550 Sherry Drive TREE21-0024 VOIDTREE REMOVAL PERMIT APPLICATION
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
FOR INTERNAL OFFICE USE ONLY !
FILE #:VE E7Z l'I�44
INSTRUCTIONS LVJ 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. ❑ Multi -Family Residential $250.00
3. Contact the Community Development Department if you have questions.
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 Aflo,,ADDRESS 57!705 err y Dr*1 V e e (( 6 trta �L RE#
SUBDIVISION
APPLICANT INFORMATION
NAME
ADDRESS
PHONE#
�Y1�ln` .'I�ft//�s C�MQ.1 �T��
(^ f/'7 i W oo�l b Qzr 4 6o ,rF CITY
LOT #
EMAIL /1� ijZ7'/l,briC�(M�if�e�7Z '03 M51 It
'
c®ref, W
�.�
CELL# �%eJ�• l�O-'
�WNER
STATE �t% ZIP CODE �%3jg
❑ 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
WXHIBIT C - TREE MITIGATION WORKSHEET
XHIBIT D - TREE MITIGATION PLAN
SITE PREPARATION CHECKLIST
PLEASE PREPARE YOUR SITE AS FOLLOWS:
IJ�t' 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
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL
PROVISIONS OF CHAPTER 23 (PROTECTION OFTREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
NATURE OF APPLICANT
02 TREE REMOVAL PERMITAPPLICATIONO3.01.2018
�U:IuL
DA E
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 �U� �%I til
ADDRESS 770 S7
CITY �r/11 )f�
AGENT INFORMATION
NAME
ADDRESS
CITY
M�,
S°(irlr
FOR INTERNAL OFFICE USE ONLY
PERMIT #
PHONE#
CELL # �/ %� - `� a 701b
STATE �L� ZIP CODE
PHONE#
CELL #
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.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT: Signature of Property Owners) or Authorized Agent
RE OF OWNER #2
PRINT OR TYPE NAME
PRINT OR TYPE NAN
Signed and sworn before me on this �� day of 1 � ► a��'� by
Identification verified
Oath Sworn: P
Yes
�ey - 1 e�t.soda 11
]
No
02 TREE REMOVAL - EXHIBITA: Letter ofAuthorization 03.01.2018
DATE
�n1
State of U�4�IA
County of us ogoQve.
My Commission expires /+'�% f 1 �a�
EXHIBIT Be 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 -Pleases etc an inventory in the area below or attach aa eplan 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 "[ if
• 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:
02 TREE REMOVAL -EXHIBIT 8: Tree Inventory and Protection Plan 03.01.2018
SCALE: 1 SQUARE=
.
W
1
bell
S IU
W Cky
S
0
1L
Pdv
eee
c�
rQ.z
PREPARED BY:
02 TREE REMOVAL -EXHIBIT 8: Tree Inventory and Protection Plan 03.01.2018
SCALE: 1 SQUARE=
EXHIBIT C. 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 (dbh) of all trees identified on EXHIBIT B
FOR INTERNAL OFFICE USE ONLY
PERMIT #
ID
DBH
SPECIES
11 X
removing
(�
preserving
O
replacing
COMMENTS (for use by City Staff)
1
S
T
/ r e_Q
-7
/ , z �rg 1,s' Q/Q of qY/
2
1'1 i ckor
3
4
-�Pgo
IQ�J
5
6
-�
Do �' Woo
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
02 TREE REMOVAL - EXHIBIT G Tree Mitigation Worksheet 03.01.2018
EXHIBIT D: TREE MITIGATION PLAN
s
s� City of Atlantic Beach
roCommunity Development Department
v 800 Seminole Road Atlantic Beach, FL 32233 FOR INTERNAL OFFICE USE ONLY
(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.
Co
I
OWN
W
e
PREPARED BY: Mot GGn arl Ucm C.1 S�ttT SCALE: 1 SQUARE _
02 TREE REMOVAL - EXHIBIT D: Tree Mitigation Plan 03.01.2018
Doc # 2020167435, OR
Recorded 08/05/2020
RECORDING $18.50 DE
EBK 19313
11:20 AM,
D DOC ST
Prepared by and Return to:
Jason M. Trager, Esq.
Ansbacher & Schneider, P.A.
5150 Belfort Road, Building 100
Jacksonville, Florida 32256
Page 500, Number Pages: 2,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY
$4550.00
1. Grantor's name and address is:
W. Radford Lovett II, a single person
317 San Juan Drive
Ponte Vedra Beach, FL 32082
2. Grantee's name and address is:
Nathan Briesemeister and Jennifer Briesemeister, husband and wife
6644 Woodberry Court
Columbus, GA 31904
The terms Grantor and Grantee shall be non -gender specific, singular or plural, as the
context permits or requires, and include heirs, personal representatives, successors or
assigns where applicable and permitted.
3. The real propert
y ("Property") conveyed hereby is described as follows:
Lot 336 and 337, Except that part conveyed to the City
of
Atlantic Beach, on February 11, 1976 as recorded in Official
Records Book 4105, Page 493, and Lot 342 and 343, all of
Section No. 3 of SALTAIR, according to the plat thereof as
recorded in Plat Book 10, Page 16, and recorded in the
current Public Records of Duval County, Florida,
together with all appurt
enances belonging to or benefiting such
property.
The Property Appraiser's Parcel Identification Number is 170465-0010.
4. Grantor for good and valuable consideration plus the sum of $10.00 the receipt whereof
is hereby acknowledged, hereby grants, bargains, sells and conveys to Grantee the
Property to have and to hold in fee simple forever.
5. Grantor fully warrants title to the Property and will defend the same against the lawful
claims of all persons whomsoever claiming by, through or under Grantor, but not
otherwise, except for (i) taxes subsequent to December 31, 2019, and (ii) covenants,
reservations, restrictions and easements of record, if any, with reference hereto not
serving to reimpose the same.
6. Grantor represents and warrants that the Property does not constitute nor is adjacent to
the homestead or residence of Grantor or any member of Grantor's family.
All signatures appear on ollowingpaQe(s).
200255.17 Deed
.f Executed as of July 3 2020,
1S' Witness:
Print Name:
n _ A
2�d Witness:
Print Name:
State of Florida
County of Duval
�. V,_ _�t}4-e s
W. Radford Lovett II
The foregoing instrument w s acknowledged before me by means of (V�physical presence or( )
online notarization this sday of July, 2020, by W. Radford Lovett II (✓) who is personally
known to me or ( ) who has produced (Florida Driver's License) as
Notary Public, State of F-londa
My Commission Expires:
KATHRYN V. STOKES
MY COMMISSION # GG 153700
EXPIRES: October 22, 2021
Bonded Tion Notary P UnUndenrtilere
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