1270 Ocean Boulevard 16-DRTV-69 I (0- 13RTV- (09
"/r"`�v.pri, TREE REMOVAL PERMIT
, r
,---" 4k j City of Atlantic Beach .
0
u\ tr: Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
J-46.2 0 Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept @coab.us
Permit: 16-DRTV-XXXX Applicant: Rex Williams, Signature Homes and Development
Address: N/A
Site Address: 1270 Ocean Blvd Phone: (904)759-9867
RE#: 171823-0000 Email: N/A
TREE REMOVAL CALCULATIONS
REMOVED Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Protected Trees Removed: 0 0 0 20 0 20
Mitigation Needed: 0 0 0 10 0 10
Trees Removed: 2-10"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 20 0 20
Total: 0 0 0 20 0 20
Trees Preserved: None for credit.
Trees Relocated: None.
Trees Planted: 2-10"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 Y
DENIED III Iti „,
lVd._Jerem�;y Ibsch,TPO AD ISTRATOR D E
TREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS City of Atlantic Beach
(1) Complete and sign this form. a �� Department of Community Development
800 Seminole Road Atlantic Beach,FL 32233
(2) Attach the required supporting exhibits as listed on the application ! IkW (P)904247-5800 (F)904 247-5845
checklist.
•lit(3) Contact the Department of Community Development if you have V7` Single /Two Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. r Multi Family Residential $250.00
ilgt4) So , d ehm
the Ci ubmit ty this of Atlantic frm Beacalong hwith,and all in the require appropriate xibits amount and pay according ent to r' Commercial/Industrial $250.00
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 1 0 0CP,O \ R I •/111
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 TION r OWNER ,LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT ° r � I 1 bevep ADDRESS OF APPLICANT )
PHONE 751 x(7 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):
FT 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.
rl 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
1' .. 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 T AT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVISI V N•OF CHAPTER 23,PROTECTION OF TREES AND NATURAL VEGETATION,AND ALL OTHER APPLICABLE
CODES • D ORDI {•1 ES OF THE CITY OF ATLANTIC BEACH.
SI/N'T-RE CFAPPLICANT DAT
5/3 / i f
!FOR INTERNAL OFFICE USE ONLY
FRONTAGE FLU ZVAR ESA SR-1
'DEPTH ZONING UBEX II/y
SR-2
j AREA ISA WAN
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Tree&Vegetation Removal Permit Application versionoj.oj.og
11 (1.5")
•
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 b
> by
Identification verified:
Oath sworn:
r Yes r"! No
Notary Signature
My Commission expires:
EXHIBIT A_Letter ofAuthorization_vos.io.io
i„,,....1 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 "O". Number all trees, whether to be removed, preserved or replaced, and list on EXHIBIT C. Tree &
Vegetation Mitigation Worksheet.
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PREPARED BY: e)e.. (\Ilk cow, SCALE: 1 SQUARE=
EXHIBIT B Tree&Vegetation Inventory version 01.01.09
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EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application#TREE -
O .ECoMPL J : H APB TOTE C.M L : CI STAFF
ID DBH SPECIES CONDITION "X" ;"[ ]" „O,„XI= ZONE STD DBL CR COMMENTS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
�7
18
19 _
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
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EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application
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1111 ONDITION X •4[ 1" "0" TYPE ZONE r* i CR
51■52
53
54
55
56_
—
57
58
59
6o
61
62
63
64
6
66
67
68
69
70
71
72
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7
74
75
76
77
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78
79
8o
81
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83 84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
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:.� TOTAL.
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5B55
Cashier Id: aspcust\atlbbja
Receipt Date: 4/5/2016 11:31:26 AM
Receipt Number: OS-69604
Job ID: 16-DRTV-69 - TREE REMOVAL PERMIT -
FOR PROCESSING CHECK T1 - TREE REMVL SNGL/T
WO FMLY $125.00
Amount Due: $125.00
Tender Information: Check # 13287 $125.00
Tender Type: CK
Tender Amount: $125.00
Change Due: $0.00