562 Nautical Boulevard TREE07-00001565 11.14.2007EE & VEGETATION REMOVAL APPLICATION
RT I - REGISTRATION
City of Atlantic Beach
Department of Planning & Zoning
800 Seminole Road Atlantic Beach, FL 32233
(P) 904 247-5826 (F) 904 247-5845 PERMIT #
OEOTIOIMI -we IIN INFOR AtTIUIN
NAME OFOWNER(S)
ADDRESS OF OWNER(S) ( �. ( I r
.00►
CELL cj0 _ 3 - 31 3 EMAIL c( Z. d+1 . cr,
SECTION II - CONTRACTOR INFORMATION
NAME OF CONTRACTOR
NAME OF COMPANY
ADDRESS OF COMPANY
PHONE CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
STREET ADDRESS OF PROPERTY 5'(. Z PQ C,
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
LEGAL DESCRIPTION
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE: SQ FT AC
RESIDENTIAL COMMERCIAL OTHER (SPECIFY)
HAS THIS SITE BEEN BEFORE THE _ '.y ARD PREVIOUSLY? (- NO OT SURE r- YES
HAS THIS SITE BEEN REVIEWED BY PUBLIC WORKS DIRECTOR FOR ON -SIT _ _ �Ii��i RETENTION? F NO T SURE (— YES
DOES SITE DIRECTLY ABUT JURISDICTIONAL IM MI&WERVATION AREA(S)? 0 F NOT SURE [_ YES
page 1 of 5
SECTION IV - REQUESTED ACTION
PERMIT #
® ® a
HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND 1 AGREE TO COMPLY
WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND
OF THE CITY OF AT TIC
SIGNATURE OF OWNER 09 AUTHORIZED PERSON IF LETTER OF AUTHORIZATION IS ATTACHED
SIGNATURE OF AUTHORIZED CITY OFFICIAL
page 2 of 5
DATE
I(I&AI
DATE
UNDERSTORY VEGETATION REMOVAL AUTHORIZATION
r=
I CERTIFY THAT ONLY UNDERSTORY VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED
--
EXHIBITS WILL BE REMOVED FROM SAID PROPERTY. (PLEASE ATTACH REQUIRED EXHIBITS A, B, C, D, AND H, AS DESCRIBED
BELOW)
TMEMST THAT TREES DESCRIBED ON THE ATTACHED "TREE REMOVAL AUTHORIZATION" FORM AND INDICATED ON THE
ATTACHED EXHIBITS BE APPROVED FOR REMOVAL UTILIZING THE ATTACHED "TREE REMOVAL AUTHORIZATION FORM", AS
PROVIDED IN THE CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II. (PLEASE ATTACH REQUIRED
EXHIBITS A, B, C, D, G, AND H, AS DESCRIBED BELOW)
TREE REMOVAL EXEMPTION
17
I CERTIFY THATTREES INDICATED ON THE ATTACHED EXHIBITS ARE EXEMPT FROM TREE REMOVAL AUTHORIZATION AND
MITIGATION REQUIREMENTS AS PROVIDED BY THE CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II.
(PLEASE ATTACH EXHIBITS A, B, C, AND D, AS DESCRIBED BELOW)
TREE PRESERVATION
I CERTIFY THAT TREES LOCATED ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED EXHIBITS ARE TO
F-
BE PRESERVED/PROTECTED IN LIEU OF MITIGATION REQUIREMENTS AND ACCORDING TO THE METHODS SET FORTH IN THE
CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II. (PLEASE ATTACH REQUIRED EXHIBITS F AND H, AS
DESCRIBED BELOW)
NO TREE AFFIDAVIT
I CERTIFY THAT THERE ARE NO PROTECTED TREES LOCATED ON THE ABOVE DESCRIBED PROPERTY. (PLEASE ATTACH REQUIRED
EXHIBITS B AND C, AS DESCRIBED BELOW)
SIGNATURE OF OWNER SIGNATURE OF OWNER
State of Florida
Signed and sworn before me on this day of , by County of Duval
Identification verified:
Oath sworn: r— Yes F- No
Notary Signature
My Commission expires:
® ® a
HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND 1 AGREE TO COMPLY
WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND
OF THE CITY OF AT TIC
SIGNATURE OF OWNER 09 AUTHORIZED PERSON IF LETTER OF AUTHORIZATION IS ATTACHED
SIGNATURE OF AUTHORIZED CITY OFFICIAL
page 2 of 5
DATE
I(I&AI
DATE
INSTRUCTIONS FOR FILLING OUT A TREE & VEGETATION REMOVAL APPLICATION
1. Complete TREE & VEGETATION REMOVAL APPLICATION, PART 1 -REGISTRATION (pages 1-2), or type/print clearly. Attach additional
sheets as necessary. All correspondence must be in typewritten form. All plans, drawings must be full size (24" X 36"), drawn at a scale
of one inch equals 20 feet (unless otherwise approved), and signed and sealed or certified as appropriate. Illegible applications will be
returned.
2. Complete Section I (Property Owner Information), Section II (Contractor Information), and Section III (Site Information). Incomplete
forms will be returned.
3. Complete Section IV (Requested Action) by checking the appropriate box(es) and attach required exhibits specified above and
described below. Applications with incomplete or missing exhibits will be returned. If either "TREE REMOVAL AUTHORIZATION" or
"TREE PRESERVATION" are checked, you must complete PART II - PERMIT APPLICATION (pages 4-5) of this form also, and submit
appropriate exhibits, as listed above in Section IV and described below.
Description of work to be completed, including, but not limited to, the following: understory vegetation
removal, tree removal, exotic/invasive species removal, tree relocation, clearing for development, etc. Also include a
description of the method of tree or vegetation removal, including specific type of machinery or equipment to be .
utilized.
Warranty Deed or other proof of ownership.
- Current photographs of the property prior to vegetation removal and/or relocation. Include all sides of the
property OFIMITE-
py f each photograph).
(One (1) co 0
op,�cl�rtuctur Ia n.
pproved final site p an. 'a ,�?ti � (u; z t °� G� a aA-0. :_` its c, t vs
EXHIBIT F - Approved final landscape plan. E
JS
—HIBI - Tree Survey.
EXHIBIT H - Written sign -offs, permits, or consents from other jurisdictional agencies, including, but not limited to the
following: Saint Johns River Water Management District (SJRWMD), Florida Department of Environmental Protection
(FDEP).
4. Complete Section V (Oath) with signature and date.
5. A Tree Survey (EXHIBIT G) indicating the following must be completed and submitted if "Tree Removal Authorization" is checked.
to be reviewed by the Tree Conservation Board
i) show property lines, as well as interior/exterior zones, using setback lines of 20' front & rear and 7.5' each side.
ii) show existing and proposed structures.
iii) show location of utilities and easements as applicable.
iv) show location, species and size of all trees with Diameter at Breast Height (DBH) of six inches (6") or more.
v) mark all existing trees to be removed from the site with an "X".
vi) mark all existing trees to be preserved on-site with brackets, "[ )
vii) mark all proposed location(s) of replacement trees with a circle, "O".
b. ON THE SITE, to be inspected by City of Atlantic Beach staff
i) display address/legal description of property in a conspicuous manner.
ii) mark property corners with stakes or paint.
iii) barricade all trees to be preserved at the tree drip line. (See Section 23-17(f) of the COAB Code of Ordinances)
iv) mark all trees identified for removal with RED/ORANGE flagging, paint or tape.
v) mark all trees identified for preservation with BLUE/GREEN flagging, paint or tape.
c. INCOMPLETE APPLICATIONS AND/OR SURVEYS AND INCORRECTLY MARKED SITES WILL NOT BE PROCESSED.
4. Once the site has been prepared for inspection, submi "requIre
s of the completed TREE& VEGETATION REMOVAL APPLICATION,
PARTS 1& II as necessary, along with two (2) copies of thealexhibits and any other supporting materials to the City of Atlantic
Beach Planning Department.
5. The Tree Conservation Board meets twice monthly, on the 2nd and 4th Wednesdays. Applications received by 5pm on the 1 st and 3rd
Mondays of each month will be considered at the next regularly scheduled meeting, provided additional information is not required.
page 3 of 5
NAME OF OWNER(S)
PHONE
NAME OF CONTRACTOR
TREE & VEGETATION REMOVAL APPLICATION
City of Atlantic Beach
Department of Planning & Zoning
800 Seminole Road Atlantic Beach, FL 32233
(P) 904 247-5826 (F) 904 247-5845
CELL
PHONE CELL
W
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
STREET ADDRESS OF PROPERTY
d�4 - j EMAIL
EMAIL
PERMIT #
e- `Q'1. ca,,,
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
`E Q
I REQUEST THAT THE TREES ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED EXHIBITS BE APPROVED FOR
REMOVAL, AS PROVIDED IN THE CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II, FOR THE FOLLOWING
REASONS (check all that apply):
F Trees are difficult to maintain /owner dislikes.
Trees are dead, diseased or so weakened by age, storm, fire, or otherinjury so as to pose a danger to persons, property,
Improvements or other trees.
Trees pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
Trees pose a safety hazard to buildings or structures.
Trees completely prevent access or cross access to a lot or parcel.
Trpravent-development-or physical use. It is the intent of this provision that a permit shall be granted for the removal of any
tree when the applicant has demonstrated an effort to design or locate the proposed improvements so as to minimize the
removal of trees.
,ATM
HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE 11, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF OLANTIC BENCH.
SIGNATURE OF OWNEdOR AUTHORIZED PERSON IF LETTER OF AUTHORIZATION IS ATTACHED
SECTION VI - APPROVAL
SIGNATURE OF TREE CONSERVATION BOARD CHAIRPERSON
page 4 of 5
DATE
DATE
PERMIT #
XRjWRjMML MITIGATION WORKSHEET
TREES PROPOSED FOR REMOVAL
DIAMETER OF TREES IN INCHES*
REASON FOR REMOVAL
DO NOT WRITE INTHIS SPACE
SPECIES
INTERIOR ZONE**
EXTERIOR ZONE**
APPLICANTS COMMENTS
FOR TCB USE ONLY
. e
e
1
a Mejl,_ ISfve—
(*)DIAMETER AT BREAST HEIGHT (DBH) IS MEASURED AT 4.5 FEET ABOVE GRADE. TO ACCURATELY DETERMINE DIAMETER, MEASURE THE TRUNK
CIRCUMFERENCE AND DIVIDE BY 3.14. DIAMETER OF MULTI -TRUNKED TREES IS DETERMINED BY ADDING TOGETHER THE DIAMETER OF EACH
TRUNK AS MEASURED IMMEDIATELY ABOVE THE FORK(S).
(**) INTERIOR ZONE: INSIDE THE 20 -FOOT FRONT/REAR SETBACKS AND THE 7.5 -FOOT SIDE SETBACKS.
(**) EXTERIOR ZONE: OUTSIDE THE 20 -FOOT FRONT/REAR SETBACKS AND THE 7.5 -FOOT SIDE SETBACKS.
MITIGATION REQUIREMENTS
TREE REMOVAL CAN BE MITIGATED IN THE FOLLOWING WAYS, SINGULARLY OR IN COMBINATION:
1. PROTECTION OF EXISTING TREES ON-SITE.
2. REPLACEMENT WITH NEW TREES ON-SITE.
3. PAYMENT INTO THE TREE FUND AT THE CURRENT RATE ($117.00 PER INCH - 2007)
NOTE: ONE (1) INCH OF MITIGATION IS REQUIRED FOR EVERY TWO (2) INCHES OF PROTECTED TREES REMOVED.
PLEASE CHECK THE METHOD(S) OF MITIGATION THE APPLICANT/OWNER WISHES TO PURSUE.
PROTECTION OFa-XI TI'N' C TREES. THESE TREES SHOULD BE NOTED ON THE SUBMITTED TREE SURVEY, MARKED BY
REPLACEMENT WITH NEW TREES. THESE TREES SHOULD BE NOTED ON THE SUBMITTED TREE SURVEY, MARKED BY "O".
PAYMENT INTO THE TREE FUND. A CHECK, PAYABLE TO THE CITY OF ATLANTIC BEACH, SHALL BE PRESENTED TO THE BUILDING
DEPARTMENT AT THE TIME OF PERMIT PICK-UP.
Ifreplacement with trees is the chosen method of mitigation, and a Landscape Plan has not been prepared such that the replacement trees
cannot be demonstrated at the time of Tree RemovalAuthorization, the applicant (property owner) will have six (6) months from issue of the
Tree Removal Permit to produce and submit a Landscape Plan satisfactory to the Tree Conservation Board. if, after six (6) months from the
date of Tree Removal Permit issue, no such plan has been produced and submitted, the applicant (property owner) will be presented with an
invoice in the amount equivalent to the mitigation obligation, to be paid to the City ofAtlantic Beach Tree Fund within two (2) weeks from
date of receipt. Should the applicant (property owner) fail to pay the required mitigation as directed, the case will be turned over to the Code
Enforcement Board for remedy.
Additionally, replacement trees must be in the ground, located according to the approved mitigation plan before a Certificate of Occupancy
is issued. The applicant is required to guarantee survival ofreplacement trees for 18 months. Should replacement trees not survive, they too
will have to be replaced.
page 5 of 5
To:
Atlantic Beach Permitting
From.
Kim Cerrato
CC:
Date:
November 5, 2007
Re:
Removal of Pine Tree
We wish to have one (1) pine removed from the rear of the property in preparation for a new pool we
will be installing. We will be hiring a tree contractor to remove the tree. They will be topping the tree for
removal. The stump will be ground out.
Sincerely
Kim Cerrato
1
LOT 5 ,BLOCK 3 , SEA SPRA Y
AS RECORDED /NPLATBOOK 35 ,PAGE 64-64A OF THE Cf1gRENTPUBLICRECORDS OFDUVAL COUNTY, FLORIDA
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\
tMAR R. BANKS
SURVEYORS, INC
2866MANGROVEA VENUE JACKSONIV/LLE, FL 32246
TEL (904) 641-2520 FAX (904) 641-2060
NOTES
THIS ISA BOUNIIARYSURVEY.
FLOOD ZONE 7C' AS BESTASCERTAINED FROMFLOOD PANEL NO 120077 -OW ID
DAMD 4-154992
BEARING DATUMS,4SED ON THE WESMRL YRWUNE OFNAURCAL BLVD NORTHBEING
S06.4 m -E
THEREMAYBEADDI770NAL RES777IC77ONS THATAPPL YBUTARENOT SHOWN ON 7R/S
SURVEYBUT MAYBEFOUNO IN ]REPUBLIC RECORDS OR FACILMES OF THIS COUNTY.
THIS SURVEYDOIES NOT DE7FRNINE OWNERSHIP
LICENSEBUSINES3 NUMBER 6470
NOTES
i dtV E
6 ff 14 at
I. NO U'vDERGROUND UTILITIES OR STRUCTURES LOCATED.
2. NO UT/LITIES LOCATED EXCEPT AS MAY BE SHOWN 14,EREON.
3. NO ATTEMPT WAS MADE TO LOCATE JURISDICTIONAL WETLAND
L /NES NOR TO NOTIFY THE PROPER AGENCIES.
4. ABS: RACT OF TITLE WAS NOi FURNISHED TO T.NE UNDERSIGNED.
BY 7'145 U5E OF TlN/S SURVEY, YOU AGREE TD BE BOUND 3Y THE TERMS
WR/T7"EN ON THIS SURVEY.
I. THIS SURVEY /S INTENDED FOR SOLE USE OF THE PARTIES CERTIFIED
NEREOIV.
2. NO PARTY SHALL ASSIGN TN/S SURVEY DRAWING OR ANY INTEREST OR
OBLIGATION HEREON W/TIaOUT THE PRIOR WRITTEN CONSENT OF THE
UNDERSIGNED.
3. ANY REPRODUCTION OF T41s SURVEY IS PROHIBITED.
RECHECKED AND RECERTIFIED /-24-26105
IHEREBYCER77FYT0_AMMERLYO. CE7WA7O6 Sl/SAND. RUSSELL
COASTAL CAPITAL CORPORA 7700V;RDELITY777LEAWSUR4NCE
COMPANY,•MUEOR?Y777LE&ESCROWSERKCE4 CORPORA 77ON
77 -IAT 77•!IS SURVEYMEE7S 77-IEMINIMUM TECHNICAL STANDARDSAS
SETFORTHBYTHEFLORIDA BOARD OFPROFESSIONAL LAND
SURVEYORS, PURSUANT TO SEC77ON472.027FLORIDA STA7UTESAND
CHAPTER 61G17-6 FLORIDA ADMINISM477VECODE
/ FLORIDA RF67,b`T1RE0- Wl'IZVEYj>RS
(` MARWN BA NO. 4470-.
DARYL S BANKS NO. 6063
DATE FEBRUARY 12, 1993
SCALE 11/VCH = 20 FEET
JOBNO 1726, 12176
PROJECT NO 12176
THIS SURVEYNOT VALID UNLESS THIS PRINT IS EMBOSSED W77/ THE SEAL OF THEABOVE SIGNED
CITY OF ATLANTIC BEACH
;J - _ 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept@coab.us
Application Number . . . . . 07-00001565 Date 11/15/07
Property Address . . . . . . 562 NAUTICAL BLVD
Application type description TREE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
TREE REMOVAL
----------------------------------------------------------------------------
Owner Contractor
------------------------
CERRATO OWNER
562 NAUTICAL BLVD.
ATLANTIC BEACH FL 32233
----------------------------------------------------------------------------
Permit . . . . . . TREE PERMIT
Additional desc . .
Permit Fee . . . . .00 Plan Check Fee .00
Issue Date . . . . 11/15/07 Valuation . . . . 0
Expiration Date . . 5/14/08
---------------- ---------
Special Notes and Comments
APPROVED TO REMOVE 1-21" PINE FROM REAR o�
EXTERIOR ZONE, WITH MITIGATION OF 10.5"
OF PINE OR HARDWOODS (MITIGATION WITH
PALMS NOT ACCEPTABLE) I
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.