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352 8th Street TREE20-0041 09.28.2020 SChave questions. I exhibits, along with each City Hall. V FOR INTERNAL OFFICE USE ONLY PERMIT # j : ZCY1 d Legacy Tree $ 25.00 Single -/Two -Family Residential $125.00 0 Multi -Family Residential $250.00 Commercial / Industrial $250.00 Institutional / Other Non -Residential $250.00 4 �.1 Y! 0 TREE REMOVAL IT PLICATION PACKAGE CHECKLIST PLEASE ATTACH THE FOLLOWING EXHIBITS: *Additional information may be required, depending upon circumstances unique to individual applications 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 EXHIBIT B - TREE INVENTORY and TREE PROTECTION PLAN EXHIBIT C - TREE MITIGATION WORKSHEET EXHIBIT D - TREE MITIGATION PLAN SIT EPA TI C VI ICT PLEASE PREPARE YOUR SITE AS FOLLOWS: 0 Mark all trees identified for removal with RED or ORANGE flagging, paint or tape 0 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 I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WI PROVISIONS OF CHAPTER 23 (PROTECTIONOF TREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CC ORDINANCES OF THE CITY OF ATLANTIC BEACH. TURE OF APPLICANT 02 TREE REMOVAL PERMIT APPLICATION 03.01.2018 Q5 OR TYPE NAME DATE X\ PHONE# STATE I - ZIP CODEO'�OL�� 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. SIGNATURE OF OWNER OR LEGAL REPRESENTATIVE PRINT OR TYPE NAME DATE aS 0 I � ve.r RE OF APPLICANT PRINT OR TYPE sworn before me on this ? C Identrfication verified: Oath Sworn: 10 Yes 0 No TGNI GINDLESI'ERGER MY CGMMISSIGN # GG 353178 EXPIRES: �ctober6,2023 Bonded Thru Notary Public Underwriters 02 TREE REMOVAL - EXHIBIT A: Letter ofAuthorization 03.01.2018 Signature Commission expires State of County of -� ��� � *A48110 I I III I � • • 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 inventory in 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 • 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 aro nd ever X tree or group of trees to be preserved. IMMMAREMMIN Ir, 02 TREE REMOVAL - EXHIBIT B: Tree /nventory and Protection Plan 03.01.2018 100 Of I 1 i 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 {dbh) of all trees identified on EXHIBIT B FOR INTERNAL OFFICE USE ONLY PERMIT # ID DBH SPECIES X removing [ ��, preserving 11011COMMENTS replacing (for use by City Staff) 2 3 5 C j 9 10 12��- 13 g� 14 / n 15 f— 16 ce J� 17 C/ 18 19 20�� 21 �too\, 22 23 / l '7 W` , 24 ��"` �✓ 25 02 TREE REMOVAL - EXHIBIT C Tree Mitigation Worksheet 03.01.2018