1945 Brista De Mar Circle TREE08-00101118 Application (partially complete)page 1 of 5
TREE & VEGETATION REMOVAL APPLICATION
PART I - REGISTRATION
City of Atlantic Beach
Department of Planning & Zoning
800 Seminole Road Atlantic Beach, FL 32233
(P) 904 247-5826 (F) 904 247-5845
ADDRESS OF OWNER(S)
SECTION I - PROPERTY OWNER INFORMATION
NAME OF OWNER(S)
PHONE
SECTION III - SITE INFORMATION
LEGAL DESCRIPTION
HAS THIS SITE BEEN REVIEWED BY PUBLIC WORKS DIRECTOR FOR ON-SITE STORMWATER RETENTION?NO NOT SURE YES
HAS THIS SITE BEEN BEFORE THE TREE CONSERVATION BOARD PREVIOUSLY?NO NOT SURE YES
EMAIL
SECTION II - CONTRACTOR INFORMATION
NAME OF CONTRACTOR
ADDRESS OF COMPANY
NAME OF COMPANY
CELL
PHONE CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
STREET ADDRESS OF PROPERTY
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
LOT BLOCK SUBDIVISION
REAL ESTATE NUMBER LOT OR PARCEL SIZE:SQ FT AC
RESIDENTIAL COMMERCIAL OTHER (SPECIFY)
DOES SITE DIRECTLY ABUT JURISDICTIONAL WETLAND CONSERVATION AREA(S)?NO NOT SURE YES
T&VRA, Part I Version 7.10.2007
PERMIT #
PERMIT #
page 2 of 5
SECTION IV - REQUESTED ACTION
UNDERSTORY VEGETATION REMOVAL AUTHORIZATION
I CERTIFY THAT ONLY UNDERSTORY VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED
EXHIBITS WILL BE REMOVED FROM SAID PROPERTY. (PLEASE ATTACH REQUIRED EXHIBITS A, B, C, D, AND H, AS DESCRIBED
BELOW)
TREE REMOVAL AUTHORIZATION
I REQUEST THAT TREES DESCRIBED ON THE ATTACHED "TREE REMOVAL AUTHORIZATION" FORM AND INDICATED ON THE
ATTACHED EXHIBITS BE APPROVED FOR REMOVAL UTILIZING THE ATTACHED "TREE REMOVAL AUTHORIZATION FORM", AS
PROVIDED IN THE CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II. (PLEASE ATTACH REQUIRED
EXHIBITS A, B, C, D, G, AND H, AS DESCRIBED BELOW)
TREE REMOVAL EXEMPTION
I CERTIFY THAT TREES INDICATED ON THE ATTACHED EXHIBITS ARE EXEMPT FROM TREE REMOVAL AUTHORIZATION AND
MITIGATION REQUIREMENTS AS PROVIDED BY THE CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II.
(PLEASE ATTACH EXHIBITS A, B, C, AND D, AS DESCRIBED BELOW)
TREE PRESERVATION
I CERTIFY THAT TREES LOCATED ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED EXHIBITS ARE TO
BE PRESERVED/PROTECTED IN LIEU OF MITIGATION REQUIREMENTS AND ACCORDING TO THE METHODS SET FORTH IN THE
CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II. (PLEASE ATTACH REQUIRED EXHIBITS F AND H, AS
DESCRIBED BELOW)
NO TREE AFFIDAVIT
I CERTIFY THAT THERE ARE NO PROTECTED TREES LOCATED ON THE ABOVE DESCRIBED PROPERTY. (PLEASE ATTACH REQUIRED
EXHIBITS B AND C, AS DESCRIBED BELOW)
SIGNATURE OF OWNER SIGNATURE OF OWNER
Signed and sworn before me on this day of , , by
Identification verified:
Oath sworn: Yes No
State of Florida
County of Duval
Notary Signature
My Commission expires:
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
SIGNATURE OF OWNER OR AUTHORIZED PERSON IF LETTER OF AUTHORIZATION IS ATTACHED DATE
SECTION V - OATH
SIGNATURE OF AUTHORIZED CITY OFFICIAL
DATE
T&VRA, Part I Version 7.10.2007
1. Complete TREE & VEGETATION REMOVAL APPLICATION, PART 1-REGISTRATION (pages 1-2), or type/print clearly. Attach additional
sheets as necessary. All correspondence must be in typewritten form. All plans, drawings must be full size (24" X 36"), drawn at a scale
of one inch equals 20 feet (unless otherwise approved), and signed and sealed or certified as appropriate. Illegible applications will be
returned.
2. Complete Section I (Property Owner Information), Section II (Contractor Information), and Section III (Site Information). Incomplete
forms will be returned.
3. Complete Section IV (Requested Action) by checking the appropriate box(es) and attach required exhibits specified above and
described below. Applications with incomplete or missing exhibits will be returned. If either "TREE REMOVAL AUTHORIZATION" or
"TREE PRESERVATION" are checked, you must complete PART II - PERMIT APPLICATION (pages 4-5) of this form also, and submit
appropriate exhibits, as listed above in Section IV and described below.
EXHIBIT A - Description of work to be completed, including, but not limited to, the following: understory vegetation
removal, tree removal, exotic/invasive species removal, tree relocation, clearing for development, etc. Also include a
description of the method of tree or vegetation removal, including specific type of machinery or equipment to be
utilized.
EXHIBIT B - Warranty Deed or other proof of ownership.
EXHIBIT C - Current photographs of the property prior to vegetation removal and/or relocation. Include all sides of the
property (One (1) copy of each photograph).
EXHIBIT D - Informal site plan, or survey with existing and/or proposed structures sketched in.
EXHIBIT E - Approved final site plan.
EXHIBIT F - Approved final landscape plan.
EXHIBIT G - Tree Survey.
EXHIBIT H - Written sign-offs, permits, or consents from other jurisdictional agencies, including, but not limited to the
following: Saint Johns River Water Management District (SJRWMD), Florida Department of Environmental Protection
(FDEP).
4. Complete Section V (Oath) with signature and date.
5. A Tree Survey (EXHIBIT G) indicating the following must be completed and submitted if "Tree Removal Authorization" is checked.
a. ON THE SURVEY, to be reviewed by the Tree Conservation Board
i) show property lines, as well as interior/exterior zones, using setback lines of 20' front & rear and 7.5' each side.
ii) show existing and proposed structures.
iii) show location of utilities and easements as applicable.
iv) show location, species and size of all trees with Diameter at Breast Height (DBH) of six inches (6") or more.
v) mark all existing trees to be removed from the site with an "X".
vi) mark all existing trees to be preserved on-site with brackets, "[ ]".
vii) mark all proposed location(s) of replacement trees with a circle, "O".
b. ON THE SITE, to be inspected by City of Atlantic Beach staff
i) display address/legal description of property in a conspicuous manner.
ii) mark property corners with stakes or paint.
iii) barricade all trees to be preserved at the tree drip line. (See Section 23-17(f) of the COAB Code of Ordinances)
iv) mark all trees identified for removal with RED/ORANGE flagging, paint or tape.
v) mark all trees identified for preservation with BLUE/GREEN flagging, paint or tape.
c. INCOMPLETE APPLICATIONS AND/OR SURVEYS AND INCORRECTLY MARKED SITES WILL NOT BE PROCESSED.
4. Once the site has been prepared for inspection, submit two (2) copies of the completed TREE & VEGETATION REMOVAL APPLICATION,
PARTS I & II as necessary, along with two (2) copies of the all required exhibits and any other supporting materials to the City of Atlantic
Beach Planning Department.
5. The Tree Conservation Board meets twice monthly, on the 2nd and 4th Wednesdays. Applications received by 5pm on the 1st and 3rd
Mondays of each month will be considered at the next regularly scheduled meeting, provided additional information is not required.
INSTRUCTIONS FOR FILLING OUT A TREE & VEGETATION REMOVAL APPLICATION
T&VRA, INSTRUCTIONS Version 7.10.2007page 3 of 5
TREE & VEGETATION REMOVAL APPLICATION
PART II - PERMIT APPLICATION
City of Atlantic Beach
Department of Planning & Zoning
800 Seminole Road Atlantic Beach, FL 32233
(P) 904 247-5826 (F) 904 247-5845
NAME OF OWNER(S)
PHONE EMAILCELL
NAME OF CONTRACTOR
PHONE CELL EMAIL
CONTRACTOR CERTIFICATION NUMBER
ATLBCH BUSINESS TAX RECEIPT NUMBER
STREET ADDRESS OF PROPERTY
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
SECTION I - PROPERTY INFORMATION
SECTION II - TREE REMOVAL REQUEST
I REQUEST THAT THE TREES ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE ATTACHED EXHIBITS BE APPROVED FOR
REMOVAL, AS PROVIDED IN THE CITY OF ATLANTIC BEACH TREE PROTECTION CODE, CHAPTER 23, ARTICLE II, FOR THE FOLLOWING
REASONS (check all that apply):
Trees pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
Trees pose a safety hazard to buildings or structures.
Trees completely prevent access or cross access to a lot or parcel.
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.
Trees prevent development or physical use. It is the intent of this provision that a permit shall be granted for the removal of any
tree when the applicant has demonstrated an effort to design or locate the proposed improvements so as to minimize the
removal of trees.
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Trees are difficult to maintain / owner dislikes.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS CORRECT AND I AGREE TO COMPLY
WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
SIGNATURE OF OWNER OR AUTHORIZED PERSON IF LETTER OF AUTHORIZATION IS ATTACHED DATE
SECTION III - OATH
SECTION VI - APPROVAL
SIGNATURE OF TREE CONSERVATION BOARD CHAIRPERSON DATE
PERMIT #
T&VRA, Part II Version 7.10.2007
TREES PROPOSED FOR REMOVAL DIAMETER OF TREES IN INCHES*REASON FOR REMOVAL DO NOT WRITE IN THIS SPACE
SPECIES INTERIOR ZONE**EXTERIOR ZONE**APPLICANT'S COMMENTS FOR TCB USE ONLY
(*) DIAMETER AT BREAST HEIGHT (DBH) IS MEASURED AT 4.5 FEET ABOVE GRADE. TO ACCURATELY DETERMINE DIAMETER, MEASURE THE TRUNK
CIRCUMFERENCE AND DIVIDE BY 3.14. DIAMETER OF MULTI-TRUNKED TREES IS DETERMINED BY ADDING TOGETHER THE DIAMETER OF EACH
TRUNK AS MEASURED IMMEDIATELY ABOVE THE FORK(S).
(**) INTERIOR ZONE: INSIDE THE 20-FOOT FRONT/REAR SETBACKS AND THE 7.5-FOOT SIDE SETBACKS.
(**) EXTERIOR ZONE: OUTSIDE THE 20-FOOT FRONT/REAR SETBACKS AND THE 7.5-FOOT SIDE SETBACKS.
TREE REMOVAL MITIGATION WORKSHEET
TREE REMOVAL CAN BE MITIGATED IN THE FOLLOWING WAYS, SINGULARLY OR IN COMBINATION:
1. PROTECTION OF EXISTING TREES ON-SITE.
2. REPLACEMENT WITH NEW TREES ON-SITE.
3. PAYMENT INTO THE TREE FUND AT THE CURRENT RATE ($117.00 PER INCH - 2007)
NOTE: ONE (1) INCH OF MITIGATION IS REQUIRED FOR EVERY TWO (2) INCHES OF PROTECTED TREES REMOVED.
PLEASE CHECK THE METHOD(S) OF MITIGATION THE APPLICANT/OWNER WISHES TO PURSUE.
MITIGATION REQUIREMENTS
PROTECTION OF EXISTING TREES. THESE TREES SHOULD BE NOTED ON THE SUBMITTED TREE SURVEY, MARKED BY "[ ]".
REPLACEMENT WITH NEW TREES. THESE TREES SHOULD BE NOTED ON THE SUBMITTED TREE SURVEY, MARKED BY "O".
PAYMENT INTO THE TREE FUND. A CHECK, PAYABLE TO THE CITY OF ATLANTIC BEACH, SHALL BE PRESENTED TO THE BUILDING
DEPARTMENT AT THE TIME OF PERMIT PICK-UP.
page 5 of 5
If replacement with trees is the chosen method of mitigation, and a Landscape Plan has not been prepared such that the replacement trees
cannot be demonstrated at the time of Tree Removal Authorization, the applicant (property owner) will have six (6) months from issue of the
Tree Removal Permit to produce and submit a Landscape Plan satisfactory to the Tree Conservation Board. If, after six (6) months from the
date of Tree Removal Permit issue, no such plan has been produced and submitted, the applicant (property owner) will be presented with an
invoice in the amount equivalent to the mitigation obligation, to be paid to the City of Atlantic Beach Tree Fund within two (2) weeks from
date of receipt. Should the applicant (property owner) fail to pay the required mitigation as directed, the case will be turned over to the Code
Enforcement Board for remedy.
Additionally, replacement trees must be in the ground, located according to the approved mitigation plan before a Certificate of Occupancy
is issued. The applicant is required to guarantee survival of replacement trees for 18 months. Should replacement trees not survive, they too
will have to be replaced.
PERMIT #
T&VRA, Part II Version 7.10.2007