620 Sailfish Drive TREE18-0024 04.27.2018 SCs�=L�rjJ; TREE REMOVAL PERMIT APPLICATION
City of Atlantic Beach
Community Development Department
J Vr 800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
INSTRUCTIONS
1. Complete and sign this application.
2. Attach required exhibits as listed on application checklist.
3. Contact the Community Development Department if you have questions.
4. Submit the completed application and all required exhibits, along with
application fees to the Permits Desk at Atlantic Beach City Hall.
SITE INFORMATION
FOR INTERNAL OFFICE USE ONLY
PERMIT# �21a- L)OZ
❑ Legacy Tree $ 25.00
❑ Single -/Two -Family Residential $125.00
❑ Multi -Family Residential $250.00
❑ Commercial/ Industrial $250.00
❑ Institutional /Other Non -Residential $250.00
ADDRESS
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SUBDIVISION
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BLOCK#
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APPLICANT INFORMATION
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EMAIL
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ADDRESS 6a (3 SAS I4F's A ,a-
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STATE 6FJ
ZIP CODE
3 a ,3 j
PHONE#
CELL# 9gtt-! r66 ,5,o 96 [OWNER ❑ LEGAL AUTHORIZED AGENT
TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information may be required, depending upon circumstances unique to individual applications
❑ EXHIBIT A (Option 1) -PROOF OF OWNERSHIP: Copy of Warranty Deed that verifies record of owner (Clerk of Courts)
❑ EXHIBIT A (Option 2) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner
❑ EXHIBIT B- TREE INVENTORY and TREE PROTECTION PLAN
❑ EXHIBIT C- TREE MITIGATION WORKSHEET
❑ EXHIBIT D -TREE MITIGATION PLAN
SITE PREPARATION CHECKLIST
PLEASE PREPARE YOUR SITE AS FOLLOWS:
❑ Mark all trees identified for removal with RED or ORANGE flagging, paint or tape
❑ Mark all trees identified for preservation with BLUE or GREEN flagging, pain or tape
❑ Mark property corners with stakes or paint
❑ Barricade all trees to be preserved on the property at the dripline
HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. 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.
z
TURE OF APP ICANT PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMITAPPLICATION 03.01.2018
BOSTON NArIONAL
TITLE- & EsCRUW
.Serving All Counties
In the State of'Florida
February 13, 2007
Countrywide Home Loans Servicing
7105 Corporate Dr.
Atte Payoff Dept. Mail Stop PTX -B-346
Plano, TX 75024-4100
Attention: Mortgage Payoff Department
RE: 620 Sailfish Drive,
Atlantic Beach, FL 32233
Mortgagor:
Richard E. Weimer and Susan K. Weimer
Account Number:
13563566
Date of Mortgage:
00/00/0000
Registry of Deeds:
Duval
Boole and Page:
Document Number:
Payoff Enclosed:
$103,261.26
Dear Sir or Madam:
Toll Free: 1-800-940-7005
Fax: 772-879-7713
vpx�,v.bostonnationaltitle.com
I enclose herewith our check in the above stated amount in satisfaction of your mortgage covering
the above referenced property. Kindly forward to me a discharge of mortgage at your earliest
convenience. Please include our file number on the back of the discharge.
Very truly yours,
IM
(Enclosures)
bile No.: 01658
Dawn Wetherbee, Paralegal
s rs='�'��J�, EXHIBIT B: TREE INVENTORY and PROTECTION PLAN
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY
(P) 904-247-5800 PERMIT #
TREE INVENTORY-Please sketch an inventory in the area below or attach a site plan showing all existing trees on the property below
that are 3" diameter at breast height (dbh) and greater. Please complete the following:
• Note the location of all trees to be removed with an "X" • Note the location of all trees to be preserved with 11"
• Number all trees and list on EXHIBIT C: Tree Worksheet • Show all existing and/or proposed buildings
TREE PROTECTION PLAN- (If you are doing construction on the site)-Please sketch and identify in the area below or on a copy of a
certified tree survey the location of the protective barricades to be installed prior to construction. Section 23-32(c) requires protective
barricades to be installed around every tree or group of trees to be preserved,
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PREPARED BY: SCALE: 1 SQUARE=
02 TREE REMOVAL - EXHIBIT 8: Tree Inventoiy and Protection Plan 03.01.2018
EXHIBIT C: TREE MITIGATION WORKSHEET
City of Atlantic Beach
". Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT B
FOR INTERNAL OFFICE USE ONLY
PERMIT #
ID
DBH
SPECIES
X
removing
[ ]
preserving
O
replacing
COMMENTS (for use by City Staff)
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1 02 TREE REMOVAL - EXHIBIT C. Tree Mitigation Worksheet 03.01.2018 1