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SC 06.24.2019-351 19th StreetTREE REMOVAL PERMIT APPLICATION 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 �, ADDRESS �� /� sr-./ �,af�rc�t"C- FOR INTERNALOFFICEOFFICE USE ONLY PERMIT # -T I (`hE..(9 - CX)Z ❑ Legacy Tree ik Single -/Two -Family Residential ❑ Multi -Family Residential ❑ Commercial / Industrial ❑ Institutional / Other Non -Residential $ 25.00 $125.00 $250.00 $250.00 $250.00 SUBDIVISION APPLICANT INFORMATION NAME�/ij/l4 /4- G(/ BLOCK # RE# LOT # EMAIL 19/15,44,63(4/E4) 4_14',d•GL , c y) ADDRESS 57 /617t 9- CITY A1/4„,4 firia STATE/- ZIP CODE5'ZZ35 PHONE# `azo is6; CELL # G a 3 Jo 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 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 ORDINANCES OF THE CITY OF ATLANTIC BEACH. SIGNATURE OF APPLICANT 02 TREE REMOVAL PERMIT APPLICATION 03.01.2018 h-.4 'l I mean/'civ/ PRINT OR TYPE NAME D'T `1 Property Appraiser - Property Details WEATHERBY KENNETH ALLEN 351 19TH ST ATLANTIC BEACH, FL 32233-4540 351 19TH ST Primary Site Address Official Record Book/Page 351 19TH ST 04788-00909 Atlantic Beach FL 32233 Property Detail RE # 172020-1258 Tax District USD3 Property Use 0100 Single Family # of Buildings 1 Legal Desc. For full legal description see Land & Legal section below Subdivision 03512 SELVA MARINA UNIT 12A Total Area 9008 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. Value Summa Page 1 of 2 Tile # 9409 Value Description 2018 Certified Sale Price 12019 In Proaress CAMA Value Method CAMA Total Building Value $146,252.00 $15,000.00 $149,875.00 Unqualified Extra Feature Value $530.00 3/26/1979 $546.00 WD - Warranty Deed Land Value (Market) $235,000.00 08893-00969 $235,000.00 $100.00 Land Value (Aaric.1 $0.00 Improved $0.00 11/12/2002 Just (Market) Value $381,782.00 Qualified $385,421.00 Assessed Value $260,569.00 $265,519.00 Cap Diff/Portability Amt $121,213.00 / $0.00 $119,902.00 / $0.00 Exemptions $50,000.00 See below Taxable Value $210,569.00 See below Taxable Values and Exemptions — In Progress r 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 Assessed Value $265,519.00 Assessed Value $265,519.00 Assessed Value $265,519.00 Homestead (HX) - $25,000.00 Homestead (HX) - $25,000.00 Homestead (HX) - $25,000.00 Homestead Banding 196.031(1)(b) (HB) Homestead Banding 196.031(1)(b) (HB) Taxable Value - $25,000.00 - $25,000.00 Taxable Value Sales History In $215,519.00 Taxable Value $215,519.00 $240,519.00 Book/Page Sale Date i Sale Price Deed Instrument Type Code Qualified/Unqualified Vacant/Improved 04788-00909 12/15/1978 $15,000.00 WD - Warranty Deed Unqualified Vacant 04844-00006 3/26/1979 $60,300.00 WD - Warranty Deed Unqualified Improved 08893-00969 2/25/1998 $100.00 MS - Miscellaneous Unqualified Improved 10788-00760 11/12/2002 $227,000.00 WD - Warranty Deed Qualified Improved Extra Features LN I Feature Code 1 FPPR7 Land & Legal .1 Lan Feature Description I Bldg. I Length Width Fireplace Prefab 1 0 I 0 LN 1 Code 0100 Use Description Zoning Front Depth 100.00 Category Land Units Land Land Value $235,000.00 Tvoe ACS LD 3 7 UNITS PER APUD 85.00 Common 1.00 Lot Buildings }J Building 1 Building 1 Site Address 351 19TH ST Atlantic Beach FL 32233 Building Type 0101- SFR 1 STORY Year Built 1979 Building Value $149,875.00 Type Gross Area 480 Heated Effective Area Area 0 240 Element Code Exterior Wall 16 Exterior Wall 6 Roof Struct 3 Roofing Cover 3 Interior Wall 5 Int Flooring 14 Int Flooring 11 Heating Fuel 4 Detail 16 Frame Stucco 6 Vertical Sheet 3 Gable or Hip 3 Asph/Comp Shng 5 Drywall 14 Carpet 11 Cer Gay Tile 4 Electric https://paopropertysearch.coj .net/Basic/Detail.aspx?RE=1720201258 Total Units 1.00 Value $546.00 Le al LN Legal Description 1 36-64 09 -2S -29E 2 SELVA MARINA UNIT 12-A 3 LOT 13 OAS 6/14/2019 .1,.....op,-,7,,,, ; EXHIBIT A: LETTER OF AUTHORIZATION "� City of Atlantic Beach '' Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 `'%osi (P) 904-247-5800 OWNER INFORMATION/�i ",�� NAME �r¢' 4,4 - ADDRESS 3!? /4 5T -- FOR r CITY ,th 4 AGENT INFORMATION NAME 4 fyy'�� 1 STATE FOR INTERNAL OFFICE USE ONLY PERMIT # PHONE# CELL # ZIP CODE 57-.23. ADDRESS N -i kitA tit— i31 W( CITY 4.0. S 4L «i9 0,17.4aix PHONE # gdv 2j 3 CELL # � 7(5 - STATE ZIP CODE 37'-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 I5 CORRECT: Signature of Property Owner(s) or Authorized Agent SIGNATURE OF OWNER SIGNATURE OF OWNER #2 Si • ned,and swrn befo e me on this day of --A��. Identification verified: 411 . A �. lve -id), �`Vz* PRINT OR TYPE NAME / DATE PRINT OR TYPE NAME DATE by State of County of)+ Oath Sworn: ❑ Yes ❑ No Tracey Paulsen NOTARY PUBLIC ' STATE OF FLORIDA Notary Signator@ ,, .- �;�'-/? Comm# GG212743 �/� � b� b.196 Expires 4/30/202My ommissi expires LI (,--() 02 TREE REMOVAL - EXHIBIT A: Letter of Authorization 03.01.2018 ID DBH SPECIES X"_ removing ,i),_ preserving "0". replacing COMMENTS (for use by City Staff) 1 2 3 " 4 —1 II lV / ()LE- S , r\ fc19..-- 6 i k'1\ A eL E 7- aolk 8 VA L- 9 PALM 10 o 1NV---- -ril, 11 PAL -4m 12 13 ', 12 i L ii` 14 Pi- L tL C l w 15 IC. , 0/3„-y,.._ FA u g/ (A/ V / 16 17 ,��;,til i. 18 I`- 19 1 II 1'i1M 20 Pb1 C) t W (L I Li 22 ,1 i V LA 23 Pr Ill 24 f. 'ur"i [Cr VG k )1 j.1 I J o' k 25 ` 6air C16CCeidere-P.C.? 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 # -EXHIBITC: Tree Mitigation Worksheet 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 removing preserving replacing COMMENTS (for use by City Staff) z,to I 1 “ VA 1" 21 1 • PA Livl 4 JCeep A IC 17A-wl ik keep (2!LJ 40 V rRi6 tim ,,, 'At -1 PAIA0-zh 21;-)-1. i'•A A fif,' OrK- 4-)0 1. VAt.,tkil 147 1 ‘ " pi6,Lf1 "14f5 * 1.414 7dccer at L 14 15 16 17 18 19 20 21 22 23 24 25 02 TREE REMOVAL - EXHIBIT C: Tree Mitigation Worksheet 03.01.2018