1100 Linkside Drive TREE18-0067 Applicationsy1`ir,�, TREE REMOVAL PERMIT APPLICATION
�s Is 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.
SITE INFORMATION
1P� ig 006 `/
FOR INTERNAL OFFICE USE ONLY
PERMIT #
❑ 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 ! �� (� G//fj��,r//.)i Iv 21 U/2 &ax/c Awl/ RE#
177-3-7 5cy ( o
SUBDIVISION 0(_IVA&If& BLOCK# LOT#
APPLICANT INFORMATION
NAME�(,L�if % !Crt �.'�,/� C( EMAIL ,r�G'�'LLr�✓�/�LC fI�UG
ADDRESS L144,1z A, CITY JfetAV9/l �(`,ATATE
PHONE #
CELL # -?LQ ,%L 1 721 ❑ OWNER
"L� %71
ZIP CODE ;?'77 r0
g_LSAL 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
❑ EXHIBITC -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
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
ORj31IVAN-ft5 OF THE CITY OF ATLANTIC BEACH, j
Am
IGNKI`UREfflY AP LI ANT PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMITAPPLICATIONO3.01.2018
EXHIBIT A: LETTER OF AUTHORIZATION
rs f f City of Atlantic Beach
s� Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
"�JS31ia (P) 904-247-5800
OWNER INFORMATION
NAME pt
ADDRESS // 00 /l.,vl
CITY '/ft-/4ti//t j�fff
d1c-
1
FOR INTERNAL OFFICE USE ONLY
PERMIT #
CELL# ?Ie "-)Z/
'2%,7Z
STATE `� ZIP CODE
AGENT INFORMATION
NAME Ax'/Z=/J %� n vT �� 4 A
ADDRESS // �f 0
r
CITY / % e C
vGc4-f
Ail
STATE
,o /e�5� rfaqaii Z�17-Le
PHONE#
CELL# �%4 .P7Z
ZIP CODE -,7-2'-Z -f—&)
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 INFORM N PROVIDED IS CORRECT: Signature of Property Owner(s) or Authorized Agent
GNAT 9F OWNER 01R LEGAL ESENTATIVE PRINTORTYPE NAME DATE
IGNArT APPL ANT PRINTOR TYPE NAME DATE
Signed and /worn/before me o this C, day of by State of
County of c)C% VQ—
C� CC,, / Q /
Identification verified: �40C)-� � " l9 �— zs
Oath Sworn: ❑ Yes ❑ No
< P ac TONI ORDL� ESPERF.R Notary Signature
=.. e MY COMMISSION 0 FF 92,1351
`a EXPIRES: October 6, 2019 ti
BoncedThru-Notary Public Unda;*ritcrs
My Commission expires
02 TREE REMOVAL - EXHIBITA: Letter of Authorization 03.01.2018
EXHIBIT B: TREE INVENTORY and PROTECTION PLAN
rs� City of Atlantic Beach
Community Development Department
U " V
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"[]"
• 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 preserve l� t—
I
Z
t(
0
r0
f
Y
I`
I
11
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PREPARED BY: �,/� � �) L� WT_ C Gt SCALE: 1 SQUARE=
02 TREE REMOVAL - EXHIBIT B: Tree In ven tory and Protection Plan 03.01.2018
ai yLy;y� EXHIBIT C: TREE MITIGATION WORKSHEET
City of Atlantic Beach
s 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
removing
preserving
replacing
COMMENTS (for use by City Staff)
1
oq k
2
UA/ ttv
3
PCM
D
4
(►L�
/S
5
/"kc eti
6
�k
iJ
7
o4 /L
8
)if (- A7
9
c11
10
12
13
14'C
d �-
15
16�
v�
17
18
19
20
21
22
23
24
25
1 02 TREE REMOVAL - EXHIBIT C. Tree Mitigation Worksheet 03.01.2018
Property Appraiser - Property Details
GALL ELLEN T
1156 TUMBLEWEED DR
ORANGE PARK, FL 32065
1100 LINKSIDE DR
Primary Site Address Official Record Book/Page
1100 LINKSIDE DR 17889-00319
Atlantic Beach FL 32233
roperopeq Detail
RE #
_
172374-5010
Tax District
USD3
Prone Use
0100 Single Family
# of Buildings
1
Legal Desc.
For full legal description see
Land & Legal section below
Subdivision
04396 SELVA LINKSIDE UNIT 01
Total Area
7136
The sale of this property may result in higher property taxes. For more information go
to Save Our Homes and our Property Tax Estimator . 'In Progress' property values,
exemptions and other supporting information on this page are part of the working tax
roll and are subject to change. Certified values listed in the Value Summary are those
certified in October, but may include any official changes made after certification
Learn how the Property Appraiser's Office values property.
Valup Summary
Page 1 of 2
Tile #
9416
Taxable Values and Exemptions — In Progress
If there are no exemptions applicable to a taxing authority, the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales Histnry rw
Book/Page
2018 Certified
2019 In Progress
Value Method
CAMA
CAMA
Total Building Value
$123,498.00
$122,299.00
Extra Feature Value
$862.00
$796.00
Land Value (Market)
$180,000.00
$180,000.00
Land Value (Agric.)
$0.00
$0.00
Just (Market) Value
$304,360.00
$303,095.00
Assessed Value
$304,360.00
$303,095.00
Cap Diff/Portability Amt
$0.00 / $0.00
$0.00 / $0.00
Exemptions
$0.00
See below
Taxable Value
$304,360.00
See below
Taxable Values and Exemptions — In Progress
If there are no exemptions applicable to a taxing authority, the Taxable Value is the same as the Assessed Value listed above in the Value
Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales Histnry rw
Book/Page
Sale Date
Sale Price
Deed Instrument Type Code
Qualified/Unqualified
Vacant/Improved
17889-00319
2/17/2017
( $100.00
( QC - Quit Claim
Unqualified
Improved
11354-00175
8/21/2003
$100.00
( MS - Miscellaneous
Unqualified
Improved
09050-01716
8/17/1998
$145,000.00
I MS - Miscellaneous
Unqualified
Improved
08823-00143
1/6/1998
$100.00
( WD - Warranty Deed
Unqualified
Improved
08823-00145
1/6/1998
$100.00
( WD - Warranty Deed
Unqualified
Improved
07218-01094
11/1/1991
$105,000.00
WD - Warranty Deed
Qualified
Improved
07033-01174
1/14/1991
$30,000.00
WD - Warranty Deed
I Qualified
Vacant
Extra Features .1 i
LN Feature Code
1 FPPR7
cF"
Land & Legal _I
Land
Feature Description I Bldg. Length Width
Fireplace Prefab 1 I 0 0
LNJ
Code
Use Description
Zoning
Front
Depth
Category
Land
Units
Land
Type
Land
Value
1463
1463
1
0100
ACS LD 3-7 UNITS PER
APUD
165.00
100.00
Common
11.00
Lot
$180,000.00
14
114 Carpet
Heating Fuel
4
4 Electric
Heating Type
4
4 Forced -Ducted
Buildings.
Building 1
Building 1 Site Address
1100 LINKSIDE DR
Atlantic Beach FL 32233
Building Type 0101- SFR 1 STORY
Year Built 1991
Building Value $122,299.00
Element
Gross
Heated
Effective
Type
Area
Area
Area
Base Area
1463
1463
1463
Roofing Cover
400
I 0
200
Element
I Code
Detail
Exterior Wall
16
16 Frame Stucco
Exterior Wall
8
8 Horizontal Lap
Roof Struct
3
3 Gable or Hip
Roofing Cover
3
3 Asph/Comp Shng
Interior Wall
5
5 Drywall
Int Flooring
8
8 Sheet Vinyl
Int Flooring
14
114 Carpet
Heating Fuel
4
4 Electric
Heating Type
4
4 Forced -Ducted
Air Cond 13 13 Central
Total Units I Value
1.00 $796.00
Leoal
LN Legal Description
1 44-23 17 -2S -29E
2 SELVA LINKSIDE UNIT 1
3 I LOT 1
https://paopropertysearch.coj .net/Basic/Detail.aspx?RE=1723745010 10/30/2018
DURABLE POWER OF ATTORNEY
OF
ELLEN TRENT GALL
I, ELLEN TRENT GALL, with an address of l 156 Tunnbleweed Drive, Orange Park,
Florida 32065, snake, constitute and nominate my son, Douglas T. Gall, with an address of 1156
Tumbleweed Drive, Orange Park, Florida 32065, as my agent. if Douglas T. Gall dies, becomes
legally disabled, resigns, or ceases to act, i make, constitute and nominate my granddaugliter, Iva
Redfern 1 loff, as my agent.
AR rwu I
I hereby give and grant unto my said agent frill power and authority to act 1'or me in any
lawful way 4with respect to the powers enumerated in Article 11, and to the powers which I have
initialed in !Article 111, of this durable power of attorney.
ARTICLE II
Aly agent is authorized to act fi►r me in my name, place and stead and may exercise any or
all of the powers contained in this Article ll.
2_1 Banking and Other Financial Institution Transactions. With regard to banking
and other financial institution transactions, my agent shall have the authority to conduct banking
transactions as provided in section 709.2208(1), Florida Statutes.
2.2 Investment Transactions. With regard to stock and bond transactions, my agent
shall have the authority to conduct investment transactions as provided in section 709.2208(2),
Florida Statutes.
2.3 Real Property Transactions. With regard to real property transactions, my agent
may exercise all of the following powers with regard to any real property I own: (1) convey or
mortgage homestead property; (2) accept as a gift oras security for a loan or reject, demand, buy,
lease, receive, or otherwise acquire an interest in real property or it right incident to real property;
(3) sell, exchange, convey with or without covenants, quitclaim, release, surrender, mortgage,
encumber, partition, consent to partitioning, subdivide, apply for zoning, rezoning, or other
governmental permits, plat or consent to platting, develop, grant options concerning, lease or
sublet, or otherwise dispose of an estate or interest in real property or a right incident to real
property; and (4) release, assign, satisfy, and enforce by litigation, action, or otherwise a mortgage,
deed of trust, encumbrance, lien, or other claim to real property that exists or is claimed to exist.
2_4 Tangible Personal Property Transactions. With regard to tangible personal
property transactions, my agent ►na), exercise all of the following powers: (l) accept as a gift or as
security for a load, reject, demand, buy, receive, or otherwise acquire ownership or possession of
tangible personal property or an interest in tangible personal property; (2) sell, exchange, convey
Al.
disburse, or use anything received for an authorized purpose; and (6) transfer all or part of my
interest in real property, stocks, bonds, accounts with financial institutions, insurance, and other
property to the trustee of a revocable trust created by me as settlor.
2.8 Claims and Litigation. With regard to claims and litigation, my agent has the
power to: (1) assert and prosecute before a court or administrative agency a claim, a claim tar
relief, a counterclaim, or an offset or defend against an individual, a legal entity, or a government,
including suits to recover property or other thing of value, to recover damages sustained by me, to
eliminate or modify tax liability, or to seck an injunction, specific performance, or other relief; (2)
bring an action to deterniine adverse claims, intervene in an action or litigation, and act as amicus
curiae; (3) in connection with an action or litigation, procure an attachment, garnishment, libel,
order of arrest, or other preliminary, provisional, or intermediate, relief and use an available
procedure to effect or satisfy a judgment, order, or decree; (4) in connection with an action or
litigation, perform any lawful act 1 could perform, including acceptance of tender, offer of
judgment, admission of facts, submission of a controversy on an agreed statement of facts, consent
to examination before trial, and binding of me in litigation; (5) submit to arbitration, settle, and
propose or accept a compromise with respect to a claim or litigation; (6) waive the issuance and
service of process on me, accept service of process, appear for me, designate persons on whom
process directed to me may be served, execute and file or deliver stipulations on my behalf, verify
pleadings, seek appellate review, procure and give surety and indemnity bonds, contract and pay
for the preparation and printing of records and briefs, or receive and execute and file or deliver a
consent, waiver, release, confession of judgment, satisfaction of judgment, notice, agreement, or
other instrument in connection with the prosecution, settlement, or defense of a claim or litigation;
(7) act for me with respect to bankruptcy or insolvency proceedings, whether voluntary or
involuntary, concerning me or some other person, with respect to a reorganization proceeding or
a receivership or application for the appointment of a receiver or trustee that affects my interest in
real or personal property or other thing of value; and (8) pay a judgment against me or a settlement
made in connection with a claim or litigation and receive and conserve money or other thing of
value paid in settlement of or as proceeds of a claim or litigation.
2.9 Personal and Family Maintenance. With regard to personal and family
maintenance, my agent may exercise all of the IblloNving powers: (1) perform the acts necessary
to maintain the customary standard of living of me, my spouse and children, and other individuals
customarily or legally entitled to be supported by me, including providing living quarters by
purchase, lease, or other contract, or paying the operating costs, including interest, amortization
payments, repairs, and taxes on premises owned by me and occupied by those individuals; (2)
provide for the individuals described by Subsection (1) of this section normal domestic help, usual
vacations and travel expenses, and funds for shelter, clothing, food, appropriate education, and
other current living costs; (3) pay necessary medical, dental, and surgical care, hospitalization, and
custodial care for the individuals described by Subsection (1) of this section; (4) continue any
provision made by me for the individuals described by Subsection (1) of this section, for
automobiles or other means of transportation, including registering, licensing, insuring, and
replacing the automobiles or other means of transportation; (5) maintain or open charge accounts
for the convenience of the individuals described by Subsection (1) of this section and open new
accounts that my agent considers desirable to accomplish a lawful purpose; and (6) continue
payments incidental to my membership or affiliation in a church, club, society, order, or other
power of attorney may be exercised equally with respect to an interest I have at the time this
durable power of attorney is executed or an interest which I acquire later, whether or not the interest
is located in Florida and whether or not the powers are exercised or the durable power of attorney
is executed in Florida.
ARTICLE III
My agent is authorized to perform the Ib] ]owing specific acts for me if I have initialed the
specific authority listed below:
Power to Make Annual Exclusion Gifts. i grant to my agent the power to make.
gifts (outright, in trust, or otherwise) of any cif' my property to or to pay amounts on
belralfof any person in an amount per donee which qualifies for the Federal gill tax
annual exclusion under Section 2503(b) of the Internal Revenue Code of' 1986, as
amended, or if 1 am married at the time and my spouse agrees to split gifts for
Federal gift tax purposes, in an amount per donee which qualifies for twice the
Federal gift tax annual exclusion.
Power to Make Additional Gifts. I further grant to my agent the power to make
gifts (outright, in trust, or otherwise) of any of my property up to the entirety thereof
to, or to pay amounts on behalf, of, any one or more of my descendants (including
my agent, if my agent is a descendant of mine) if, in the opinion of my agent, such
gifts would reduce income, estate, generation skipping transfer or state inheritance
taxes. Such gifts or amounts paid to my descendants shall include those which are
excludible under Section 2503(b) or Section 2503(e) of the Internal Revenue Code
of] 986, as amended, or those to which the split gift provisions of Section 2513 of
the internal Revenue Code of 1986, as amended, are expected to apply. Nothing
herein shall be construed to require any court action whatsoever prior to making
such gifts, nor to restrict such gills to a situation in which it must be determined
that I will remain incapacitated for the remainder of my lifetime. Notwithstanding
the lbregoing, the gifts made by a person who is serving as my agent under this
instrument to himself or herself shall not exceed in the aggregate for any calendar
year the greater of five thousand dollars ($5,000) or five percent (5%) of the fair
market value of my estate (fi►r U.S. gift tax purposes) as of December 31 st of such
calendar year; provided, however, if lily agent is making gifts authorized by the
following paragraph of this power of attorney in order to obtain or maintain
eligibility for public health care benefits, then these limitations shall not apply.
Power to Make Gifts to Qualify for Public Benefits, if my agent in my agent's
sole discretion has determined that I need nursing home or other long-term medical
care and that 1 will receive proper medical care whether I privately pay liar such
care or if i am a recipient of Title XiX (Medicaid) or other public benefits, then my
agent shall have the power: (i) to take any and all steps necessary, in my agent's
judgment, to obtain and maintain my eligibility for any and all public benefits and
4such grantor trust.
Create or Chane Rights of Survivorship. My agent shall have the power to
create, change, or terminate any ownership arrangement, including batik and
brokerage accounts, in which I arm a joint tenant owning an interest with one or
more other persons with rights of survivorship.
.' - Create or Change a Beneficiary Designation. My agent may create a new
beneficiary designation or change an existing beneficiary designation on any
retirement plan as well as on any other account in which I own an interest at a batik,
credit union, brokerage firm, insurance company, or other financial institution. "l'he
term "retirement plan" shall include any employee or self-employed benefit plan,
individual retirement account, pension pian, thrift plan, stock bonus plats, tax
sheltered annuity (whether payable to ale or to another person), profit-sharing plan,
or any other plan, arrangement or account which is qualified for favorable income
tax treatment under Federal law.
Waive My Right to be a Beneficiary of Joint and Survivor Annuity, Including
a Survivor Benefit Under a Retirement Plan. My agent shall have the power to
waive my right to be a beneficiary of a joint and survivor annuity, including a
survivor benefit under a retirement plan. This waiver right shall apply to an annuity
or retirement plan which is owned by me, in which I am a participant, or in which
1 an, a beneficiary.
�) Disclaim Property and Powers of Appointment. My agent shall have the power
to disclaim any property, including a power of appointment, and also including any
legacy, bequest, devise, gift, or other property interest or payment due or payable
to me.
ARTICLE. IV
Notwithstanding any Provision herein to the contrary, any authority granted to my agent
shall be limited so as to prevent this durable power of attorney from causing my agent to be taxed
on my income (unless my agent is my spouse) and from causing my assets to be subject to a general
power of appointment by my agent, as that term is defined in Section 2041 of the Code.
ARTICLE, V
Any act or thing lawf idly done hereunder by my said agent shall be binding oil myself and
my heirs, legal and personal representatives, and assigns, provided, however, that all business
transacted hereunder for me or for my account shall be transacted in my name, and that all
endorsements and instruments executed by my said agent for the purpose of carrying out the
foregoing powers shall contain my name, followed by that of my said agent and the. designation
"Agent."
7 1
Signed on the 17th day of February in the year 2017.
y
4� V44
41 ,rCt,_
Gni
ELLEN TRENT GALL, Prin ,pal ," ._.._
WITNESSES (both ol'whom are
18 years of age or older):
Carlene Chaires, Witness
(Printed Name)
Susan Abrams, W' ness
(Printed Name)
STATE OF FLORIDA §
COUNTY O DUVAL §
The foregoing instrument was acknowledged before n,c on the 17th day of February in the
year 2017, by ELL1 N TRENTGALL, who produced an identification card issued by State of
Florida that contained her Photograph and signature as identification, and by Carlene Chaires and
Susan Abrams, witnesses.
Notary Public, State of Florida
PATRICIA MANY HAWKINS Notary's Printed name: Patricia K. 1 lawkins
Commission # FF 999214
•`o;` ExpiresJune 26, 2020
&xdedThruTmyFamInsurance M-305•)014
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