715 Seminole Road TREE 2001 CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21928 Address: 715 SEMINOLE ROAD
Permit Type: TREE REMOVAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: 1
Est. Value: Parcel Number:
lmprov. Cost: OWNER INFORMATION
Date Issued: 5/10/2001 Name: CHRIS LAMBERTSON
Total Fees: Address: 715 SEMINOLE ROAD
Amount Paid: ATLANTIC BEACH, FL 32233
Date Paid: Phone: (904)241-5251
Work Desc: REMOVE 56 INCHES OF TREES (HARDWOOD)& REPLACE WITH SAME
CONTRACTOR(S)
PROPERTY OWNER " APPLICATION FEES
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a Inspections Required -
FINAL I
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NOTICE INSPECTIONS ST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE FACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR 01ER
"FAILURE TO COMPLY WITH TI CONSTRUCTION LIEN I,CAN RESULT IN THE
PROPERTY OWNER PAYING TWHCE fiOR Bti#I` 1114QE S"
ISSUED ACCORDING TO APPROVED-RLA'N&WHICH RE°P tT( F ThlittP T AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS O W: ""i'
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AT A TIC BE,9(CH BUILDING DEPT.
CITY OF ATLANTIC BEA
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TREE REMOVAL APPLICATION
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All applications must be submitted with seven (7) copies and receiycd,bv r 5�M on_the Friday ten
T., � uar�C 1.�
110) days prior to the scheduled meeting in order to be placed on thca _ C, �e ci3
*INCOMPLETE APPLICATIONS OR INACCURATELY MA . §' fS
WILL NOT BE PROCESSED.
1. C k is Lary,Ler-so� *SS z s. _
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APPLICANT NAME ADDRESS TELEPHONE
2. Loy `tS EA-1+Ail- Secc,cA No. .3
ADDRESS OR LEGAL DESCRIPTION OF TREE REMOVAL SITE
3. REASON FOR PROPOSED TREE REMOVAL: l4.-ee ;s
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The/2e 15 .4 A42 y.42r vc421/wce_ C E 6 ice.Lew �.v!`�,(fq Ir✓'//4 /.0 � L;,
4. HAS THIS Sl'i't;BEEN TO THE TREE BOARD BEFORE? ❑ YES !W.&O ❑ NOT SURE
5. PROPERTY ZONING: [33'RESIDENTIAL ❑ COMMERCIAL
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6. LIST TREES PROPOSED FOR REMOVAL:
SPECIES DIAMETER DIAMETER MITIGATION
INTERIOR EXTERIOR
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MA-t4 ��1 'C 12G! c144(_ 711., 71.4:,-e. C RN '(`fa. i-
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* Diameter at Breast Height(D.B.H.)is measured at 4.5 feet above grade. To accurately determine
diameter, measure the trunk circumference and divide by 3.14. Diameter of multi-trunked trees is
determined by adding together the diameter of each trunk as measured immediately above the
forks.
** See attached diagram for determination of interior and exterior zones.
7. SITE
PLAN/TREE SURVEY indicating:
a) Location of topography features such as hills and low areas.
b) Existing and proposed structures.
c) Location of all trees with Diameter at Breast Height of six inches or more.
d) Tree species and sizes.
e) Trees to be removed should be clearly marked with an"X".
f) Trees to be preserved on-site for mitigation must be marked with brackets "[]".
g) Location, size and species of any proposed new replacement trees marked with a
circle "0".
h) Location of utilities and easements as applicable.
I) Location of trees to be preserved on-site with barricading noted.
8. ON-SITE REQUIREMENTS:
a) All trees identified for removal MUST be marked on-site by RED flagging,
paint or tape.
b) All trees to be preserved on-site for mitigation MUST be marked with BLUE
flagging,paint or tape.
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c) The front property corners must be marked by stakes or paint indicating the Lot
9. * INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES
WILL NOT BE PROCESSED.
I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II,
TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF
THE CODE OF ORDINANCES OF ATLANTIC BEACH.
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■App ic. i 's Si a ature Date Lf. /0,0(
Owner's Signature Date
CITY USE ONLY:
Tree Conservatio , :oard Chairperson Date
5 Tree Removal Approval
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