2446 Seminole Road TREE09-00101153 (Williams) ��..._ .....m�...�..�.....Fn v�.. ,__n..�.y..._.,.�......M,.�._...�..� ....,,__... �._.__.._:.�.:1.�...,_�wu...,�.��._..-._m_2... ....m�n.e. �..�.,._�a.w....�..,n....�...e._...._.r.�.�.��..� ..w..-..v.-
TREE & VEGETATION REMOVAL PERMIT APPLICATION
!� INSTRUCTIONSYs=�,,., City of Atlantic Beach
. 'l) Department of Community Development
III (1) Complete and sign this form. ' 800 Seminole Road Atlantic Beach,FL 32233
(2) Attach the required supporting exhibits as listed on the applicationJ :---,--_-%/ (P)904 247-5800 (F)904 247-5845
checklist.
(3) Contact the Department of Community Development if you have X Single-/Two-Family Residential $125.00 1
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 E Commercial/Industrial $250.00
the r.+y of Atlantic,Beach,and in+uham appropriate amount according
to
to the application fees listed to the right, to the reception desk at 1.- Institutional/Other Non-residential $250.00
the Building Department.
Application#TREEO!,y}
- 670 man
SECTION I-SITE INFORMATION
PHYSICAL ADDRESS A1�-( 6 e,„,., ,0le
if an address has not been assigned to this property,contact the AB Building Depaat at(9904)2477-5826 to request an address.
11
SUBDIVISION 9106k- BLOCK i A Lob14I-1 ' RE# i✓6054._ aorto
SECTION II-APPLICANT INFORMATION E OWNER XLEGAL AUTHORIZED AGENT*
NAME OF APPLICANT e-X k/1 1wc S`i h U F o rt. �ohnE s p•w.) be Ve,\of w.e4 E-h c-.
ADDRESS OF APPLICANT X31 Du Y0.' N"{- '� d• Su ttc, (0-7 --/H7 0-7,.A. VI 3)-0)-.)3
PHONE CELL ` EMAIL 1 \ L
7/I-��074-� `7�q � ���� hex®5����.'�u1zYtbME�saw�I�e.Ve��me.�-1,
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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.
r- 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.
I( 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
i E 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
I WITH ALL PROVISIONS OF CHAPTER 23,PROTECTION OF TREES AND NATURAL VEGETATION,AND ALL OTHER APPLICABLE
CODES AND ORDINAN OF THE CITY OF ATLANTIC BEACH.
�
g/08 0°1
SIG E APPLICANT DATE
FOR INTERNAL OFFICE USE ONLY
FRONTAGE 16f FLU EL.... ZVAR ESA 1 ' I , SR-1 g '; - 79_11- 0/24,7
DEPTH 6001 ZONING -1 UBEX H/H SR-2
AREA f 03ae_ ISA WAIV OAR k /A_ CR
Tree&Vegetation Removal Permit Application_versionoi.mo9
rtTER OF AUTHORIZATION Application#TREE - OD /t«5
I arras is hereby authorized to act on behalf of
6(O the owner(s)of those lands described within
the attached application, d as described in the attached deed or other such proof of ownership as may
be required by the City o tlantic Beach in applying for a development permit.
BY: `�
Si' :of Owner Ili
OE. QUOPolo
Printed Name
o41-14 SEM; Ao e (�J .
Mailing Address
Phone Cell Email
Signature of Owner
Printed Name
Mailing Address
Phone Cell Email
1� Stateof Florida
of
Signed and sworn before me on this l� day V � , ��9 ,by Countnt o
County of Duval
Joe POO(313k
Identification verified: -- ,( ��
Oath sworn:
E---Yes 1- No
Not.'♦Signa 4
----,ev.4.0.1/4,,,, KEEL* S.WILLIAMS
My Commission expires: = • r •elk °= MY COMMISSION#DD744960
si, a?R
? t-xt'it«S December 27,2011
38&0153 . FtoridallotoryService.com
IEXHIBIT A_Letter ofAuthorization_versionoi.oi.o9
•
EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application #TREE - U '0I'5
TO BE COMPLETED BY THE APPLICANT'
ID DBH SPECIES CONDITIONCODI "X" "( ]" "O" TYPE ZONE STD DBL CR COMMENTS
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TREE & VEGETATION INVENTORY PREPARATION CHECKLIST SITE PREPARATION CHECKLIST •
fShow property lines,as well as interior/exterior zones, using Display address/legal description of subject property in a
setback lines of 20' front& 20' rear, and 7.5' each side. conspicuous manner.
Show location of utilities and easements as applicable. Mark property corners with stakes or paint.
Show existing and proposed structures. if Flag wetlands, coastal construction control line and/or other
environmentally sensitive areas in a conspicuous manner.
Barricade all trees to be preserved on the subject property at
f Show location of all trees with diameter at breast height (dbh) the dripline, as well as any located on adjacent properties that
of three inches (3'1') or more. encroach the development area.
Mark all existing trees to be removed from the site with "X". Mark all trees identified for removal with RED or ORANGE
flagging, paint or tape.
Mark all existing trees to be preserved on-site with "[ 1". 1 Mark all trees identified for preservation with BLUE or GREEN
flagging, paint or tape.
/ Mark all proposed locations of replacement trees with "0".
Number all trees,whether to be removed, preserved, or used
for relocation or replacement, and list each on EXHIBIT C.
Mitigation Worksheet.
tree&vegetation checklists_version01.01.09
1 • TREE &VEGETATION REMOVAL PERMIT APPLICATION CHECKLIST
1
SF/TF RES SF/TF RES MF RES MF RES COM/IND COM/IND INST/OTHER INST/OTHER
-
DEV/REDEV REN/ADD DEV/REDEV REN/ADD DEV/REDEV REN/ADD DEV/REDEV REN/ADD
EXHIBIT A. PROOF OF OWNERSHIP&AUTHORIZATION --.
Copy of Deed (Duval County Clerk of Courts) O • • • • • • • •
Disclosure of Interests(if not under unified control) O 0 O O O O O
Letter of Authorization(if applicant is not the owner) oL • • • • • • • •
EXHIBIT B. TREE&VEGETATION INVENTORY
Grid(if single parcel and 25 trees or less)
R 64, ,y- • • CD CD CD CD CD CD
011. -biCertified Tree Survey 6���(.t.vl/ iCl,i 0 • • • • • •
EXHIBIT C.TREE&VEGETATION MITIGATION WORKSHEET • • • • • • • •
EXHIBIT D. CONSTRUCTION SITE MANAGEMENT PLAN • • • • • • • •
EXHIBIT E. SITE PLAN O O • 0 • 0 • 0
EXHIBIT F. LANDSCAPE PLAN O O • 0 5 0 • 0
EXHIBIT G. WRITTEN SIGN-OFFS, PERMITS, ETC
SJRWMD(wetlands,stormwater facilities) 0 0 0 0 0 O 0 0
FDEP(oceanfront) 0 0 0 0 O O O 0
Adjacent Property Owner(s) 0 CD 0 0 0 O 0 0
Other 0 0 0 O O O 0 O
EXHIBIT H. CURRENT PHOTOS 0 0 0 0 O 0 CD 0
KEY : "'Required. 0 May be requested O Not Required. 0 Not Applicable.
(',g'•
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