132 Belvedere Street 16-DRTV-61 I Co-DRTV- Co 1
111 "1r/6 TREE REMOVAL PERMIT
A s City of Atlantic Beach
j . Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
.&r 1319 Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept @coab.us
Permit: 16-DRTV-XXXX Applicant: Daniel LeBlanc
Address: 132 Belvedere St,Atlantic Beach,FL 32233
Site Address: 132 Belvedere St Phone: (904)669-0201
RE#: 170588-0000 Email: taylortreeservices @comcast.net
TREE REMOVAL CALCULATIONS
REMOVED Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Protected Trees Removed: 0 0 0 0 54 54
Mitigation Needed: 0 0 0 0 27 27
Trees Removed: 26".28"Pines
MITIGATION Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Credit for Trees Preserved: 0 0 0 0 0 0
Credit for Trees Relocated: 0 0 0 0 0 0
Credit for Trees Planted: 0 0 0 128 13.5 141.5
Total: 0 0 0 128 13.5 141.5
Trees Preserved: None for credit.
Trees Relocated: None.
Trees Planted: 6-2.25"Hollys, 8-16"Palms*
*Planted Legacy Tree species receive DOUBLE credit when replacing non-Legacy Trees. The Legacy Tree list includes
Bald Cypress, Southern and Eastern Red Cedars, Winged and Florida Elms, Live and Sand Live Oaks, Hickory, Pecan,
Pignut Hickory, Loblolly Bay, Southern and Sweetbay Magnolias, Red and Florida Maples,and Tupelo.
ADDITIONAL MITIGATION REQUIRED (Mitigation Needed--Total)
Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
New Trees Planted: 0 0 0 0 0 0
or
Payment Into Tree Fund: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
or
A Combination of the Above
Additional Notes: Mitigation is 1 inch preserved or planted for every 2 inches removed. Tree Fund rate is$123.00 per inch.
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of application submittal.
APPROVED J1
DENIED
Jere' Hubsch,TPO ADMINISTRATOR —D.0
rS r\�`J r�� PA I D
Sit
ATLANTIC BEACH MAR 31 2016
`{ "� PERMIT RECEIPT
") CITY OF ATLANTIC BEACH
PERMIT DESCRIPTION: TREE REMOVAL PERMIT- PROCESS CHECK
€.9--
PERMIT NUMBER: 16-DRTV-61
ADDRESS: 132 BELVEDERE ST
OWNER: Atlantic Beach Pinnacle Properties, LLC
DATE ISSUED:
FEES DUE:
TREE REMVL SNGL/TWO FMLY $125.00
Totals: $125.00
TREF & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS , City of Atlantic Beach
, Department of Community Development
(1) Complete and sign this form. a .
•y A. 800 Seminole Road Atlantic Beach,FL 32233
(2) Attach the required supporting exhibits as listed on the application f (P)904 247-5800 (F)904 247-5845
checklist.
(3) Contact the Department of Community Development if you have Single-/Two-Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. E Multi-Family Residential $250.00
(4) Submit this form,along with all required exhibits and payment to r 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 E Institutional/Other Non-residential $250.00
the Building Department.
Application#TREE -
SECTION I -SITE INFORMATION
PHYSICAL ADDRESS 13a ?),2.1
If an address has not been ossigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
SUBDIVISION BLOCK LOT RE#
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SECTION II -APPLICANT INFORMATION l r OWNER LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT ZrT 1 t �Z PACO)C C' t+(-G•*)d grkr I.s4 -4 1:1-- (cA-f 17d,�
ADDRESS OF APPLICANT 1-{273
PHONE ( &")(c L,q_COI CELL (crey)/AA_ EMAIL -f-c2y ler+rt r Sr ry IC N s
Ca rTKG1.S+•r,
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 clang,-to n>rsons,property,
improvements or other trees.
✓ Vegetation(trees) pose a safety hazard to pedestrian or vehicular traffic or . •I r . /
�-" Vegetation(trees)pose a safety hazard to buildings or structures.
(- Vegetation(trees)completely prevent access or cross access to a lot or parcel u 2016
Vegetation and/or trees prevent development or physical use. It is the Intent wisro t I A4 nit shall I • .;for
r
the removal of vegetation and/or trees when the applicant has demonstrate(. I• t to de� �,t l to t
improvements so as to minimize the removal of vegetation and/or trees. --
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATI e •. • - • • •LY
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.
SIGNATURE O APPLICAN DATE
FOR INTERNAL OFFICE USE ONLY
FRONTAGE FLU ZVAR ESA SR-I
441
DEPTH ZONING UBEX H/H 5R-2
AREA ISA WAIV OAB CRll
/I e. l,y,a,ui..n ltern..cu;l'ennant Apptu uuun_versionor.o
j; EXHIBIT A. LETTER OF AUTHORIZATION DRTV 10
it;l l ! tl, /Tu lor Ife-e ,S9(vi(‘S c 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: fl ture of Owner or Owner's Legal Representative
�. D e
Printed Name
I Cq
& (ue d�(z S
Mailing Address
3;)-331 -5cos h14!3e(ksk( 4MLCO((\
Phone Fax Email
State of: / v
County of: -Y
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Si ned and sworn before me on this da f A n-e 2d it
g yo /r ,y �3
� - 2
Identification verified:
•
Oath sworn: E Yes r Nc,
Notary Signature
• Th.Pet Notary Public State of Florida N Commission expires:
• ? , Shirley L Graham
ps My Commission FF 086990
op.4 Expires 02/14/2018
EXHIBI"TA. Letter of Authorization_,vo5.1o.Io
•
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"1 1'. Note the proposed location of replacement
(mitigation) trees with "0". Number all trees, whether to be removed, preserved or replaced, and list on EXHIBIT C. Tree &
Vegetation Mitigation Worksheet.
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I•'\1MIX.'I'B Tree I,Vegetation Inventory,.versionoior.09
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EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application #TREI
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NOTES
I. 11-115 IS A BOUNDARY SURVEY.VEY.
PER i�L�►?
2_ NO BL*DING RESTRIC11 �y AS
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