1330 Ocean Boulevard TREE18-0074 FINAL 08.13.2020 t ,- TREE REMOVAL PERMIT APPLICATION
4t0 City of Atlantic Beach
s ,W) Community Development Department FOR INTERNAL OFFICE USE ONLY
%' 800 Seminole Road Atlantic Beach,FL 32233
,.g a s (P)904-247-5800 PERMIT#Treel/
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INSTRUCTIONS ❑ Legacy Tree $ 25.00
1. Complete and sign this application. Ingle-/Two-Family Residential $125.00
2. Attach required exhibits as listed on application checklist. ❑ Multi Family Residential $250.00
3. Contact the Community Development Department if you have questions.
4. Submit the completed application and all required exhibits,along with ❑ Commercial/Industrial $250.00
application fees to the Permits Desk at Atlantic Beach City Hall. ❑ Institutional/Other Non-Residential $250.00
SITE INFORMATION
ADDRESS 73 0 OCtkn .L JL . RE# /
SUBDIVISION BLOCK# LOT#
APPLICANT INFORMATION
NAME l 5( ( BY/1.1r EMAIL e‘3(A CD 8 o 1V • I. t0:1'1
ADDRESS i 330 OC t e) v - CITY t-i,2,. hc !StI t" STATE IL ZIP CODE S�Z 3'
PHONE# CELL# T - (0 — 17L -7 DOWNER ❑ 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
R C(HIBIT C-TREE MITIGATION WORKSHEET
REXHIBIT 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
El 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(RROTfCTION OF TREES AND NATURAL VEGETATION)AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF AT NTIC BEACH.
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SIGNATURE OF A , ,• PRINT OR TYPE NAME DATE
02 TREE REMOVAL PERMIT LICATION 03.01.2018
}"��"''�''' TREE REMOVAL CALCULATIONS
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City of Atlantic Beach
j r Community Development Department
�~ 800 Seminole Road Atlantic Beach, Florida 32233-5445
0.219r Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us
Permit: TREE18-0074 Applicant: Robert Ebener
Address: 1330 Ocean Boulevard Atlantic Beach FL
Site Address: 1330 Ocean Blvd Phone: 904-710-1747
RE#: Email: eben808@gmail.com
TREE REMOVAL CALCULATIONS
REMOVED Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Protected Trees Removed: 0 0 0 0 29 29
Mitigation Needed: 0 0 0 0 14.5 14.5
Trees Removed: 8",9", 12"Magnolias
MITIGATION Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
Credit for Trees Preserved: 0 0 0 0 0 0
Credit for Trees Relocated: 0 0 0 0 0 0
Credit for Trees Planted: 0 0 0 7.25 0 7.25
Total: 0 0 0 7.25 0 7.25
Trees Preserved: None for credit.
Trees Relocated: None for credit.
Trees Planted: 12"Palm(palms maxed out at 50%of required mitigation=7.25"of credit)
*Planted Legacy Tree species receive DOUBLE credit when replacing non-Legacy Trees.The Legacy Tree list includes Bald
Cypress; Southern and Eastern Red Cedars; Winged and Florida Elms; Live and Sand Live Oaks; Hickory; Pecan; Pignut
Hickory;Loblolly Bay; Southern and Sweetbay Magnolias;Red and Florida Maples;and Tupelo.
ADDITIONAL MITIGATION REQUIRED (Mitigation Needed--Total)
Legacy(non-oak) Legacy(oak) Oaks Palms Others Total
New Trees Planted: 0 0 0 0 *0 *0
or
Payment Into Tree Fund**: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
or
A Combination of the Above** **At least 50%of mitigation must be onsite.
Additional Notes: Mitigation is 1 inch preserved or planted for every 2 inches removed. Tree Fund rate is$148.00 per inch. Also
removing unprotected 2"Bamboo and 2",3"Fruit trees.Preserving 40"Live Oak.*Paid$740 for 5 inches of mitigation on 12/18/18;
Receipt R7666.Inspected 8/5/2020. *Paid$333 for 2.25 inches of mitigation on 8/13/2020.
Status is in accordance wi e City of Atlantic Beach code of ordinances in effect at the time of application submittal.
APPROVED
DENIED l''' 4,'
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TPO A i INISTRATOR DATE
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Cash Register Receipt Receipt Number
City of Atlantic Beach R12772
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $333.00
TREE18-0074 Address: 1330 OCEAN BLVD APN: 171847 0000 $333.00
TREE MITIGATION $333.00
TREE MITIGATION 11200003660000 0 $333.00
TOTAL FEES PAID BY RECEIPT: R12772 $333.00
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Date Paid: Thursday, August 13, 2020
Paid By: Rober Ebener
Cashier: CT
Pay Method: CREDIT CARD 2
Printed: Monday,August 17,2020 8:49 AM 1 of 1
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Cash Register Receipt Receipt Number
City of Atlantic Beach R7666
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $740.00
TREE18-0074 Address: 1330 OCEAN BLVD APN: 171847 0000 $740.00
TREE MITIGATION $740.00
TREE MITIGATION 11200003660000 0 $740.00
TOTAL FEES PAID BY RECEIPT: R7666 $740.00
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Date Paid: Tuesday, December 18, 2018
Paid By: PALEY SEAN
Cashier: CB
Pay Method: CHECK 2051
Printed:Wednesday, December 19, 2018 8:27 AM 1 of 1
TRX T
0 L`1ri, EXHIBIT A: LETTER OF AUTHORIZATION
o' ` " ti City of Atlantic Beach
-3' :0 Community Development Department
800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY
'.=4,rt>'' (P)904-247-5800 PERMIT#
OWNER INFORMATION
NAME ii,„ ( (4 b6.{0 cJ PHONE#
ADDRESS [ ✓J 0 Ottan gl JO L CELL# 901 -1(v -(711
CITY All AA c Ret L STATE ( ZIP CODE ?Z 1?
AGENT INFORMATION
NAME PHONE#
ADDRESS CELL#
CITY STATE ZIP CODE
is hereby authorized to act on behalf of
the owner(s)of those lands described
in the attached application and as described in the attached deed or other such proof of ownership as may be required
in applying to the City of Atlantic Beach,Florida,for an application related to a Tree and Vegetation Removal Permit.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT:Signature of Property Owner(s)or Authorized Agent
/I�.iiII6.._ �x� Pt/4 -03-{".e,, 121-77(13
SIGNATURE OF r N ' O'4P REPRET���"y�TATIVE PRINT OR TYPE NAME DATE
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SIGNATURE OF APPLICANT PRINT OR TYPE NAME DATE
Signed and sworn before me on this t® day of'CeC)Ik 0 CV ,2-00 by State of (-0 Y C a 4.-
-ob -k-- L►6eneY County of-1Vj/C- 1
Identification verified: ��� L.-
Oath Sworn: ❑ Yes E No lk at,,, 0i , c.
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ary Signat y> JAMIED.SMITN
'$''" -` MY COMMISSION#00 255331
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02 TREE REMOVAL-EXHIBIT A:Letter of Authorization 03.01.2018
,OL.A`:1. ,.. EXHIBIT B: TREE INVENTORY and PROTECTION PLAN
-: t5 City of Atlantic Beach
` � � "' rt Community Development Department
800 Seminole Road Atlantic Beach,FL 32233 FOR INTERNAL OFFICE USE ONLY
',4t sat)' (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"[1"
• 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 preserved.
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02 TREE REMOVAL-EXHIBIT B:Tree Inventory and Protection Plan 03.01.2018
i �,�, EXHIBIT C: TREE MITIGATION WORKSHEET
S F ' 4 City of Atlantic Beach
" j Community Development Department FOR INTERNAL OFFICE USE ONLY
`0" 800 Seminole Road Atlantic Beach,FL 32233
`4,,,i 9 (P)904-247-5800 PERMIT#
List the species and diameter at breast height(dbh)of all trees identified on EXHIBIT B
ID DBH SPECIES X O COMMENTS(for use by City Staff)
removing-vipreserving replacing
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02 TREE REMOVAL-EXHIBIT G Tree Mitigation Worksheet 03.01.2018
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/s,-=�,i , EXHIBIT D: TREE MITIGATION PLAN 1 3 ? C Occi ,- ( ,,d
City of Atlantic Beach
Community Development Department
„, / 800 Seminole Road Atlantic Beach,FL 32233 FOR INTERNAL OFFICE USE ONLY
l'tp:1 (P)904-247-5800 PERMIT#
• Please identify the location,species and size(caliper inches)of ALL trees to be planted for mitigation credit in the area below or on a
separate site plan. Please include existing and/or proposed buildings and any street names for reference points.
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02 TREE REMOVAL-EXHIBIT D:Tree Mitigation Plan 03.01.2018