195 15th Street 15-DRTV-1015CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
TREE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
15-DRTV-1015
Job Type:
DEV REV TREES/VEGETATION
Description:
TREE REMOVAL PAYMENT
Estimated Value:
Issue Date:
3/10/2015
Expiration Date:
9/6/2015
PROPERTY ADDRESS:
Address:
195 15TH ST
RE Number:
None
GENERAL CONTRACTOR INFORMATION:
Name: OSSI CONTRACTING LLC
Address: 13349 STONE POND DR JACK OSSI JR
Phone: - -
PERMIT INFORMATION:
FEES:
TREE REMVL SNGL/TWO FMLY $125.00
Total Payments: $125.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
TREE REMOVAL PERMIT
City of Atlantic Beach
Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us
Permit: 15-DRTV-1015 Applicant: Jack Ossi
Address: 11123 d Street, Neptune Beach, FL 32266
Site Address: 195 15`" Street Phone: N/A
RE#: 171868-0020 Email: N/A
TREE REMOVAL CALCULATIONS
REMOVED
Oaks
Others
Total
Protected Trees Removed:
0 inches
8 inches
8
inches
Mitigation Needed:
0 inches
8 inches
8
inches
Trees Removed:
8" Palm
MITIGATION
Oaks
Others
Total
Credit for Trees Preserved:
0
inches
Credit for Trees Relocated:
0
inches
Credit for Trees Planted:
0 inches
24 inches
24
inches
Total:
0
inches
Trees Preserved:
None
Trees Relocated:
None
Trees Planted:
3-8" Palms
ADDITIONAL MITIGATION REQUIRED
Oaks Others Total
New Trees Planted: 0 inches 0 inches 0 inches
or
Payment Into Tree Fund: $0.00 $0.00 $0.00
or
A Combination of the Above
Additional Notes: Trees removed are mitigated at a ratio of 1" planted for 2" removed.
Status is in accordanc with the City of Atlantic Beach code of ordinances in effect at the time of review.
APPROVED
DENIED
20 &
- eremy H4Ksch, TPO DMINISTRATOR D TE
TREE REMOVAL PERMIT
City of Atlantic Beach
Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us
Permit: 15-DRTV-1015
Applicant: Jack Ossi
R/W
Site Address: 195 15th Street
Address: 11123 d Street, Neptune
Phone:
Beach, FL 32266
N/A
RE#: 171868-0020
Email: N/A
TREE REMOVAL CALCULATIONS
REMOVED
Oaks Others
Total
Protected Trees Removed:
0 inches 10 inches
10 inches
Mitigation Needed:
0 inches 10 inches
10 inches
Trees Removed:
10" Palm
MITIGATION
Oaks Others
Total
Credit for Trees Preserved:
Credit for Trees Relocated:
0 inches
Credit for Trees Planted:
0 inches 32 inches
0 inches
32 inches
Total:
0 inches
Trees Preserved:
None
Trees Relocated:
None
Trees Planted:
4-8" Palms
ADDITIONAL MITIGATION REQUIRED
Oaks Others
Total
New Trees Planted:
0 inches 0 inches
0 inches
or
Payment Into Tree Fund:
$0.00 $0.00
$0.00
or
A Combination of the Above
Additional Notes: Trees removed in the right-of-way are mitigated at a ratio of 1" planted for 1" removed.
Plantings in the right-of-way must be at least 3 feet from sidewalks and street pavement.
Status is in accord a with the City of Atlantic Beach code of ordinances in effect at the time of review.
APPROVED
DENIED F
Jemy Hub h, TPO ADMINISTRATOR A E
fid . 35 oq
TREE & VEGETATION REMOVAL PERMIT
INSTRUCTIONS
(1) Complete and sign this form.
(2) Attach the required supporting exhibits as listed on the app
checklist.
(3) Contact the °Department of Community Development if y
questions or need assistance completing the applici
determining which exhibits are required for your particular
(4) Submit this form, along with all required exhibits and pay
the City of Atlantic Beach, and in the appropriate amount ai
to the application fees listed to the right, to the reception
the Building Department
AP
City of Atlanti
Department c
800 Seminole
ration (P) 904 247-5F
lu have
ion or
to
at
SECTION I - SITE INFORMATION
PHYSICAL ADDRESS I I S 1S 4 S
if an address has not been assigned to this property, contact fho
SUBDIVISION ItaidA BLOCK C7,63 LOT
SECTION II - APPLICANT INFORMATION
NAME OF APPLICANT
ADDRESS OF APPLICANT
PHONE
� � � � T P1
ICATION
FEB 2 5
Community Development
Rad Atlantic Beach. FL 32
Single- /Two -Family Residential $125.00
r' Multi -Family Residential $250.00
F- Commercial/ Industrial $250.00
r Institutional /Other Non-residential $250.00
Application # TREE ,
Building Department at (904) 2474826 to request an address.
RE #
OWNER r LEGAL AUTHORIZED AGENT*
I. I- LL CIV I r% I I -
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
FOLLOWI G 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 public utility services.
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
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 A NFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND 1 AGREE TO COMPLY
WITH ALL PROVISION A R 23, PROTECTION OF TREES AND NATURAL VEGETATION, AND ALL OTHER APPLICABLE
CODES AND ORDIN CE FCITY OF ATLANTIC BEACH.
SIGNATURE OF
DATE
FORIN ERNALOFFK 6sEONLY
FRONTAGE FLU NRRESA SR -1
DEPTH ZONING USEX H/H 5R-2
AREA ISA WAIV DAB CR
Tree & Vegetation Removal Permit Application_versionoi.oi.og