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715 Seminole Road TREE21-0022 04.30.2021 SCTREE REMOVAL PERMIT APPLICATION City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 INSTRUCTIONS ❑ Legacy Tree $ 25.00 1. Complete and sign this application. Single -/Two -Family Residential $125.00 2. Attach required exhibits as listed on application checklist. 3. Contact the Community Development Department if you have questions. E] Multi -Family Residential $250.00 4. Submit the completed application and all required exhibits, along with ❑ Commercial / Industrial $250.00 application fees to the Permits Desk at Atlantic Beach City Hall. ❑ Institutional /Other Non -Residential $250.00 SITE INFORMATION ADDRESS 1l50�IAXJLC: 144) I4%G,4�I C AgHcH FIs— SUBDIVISION APPLICANT INFORMATION NAME ADDRESS LOT # ❑ OWNER BLOCK # ❑LEGAL AUTHORIZED AGENT TREE REMOVAL PERMIT APPLICATION 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 THEREBY PROVISI ORDIN� TU 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 ITIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL OF CHAPTER 23 (PROTECTIONOFTREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND OFT E CITY OF ATLANTIC BEACH. PLICANT 02 TREE REMOVAL PERMITAPPLICATION 03.01.2018 t'KIIV I UK I YNt IVHIVIt 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 NAME ADDRESS CITY AGENT INFORtlQATION NAME ADDRESS CITY /9 FOR INTERNAL OFFICE USE ONLY PERMIT # PHONE# CELL #(7%9)69 3a STATE _/_ ZIP CODE 32233• STATE � ZIP CODE 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 PRINT. HEREBY C�RTIFY THAT ALL,,PQFC�iMAT10N PROVIDED IS CORRECT: Signature of Property Owners) or Authorized Agent NATIIt�EOF OWNER SIGNATURE OF OWNER #2 OR TYPE NAME PRINT OR TYPE NAME Signed and sworn before me on this �_ day of 1 ` � � l ,�� L by Identification verified: Oath Sworn: ❑Yes ❑ No 02 TREE REMOVAL - EXHIBITA: :'''<<YP'�' TONT GINDLESPERGER � Notary Signature ,.' t_ MY COMMISSION � GG 353178 v�y6P' EXPIRES: October 6, 2023 My Commission expires «F F��' L'onded Thru Notary Public Underwriters DATE t� State of County of C� EXHIBIT Be TREE INVENTORY and PROTECTION PLAN r f City of Atlantic Beach s� Community Development Department FOR INTERNAL OFFICE USE ONLY 800 Seminole Road Atlantic Beach, FL 32233 (P) 904-247-5800 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 with"[]" • 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. sum er e OF x2 PREPARED BY: SCALE: 1 SQUARE= 02 TREE REMOVAL - EXHIBIT B: Tree Inventory and Protection Plan 03.01.2018 i r" EXHIBIT Co. TREE MITIGATION WORKSHEET 'r , City of Atlantic Beach Community Development Department %e FOR INTERNAL OFFICE USE ONLY 800 Seminole Road Atlantic Beach, FL 32233 'moi J,il�(P) 904-247-5800 PERMIT # List the species and diameter at breast height (dbh) of all trees identified on EXHIBIT B ID DBH SPECIES X= removing ��_ preserving 0_ replacing COMMENTS (for use by City Staff) `1 2 12'' oaf X 3 0" Vol 4 l 5 6 7 •. 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 02 TREE REMOVAL - EXHIBITC.• Tree Mitigation Worksheet 03.0 1.2018 EXHIBIT D: TREE MITIGATION PLAN s ot S City of Atlantic Beach Community Development Department J yr 800 Seminole Road Atlantic Beach, FL 32233 FORINTER NAL OFFICE USE ONLY TIN'' (P) 904-247-5800 PERMIT # Please identify the location, species and size (caliper inches) of ALL trees to be planted for mitigation credit in the area below or on a separate site plan. Please include existing and/or proposed buildings and any street names for reference points. PREPARED BY: SCALE: 1 SQUARE= 02 TREE REMOVAL - EXHIBIT D: Tree Mitigation Plan 03.01.2018 EXHIBIT Be. TREE INVENTORY and PROTECTION PLAN City of Atlantic Beach Community Development Department A'QLE 800 Seminole Road Atlantic Beach, FL 32233 FORINTERNACOFFlCEUSEONLY j (P) 904-247-5800 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: s Note the location of all trees to be removed with an "X" • Note the location of all trees to be preserved with'[ ]" s 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. r a Wood, x �xC s 1 z� IQU5E T 8 i+ ►� T c Q � PREPARED BY: SCALE:1 SQUARE= 02 TREE REMOVAL - EXHIBIT B: Tree inventory and Protection Plan 03.01.2018 EXHIBIT Co. TREE MITIGATION WORKSHEET City of Atlantic Beach Community Development Department A M?LE 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 FORINTERNAL OFFICE USE ONLY PERMIT # ID 02 TREE REMOVAL - EXHIBITC: Tree Mitigation DBH SPECIES X removing U preserving 0 replacing COMMENTS (for use by City Staffl 1 10" Palm 0 2 10" Palm 0 3 10" Palm 40 4 20" Sycamore 0 5 13" Elm 16 6 24" Live Oak i 7 6" Holly 8 14" Pine 9 11" Palm 10 17" Pine 11 10" Palm 12 5" Oak 13 F1514 16 17 18 19 20 21 22 23 24 25 Worksheet 03.01.2018 Doc # 2018023610, OR BK 18267 Page 2116, Number Pages: 2, Recorded 01/31/2018 09:12 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $4200.00 Prepared by: Beth Murphy Richard T. Morehead Title & Escrow, Inc. 444 Third Street Neptune Beach, Florida 32266 File Number: 18B2339 General Warranty Deed Made this January 29, 2018 A.D. By William B. Fullerton and Elizabeth 1K. Fullerton, husband and wife, whose post office address is: 1015 Atlantic Blvd., Unit 124, Atlantic Beach, Florida 32233, hereinafter called the grantor, to Babur Bhatti, asingle person, whose post office address is: 715 Seminole Road, Atlantic Beach, Florida 32233, hereinafter called the grantee: (Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Duval County, Florida, viz: Lot 95, PLAT OF SECTION NO.3 SALTAIR, according to plat thereof as recorded in Plat Book 10, Page 16, of the Current Public Records of Duval County, Florida. Parcel ID Number: ]70404-0000 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby ful{� warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31, 2017. DEED Individual Warranty Deed -Legal on Face OR BK 18267 PAGE 2117 Prepared by: Beth Murphy Richard T. Morehead Title & Escrow, Inc. 444 Third Street Neptune Beach, Florida 32266 File Number: 18B2339 In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered ' our presence. Sel William B. F►(Ilerton By: Elizabeth K. Fullerton, as torney-in-Fact Address: 1015 Atlantic Blvd., Unit 124, Atlantic Beach, Florida 32233 Printed Name�� i ?� Ig��/ /T' / wu��ly'Gf Addre�! 32233 State of Florida County of Duval h K. Fullerton 1015 Atlantic BlvdUnit 124Atlantic BeachFlorida The foregoing instrument ,, , , was acknowledged before me this 29th day of January, 2018, lizabeth K. Fullerton, individually and as Attorney -in -Fact for William B. Fullerson who is/are personally known to p�aor-a�ho h produ ed Drives Licensg as identification. DEED Individual Wa►ranty Deed -Legal on Face i My Commission Expires: =so'..'��"'°��:. ELIZABETFI A [�JiURPHY _•� _ MY COMMISSION#FF167953 EXPIRES November 20, 2018 (407) 39M153 RloridallolaryService.com