317 8th Street 16-TR-277 ApplicationTREE & VEGETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS 'c L,, .; CityofAtlanticBeach
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~ (P)904247-5800 (F) 904 247-5845
checklist.
(3) Contact the Department of Community Development if you haveSingle-/Two-Family Residential $125.00
questions or need assistance completing the application or
determining which exhibits are required for your particular project. F' Multi -Family Residential $250.00
(4) Submit this form, along with all required exhibits and payment to 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 Institutional/ Other Non-residential $250.00
the Building Department.
7<,.7
Application #TREE )` �%7
SECTION I -SITE INFORMATION
PHYSICAL ADDRESS %1 B44^ 5+Vae f
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
SUBDIVISION p3 O d.� 6,I) v BLOCK O LOT $ RE # I (o� 9 S6 .— O 4 I]D
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SECTION II - APPLICANT INFORMATION j1� OWNER r LEGAL AUTHORIZED AGENT*
NAME OF APPLICANT I l �eww�o r 440AAeS I.tz�
ADDRESS OF APPLICANT
PHONE ?Jq _ ��1� CELL I L _ Wb=1 EMAIL Mai epl
SECTION III -TREE &VEGETATION REMOVAL REQUEST
REQUEST THAT THE
I
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):
r
Vegetation (trees)are difficult tomaintain /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.
r Vegetation (trees) pose a safety hazard to pedestrian or vehicular traffic or cause disruption to public utility services.
r 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. Itis 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 1 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.
SIC�4�lTUR_ Q�4PPI�' ANT DATE
FOR INTERNAL OFFICE USE ONLY
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