587 Beach Avenue DRTV 13-00100053 Application TREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS c..0 City of Atlantic Beach
0 Department of Community Development
(1) Complete and sign this form. �. �, 800 Seminole Road Atlantic Beach,FL 32233
��r
(2) Attach the required supporting exhibits as listed on the application V
s�,� (P)904247-5800 (F)904 247-5845
checklist.
(3) Contact the Department of Community Development if you have Single-/Two-Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. E Multi-Family Residential $250.00
(4) Submit this form, along with all required exhibits and payment to r Commercial/Industrial $250.00
the City of Atlantic Beach,and in the appropriate amount according
to the application fees listed to the right, to the reception desk at r Institutional/Other Non-residential $250.00
the Building Department. G2
Application#TREE 13- 001 0)353
J
SECTION I-SITE INFORMATION
PHYSICAL ADDRESS 587 l L Pc , MLAraiic &Lf — 322.33
If an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
SUBDIVISION BLOCK LOT RE# 170157— Ooo o
SECTION II-APPLICANT INFORMATION r OWNER 2(LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT o A ( G'S r 71-C
ADDRESS OF APPLICANT p,p. Q oX 32 Ct . Pte- ij , 3'20 01(
PHONEge(.ZY6"SYdo CELL9psa(_ '.SY.'S-/4o9 EMAIL oet' /a"vrbti R.,10444.4-.ca"
SECTION III-TREE&VEGETATION REMOVAL REQUEST
I REQUEST THAT THE TREES&VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED REQUIRED
EXHIBITS BE APPROVED FOR REMOVAL,AS PROVIDED IN THE CITY OF ATLANTIC BEACH VEGETATION CODE,CHAPTER 23, FOR THE
FOLLOWING REASONS(check all that apply):
✓ Vegetation(trees)are difficult to maintain/owner dislikes.
• Trees are dead,diseased or so weakened by age,storm,fire,or other injury so as to pose a danger to persons,property,
improvements or other trees.
✓ Vegetation(trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
✓ Vegetation(trees)pose a safety hazard to buildings or structures.
✓ Vegetation(trees)completely prevent access or cross access to a lot or parcel.
Vegetation and/or trees prevent development or physical use. It is the intent of this provision that a permit shall be granted for }}
35( the removal of vegetation and/or trees when the applicant has demonstrated an effort to design or locate the proposed
improvements so as to minimize the removal of vegetation and/or trees.
I HEREBY CERTIFY THAT ALL INFO.ATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVISIONS 0 CH i R 23,PROTECTION OF TREES AND NATURAL VEGETATION,AND ALL OTHER APPLICABLE
CODES AND ORDINA S' "HE CITY OF ATLANTIC BEACH.
SIGNATUREOAPP,,gidroprr60r• 05/3
ICANT DATE
FOR INTERNAL OFFICE USE ONLY /?
FRONTAGE 1 O 1 FLU ia�, ZVAR 12-00100031 ESA 1,4_20400,14-1 Q f� n�y�,,/ O II 1`ID 13
DEPTH 2QQf ZONING /Zs-2.. UBEX A. H/H ��QF SR-2 �{ 1
AREA 20 k ISA 5�7, mai WAIV /A OAB ((5e5CR gr.)/ &I/ri/ a3
,•"-� I/cc&Vegetation Removal Permit Application_versiono1.01.09
iiri
EXHIBIT A. LETTER OF AUTHORIZATION Application#TREE /3- 051JOOD53
r*R64-44ten CZS ` le•-• is hereby authorized to act on behalf of
INP
NE t .E. toi.,N the owner(s) of those lands described within
the attached application,and as described ' t e attached deed or other such proof of ownership as may
be required by the City of ' . 'c Bea . 'plying for a development permit.
BY:
g . ure . O e C
' Al ri ' d l4/
Printed ame i? f
Mailing Address A/We-a/if
.ne a E
i
Sig . - of Owner
Printed Name
Mailing Address
4i
Phone Cell Email
� 11l State of Florida
Signed and sworn before me on this ` day of C 13,by County of Duval
Prone 1\Aoft.in
Identification verified. rupL 1,,A2_, 1a. i)\'3\-1 O 1
Oath sworn:\c(Yes r No
, -----(014__
+ A ASHLEY TROUTT N ignature
s. A. Goy Notary Public,State of Florida
'' Commission#EE 860723
��^� My Commission expires: I "1 ,a `1�`�
My comm,expires Dec.26,2016 rOC �� CJS lJ}
EXHIBIT A_Letter ofAuthorization_versionoi.oi.o9
,... !.•%Z,+`1 r is
. , � ��"f CITY OF ATLANTIC BEACH
1 j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 13-00100053 Date 4/19/13
Property Address 587 BEACH AVE
Application type description DEV REV TREES/VEGETATION
Property Zoning RES SF DISTRICT
Application valuation . . . 0
Application desc
TREE AND VEG REMOVAL
Owner Contractor
KIRK & ANNE MARIE MOQUIN AURORA CUSTOM HOMES
2375 PONTE VEDRA BLVD S P.O. BOX 329
PONTE VEDRA BEACH FL 32082 PONTE VEDRA BEACH FL 32004
(904) 246-5400
Permit DRTV FEE PROCESSING
Additional desc .
Permit Fee . . . . 00 Plan Check Fee . . . 00
Issue Date . . . 4/17/13 Valuation . . . . 0
Expiration Date . 4/18/14
Other Fees TREE REMOVAL APPEAL 125 . 00
Fee summary Charged Paid Credited Due
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 125 . 00 125 . 00 . 00 . 00
Grand Total 125 . 00 125 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL ('II1 OF ATLANTIC BEACH ORDINANCES AND THF FLORIDA
BUILDING CODES.