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ORDER REASON
All work will • ' performed
industry standards outlined on reverse sotide.
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EXHIBIT B: TREE INVENTORY and PROTECTION PLAN
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
FOR INTERNAL OFFICE USE ONLY
PERMIT #
TREE INVENTORY -Please sketch an inventoryin the.area below or attach a site plan showing all existing trees on the property below
that are 3" diameter at breast height (dbh) and greater. Please complete the following:
® Note the location of all
"
trees to be removed with an X" • Note the location of all trees to be preserved with "[ I
• Number all trees and list on EXHIBIT C: Tree Worksheet • Show all existing and/or proposed buildings
TREE PROTECTION PLAN- (If you are doing construction on the site) -Please sketch and identify in the area below or on a copy of a
certified tree survey the location of the protective barricades to be installed prior to construction. Section 23-32(c) requires protective
barricades to be installed around every tree or group of trees to be preserved.
PREPARED BY: SCALE:1 SQUARE _
02 TREE REMOVAL - EXNIB/T B: Tree Inventory
and Protection Plan 03.01.2018
EXHIBIT Co TREE MITIGATION WORKSHEET
City Of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
List the species and diameter at breast height k of all trees identified an EXHIBIT B
FOR INTERNAL OFFICE USE ONLY
PERMIT #
ID
02 TREE REMOVAL - EXH181T Co Tree Mitigation Worksheet 03.01.20 IS
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TREE REMOVAL PERMIT APPLICATION
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
{PI 904-24/-5800
INSTRUCTIONS
1. Complete and sign this application.
2. Attach required exhibits as listed on application checklist.
3. Contact the Community Development Department if you have questions.
4. Submit the completed application and all required exhibits, along with
application fees to the Permits Desk at Atlantic Beach City Hall.
SITE INFORMATION
ADDRESS
SUBDIVISION
BLOCK #
FOR INTERNAL OFFICE USE ONLY
FILE#TP, C� Zb(D43
Legacy Tree $ 25.00
`Single -/Two -Family Residential $125.00
Multi -Family Residential $250.00
® Commercial / Industrial $250.00
® Institutional / Other Non -Residential $250.00
LOT #
wi
r 1. STATE'f
TREE REMOVAL PERMIT APPLICATIONPACKAGE
PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information may be required, depending upon circumstances unique to individual applications
F] EXHIBIT A (Option 1) - PROOF OF OWNERSHIP: Copy of Warranty Deed that verifies record of owner (Clerk of Courts)
EXHIBIT A (Option 2) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner
F1 EXHIBIT B - TREE INVENTORY and TREE PROTECTION PLAN
® EXHIBIT C - TREE MITIGATION WORKSHEET
0 EXHIBIT D - TREE MITIGATION PLAN
SITE PREPARATION CHECKLIST
PLEASE PREPARE YOUR SITE AS FOLLOWS:
® Mark all trees identified for removal with RED or ORANGE flagging, paint or tape
® Mark all trees identified for preservation with BLUE or GREEN flagging, pain or tape
® Mark property corners with stakes or paint
® Barricade all trees to be preserved on the property at the dripline
SIGNATURE OF
02 TREE REMOVAL PERMIT APPLICATION 03.01.2018
DATE
EXHIBIT A: LETTER OF AUTHORIZATION
City Of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
OWNER INFORMATION
AGENT INFORMATION
FOR INTERNAL OFFICE USE ONLY
PERMIT #
NAME !'A n I w iQC4
-11
PHONE#
CITY
is hereby authorized to act on behalf of
the owners) of those lands described
in the attached application and as described in the attached deed or other such proof of ownership as may be required
in applying to the City of Atlantic Beach, Florida, for an application related to a Tree and Vegetation Removal Permit.
HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: Signature of Property Owners) or Authorized Agent
RE OF OWNER #2
Signed and sworn before me on this
Identification verified:
Oath Sworn: L.J
day of
.. ]KNELVIAM" ,
by State of
Notary Signature
My Commission expires
02 TREEREMOVAL - EXHIBffA: Letter of Authorization 03.01.2018
County of