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349 11th Street TREE12-00100039CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00100039 Date 11/16/12 Property Address . . . . . . 349 11TH ST Application type description DEV REV TREES/VEGETATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TREE PERMIT ---------------------------------------------------------------------------- Owner Contractor - ----------------------- RODRIGUES PETER J & MARJORIE A ------------------------ R.P.C. GENERAL CONTRACTORS 349 11TH ST 248 LEVY RD ATLANTIC BEACH FL 322335531 ATLANTIC BEACH FL 32233 (904) 241-4416 --------------------------------------------------------------------- Permit . . . . . . DRTV FEE PROCESSING Additional desc . . Permit Fee .00 Plan Check Fee .00 Issue Date . . . . 11/16/12 Valuation . . . . 0 Expiration Date . . 11/17/13 ---------------------------------------------------------------- Other Fees . . . . . . . . . TREE REMOVAL INST/OTHER 250.00 ------------------------------------------------------------ Fee summary Charged Paid Credited ---------- ---- Due ----------------- Permit Fee Total ---------- ---------- .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 250.00 250.00 .00 .00 Grand Total 250.00 250.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. TREE & VEGETATION REMOVAL PERMIT APPLICATION INSTRUCTIONS (1) Complete and sign this form. (2) Attach the required supporting exhibits as listed on the applicatior checklist. (3) Contact the Department of Community Development if you have questions or need assistance completing the application o determining which exhibits are required for your particular project. (4) Submit this form, along with all required exhibits and payment tt the City of Atlantic Beach, and in the appropriate amount accordin( to the application fees listed to the right, to the reception desk a the Building Department. SECTION I - SITE INFORMATION ,. City of Atlantic Beach Department of Community Development 800 Seminole Road Atlantic Beach, FL 32233 (P) 904 247-5800 (F) 904 247-5845 F- Single -/Two -Family Residential $125.00 [KMulti-Family Residential $250.00 F- Commercial/ Industrial $250.00 r Institutional/ Other Non-residential $250.00 Application # TREE PHYSICAL ADDRESS 114! S*& _ /U) f --#j (U/ Vet , S-ee, CCh�7CIV 4S(tw-e If an address has not been assigned to this property, contact the AB Building Department at SUBDIVISION BLOCK SECTION II - APPLICANT INFORMATION NAME OF APPLICANT peer J. Coctri quer LOT RE # 247-5826 to request an address. OWNER (— LEGAL AUTHORIZED AGENT* ADDRESS OF APPLICANT 3qq ttl StT�fi i��IQnt � G i�eaCh d F � 3 33 PHONE q0q-a4CELL -5gll EMAIL Pet o Yoa(A0- -CUm �erinLPr&', Cory -)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): F- 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. r Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services. F- Vegetation (trees) pose a safety hazard to buildings or structures. Vegetation (trees) completely prevent access or cross access to a lot or parcel. Vegetation and/or trees prevent development or physical use. It is the intent of this provision that a permit shall be granted for F the removal of vegetation and/or trees when the applicant has demonstrated an effort to design or locate the proposed improvements so as to minimize the removal of vegetation and/or trees. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, PROTECTION OF TREES AND NATURAL VEGETATION, AND ALL OTHER APPLICABLE CODES AND)CQNANCES Pf f HE CITY OF ATLANTIC BEACH. SIGNVSIRE` FORINTERNAL FRONTAGE DEPTH AREA FLU ZVAR ZONING UBEX ISA WAIV ESA H/H II -!`)--I_?, DATE SR -I SR -2 OAB CR Tree & Vegetation Removal Permit Application_versiono,.m.og EXHIBIT B. TREE & VEGETATION INVENTORY Application #TREE - For the removal of 25 trees or less associated with major development, redevelopment or renovation of or addition to single - family or two-family structures, or the removal of 25 trees or less associated with the renovation of or addition to all other non- residential uses, use the grid below to create a Tree & Vegetation Inventory. Note the scale on the bottom of the page. Plot the boundaries of the subject property, as well as existing and proposed structure(s). Label all adjacent streets. Note the location of trees to be removed with an "X". Note the location of trees to be preserved with "[ ]". Note the proposed location of replacement (mitigation) trees with "O". Number all trees, whether to be removed, preserved or replaced, and list on EXHIBIT C. Tree & Vegetation Mitigation Worksheet. See &*adie,j Smvt ` pig {��(Q PREPARED BY: SCALE: 1 SQUARE= EXHIBIT B_Tree & Vegetation Inventory version oi.oi.og I iz .- .. ... F-. K- �a f �$� �„�• a _- r� R fn Yom--•-- — ��•s � - . ; , a s- — �i � � e�R�w �� •,v�saawYYp J a �� =I $ �: � g { of ;1 � � �l i� t f;i I. '- �§• et ell # t ! � rI 33 � �N ��E a-0 �•/a , I � 1 zr ip•' i�S i +�•`� 14 w 0,4 °'S I \1 _ :•� %Nl rota, • o 84aA ,FF i flog �< a� RR HIM views •' TO BE COMPLETED BY THE APPLICANT TO BE COMPLETED BLCITY STAI �D DBH SPECIES CONDITION ; °[ ]" "O" TYPE ZONE STD DBLR CC �®11 EMMIM -----___- INO NOWNWIN 1001 IN m®. 1001 m NEOWERM17811 MAN 101001 ON IN ON OEM WE OEM NE 011=01 INOW! WE. ON mm ON INOW! WE IWO OEM WE IN 1001 INOW! ®WN mm 1001 INOW OEM INO LEON! WE ON! OEM OE OEM ON 1001 IEW OEM ON 100 NEW WE 1001 INOWEIEWO MIEW mm 1001 INOINOW WEIEW 1001 00100 1001 00- Ol 1001 �1ON Olm1001 OINOW 1001 WE INNO mm 001 INOM 1001 INOM .100 1001 WEN mm 1001 ON ONE WIMMINO! ME SIJ ��=��■ TOTAL STD MIIDBI, MI I CREDIT 1 Of 2 EXHIBIT C_Tree & Vegetation Mitigation Worksheet_versionoi.m.og EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application # TREE TO BE COMPLETED BY THE APPLICANT ALTO BE COMPLETED BIWITYA'AFF ID DBH SPECIES CONDITION "X" "[ ]" -"jam" W.UPE JWONE STD DBL MRF 1kaMMENTS �bsi �n i uu ni i TOTA 2 Of 2 EXHIBIT C_Tree & Vegetation Mitigation Worksheet_versionoi.m.og