258 PINE ST - ZONING COMMENTS I
r. 1 i-vJ'j , .. ZONING REVIEW COMMENTS
SSs
City of Atlantic Beach
:j ti= z Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
ris 9 > Phone: (904)247-5826 Fax: (904) 247-5845 Email: dreeves @coab.us
Date: 3/3/16
Permit: 16-DECK-446 Applicant: A&J Harrison Builders
Review: 1st Address: 1307 Smiling Fish Ln, St Augustine, FL 32080
Site Address: 258 Pine St Phone: (904) 501-6533
RE#: 170553-0000 Email: N/A
Correction Comments
1. Tree Removal: Please submit a Tree Removal Permit Application if any trees are to be removed. If no
trees are to be removed,then please fill out an Affidavit of No Tree Removal. Both forms are available
on the city website under"Planning and Zoning"and at City Hall.
Derek W. Reeves
Planner
dreeves @coab.us
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TREE & VEGETATION AFFIDAVIT
cs a , City of Atlantic Beach
;. �► s Department of Community Development
j �" Planning&Zoning Division
800 Seminole Road Atlantic Beach,FL 32233
"-° 9� (P)904 247-5800 (F)904 247-5845 PERMIT#
SECTION I-APPLICANT INFORMATION E Owner(s) r Legal Authorized Agent*
NAME OF APPLICANT
NAME OF COMPANY
ADDRESS OF COMPANY
PHONE CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
SECTION II-SITE INFORMATION
STREET ADDRESS OF PROPERTY
If an address has not been assigned to this property,contact the AB Building Deportment at(904)247-5826 to request an address.
LEGAL DESCRIPTION
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC
RESIDENTIAL COMMERCIAL OTHER(SPECIFY)
I affirm that I have reviewed the provisions of Chapter 23, "Protection of Trees and Native Vegetation"of the Municipal Code of
Ordinances for the City of Atlantic Beach, FL and/or I have participated in a pre-application meeting with the Administrator of those
regulations. Subsequently,1 affirm that no regulated trees and no regulated vegetation will be damaged,destroyed and/or removed
from the above-described or adjacent properties in conjunction with this project.
SIGNATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on this day of , ,by State of
County of
Identification verified:
Oath sworn: r Yes E No
Notary Signature
REV-TVA-v10.12 My Commission expires:
TREE & VEGETATION REMOVAL PERMIT APPLICATION
.g.,,,. City of Atlantic Beach
3 ,'r ,? Department of Community Development
[RUCTIONS
Complete and sign this form. - A i- 800 Seminole Road Atlantic Beach,FL 32233
Attach the required supporting exhibits as listed on the application +� (P)904 247-5800 (F)904 247-5845
checklist.
Contact the Department of Community Development if you have r Single-/Two-Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. rMulti-Family Residential $250.00
Submit this form, along with all required exhibits and payment to ` T Commercial/Industrial $250.00
the City of Atlantic Beach,and in the appropriate amount according to the application fees listed to the right,to the reception desk at r Institutional/Other Non-residential $250.00
the Building Department.
Application#TREE
SECTION I -SITE INFORMATION
PHYSICAL ADDRESS
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 LOT RE#
SECTION II -APPLICANT INFORMATION r OWNER r LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT
ADDRESS OF APPLICANT
PHONE CELL 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.
✓ 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
r 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.
4 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 ORDINANCES OF THE CITY OF ATLANTIC BEACH. J
SIGNATURE OF APPLICANT DATE
iii FOR INTERNAL OFFICE USE ONLY
FRONTAGE FLU ZVAR ESA SR-7
I DEPTH ZONING UBEX H/H
,AREA ISA WA1V OAB CR
Tree&Vegetation Removal Permit Application_versionor.oi.oy
5 EXHIBIT A. LETTER OF AUTHORIZATION DRTV 10-
•
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 or Owner's Legal Representative
Printed Name
Mailing Address
Phone Cell Fax Email
State of:
County of:
Signed and sworn before me on this day of ,by
Identification verified:
Oath sworn: r, Yes E No
Notary Signature
My Commission expires:
EXHIBITA_Letter ofAuthorization_vo5.lo.io
77-----`4' 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"( J". 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: SCALE: 1 SQUARE=
EXHIBIT B Tree&Vegetation Inventory_version oi.or.og
EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application #TREE -
TO'BE COMPLIET;D BY THE APPLICANT TO BE COTVIPIiETEI T CITY STAFF
ID DBH SPECIES CONDITION "X" "[_„]" 'O TYPE. ,.,ZONE.,..STD „ DBL , CR._ COMMENTS _T
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I of 2 EXHIBIT C Tree&Vegetation Mitigation Worksheet versionol.oi.og
EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application#TREE
; ,, ;-. ,,IN., ;Y THE APPLICANT TO BE COMP ,STAFF
ONDITION "X" "[ ]" "0" TYPE ZON , STI�� COMMENTS
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S'[I)MI1 DBLl1fHCREDIT
2 of 2 EXHIBIT Tree&Vegetation Mitigation Worksheet versionot.a.o9
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