395 12th Street 16-DRTV-65 1Co -DRTv -CGS
,r-,� v. rr„ TREE REMOVAL PERMIT
w `2 City of Atlantic Beach
, c) Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
'4 0.219f- Phone: (904) 247-5826 Fax: (904)247-5845 Email: Building-Dept @coab.us
Permit: 16-DRTV-XXXX Applicant: Alison Forsyth
Address: 1738 Selva Marina Dr,Atlantic Beach, FL 32233
Site Address: 395 12th St Phone: (904)716-3797
RE#: 171922-0000 Email: afors1960 @aol.com
TREE REMOVAL CALCULATIONS
REMOVED Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Protected Trees Removed: 0 0 0 38 27 65
Mitigation Needed: 0 0 0 19 13.5 32.5
Trees Removed: 14", 13"Magnolias,2-12", 14"Palms
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 0 0 0
Total: 0 0 0 0 0 0
Trees Preserved: None for credit.
Trees Relocated: None.
Trees Planted: None*
*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 19 13.5 32.5
or
Payment Into Tree Fund: $0.00 $0.00 $0.00 $2,337.00 $1,660.50 $3,997.50
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. Also
preserving 12", 14"Palms, 14",24",2-18"36"Oaks.Also removing 18",22"Camphor(invasive).Being done in conjunction with
removal in the R/W.
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of application submittal.
APPROVED ❑
DENIED
/` Jeremy Hubsch,TPO ADMINISTRATOR DATE
S''L,'rie, TREE REMOVAL PERMIT
sci it Ss) City of Atlantic Beach
j-,s Building and Zoning Department
_ 800 Seminole Road Atlantic Beach, Florida 32233-5445
J,r Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us
Permit: 16-DRTV-XXXX Applicant: Alison Forsyth
R/W Address: 1738 Selva Marina Dr,Atlantic Beach, FL 32233
Site Address: 395 12`x'St Phone: (904)716-3797
RE#: 171922-0000 Email: afors1960 @aol.com
TREE REMOVAL CALCULATIONS
REMOVED Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Protected Trees Removed: 0 0 0 0 24 24
Mitigation Needed: 0 0 0 0 24 24
Trees Removed: 24"Sycamore
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 0 0 0
Total: 0 0 0 0 0 0
Trees Preserved: None for credit.
Trees Relocated: None.
Trees Planted: None*
*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 24 24
or
Payment Into Tree Fund: $0.00 $0.00 $0.00 $0.00 $2,952.00 $2,952.00
or
A Combination of the Above
Additional Notes: Mitigation is 1 inch preserved or planted for every 1 inch removed. Tree Fund rate is $123.00 per inch. Being
done in conjunction with removal on property.
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of application submittal.
APPROVED ❑
DENIED
Jeremy Hubsch,TPO ADMINISTRATOR DATE
TREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS City of Atlantic Beach
Department of Community Development
(1) Complete and sign this form. 800 Seminole Road Atlantic Beach,FL 32233
(2) Attach the required supporting exhibits as listed on the application ors' (P)904 247-5800 (F)904 247-5845
checklist.
(3) Contact the Department of Community Development if you have P Single-/Two-Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. P 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 3 9 :1:{+\ �t _ R+ 'ant)C- I (- (
if an address has not been assigned to this property,contact the AB Building Department at (904)247-5826 to request an address.
SUBDIVISION �e is itA4f:RQ BLOCK LOT t...1 t�D 1 1 RE#
SECTION II -APPLICANT INFORMATION [WNER (— LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT i)1'Son /7)f s LII\ /4F t46 V e✓t t U f_ LLC_
ADDRESS OF APPLICANT 1 3 g 5g_1 v& 0/10(,;(k& !rl N
PHONE 3. 1 (p CELL EMAIL Qt-ro f 5 / 1J @ (310 /. 61.171
•
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. !� n
n Trees are dead,diseased or so weakened by age,storm,fire,or other injury so as to pose c �4 3nr'e �"cr;o ;, e�j o
improvements or other trees. -�
✓ Vegetation(trees) pose a safety hazard to pedestrian or vehicular traffic or cause disrup.o tt pobliOtipty,^se .
• [— Vegetation(trees)pose a safety hazard to buildings or structures. ..
✓ Vegetation(trees)completely prevent access or cross access to a lot or parcel.
egetation 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.
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.
SIGNATURE OF APPLICANT DATE
I FOR INTERNAL OFFICE USE ONLY
FRONTAGE FLU ZVAR ESA SR-I
DEPTH ZONING UBEX H/H SR-2
AREA ISA WAIV OAB CR
11 Tree&Vegetation Removal Permit Application_versionoLo,.og
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(S83'51'22''W 90.18' FIELD) , EDGE OF PAVEMENT —
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11 TH STREET
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40' RIGHT OF WAY PAVED PUBLIC ROAD
SITE PLAN
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` v, ,%,, / , � . m ATLANTIC BEACH. FLORIDA �s
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Cashier Id: aspcust\atlbbja
Receipt Date: 4/5/2016 11:30:20 AM
Receipt Number: OS-69603
Job ID: 16-DRTV-65 - TREE REMOVAL PERMIT
FOR PROCESSING CHECK. T1 - TREE REMVL SNGL/T •
WO FMLY $125.00
Amount Due: $125.00
Tender Information: Check # 113 $125.00 ,
Tender Type: OK.
Tender Amount: $125.00
Change Due: $0.00