361 6th Street TREE10-00100002CITY OF ATLANTIC BEACH
Department of Community Development
800 Seminole Road Atlantic Beach, FT, 32233
Phone: (904) 247=5800 Fax: (904) 247=5845 Internet; www.coab.us
TREE REMOVAL PERMIT
Application Nurber 10-00100002 Ihte 2/11/10
Property Address . . . . . 361 6TH ST
Application type description IBV REV - TP=AEC=CN
Property ding . . . . . . . RFSIEENML SINGLE FPMILY
AFplication valuation . 75000
Application desc
Tree ramval. for SF residential develcprmt
04-jer Contractor
SI'RATTCN GAT ER
3616TH S P=
ATiPNlTC EETM FL 32233
Penait . . . . . TPEE PERvICT
Additical desc EFGV 10-00100002/AP
Permit Fbe .00 Plan Check Fbe .00
Issue Date 2/11/10 Valuation 0
Expiration Date 2/12/11
Al�roved to rarove a total of 158" (17" Maple, 21" Live
Cak, 120" Palm as sYxx-m on sul�titt�l tree survey) of rich
64" is regulated and requires mitigation. Mitigation is
assessed at 40" acoordirx3 to the provisions of Section
23-33(b) of the Atlantic Beach MxAc,;ral Code of
ardinances. Said mitigation is lereby satisfied by the
prcp sal to preserve a total of 118" onsite (48" Cak, 70"
Palm as slxc m on suhmitte3 tree survey) , thus resulting in
a net total of 78" on-site. Additional tree remwal s and
plantings will be debited/credited against this total. (EH)
VS: 02/11/2010 10:10 PM SHALL
Other FSS =
RFMVL SNGL/TWC) FMLY 125.00
Permit
Fie Total
Plan Check Total
Cir EI✓e Total
krarxl Total 125.00 125.00
APPROVALISIN ACCORDANCE
.00 .00
.00 .00
725.00 125.00
.00
.00
ERIKA HALL, TPO ADMINISTRATOR
TREE & VI]GETATION REMOVAL PERMIT APPLICATION
INSTRUCTIONS City of Atlantic Beach
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
�OifIJ'r
checklist.
(3) Contact the Department of Community Development if you have jingle -/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 j" 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.
Application # TREE —LO-- 001 �(� L -
SECTION I - SITE INFORMATION
PHYSICAL ADDRESS (J E,/�' 5-f7L
If an address has not been assigned to this property, contact the AB Building Department at (904) 247-5826 to request an address.
SUBDIVISION O IO 6, OLOCK LOT Z
SECTION II -APPLICANT INFORM/ ATION r OWNER � LEGAL AUTHORIZED AGENT
NAME OF APPLICANT 2�S
ADDRESS OF APPLICANT i!Pf i ( 1 211nn SJ� L e )-�Uv1lc� 62A4 F(� a;9233
PHONE 3LiGI - 2`60 CELL c{cz EMAIL Lkr,.S c��
SECTION III -TREE &VEGETATION REMOVAL REQUEST
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 all that apply):
F- Vegetation (trees) are difficult to maintain /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.
F- 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.
e
getation 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.
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
CODE ND ORDINAN�S OF THE CITY OF ATLANTIC BEACH.
AOOZ
SIGNATURE OF APPLICANT
DATE
FOR INTERNAL OFFICE USE ONLY
FRONTAGE �5, FLU !� ZVAR ESA ® SR -1 �� 2! 9�ZDID
DEPTH 1501 ZONING RJ- UBEX H/H SR -2 /
AREA ISA WAIV OAB�1J CR fir, �f (I 12,01c)
Tree & Vegetation Removal Permit Application_ versionoi.oi.og
(Or4 EXHIBIT A. LETTER OF AUTHORIZATION
d�Itc?
�U,
Application # TREE Id - D0 0002
I+VkD, �L4V� is hereby authorized to act on behalf of
the owners) 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 thpCity of Atlantic Beach in applying for a development permit.
BY:
Signat�ir�-d r�r
Printed Name
A4 oo�t c k"t
Mailing Address
S t S`4YC1 «tf lel S C� �'1'1C1 41
Phone Cell Emai
Signature of Owner
Printed Name
Mailing Address
P one
mai
Signed and sworn before me on this �� day of e Ar 20/D , by
Dot w n irVi . S-Fr'a +
o n
Identification verified: FD[.53Co �i13 (o(c5 $ 3 O 3119
Oath sworn: r✓' Yes F' No
PATRICIA A. JINKNER
Commission DD X376811
Expires May 21, 2011
bonded Thm Troy ram InSUMM® SOO-3 aoia
Notary Signature
My Commission expires:
State of Florida
County of Duval
EXHIBIT A_Letter ofAuthorization_versionoi. oi.og
0 EXHIBIT C. TREE VEGETATION MITIGATION WORKSHEET Application # TREE () - iZ 100 2.
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