2446 Seminole Road TREE09-00101153 (Williams) Revised "lL.612
evi SLOpi i
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 ` _1 (P)904 247-5800 (F)904 247-5845
checklist.
(3) Contact the Department of Community Development if you have 17 Single-/Two-Family Residential $125.00 r
questions or need assistance completing the application or
determining which exhibits are required for your particular project. I_._ Multi-Family Residential $250.00
(4) Submit this form, along with all required exhibits and payment to I__ 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 I Institutional/Other Non-residential $250.00
the Building Department.
Application it TREE - ;10/0175
SECTION I-SITE INFORMATION
PHYSICAL ADDRESS '1,14-4 (�
if an address has not been assigned to this property,contact the AB BuildingDepartnnept at (904)247-5826/ to request an address.
SUBDIVISION , „.. BLOCK 1 LOQjr, I` RE# it6R354._ /2O
TV 2) 111
SECTION II-APPLICANT INFORMATION OWNER XLEGAL AUTHORIZED AGENT x.
NAME OFF APPLICANT
I _;/<(:9C O, 1,�.tv*S" � l. y't 4t)1 t✓ t'ihNe.s � Velflf, ."4 -�-�C.
ADDRESS OF APPLICANT -731 J tl yrt,,\ +, ;7, 3, 3,4c, 1 C _1,07 r"AVt311)(1
PHONE 7 it'. 07L1-it CELL II ac 7 EMAIL
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.
I 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
I 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 AND ORDINAN OF THE CITY OF ATLANTIC BEACH.
?tail°SIGNATURE APPLICANT DAT
i FOR INTERNAL OFFICE USE ONLY
FRONTAGE 1' FLU ,a.n ZVAR ESA [ SR-1 1P1 '- 2#111C.,
ALA
DEPTH boot ZONING > , -" UBEX 11/H 5R-2 1,�Jo _ ��
AREA f` ISA WAIN OAB 1, 6 „. CR k(tl✓)
Tree&Vegetation Rernoval Permit Appllir-(otiio`nt.,-u-erssiion�oio�L`o-9
m ill
:' EXHIBIT A. LETTER OF AUTHORIZATION Application#TREE, -
1
'RCA tjiiI v t tV rA is hereby authorized to act on behalf of
),)
lacy voi
the owner(s)of those lands described within
the attached application,and as described in the attached deed or other such proof of ownership as may
be required by the City of riktlantic Beach in applying for a development permit.
BY: �` `
Signature of Owner
.) C (R)R.)13
Printed Name
)1,-' liq 6 (-. ' ' k J .
Mailing Address
Phone Cell Email
Signature of Owner
Printed Name
Mailing Address
Phone Cell Email
-.41. State of Florida
--
Signed and sworn before me on this l I day of "'�'` , , `- i ,by County of Duval
TO Cif:. )t.,)0(..'0
Identification verified: - r
I ,ix. 1 ( , \ 1 ,E. k,.
Oath sworn:
T Yes i_ No
c�\ .
Nota Signatt re __
atnstl ICELLirl C.WILLIAMS
My Commission expires: '" �, P.w co ,1I **•10i'1 tt 00744960
',4,1%.;,. ...Am)),i—. :UQcort,`',cr 27,2011
EXHIBITA_Letter ofAuthorization_versionommog
•
L' EXHIBIT B. TREE &VEGETATION INVENTORY Application#TREE elf /41116F.
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 "O". Number all trees, whether to be removed, preserved or replaced, and list on EXHIBIT C. Tree &
Vegetation Mitigation Worksheet. "" t
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EXHIBIT B Tree&Vegetation Inventory version ot.ot.o9
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DATE: 8/24/09 PLAN REVIEW CORRECTIONS REPORT PAGE 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
APPLICATION NBR . . : 09-00101153
ADDRESS • 2446 SEMINOLE RD
APPLICATION DATE . : 8/24/09
APPLICATION TYPE . . : TREE PERMIT
OWNER • PUOPOLO, JOSEPH M & PAULA A
2446 SEMINOLE RD
ATLANTIC BEACH FL 32233
CONTRACTOR •
AGENCY NAME: PLANNING & ZONING
DATE ACTION ACTION BY
8/24/09 DISSAPPROVED - 1ST REVIEW ERIKA HALL
(, ATTACHED CHECK MEMO "DRIVEWAY"; INCORRECT AMOUNT ($150. 00) ,
SHOULD BE $125 . 00 . THERE WILL BE NO FURTHER REVIEW OF
APPLICATION UNTIL CHECK IN APPROPRIATE AMOUNT IS RECEIVED.
?. EXHIBIT B, TREE & VEGETATION INVENTORY (REQUIRED) : EITHER
(1) scaled sketch using grid attached to application OR (2)
certified tree survey ==> Submitted diagram is not to scale
and does not meet the minimum requirements per the "TREE &
VEGETATION INVENTORY PREPARATION CHECKLIST", attached to
the application packet.
9.EXHIBIT C, TREE VEGETATION MITIGATION WORKSHEET (REQUIRED) :
Per instructions from the TREE & VEGETATION INVENTORY
PREPARATION CHECKLIST - "Number all trees, whether to be
removed, preserved, or used for relocation or replacement,
and list each on EXHIBIT C, Mitigation Worksheet" ==>
submitted application includes blank copy of EXHIBIT C, and
needs to be completed per above instructions .
DATE: 8/26/09 PLAN REVIEW CORRECTIONS REPORT PAGE 1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
APPLICATION NBR . . : 09-00101153 e711
ADDRESS • 2446 SEMINOLE RD
APPLICATION DATE . : 8/24/09
APPLICATION TYPE . . : TREE PERMIT
OWNER • PUOPOLO, JOSEPH M & PAULA A
2446 SEMINOLE RD
ATLANTIC BEACH FL 32233
CONTRACTOR •
AGENCY NAME : PLANNING & ZONING
DATE ACTION ACTION BY
8/24/09 DISSAPPROVED - 1ST REVIEW ERIKA HALL
I.ATTACHED CHECK MEMO "DRIVEWAY"; INCORRECT AMOUNT ($150 . 00) ,
SHOULD BE $125 . 00 . THERE WILL BE NO FURTHER REVIEW OF
APPLICATION UNTIL CHECK IN APPROPRIATE AMOUNT IS RECEIVED.
Z,EXHIBIT B, TREE & VEGETATION INVENTORY (REQUIRED) : EITHER
( 1) scaled sketch using grid attached to application OR (2 )
certified tree survey ==> Submitted diagram is not to scale
and does not meet the minimum requirements per the "TREE &
VEGETATION INVENTORY PREPARATION CHECKLIST", attached to
the application packet .
3 EXHIBIT C, TREE VEGETATION MITIGATION WORKSHEET (REQUIRED) :
Per instructions from the TREE & VEGETATION INVENTORY
PREPARATION CHECKLIST - "Number all trees, whether to be
removed, preserved, or used for relocation or replacement,
and list each on EXHIBIT C, Mitigation Worksheet" ==>
submitted application includes blank copy of EXHIBIT C, and
needs to be completed per above instructions .
8/26/09 APPROVED ERIKA HALL
T/S : 08/26/2009 10 : 40 AM EHALL
,All previous issues from first sufficiency review have been
addressed by resubmittal .
2 Approved to remove six ( 6) 7" cabbage palms for the purpose
of reconfiguration of shared driveway, with three (3) being
located in the interior zone of the property and three (3)
being located in the Seminole Road public r/w. The interior
trees are below regulation & do not require mitigation.
However r/w trees must be mitigated at the rate of 1 : 1, or
21" in the r/w immediately adjacent to the subject
property, per Section 23-23 . Please submit a mitigation
plan within 90 days .