72 6th Street West TREE09-00101149 (Danser) C lf�
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TREE & VEGETATION REMOVAL PERMIT APPLICATION
I INSTRUCTIONS Yi ,r; City of Atlantic Beach
(1) Complete and sign this form. � Department of Community Development
,.. 800 Seminole Road Atlantic Beach,FL 32233
(2) Attach the required supporting exhibits as listed on the application (P)904 247 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. r Multi-Family Residential $250.00
(4) Submit this form, along with all required exhibits and payment to r Commercial/Industrial $250.00
the of Atlantic Beach, d in ro rate amount according
the City Atlantic and the appropriate iu �.w uvu.. according
y
to the application fees listed to the right, to the reception desk at r Institutional/Other Non-residential $250.00
the Building Department. 'l p
Application#TREE Oq- t I0914'7
SECTION I-SITE INFORMATION
PHYSICAL ADDRESS G-ft S i
if an address has not been assigned to this property,contact the AB Building Department at(904)247-5826 to request an address.
SUBDIVISION Se ' Li " BLOCK 1 kt LOT RE# 11O62(_
SECTION II-APPLICANT INFORMATION r✓OWNER r LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT
CL c; S 'Da,, Ser
ADDRESS OF APPLICANT 16C c S-4. W ��� �,. ( / P. 3 y�3
PHONE CELL 2-1s _ 3, Qa EMAIL 6, ..
Cl�l ytici . 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.
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.
r 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 ORDINANCES OF THE CITY OF ATLANTIC BEACH.
1
Y/O S
SIGNATURE OF APPLICANT DATE
FOR INTERNAL OFFICE USE ONLY
FRONTAGE 1001 FLU *14 NAR ESA SR-1
DEPTH /MS ZONING R6- UBEX H/H SR-2
AREA . LG ISA 5D70 NjWAIV OARA. CR
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Tree&Vegetation Removal Permit Application_versionoi.oi.og
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Foundation 1552 Legal:Lot 2.8lock 74,s horn'H'Atlantic
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Deck 98 34,of Me current public
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Total non pervious sufaoe 2033
Lot size 5100
Lot Coverage 2033,5100--40%
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EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application#TREE! - 0/01144i
TO BE COMPLETED BY THE APPLICANT_.. -- TO BE COM L TED13Y CITY STAFF
II) DBH SPECIES CONDITION "X" "[ ]" "O" TYPE ZONE STD DBL CR COMMENTS
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2 of 2 EXHIBIT C Tree&Vegetation Mitigation Worksheet versionoLoi.og
f;t 1-T '1'`- CITY OF ATLANTIC BEACH
*--,,,,-.9 S Department of Community Development
1 r) 800 Seminole Road Atlantic Beach, FL 32233
Phone:(904)247-5800 Fax:(904)247-5845 Internet: www.coab.us
`'';y�' TREE REMOVAL PERMIT
Application Number 09-00101149 Date 5/13/09
Property Address 72 W 6TH ST
Application type description TREE PERMIT
Property Zoning RESIDENTIAL GEN 2 FAMILY
Application valuation . . . 0
Application desc
Removal of trees for residential redevelopment
Owner Contractor
DANSER, CHRIS OWNER
1065 16TH ST W.
JAX BEACH FL 32250
( 90) 662-5677
Permit TREE PERMIT
Additional desc . SFR/REDEVELOPMENT
Permit Fee . . . 125. 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/13/10
Special Notes and Comments
Approved to remove 1-9" & 1-12" Pines from the exterior of
property located at 72 W 6th Street, for the purpose of
residential redevelopment. Required mitigation is 10. 5",
and is proposed to be met by the preservation of two (2)
existing cedar trees located in the front exterior zone, as
depicted on the submitted sketch.
T/S: 05/13/2009 04: 19 PM EHALL
Fee summary Charged Paid Credited Due
Permit Fee Total 125. 00 125. 00 . 00 . 00
Plan Check Total .00 . 00 .00 . 00
Grand Total 125. 00 125.00 . 00 . 00
APPROVAL IS IN ACCORDANCE WITH THE CITY OF ATLANTIC BEACH CODE OF ORDINANCES IN EFFE AT TIME OF ISSUANCE.
ERIKA HALL.TPO ADMINISTRATOR
City of Atlantic Beach
Offsite Payment Form
Date prepared: 05/13/09
Deposit Date: 05/13/09
Prepared by: Erika Hall
Payment Cash GL Account or
Type Receipt Accounts Receivable Deposit
Code Number Description Number Amount
BP TREE 09-00101149 (72 W 6th St) 001-0000-329.10-05 125.00
CHECK#4409/Chris Danser
Total Deposit 125.00
Cash
ACH
City of Atlantic Beach
*** CUSTOMER RECEIPT *** Checks 125.00
Ooer: B3ILEY Tvue: OC Drawer: 1 _
Date: 5/13/09 00 Receipt no: 50829 Money Orders
Description Quantity AA aunt
2009 1'1149 Total 125.00
BP BUILDING PERM'IS
1.00 $125.00
render detail
CK CHECK 4409 $125.00
Total tendered $125.00
Total payment $125.00
Trans date: 5/13/09 Time: 16:36:19
F:\Finance\finance forms\Offsite Payments\[Offsite Payment Form.xls]Form
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