130 Club Drive 15-DRTV-1024IFYT
VISI
ANCE
TREE & VEGETATION REMOVAL PERMIT APPLICATION ty of Atlantic BeachINSTRUCTIONS .-'epartment of Community Development (1) Complete and sign this form. ·,00 Seminole Road Atlantic Beach, FL 32233 (2) Attach the required suppolting exhibits as listed on the application J') 904 247-5800 (F) 904 247 -5 845 checklist. (3) Contact the Department of Community Development if you have I Sin gl e-. Two-Family Residential $125.00
questions or need assistance completing the application or
I Multi-r '~' Jily Residential $250.00determining which exhibits are required for your particular project. (4) Submit this form, along with all required exhibits and payment to I Comm ·.·d al/ Industrial $250.00
the City of Atlantic Beach, and in the appropriate amount according
I Institutional/Other Non-residential $250.00to the application fees listed to the right, to the reception desk at
the Building Department.
APPli~clli o n II TREE 2 -VdZ IV -/0 2. .L)
SECTION 1-SITE INFORMATION
PHYSICAL ADDRESS \30 C I \) b d~
SUBDIVISION BLOCK LOT RE #
SECTION II -APPLICANT INFORMATION I OWNER r LEGAL AUTHORIZED AGENT *
NAME OF APPLICANT J'en('\,~e('"" a~ Cl,jf'\\~ U. Jf,'ll. 'Sr
ADDRESS OF APPLICANT it Cd 0 (Lea v...... 6 hl 6-. AtIt;(I+,(..... Beev k 'PI
PHONE ?o'l-'3"J'1-Be({, CELL ~{jf.. j)b-£;/1 EMAIL
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
SECTION 111-TREE & VEGETATION REMOVAL REQUEST
I REQUESTTHAT THE TREES & VEGETATION ON THE ABOVE DESCRIBED PROPERTY AND INDICATED ON THE
EXHIBITS BE APPROVED FOR REMOVAL, AS PROVIDED IN THE CITY OF ATLANTIC BEACH VEGETATION CODE,
FOLLOWING REASONS (check a/l that apply):
I Vegetation (trees) are difficult to maintain / owner dislikes.
I Trees are dead, diseased or so weakened by age, storm, fire, or other injury so as to pose a danger to
I 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 prf,::;sion that a permit shall be granted for
p' ~he removal of vegetation and/or trees when the applicant has demonstrated an effor i to design or locate the proposed
imp/ovements so as to minimize the removal of vegetation and/or trees.
AT ALL INFORMATION PROVIDED WITHIN THIS APPLICATION IS C )RRECT AND I AGREETO COMPLY
S OF CHAPTER 23, PROTECTION OF TREES AND NATURAL VEGETi :"ION, AND ALL OTHER APPLICABLE
pHE CITY OF ATLANTIC BEACH. L (?f~Q
FOR /I 'ERNAL OFF/IT USE ONL Y
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Tr ee & Vegetat ion Rem ova l Permit Applicatiol1 _versionol.OI. 09
EXHIBIT C. TREE VE GETAT i ON MITIGAT IO N WURKSHEET App li ca ti on # TREE _ -_ __ _ HIl},' J ; jJ .! j ! ,I :1~~I'.Jr~~ " ,I 1 \31\ ?;,\"" X N :i. 2 lbi' it:\V\. X N J 3 1....1)'1 PAl ""')( r >c 15 4 IL1'f A:.\-A. _A f X )vl 5 I b I( l=b\I'1' I~) ~ X 0 6 I ~,. eLJA 7. L) f .-\( <:l 7 /blr Pc.. \ Ii' I( ) r X (") 8 Jt) Ii Pc. \ M It ) r J( oJ 9 t;S1l R:.\.,v-.. C...) r X Jo-w 10 H \-C..\"'" ~1 P X 0'cJ
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I of 2 EX HIBI T c _o, ,~,? & Vegeta tion Mit iga t ion W orkshe eC vffsi oll OloOl o09
TREE REMOVAL PERMIT
City of Atlant~ 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: Site Address: RE#: 15-DRTV-I024 130 Club Dr 170319-0000 Applicant: Address: Phone: Email: Jennifer and Curtis Hill 480 Ocean Blvd, Atlantic Beach, FL 32233 (904) 874-8866 N/A
TREE REMOVAL CALCULATIONS
REMOVED
Protected Trees Removed:
Mitigation Needed:
Trees Removed:
MITIGATION
Credit for Trees Preserved:
Credit for Trees Relocated :
Credit for Trees Planted :
Total:
Trees Preserved:
Trees Relocated:
Trees Planted:
Oaks
o inches
o inches
IS" Palm, 14" Palm
Oaks
o inches
None
None
2-4 " Elms, 4-10" Palms
Others Total
29 inches 29 inches
14.5 inches 14.5 inches
Others Total
o inches
o inches
48 inches 48 inches
48 inches
ADDITIONAL MITIGATION REQUIRED
New Trees Planted:
or
Payment Into Tree Fund:
or
A Combination of the Above
Oaks Others Total
o inches o inches o inches
$0.00 $0.00 $0.00
Additional Notes: Mitigation is 1 inch preserved or planted for every 2 inches removed . Current Tree Fund
rate is $113.00 per inch. Also preserving 16" Palm, 3-10" Palms, 2-8" Palms, 20" Palm, 18" Elm . Also removing
13" Palm, 16" Palm.
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of review.
APPROVED~
DENIED D
kf/j.,/I{
Jeremy Hubsch, TPO ADMINISTRATOR 15ATE
\5-D~-rV-lO~ Pd.v"#IO
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: 15-DRTV-XXXX Applicant: Jennifer and Curtis Hill Address: 480 Ocean Blvd, Atlantic Beach, FL 32233 Site Address: 130 Club Dr Phone: (904) 874-8866 RE#: 170319-0000 Email: N/A
TREE REMOVAL CALCULATIONS
REMOVED Oaks Others Total
Protected Trees Removed: o inches 29 inches 29 inches
Mitigation Needed: o inches 14.5 inches 14.5 inches
Trees Removed: 15" Palm, 14" Palm
MITIGATION Oaks Others Total
Credit for Trees Preserved: o inches
Credit for Trees Relocated: o inches
Credit for Trees Planted: o inches o inches o inches
4
Total: o inches
Trees Preserved: None
Trees Relocated: None
Trees Planted: None
ADDITIONAL MITIGATION REQUIRED
Oaks Others Total
New Trees Planted: o inches 14.5 inches 14.5 inches
or
Payment Into Tree Fund: $0.00 $1638.50 $1638.50
or
A Combination of the Above
Additional Notes: Mitigation is 1 inch preserved or planted for every 2 inches removed. Current Tree Fund
rate is $113.00 per inch. Also preserving 16" Palm , 3-10" Palms, 2-8 " Palms, 20 " Palm, 18 " Elm. Also
removing 13" Palm, 16 " Palm.
Status is in accordance with the City of Atlantic Beach code of ordinances in effect at the time of review.
APPROVED D
DENIED ~
ISTRATOR
IJIledl"hio s.nev_""'-..... tIt.1o<olnlmdled. WiI1>oul_~will"" OIt11oUsonSolG 1Usk~&nd:;Wi1:hOuf~~ua~bi!iIy~to~tIIo~5w~"""'~_!!!iI!.I!__II\!fij_';
AffILIATE
MEMBERS
NATIONAl TI1l.EANDINSURANCECOMPANY; N/A
ORDERE08Y:
The Law Offices of Rod Schtoth
2187 S Thfrd St
Jacksonville Bch, FL 32250
904-3n-9351
beach@rod-law.com
R. 1308.0045
BOUNDARY SURVEY
DWAlCOUNTY
REVISION DATE(S):IREV,o 1!N201~
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FLOOD INFORMATION:
8Y PERFORMING A SEAROi WITH THE lOCAl GOVERNING
MUNICIPAl/T'I' OR V'J'NIN.FEMA.GOV, 111E PROPERTY APPEARS TO BE
LOCATED IN ZONE X. THIS PROPERlY WAS FOUND IN THE CITY OF
ATIANTICBIiiACH, COMMUNITY NUMBER 120075. DATEOO6I03/13.
OFFICES OF ROD SCHlOTH. PA; OLD REPUBUC ~_=:A C A
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