630 Orchid St 2013 Tree Removal City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road DRTV-1 3-00100051
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 Fax(904) 247-5845 04/09/2013
E-mail: building-dept@coab.us Date routed:
City web-sit& http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 630 ORCHID STREET Department review require Yes No
Building
Applicant: BEACHES HABITAT FOR HUMANITY Planning &Zoning
Tree Administrator X
Project: TREE REMOVAL FOR NEW SFR PublicWorks
Public Utilities
Public Safety
Fire Services
Review fee $ $125.00 Dept Signature EH
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By -
Florida Dept. of Environmental Protection N/A N/A
Florida Dept. of Transportation N/A N/A
N/A
St. Johns River Water Management District N/A
Army Corps of Engineers N/A_ N/A
Division of Hotels and Restaurants N/A N/A
Division of Alcoholic Beverages and Tobacco N/K N/A
Other: N/A N/A N/A
APPLICATION STATUS
Reviewing Department First Review: RApproved. DIDenied. 1-1o",1-1811 Pines],with no mitigation
(Circle one.) Comments: Approved to remove three(3)trees for a total Of 36.00"[1-8
required.
BUILDING
PLANNING &ZONING Reviewed by-. FHaU� Pv-C"allPta+LnP�r Date-.- 04/09/2013
TREE ADMIN. Second Review: DApproved as revised. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES Third Review: F–lApproved as revised. [:]Denied.
Comments:
Reviewed by: —Date:
Revised 07/27/10
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TREE & VEGETATION REMOVAL PERMIT APPLICATION
City of Atlantic Beach
INSTRUCTIONS Department of Community Development
800 Seminole Road Atlantic Beach,FIL 32233
(1) complete and sign this form.
(2) Attach the required supporting exhibits as listed on the application (P)904 247-5800 (F)904 247-5845
Z'D
checklist,
pment if you have F--S-'ingle- Two-Family Residential $125.00
(3) Contact the Department of Community Develo
or need assistance completing the application or
questions F multi-Family Residential $250.00
ed for your particular project.
determining which exhibits are requir
(4) Submit this form, along with all required exhibits and payment to F- Commercial/Industrial $250.00
the City of Atlantic Beach,and in the appropriate amount according
k at F- Institutional/Other Non-residential $250.00
to the application fees listed to the right, to the reception des
the Building Department.
Application#TREE
SECTION I -SITE INFORMATION 7"'i—)
PHYSICAL ADDRESS 630
if on address has not been assigned to this property,contact the AB Building Deportment at (904)247-5826 to request an address.
LOT RE# 110
SUBDIVISION BLOCK 14�0
LEGAL AUTHORIZED AGENT
SECTION 11-APPLICANT INFORMATION rVOWNER
NAME OF APPLICANT 1�> Aq @31
ADDRESS OF APPLICANT 5 A
CELL EMAIL
7.3 -7
PHONE 5 7-A
SECTION III-TREE&VEGETATION REMOVAL REQUEST
THE ATTACHED REQUIRED
I REQUEST THAT THE TREES&VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON
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)ore difficult to maintainlowner 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 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.
f this provision that a permit sholl be granted for
Vegetation ondlor trees prevent development orphysical use. Itistheintento
the removal of vegetation andlor trees when the applicant has demonstrated an effort to design or locate the proposed
improvements so as to minimize the removal of vegetation andlor trees.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
i WITH ALL PROVISIONS OF CHAPTER 23,PROTECTION OF TREES AND NATURAL VEGETATION,AND ALL OTHER APPLICABLE
ATLANTIC BEACH.
CODES AND ORDINANCES OF THE CITY OF
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Tree&vegetation Removal Permit Application-versionoi.oi-og
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