870 Main Street 16-TR-17TREE & VEGETATION REMOVAL PERMIT APPLICATION
City of Atlantic Beach Department of Community Development 800 Seminole Road Atlantic Beach, FL 32233 (P) 904 247-5800 (F) 904 247-5845 Single-/ Two-Family Residential r Multi-Family Residential r Commercial/Industrial $125.00 $250.00 $250.00 ,: Institutional/Other Non-residential $250.00 Application # TREE ~-1£ ,. I J
SECTION I -SITE INFORMATION
PHYSICAL ADDRES e 7(J> {lltlM tJ 6~ 8 70 M ..;" .rku:if
If on address has not been assign ed to this prop erty, contact th e AB Building Deportment at (904) 247-5826 to request on address.
SUBDIVISION ~OIV \k BLOCK \ 5D LOT ;). RE # I l 'fo 'i Lf 0 ~ booo
SECTION" -APPLICANT INFORMATION , /oWNER r :LEGAL AUTHORIZED AGENT *
NAME OF APPLICANT ,{AA,oV 5t~ (..\)L LLc.....
ADDRESSOFAPPLICANT~~~~~~'~\I~~~~~~~~,~~~~~,~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~
PHONE -----=~Ce1!~OL\ -3YCf -~~o3 EMAIL Chri'7tl) ~h~7 t:r .~lJ'-='--"--=.o.<....::._ CELL
SECTION 111-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 0/1 that apply) :
r : Vegetation (trees) are difficult to maintain / owner dislikes .
C 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.
e-Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
r J Vegetation (trees) po se a safety ha zard to buildings or structures.
r Vegetation (trees) completely prevent access or cross access to a lot or parcel.
/ Vegetation and/or trees pr event development or phy sical 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
CO?"ORDI~ES OF THE ~TLANTIC BEACH.
~ /~ J~27-l b
SIGNATURE OF APPLICANT DATE
FOR INTERNAL OFRCE USE ONL Y
FRONTAGE FW ZVA R ESA SR -'
DEPTH ZONING UBEX HIH SR-2
AREA ISA WAIV OAB CR
Tre e & Veg etation Removal Permit Application_ve rsionoI.Ol.o9
--.
EXHIBIT A. LETTER OF AUTHORIZA nON DRTVlO-________ is hereby authorized to act on behalf of 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 Atlantic Beach in applying for a development permit.
BY:
Signature of Owner or Owner's Legal Representative
Printed Name
Mailing Address
phone Cell Fax Email
State of:
County of:
Signed and sworn before me on this ~-day of -----, --, by
Identification verified:
Oath sworn: n Yes r: No
Notary Signature
My Commission expires:
EXHIBIT A_Letter ofAuthorization_V05.1O.1O
" EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application # TREE _-_ _ _ 2 '(;' ''f... 4 'i II [ 6 .o! L 1 L 8 11.." 9 10
II
12
13
14
1';
16
18
20
21
22
25
26
27
~o
31
33
34
39
41
44
4')
47
49
50
1 of 2 EXHIBIT CTree & Vegetation Miti9ation WorksheecversionoJ.oJ.09
TREE REMOVAL PERMIT
City of Atlantic Beach
Building and Zoning Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us
Permit: 16-DRTV-XXXX Applicant: Main Street CDL Address: 355 Illh St, Atlantic Beac h, FL 32233 Site Address: 170 Main Strett Phone: (904) 349-2803 RE#: 170940-0000 Email: ChjsW~llitebomesfl ~(C~,\S &~\It~~ I ,~O ff\,
TREE REMOVAL CALCULATIONS
REMOVED Legacy (non-oak ) Legacy (oak ) Oaks Palms Others Total
Protected Trees Removed : o o 6 17 o 23
Mitigation Needed: o o 3 8.5 o 11.5
Tr ees Removed : 6" Oak , IT' Palm
MITIGATION Legacy (non-oak) Legacy (oak) Oaks Palms Others Total
Credit for Trees Preserved: o o o o o o
Credit for Trees Relocated: o o o o o o
Credit for Trees Planted : o o o o o o
Total: o o o o o o
Tr ee s Pr eserved: None for credit.
Tr ees R elo cat ed: None.
Tr ees Plant ed: None. *
*Planted Legacy T ree s pecies receive DOUBLE credit when replacing non-Legacy Trees . The Legacy Tree list includes
Bald Cypress, Southern and Eastern Red Cedars, Winged and Florida Elms, Live and Sand Live Oaks , Hickory, Pecan,
Pignut Hickory, Loblolly Bay, Southern and Sweetbay Magnolias, Red and Florida Maples , and Tupelo.
ADDITIONAL MITIGATION REQUIRED (Mitigation Needed --Total)
Legacy (non-oak) Legacy (oak) Oaks Palms Others Total
New Trees Planted : 0 0 3 8 .5 0 11.5
or
Payment Into Tree Fund : $0.00 $0.00 $369 .00 $1 ,045.50 $0 .00 $],414.50
or
A Combination of the Above
Additional Notes: Mitigation is I inch preserved or planted for every 2 inches removed. Tree Fund rate is $ I 23 .00 per inch. Also
preserving a I I " Oak, 9" Oak, 8" Oak, 12" Oak.
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of application submittal.
APPROVED
DENIED
Jeremy Hubsch , TPO ADMINISTRATOR
TREE & VEGETATION REMOVAL PERMIT APPLICATION CHECKLIST
SFffF RES SFffF RES MF RES MF RES COM/IND COM /IND INST /OTHER INST/OTHER
DEV /R EDEV REN/ADD DEV/REDEV REN/ADD DEV/REDEV REN/ADD DEV/R EDEV REN /ADD
EXHIBIT A. PROOF OF OWNERSHIP &AUTHORIZATION
Copy of Deed (Duval County Clerk of Courts) e e e e e e
Disclosure of Interests (if not under unified contra/) -0 0 0 0 0 0 0 0
Letter of Authorization (if applicant is not the owner) e e e e e e
EXHIBIT B. TREE &VEGETATION INVENTORY -
Grid (ifsingle parcel and 25 trees or less) e e 0 0 0 0 0 0
Certified Tree Survey 0 0 e e e e
IEXHIBIT C. TREE &VEGETATION MITIGATION WORKSHEET -
EXHIBIT D. CONSTRUCTION SITE MANAGEMENT PLAN ---- -e e e e e e
e e --' EXHIBIT E. SITE PLAN 0 0 -0 e 0 e 0
EXHIBIT F. LANDSCAPE PLAN 0 0 e 0 e 0 e 0
EXHIBIT G. WRITTEN SIGN-OFFS, PERMITS, ETC
SJRWMD (wetlands, stormwater facilities) 0 0 0 0 0 0 0 0
FDEP (oceanfront) 0 0 0 0 0 0 0 0
Adjacent Property Owner(s) 0 0 0 0 0 0 0 0
Other --0 0 0 0 0 0 0 0
EXHIBIT H. CURRENT PHOTOS 0 0 0 0 0 0 0 0
KEY: e Required. o May be requested o Not Required. ~Not Applicable.
tree & vegetation checklists_ version 0 7.0 7.09
TREE & VEGETATION INVENTORY PREPARATION CHECKLIST
v Show property lines, as well as interior / exterior zones , using
v
setback lines of 20' front &20' rear, and 7.5' each side.
Show location of utilities and easements as applicable .
v
Show existing and proposed structures.
v
Show location of all trees with diameter at breast height (dbh)
of three inches (3") or more.
v Mark all ex isting trees to be removed from the site with "X".
v
Mark all existing trees to be preserved on-site with "[ J".
v
Mark all proposed locations of replacement trees with "0".
Number all trees, whether to be removed, preserved, or usedv for relocation or replacement, and list each on EXHIBIT C.
Mitigation Worksheet.
e
SITE PREPARATION CHECKLIST
v Display address / legal description of subject property in a
v
conspicuous manner.
Mark property corners with stakes or paint.
v
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 atv the dripline, as well as any located on adjacent properties that
encroach the development area.
v Mark all trees identified for removal with RED or ORANGE
flagging, paint or tape.
v Mark all trees identified for preservation with BLUE or GREEN
flagging, paint or tape.
tree & vege tation checklists_ version 0 1.0 1.09