2446 Seminole Road TREE13-00100081CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00100081 Date 10/07/13
Property Address . . . . . . 2446 SEMINOLE RD
Application type description DEV REV TREES/VEGETATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
Owner
Contractor
------------------------
PUOPOLO,JOSEPH M &
PAULA A
------------------------
SIGNATURE HOMES &
DEVELOPMENT
2446 SEMINOLE RD
731 DUVAL STATION
RD
ATLANTIC BEACH
FL 32233
STE 107-417
JACKSONVILLE
FL 32218
(904) 759-9867
----------------------------------------------------------------------------
Permit . . . . .
. DRTV FEE PROCESSING
Additional desc .
. APPROVED TO
PROCESS FEE ONLY
Permit Fee . . .
. .00
Plan Check Fee
.00
Issue Date . . .
. 10/03/13
Valuation . .
. . 0
Expiration Date .
. 10/04/14
----------------------------------------------------------------------------
Special Notes and
Comments
APPROVED PER J HUBSCH
----------------------------------------------------------------------------
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
Building Department
lid - 800 Seminole Road
rf Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 Fax (904) 247-5845
E-mail: building-dept@coab.us
City web -site: httpJ/www.coab.us
APPLICATION NUMBER
(ro be assigned by the Building Department.)
13 --1000
Date routed: 0 ��
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2H LA U 15-r I )Inop "
Applicant: �l^C�/L►'� }�k� S
Project: T►�"P/G P -C y oUk�
Review fee $ Dept Signature
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: Ap ❑Denied.
(Circle one.) Comments: e w,4, � S _ �' P-1� IS 0417610m7w4alh
BUILDING ((
(arse l i � acs
PLANNING &ZONING Reviewed by: 1&zDate: 0 p
TREE ADMI Second Review:
❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by. Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
13 - 100081
TREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS
(1) Complete and sign this form.
(2) Attach the required supporting exhibits as listed on the application
checklist.
(3) Contact the Department of Community Development if you have
questions or need assistance completing the application or
determining which exhibits are required for your particular project.
(4) Submit this form, along with all required exhibits and payment to
the City of Atlantic Beach, and in the appropriate amount according
to the application fees listed to the right, to the reception desk at
the Building Department.
SECTION I - SITE INFORMATION
c.. ., , City of Atlantic Beach
e Department of Community Development
- 800 Seminole Road Atlantic Beach, FL 32233
�rw (P) 9QA -)47-5800 (F) 904 247-5845
�.i Jeftntial
Single-A - No- am $125.00
(" Multi -Family Residentia $250.00
r Commercial / Industrial $250.00
(- Institutional / Other Non-residential $250.00
Application # TREE
PHYSICAL ADDRESS` `t�'1"G e, .� InhL R4
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
SUBDIVISION
BLOCK
SECTION II - APPLICANT INFORMATION
NAME OF APPLICANT
ADDRESS OF APPLICANT
PHONE -7 14_,_()-7g,
LOT RE #
r OWNER r LEGAL AUTHORIZED AGENT
70 — Q i 0 EMAIL
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.
r 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.
F Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
Vegetation (trees) pose a safety hazard to buildings or structures.
r 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
Xthe 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 9HAPTER 23, PROTECTION OF TREES AND NATURAL VEGETATION, AND ALL OTHER APPLICABLE
CODES AND ORDINANC1156pF THE CITY OF ATLANTIC BEACH.
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EXHIBIT A. LETTER OF AUTHORIZATION
Application # TREE -
is hereby authorized to act on behalf of
the owner(s) of those lands described within
the attached application, and as described in the attached deed or other such proof of ownership as may
be required by the City of Atlantic Beach in applying for a development permit.
BY:
Signature of Owner
Printed Name
Mailing Address
Phone Cell Email
Signature of Owner
Printed Name
Mailing Address
Phone Cell Email
Signed and sworn before me on this day of
Identification verified:
Oath sworn: r Yes
F No
-,by
Notary Signature
My Commission expires:
State of Florida
County of Duval
EXHIBITA_LetterofAuthorization_versionoi.m.og I
eI_ 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.
PREPARED BY: ��}C VO/ i��l�� SCALE: 1 SQUARE=
EXHIBIT B_Tree & Vegetation Inventory version
EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application # TREE
- - a .., —:TQ E CONWLETED—HY CITY STAFF
1 of 2 EXHIBIT C Tree & Vegetation Mitigation Worksheet_versionoi.oi.og
EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application # TREE -
52
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61
62
66
67
68
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86
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===O®®®®WWMMENTS
2 of 2 EXHIBIT C Tree & Vegetation Mitigation Worksheet versionoi.oi.og
City of Atlantic Beach
*** CUSTOMER RECEIPT ***
Oper: ATLBDAS Type: OC Drawer: 1
Date: 10/03/13 01 Receipt no: 418
Year Plumber Amount
7013 100081
2445 SEMINOLE RD
ATLANTIC BEACH, FL 32233
BP BUILDING PERMITS
X125.00
Tender detail
CC CREDIT CARD $125.00
Total tendered 1125.00
Total payment $125.00
Trans date: 10/03%13 Time: 13:48:42