719 Selva Lakes Circle TREE10-00100016 (Smith) TREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS ; City of Atlantic Beach
Department of Community Development
(1) Complete and sign this form. 800 Seminole Road Atlantic Beach,FL 32233
(2) Attach the required supporting exhibits as listed on the application (P)904247-5800 (F)904 247-5845
�x v.
:° checklist.
(3) Contact the Department of Community Development if you have mingle-/Two-Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. r 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.
Application#TREE 10 - 001 000 16
SECTION I-SITE INFORMATION / �
PHYSICAL ADDRESS 2/9 ,S�LIIA L�- C<s L-
if
an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
SUBDIVISION Q4
3 BLOCK j LOT 1i RE# 172 0 21-5136+
SECTION II-APPLICANT INFORMATION ,OWNER r LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT �!
���.Y� ri�� r?S �jyLl > Gt
ADDRESS OF APPLICANT .7/9 S `rte Yes Cc1� 17-44,e fi
PHONE CELL 96V-5-5-3— /5e EMAIL 6-5-eq-2-1/6 9s,-) - COAt,�
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): ��� 7- , S,Z e
y< Vegetation(trees)are difficult to maintain/owner dislikes. /2o<e- �"I .72-) 64..2
xTrees are dead,diseased or so weakened by age,storm,fire,or other ipjur so as to pose a danger to persons,property,
improvements or other trees. BRax�i-> L,,,,,_GS ,u Ta f" e 72EE Aiuyiv 71 e,cz.
✓ Vegetation(trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
Vegetation(trees)pose a€—et hazard to buildings or structure
✓ 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
✓ 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 INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVISIONS OF CHAPTER 23,PROTECTION OF TREES AND NATURAL VEGETATION,AND ALL OTHER APPLICABLE
CODES AN ORDINANCES THE C TY OF ATLANTIC BEACH.
c ' � A
SIGNATURE F APPLICAN DATE
FOR INTERNAL OFFICE USE ONLY
FRONTAGE"-.3((, FLU , r\ NAR .- ESA r SR-1 72o l to
DEPTH -'tD 5' ZONINGMI) UBEX � H/H no SR-2 ------
AREA 670 ISA i WAIV _ OAB nO CR
Tree&Vegetation Removal Permit Application_versionoi.oi.og
Iv
` `4( EXHIBIT B. TREE &VEGETATION INVENTORY Application#TREE 'Q 000
For the removal of 25 trees or less associated with major development, redevelopment or renovation of or addition to single-
family or two-family structures,or the removal of 25 trees or less associated with the renovation of or addition to all other non-
residential uses,use the grid below to create a Tree&Vegetation Inventory. Note the scale on the bottom of the page. Plot the
boundaries of the subject property,as well as existing and proposed structure(s). Label all adjacent streets. Note the location of
trees to be removed with an"X". Note the location of trees to be preserved with"[ ]". Note the proposed location of replacement
(mitigation) trees with '0'. Number all trees, whether to be removed, preserved or replaced, and list on EXHIBIT C. Tree &
Vegetation Mitigation Worksheet.
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PREPARED BY: SCALE: 1 SQUARE= d.._/
EXHIBIT B_Tree&Vegetation Inventory_version 01.01.09
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EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application#TREE 10- 00 I 000l6
TO BE COMPLETED BY THE APPLICANT TO BE COMPLETED BY CITY STAFF
ID DBH SPECIES CONDITION "X" "[ ]" "O' TYPE ZONE STD DBI, CR COMMENTS
fid' " Jt — (D' ' r. '. :_ �w i
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1 Of 2 EXHIBIT C_Tree&Vegetation Mitigation Worksheet_versionol.ol.og
• �QTV 10-00 00043
A
Beaches &St Johns County LICENSED
(904) 221-7231 CUT
(904) 241-0008 •
v� •' 4 o . INSURED
Mandarin, Southside �•���'..c��j•�r.,' _, Arborist
Arlington& Baymeadowsr on Staff
(904) 996-0193 TREE SERVICE
(904) 591-0455
�� PRESERVATION•TRIMMING•REMOVAL gMER�CQN
VISA®
SPECIALIZING IN HAZARDOUS JOBS EXPRESS
24 HOUR STORM SERVICE
MasterCard 70 Levy Road •Atlantic Beach, FL 32233 OAT--
Date
oceDate S- JI `)
/ •
Name t' ' " ! 5'.� % �
Address i
City St. Zip
AMOUNT
DESCRIPTION DUE
•
S1 (1
A tri e AX
Total Payment due upon completion of job, Sub Total
Please make check payable to GLEN LEWIS
TAX
By verbal acceptance you are agreeing to the terms and TOTAL
conditions of this contract:Other terms on back.... DUE
- .
rs '`'r' � CITY OF ATLANTIC BEACH
Department of Community Development
1.4
r� 800 Seminole Road Atlantic Beach, FL 32233
.630. Phone:(904)247-5800 Fax:(904)247-5845 Internet www.coab.us
TREE REMOVAL PERMIT
Application i cation Number 10-00100016 Cate 5/20/10 F L E COP N
Property P±Iress 719 SPI-VA LAKES CLK
Appl i caticn type descripticn LEU REV - TREES/VDCEI'AIICN
Property Zoning ¶10 BE UPDATED
Ppplicaticnvaluation . . . 0
Application cation desc
IEEE REIIML FRal PLAZA R/W, ENCR/DAA TO FENCE
Oirer Ocntractor
GENTRY, MANUS M CM4E
719 SF UTA LAKES Cl ll
ATLANTIC BENCH, FL
ATLANTIC BENCH EL 32233
Permit TREE PEWIT
Pcbiticnal desc .
Permit Fee . . . .00 Plan Check Fee . . .00
Issue Cate . . . 5/19/10 Valuation . . . . 0
Expiration Late . 5/20/11
Special Notes and Canrmts
T/S: 05/20/2010 10:09 PM EHA 7
APPROVED¶10 REMOVE CNE (1) 24"IH-I PINE }K}1 PIMA R/W
DIRECTLY AD1A0ENT TO SUBJECT'S SOUTHERN PROPERTY LINE, WE
TO ENCROACH1ENT & DAMAGE TO PROPERTY(WlE 'S FENE. TREE
APPFAR.S TO HAVE SITE I /DISEASE IN UPPER BRANCHES AL90.
NO MITIGATION ASSESSED CUE TO PRESENCE OF SIX OBER TREES
(OAKS) TILING 73.50"tHI LOCATED IN FLAME/TN, IN VERY
NEAR PR TY TO TREE BE]N3 REM7)ED, PS WELL PS CZNDI1'1QV
OF TREE BEING RFM ED.
Other Foe✓ lEbE REKVL SNOT/'IWO EMLY 125.00
Fee spry Charged Paid Credited Die
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Dee Total 125.00 125.00 .00 .00
Giac ii Total 125.00 125.00 .00 .00
APPROVAL IS IN ACCORDANCE WITH THE CITU OF ATLANTIC BEACH CODE OF ORDINANCES IN EFFECT AT TIME OF ISSUANCE.
ERIKA HALL,TPO ADMINISTRATOR
, $ ° s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
`�JFil�f'
Application Number 10-00100016 Date 5/19/10
Property Address 719 SELVA LAKES CIR
Application type description DEV REV - TREES/VEGETATION
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
TREE REMOVAL APPLICATION
Owner Contractor
NORTH FLORIDA CLASSIC HOMES OWNER
8081 PHILLIPS HWY
SUITE 14
JACKSONVILLE FL 32256
Permit TREE PERMIT
Additional desc .
Permit Fee . 00 Plan Check Fee . . 00
Issue Date . . . . 5/19/10 Valuation . . . . 0
Expiration Date . . 5/20/11
Special Notes and Comments
APPROVED TO PROCESS FEE ONLY
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.
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