377 2nd St Tree Removal Application 0)-j-ikrir, TREE REMOVAL PERMIT APPLICATION
1111:4Ik City of Atlantic Beach
Community Development Department FOR INTERNAL OFFICE USE ONLY
800 Seminole Road Atlantic Beach, FL 32233
(P)904-247-5800 FILE#
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. ❑ 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 El Commercial/Industrial $250.00
application fees to the Permits Desk at Atlantic Beach City Hall. ❑ Institutional/Other Non-Residential $250.00
SITE INFORMATION
ADDRESS 377 2nd Street,Atlantic Beach,FL RE# 169790-0000
SUBDIVISION 03101 Atlantic Beach BLOCK# 4 LOT# w 25'Lot 24,Lot 26
APPLICANT INFORMATION
NAME Elizabeth Cosgrove EMAIL betsy.cosgrove@comcast.net
ADDRESS 116 Poinsettia Street CITY Atlantic Beach STATE FL ZIP CODE 32233
PHONE# 9046770877 CELL# 6035022216 pi OWNER ❑ 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
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.
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SIGNAJJRE OF APPLICANT PRINT OR TYPE NAME DATE
02,TREE REMOVAL PERMIT APPLICATION 03.01.2018
�'ERTIFIED
ARBORIST
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ISA
Joe Musgrove
ISA Certified Arborist®
FL-9674A
Joe.lucastree@gmail.com
(904)887-1492
May 25, 2021
Betsy Cosgrove
377 2nd Street
Atlantic Beach, FL 32233
Re: Arborist letter
To Whom it May Concern:
Upon inspection of the property,I found a Live oak that is visibly dying.The large branches
of the tree are dying and starting to fall off the tree.It should be removed to prevent further damage
to the house. The tree poses potential damage and is unsafe to bystanders.
If you have any questions or concerns,please feel free to contact me.
Best regards,
/s/Joe.Musgrove
Joe Musgrove
Doc # 2015138647, OR BK 17203 Page 1251, Number Pages: 1, Recorded
06/17/2015 at 12:12 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00 DEED DOC ST $721 .00
PREPARED BY:
ALAN C.JENSEN,ESQUIRE
P.O.Box 50457
Jacksonville Beach,FL 32240-0457
QU M DEED
Made this 66 day of May, 2015, between JAMES H. CISSEL III, a married person, Grantor, whose
address is: 14 Hopson Road,Jacksonville Beach, Florida 32250, and ELIZABETH C. COSGROVE, a single person,
Grantee,whose address is: 116 Poinsettia Street,Atlantic Beach,Florida 32233.
WITNESSETH: that Grantor, for and in consideration of the sum of Ten and 00/100 ($10.00) , and other
good and valuable consideration, in hand paid by Grantee, the receipt whereof is hereby acknowledged, does hereby
remise,release and quitclaim unto said Grantee forever,all the right,title, interest and claim said Grantor has in and to
the following described parcel of land, and improvements and appurtenances thereof, situate, lying and being in the
•
County of Duval,State of Florida,to-wit:
The West 25 feet of Lot 24,all of Lot 26,and the East 50 feet of Lot
28, Block 4, ATLANTIC BEACH, according to the plat thereof, as
recorded in Plat Book 5, page 69, current public records of Duval
County, Florida. EXCEPTING therefrom the Southerly 10 feet
thereof.
PARCEL IDENTIFICATION NO.: 169790-0000
Grantor warrants that at the time of this conveyance,the subject property is not the Grantor's homestead within
the meaning set forth in the Constitution of the State of Florida, nor is it contiguous to or a part of homestead property.
Grantor's residence and homestead address is 14 Hopson Road,Jacksonville Beach,Florida 32250.
TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or
in anywise appertaining,and all the estate,right,title,interest,lien,equity and claim whatsoever of Grantor,either in law
or equity,to the only proper use,benefit and behoof of Grantee,her heirs,successors and assigns forever.
IN WITNESS WHEREOF,Grantor has hereunto set his hand and seal the day and year first above written.
SIGNED • I SEALED IN OUR PRESENCE:
1AeA
• atm i ensenS H.CISS L 111
Arto // . ag("4.
'itness: Sandra K.Godwin
STATE OF FLORIDA
COUNTY OF DUVAL /
The foregoing instrument was acknowledged before e this G day of May,2015,by JAMES H.CISSEL
III,who is personally known to me or who has produced /V/j9 as identification.
NOTARY PU C:
.l
:nted name:
State and county aforesaK.GODWIN
My Commission Expire- r '
y� ' SANDRA Commission FF 154645
Expires ApiII 17,2017
' ammo nye hey Fin Invoro K0,1114701$
01-j-'i-r,,, EXHIBIT B: TREE INVENTORY and PROTECTION PLAN
# , City of Atlantic Beach ,
Community Development Department
Jv r� 800 Seminole Road Atlantic Beach,FL 32233 FOR INTERNAL OFFICE USE ONLY
-DR .) (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"H"
• 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.
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02 TREE REMOVAL-EXHIBIT D:Tree Mitigation Plan 03.01.2018
OELAN-J EXHIBIT C: TREE MITIGATION WORKSHEET
` If City of Atlantic Beach
-' V) Community Development Department FOR INTERNAL OFFICE USE ONLY
800 Seminole Road Atlantic Beach,FL 32233
5$ (P)904247-5800 PERMIT#
List the species and diameter at breast height(dbh)of all trees identified on EXHIBIT B
ID DBH SPECIES X 0COMMENTS(for use by City Staff)
removing preserving replacing
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02 TREE REMOVAL-EXHIBIT C•Tree Mitigation Worksheet 03.01.2018
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