The URL can be used to link to this page

250 Seminole Road 06.01.2018 SCTREE REMOVAL PERMIT APPLICATION t� City of Atlantic Beach Community Development Department 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. FOR INTERNAL OFFICE USE ONLY PERMIT # 1 IL(&- I7' M3o ❑ 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 SITE INFORMATION Ie j P ADDRESS � n� lC/RE# I �0 % 0000 SUBDIVISION Q; 1292 BLOCK# LOT# C�7 APPLICANT INFORMATION NAME J EMAIL ADDRESS z'1 (� ��, n� CITY a; ,{,�%ii (/J STATE rL ZIP CODE 3l PHONE # CELL # It/7 310 �SjlQq / 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 F1 EXHIBIT A (Option 1) - PROOF OF OWNERSHIP: Copy of Warranty DRGfieEIVEE)rk 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 MAY 21 2018 ❑ EXHIBIT D - TREE MITIGATION PLAN Building Department 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 I 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 ORDINANC THE CI TL aC BEACH. IG TU F APPLICANT PRINT OR TYPE NAME DATE 02 TREE REA40VAL PERMITAPPLICATION 03.01.2018 s� Q EXHIBIT A: LETTER OF AUTHORIZATION City of Atlantic Beach Community Development Department J V~ 800 Seminole Road Atlantic Beach, FL 32233 �,on 9' (P) 904-247-5800 OWNER INFORMATION NAME ADDRESS CITY AGENT INFORMATION NAME Vn 4J ADDRESS CITY L 1- t STATE t' L FOR INTERNAL OFFICE USE ONLY PERMIT # PHONE# CELL # ZIP CODE 37 7 3 3 PHONE# CELL # y 3 7 Z 730 i STATE ZIP CODE 57 1�, 3 3 is hereby authorized to act on behalf of the owner(s) of those lands described in the attached application and as described in the attached deed or other such proof of ownership as may be required in applying to the City of Atlantic Beach, Florida, for an application related to a Tree and Vegetation Removal Permit. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: Signature of Property Owner(s) or Authorized Agent I ER r LyCtLKPRESENTATIVE PRINT OR TYPE NA E DAT ell ANT PRINT OR TYPE NAME DATE Signed and sworn before me on this ZZ -day of bal&y State of County of Identification verified: O �� '�! rykA�-L _G� �^ ° �" _ - Oath Sworn: ❑ Yes- -- ,;�;;,Yai�lDLF.SFERGER - ;_'.'" MyG01dMlSS10, FF 924951 Notary Signature * cak'ri:.`': n,lofle B, 2919 My Commission expires 02 TREE REMOVAL - EXHIBITA: Letter of Authorization 03.01.2018 J rt!.-�`JrIV� ' Date CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach, Florida 32233 REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS Project Address Revision to Issued Permit Corrections to Comments 2-5-0- j �d le Permit # Contractor / Contact Name�jll� Phone �t�7 (� �ZZ� Email Ino C &&An6 Com Description of Proposed Revision / Corrections: Permit Fee Due $ I� 4 d P zkt h ad2w�A-7 4D be a A 4c( r6rvy y' r Additional Increase in Building Value $ Additional S.F. �— By signing below, I Ct. affirm the Revision is inclusive of the proposed changes. gnature o n Tactor/Agen (Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: Building annm nal Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date J 7, `�� Ji31if' �N Date CITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach, Florida 32233 REVISION REQUEST / CORRECTIONS TO PLAN REVIEW COMMENTS Project Address Revision to Issued Permit Corrections to Comments 2-5-0- j �d le Permit # Contractor / Contact Name�jll� Phone �t�7 (� �ZZ� Email Ino C &&An6 Com Description of Proposed Revision / Corrections: Permit Fee Due $ I� 4 d P zkt h ad2w�A-7 4D be a A 4c( r6rvy y' r Additional Increase in Building Value $ Additional S.F. �— By signing below, I Ct. affirm the Revision is inclusive of the proposed changes. gnature o n Tactor/Agen (Contractor must sign if increase in valuation) Date (Office Use Only) Approved Denied Not Applicable to Department Revision/Plan Review Comments Department Review Required: Building annm nal Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date EXHIBIT C: TREE MITIGATION WORKSHEET City of Atlantic Beach Community Development Department "~ 800 Seminole Road Atlantic Beach, FL 32233 �J;l19! (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 u preserving O replacing COMMENTS (for use by City Staff) 15 it Pa- I n 2 � (�� V J 1+'vr.. ✓ 3 4u I I 5 i1 ( r ✓ 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1 02 TREE REMOVAL -EXHIBIT C. Tree Mitigation Worksheet 03.01.2018 1 DESCRIPTION ACCOUNTQTY PAID PermitTRAK $125.00 TREE18-0030 Address: 250 SEMINOLE RD APN: 170514 0000 $125.00 TREE REMOVAL $125.00 TREE REMOVAL RESIDENTIAL APP FEE 00100003291005 0 $125.00 TOTAL11 Date Paid: Monday, May 21, 2018 Paid By: ASL LLC Cashier: BA Pay Method: CREDIT CARD 5 Printed: Monday, May 21, 2018 1:25 PM 1 of 1 s' TRAK T MAP SHOWING BOUNDARY SURVEY OF. - LOT 471, SALTAIR, SECTION No.1, AS RECORDED IN PLAT BOOK 10, PAGE 8 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA S�'N7 x- lk4 NOTES, THIS PROPERTY LIES IN FLOOD ZONE "X" PER FLOOD INSURANCE RATE MAP (FIRM), DUVAL COUNTY, COMMUNITY No. 120075, MAP/PANEL No. 12031C -0409—H, REVISED JUNE 3, 2013 V— DENOTES 4' VINYL FENCE EXCEPT AS NOTED X— DENOTES 4' CHAIN LINK FENCE EXCEPT AS NOTED //— DENOTES 6' WOOD FENCE EXCEPT AS NOTED THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. TREE SIZE AND LOCATION ARE MEASURED BY DBH (DIAMETER BREAST HEIGHT) APPROXIMATELY 48 INCHES ABOVE GROUND ALL INTERIOR ANGLES SHOWN HEREON ARE AS FIELD MEASURED AND POSSESSED D U R D E N SURVEYING AND MAPPING, INC. 1825—B 3RD STREET NORTH JACKSONVILLE BEACH, FLORIDA 32250 (904) 853-6822 FAX 853-6825 LICENSED BUSINESS NO. 6696 CERTIFIED TO: ASL. LLC S F-9SA SO tiT,o �VF� ;"C" IMPERVIOUS CALCULATIONS LOT AREA = 5,000± SQUARE FEET DESCRIPTION SQUARE FEET BUILDING AREA 1,480± ENTRY 20± DRIVEWAY 207± FLATWORK 322± A/C PAD 9± TOTAL IMPERVIOUS AREA = 2,048± TOTAL DENSITY = 41 ANGLE TABLE A = 89°52'00" 06 B = 90°08'00" I hereby certify that this survey meets the minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant to Section 472.027 Florida Statutes and Chapter 5J17 Florida Administrative Co FLORIDA REGISTERED SURVEYOR No. 4707 H. BRUCE DURDEN, Jr. SURVEYOR'S NOTES THE SURVEY HEREON WAS MADE WITHOUT THE BENEFIT OF ABSTRACT OR SEARCH OF TITLE AND SIGNED APRIL 27. 2018 THEREFORE THE UNDERSIGNED AND DURDEN SURVEYING AND MAPPING, INC., MAKE NO CERTIFICATIONS REGARDING INFORMATION SHOWN OR NOT SHOWN HEREON PERTAINING TO EASEMENTS, CLAIMS OF SCALE: 1 = 20' EASEMENTS, RIGHTS—OF—WAY, SETBACK LINES, OVERLAPS, BOUNDARY LINE DISPUTES, AGREEMENTS, RESERVATIONS OR OTHER SIMILAR MATTERS WHICH MAY APPEAR IN THE ABSTRACT OR SEARCH OF TITLE. WORK ORDER NUMBER: 18257 B-9290 THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED.