, AND ALL OTHER APPLICABLE
CODE • ND 0 0 INANCE • . F ATLANTIC BEACH.
SIG , • URE OF APPLICANT DATE
FOR INTERNAL OFFICE USE ONLY
FRONTAGE �S FLU
L ZVAR ./ ESA ./. SR -1 14 f D 1 l --
DEPTH l 381 165 ' ZONING es- 1 UBEX / H/H l SR -2
AREA • 20 Cie, ISA r// WAIV / OAB CR I 0
r Tree & Vegetation Removal Permit Application_versiona.oi.o9
z8 ' cl 5' NON - ACCESS
°4k. EASEMENT
<l� 04,,- iic h0 <<Y 141.50 PROPOSED •
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