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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 � 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 9 A 0� ij m FA 1 to m FA 1 r ' �..... \?I Vim• ,R 1 ,y{.. �t lq � rt 'p'.�'t (�/ l i�� �i + ' k. "'1�" r,l. { } , ! t ,4, r rr '�. �+ t , ���,�-9�"' ., i1 W `0 t 1S^., '` % l k �S' �jf! t ' i •![P' h Rry� ", Ij tiv�, �`!�J ht � y >ai �' rn, { " ? .9... �J , l' T '. •�� , y� �. _ j�r ; ."14. 5 Air La tb 1r��1�4 Al`• :J i �� � ], SRL 4 � t� 1 r ! 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I l' r''� - �"da ,�►'�•��iy'l ��d If��� ��ifi , t+.• ! .\ •� J '� 1. � � lL` ",y, �e _" �.��:. i •� ���Y v.r� �i 1��`Lt .ter � �f✓r ��'$�r".� R \ � ; � �.: -Eh r - ..^ '����A,' / .� 4�1b ° ale Y - V� .. 'pr ., r� •.u,r -�•\� ��� _ + .t