366 5th Street TREE19-0036 EXPIREDTREE REMOVAL PERMIT APPLICATION
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
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 366 5th Street, Atlantic Beach FI., 32233
SUBDIVISION 03101 Atlantic Beach
APPLICANT INFORMATION
NAME Childers Beach Life LLC.
ADDRESS 376 4th street
PHONE #
CELL # 904-270-9710
BLOCK # 6
FOR INTERNAL OFFICE USE ONLY
PERMIT# �Z�J �cc
❑ 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
EMAIL
RE# 169847-0000
CITY Atlantic Beach STATE FI. ZIP CODE 32233
❑X OWNER ❑LEGAL AUTHORIZED AGENT
TREE REMOVAL PERMIT APPLICATION PACKAGE CHECKLIST
PLEASE ATTACH THE FOLLOWING EXHIBITS:
*Additional information maybe 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
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
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT. I AGREE TO COMPLY WITH ALL
PROVISIONS OF CHAPTER 23 (PROTECTION OF TREES AND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND
ORDINANCES OF THE CITY OF ATLANTIC BEACH.
1 P
Julie Childers
SIGN O APP ICANT PRINT OR TYPE NAME DATE
i
02 TREE �
EMOVAL PERMIT APPLICATION 03.01.2018
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 Childers Beach Life, LLC.
ADDRESS 376 4th Street,
CITY Atlantic Beach
AGENT INFORMATION
NAME CEM Builders, Inc.
ADDRESS 13803 White Heron PI
CITY Jacksonville
CEM Builders Inc. /Craig Gallup
Childers Beach Life LLC.
FOR INTERNAL OFFICE USE ONLY
PERMIT #
PHONE#
CELL # 904-270-9710
STATE FI. ZIP CODE 32233
PHONE #
CELL # 904-525-0083
STATE FI. ZIP CODE 32224
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
OWNER
SIGNATURE OF OWNER #2
Signed and sworn before me on this �o�"-� day of
Identification verified
�USu�
ulie Childers
PRINT OR TYPE NAME
;.•t�iv'P�'-.,, JONATHANHANNING
es E] No ;:o,��*�:: Notary Public -State of Florida
« ' Commission q GG 147396
My Comm. Expires Oct 1, 2021
°F•• Bonded through National Notary Assn.
02 TREE REMOVAL - EXHIBIT A: Letter of Authorization 03.01.2018
aolq by
DAT
DATE
Oath Sworn: State of I-Lorl
County of
Commission expires /�•/.2�
MAP SHOWING BOUNDARY SURVEY OF
LOT 29, BLOCK 6, PLAT No. 1 SUBDIVISON "A" ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 5,
PAGE 69, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
BLOCK
CORNER
CERTIFIED TO:
STEVEN B. PORTER
5th STREET
(40' RICHT OF WAY)
50,00' (PLAT)
N 83'45'35" E
50.14' (MEASURED)
10° P a
9' P 12' P
44
Q g
9 13° P
" P
�•
go P
I� -e
0.
LOT 31
BLOCK 6
LEGEND:
—x— = FENCE
O = CONCRETE
l
Q = SET 1/2' REBAR STAMPED PSM/6146
= FOUND 1/2' IRON PPE NO IDENTIFICATION
(UNLESS OTHERIMSE NOTED)
■ = 4'x4' CONCRETE MONUMENT LOT 32
A/C = MR CONDITIONER BLOCK 6
P�1�= PALM TREE
�n, = TREE
ONE STORY
MASONRY
POSTED #366
�11C"�"P7y JACUZ7J pEpR
IZ WAvi,
1d;WW STEPS
10o P
I Lti 13' P
V' P r1
13 P LOT 29
BLOCK 6
O'I
10°
6.3'
12' P 12' P
Z
S 83'41'01" W
49.71' (MEASURED)
50.00' (PLAT)
LOT 30
BLOCK fi
W
LOT 27
BLOCK 6
LOT 28
BLOCK 6
G THE
NOTES: REVISIONS
1. BEARINGS ARE BASED ON THE ASSUMED BEARING OF —S! 06'18'00" W ALON
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
2.4'
DATE DESCRIPTION
2, BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD 20NE _X _� AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED JUNE 3, 2013, COMMUNITY NUMBER 120075, PANEL D10aii_,
3, THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED, UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL.
JOB # 22914 DATE OF FIELD SURVEY: 6-25-2013 SCALE: 1" = 20'
Ray Thompson CERTIFICATE
I HEREBY CERTIFY THAT THIS ITA$ DE UNDER MY RESPONSIBLE CHARGE
SURVEYING, Inc.
AND MEETS THE MINIMUM AS SET FORTH BV THE FLORIOA
BOARD OF PROFESSIONS A4 S I CHAPTER fi1G17-6, FLORIDA
Awl A Going the DISTANCE for You ADMINISTRATIVE e ANT ZP�Fe ON 4 • ORIDA STATUTES,
4613 Philips Highway, Suite 210
Jacksonville, Florida 32207 gow
v RAYMOND THOMPS
(Phone) 904.448-5125 REGISTERED SUR OR ANRTMAPPER ° 146 STATE OF FLORIDA
(Fax) 904,44ML - SE, euswE s 7469
LAND SURVEYS 0 CONSTRUCTION SURVEYS SUDJEY BDIVISIONS
W
0'
V)
�W
dv
o
�
rn
�ot
LOT 31
BLOCK 6
LEGEND:
—x— = FENCE
O = CONCRETE
l
Q = SET 1/2' REBAR STAMPED PSM/6146
= FOUND 1/2' IRON PPE NO IDENTIFICATION
(UNLESS OTHERIMSE NOTED)
■ = 4'x4' CONCRETE MONUMENT LOT 32
A/C = MR CONDITIONER BLOCK 6
P�1�= PALM TREE
�n, = TREE
ONE STORY
MASONRY
POSTED #366
�11C"�"P7y JACUZ7J pEpR
IZ WAvi,
1d;WW STEPS
10o P
I Lti 13' P
V' P r1
13 P LOT 29
BLOCK 6
O'I
10°
6.3'
12' P 12' P
Z
S 83'41'01" W
49.71' (MEASURED)
50.00' (PLAT)
LOT 30
BLOCK fi
W
LOT 27
BLOCK 6
LOT 28
BLOCK 6
G THE
NOTES: REVISIONS
1. BEARINGS ARE BASED ON THE ASSUMED BEARING OF —S! 06'18'00" W ALON
WESTERLY BOUNDARY LINE OF SUBJECT PARCEL.
2.4'
DATE DESCRIPTION
2, BY GRAPHIC PLOTTING ONLY THE CAPTIONED LANDS LIE WITHIN FLOOD 20NE _X _� AS SHOWN ON THE
NATIONAL FLOOD INSURANCE MAP DATED JUNE 3, 2013, COMMUNITY NUMBER 120075, PANEL D10aii_,
3, THIS SURVEY REFLECTS ALL EASEMENTS & RIGHTS OF WAY AS PER RECORDED PLAT &/OR TITLE COMMITMENT
IF SUPPLIED, UNLESS OTHERWISE STATED, NO OTHER TITLE VERIFICATION HAS BEEN PERFORMED BY THE UNDERSIGNED
4: THIS SURVEY IS NOT VAUD WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL.
JOB # 22914 DATE OF FIELD SURVEY: 6-25-2013 SCALE: 1" = 20'
Ray Thompson CERTIFICATE
I HEREBY CERTIFY THAT THIS ITA$ DE UNDER MY RESPONSIBLE CHARGE
SURVEYING, Inc.
AND MEETS THE MINIMUM AS SET FORTH BV THE FLORIOA
BOARD OF PROFESSIONS A4 S I CHAPTER fi1G17-6, FLORIDA
Awl A Going the DISTANCE for You ADMINISTRATIVE e ANT ZP�Fe ON 4 • ORIDA STATUTES,
4613 Philips Highway, Suite 210
Jacksonville, Florida 32207 gow
v RAYMOND THOMPS
(Phone) 904.448-5125 REGISTERED SUR OR ANRTMAPPER ° 146 STATE OF FLORIDA
(Fax) 904,44ML - SE, euswE s 7469
LAND SURVEYS 0 CONSTRUCTION SURVEYS SUDJEY BDIVISIONS
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 (dbh) of all trees identified on EXHIBIT B
FOR INTERNAL OFFICE USE ONLY
PERMIT #
ID
DBH
SPECIES
X
removing
[ ]
preserving
O
replacing
COMMENTS (for use by City Staff)
1
12"
Palm
2
10
Palm
t.='
3
10
Palm
4
15
Palm
5
9"
Palm
1'
6
12
Palm
7
8"
Palm
8
9"
Palm
9
13"
Palm
10
9"
Palm
11
13
Palm
12
11"
Palm
13
10"
Palm
14
11"
Palm
15
10"
Palm
16
13
Palm
17
11"
Palm
18
13
Palm
19
10"
Palm
20
10"
Palm
21
12
Palm
22
12"
Palm
23
13
Palm
X'
24
25
02 TREE REMOVAL - EXHIBIT C: Tree Mitigation Worksheet 03.01.2018
BLOCK'
CORNER
\I
SITE BENCHMARK
ELEVATION = 8.06
(IMPROVED)'
1111.011 a
40 R lw .,.
IN* %at al. I.
am
5TH ST ow a
a. al ft50.00 a__=:III ay__—
may al O : N._
am am O
4' WALK
0
7.
J
z
�I
LOT 31 mmmmmf`
BLOCK 6 0fly
r -E
LOT 32
BLOCK 6
54IO
N
t-r%eE
34.5'
NEW SFR
#366
MINIMUM FFE =10=0
29.0'
50.00'
LOT 30
BLOCK 6
J
rc
m
n
LOT AREA 7,500 SQ. FT.
BUILDING AREA 2,905 SQ. FT.
POOL 264 SQ. FT.
DRI VEWAY/WALKWAYS* 4201509 = 210 SQ. FT.
POOL DECK/WALKWAYS* 740150% = 370 SQ. FT.
(1 PROPOSED PERVIOUS PAVERS*)
TOTAL IMPERVIOUS AREA = 3,721 SQ. FT.
3s74917,500 = 49.9%
LOT AREA—TOTAL IMP. AREA = PERVIOUS AREA
7s500-3,749 = 3,751 SQ. FT.
LOT 27
BLOCK 6
LOT 2g
BLOCK 6
SITE PLAN PROJECT#: 18-404
DETAIL
MARTIN ENGINEERING, LLC. DATE: 3/28/19
450 STATE RD. 13 N., #106-387 CHILDERS RES.
JACKSONVILLE, FL 32259 DRAWN: KCM
904-472-1459 366 5TH STREET SITE
ATLANTIC BEACH, FL DESIGNED:
_mwo FL C.A# 320271 SCALE: 1" = 25'
Date Paid: Thursday, July 25, 2019
Paid By: CHILDERS BEACH LIFE LLC
Cashier: CT
Pay Method: CHECK 6550
Printed: Thursday, July 25, 2019 11:47 AM 1 of 1 j„
male,