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1551 Ocean Boulevard TREE19-0052 VOIDTREE 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 1 t'll S f V C &Ln & 1/d FOR INTERNAL OFFICE USE ONLY PERMIT#FCEJ9 ❑ 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 RE# SUBDIVISION � (� �'- C 1 ids}(A.0r1%Cl- (rBLOCK# LOT# i, APPLICANT INFORMATION L� I k d,ev► � est �� � ev rn��s`f .� NAME �Ii�l 1 `� L Vl�, ��1)62"S+eVI EMAIL ADDRESS S 1 U C etch 6yiGc CITY All er 7+jf� 8eo�edLTE � f' ZIP CODE Kek1 vc� PHONE # U 15,q 7 _ p(p )S CELL # 6 I �_q7S_ 1c 7(o 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 isnot 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 OFTREESAND NATURAL VEGETATION) AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH. SIGNATURE OF APPLICANT 02 TREE REMOVAL PERMITAPPLICATION 03.01.2018 PRINT OR TYPE NAME DATE 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 1 SSI Cea n l�I Vd - CITY I ccj7�f-r` C13 (� t dL, AGENT INFORMATION NAME ADDRESS CITY �1 FOR INTERNAL OFFICE USE ONLY PERMIT # PHONE # 01S' -10S -0&7,C Edc� CELL# L�15-7Its d0&76 STATE (� ZIP CODE STATE PHONE# CELL # 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 SIG ATURE OF SIGNATURE OF OWNER #2 Signed and sworn before me on this Identification verified: Oath Sworn: ❑Yes ❑ No PRINT OR TYPE NAME PRINT OR TYPE NAME by State of County of Notary Signature My Commission expires 02 TREE REMOVAL - EXHIBITA: Letter ofAuthorization 03.07.2078 DATE DATE Prepared by and return to: Lynn Shippee Ponte Vedra Title, LLC 50 AlA North, Suite 108 Mute Vedra Beach, FL 32082 File Number: 17-1355 Dnc At 2017274455, OR EIK.18204 Page 123 Number Pages: 2 Recorded 11130/201711:16 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $4305.00 (Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 17t'' day of November, 2017, between Gary A. Rhodes and Hope M. Clayton, husband and wife, whose post office address is 13022 Loblolly Lane South, Jacksonville, FL 32246, grantor, and Kenneth D. DenBesten and Eva D. DenBesten, husband and wife, whose post office address is 7084 Canyon Drive, Park City, UT 84098, grantee: (Whenever used herein the terms "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, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Duval County, Florida, to -wit: Lot 9, Block 63, MANDALAY, according to Plat thereof as recorded in Plat Book 10, Page 11, Current Public Records of Duval County, Florida. Parcel Identification Number: 171874-0000 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. SUBJECT TO covenants, conditions, restrictions, easements of record and taxes for the current year. 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 fully 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 as specified herein. {f'nrrmrry Deed -Page 1 In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. TWO DIFFERENT WITNESSES HAVE SIGNED BELOW (THE NOTARY MAYBE ONE OF THE WITNESSES) AND NEITHER WITNESS NOR THE NOTARY IS RELATED TO THE GRANTOR OR HAS A BENEFICIAL INTEREST IN THE SALE OF THE PROPERTY DESCRIBED IN THIS WARRANTY DEED. Signed, sealed Witness I Timoth in our presence: n . Shippee Witness I Printed Name Printed Name State of Florida County of St. Johns • k � i Clayton The foregoing instrument was acknowledged before me this � ( day of November�017, by Gary A. 1 d a Hope M. Clayton, husband and wife, who (—,) is personally known to me or (_✓ has produced - 4 as identification. ea�pava��a,� YIM©THYSHIPPFE ^'2°d ®`� % Notary Publle -State of Florida COMMlSSien # GG 060417 '��ilF OF iIOP PAY Comm. Expires Jan 25, 2021 °°° ®ondedthrough National Notanr Asso IVarrmity Deed -Page 2 Printed Name: Timothy Shiapee My Commission Expires: % ACRVA EXHIBIT B: TREE INVENTORY and PROTECTION PLAN City of Atlantic Beach Community Development Department 800 Seminole Road Atlantic Beach, FL 32233 FORINTERNALOFFICEUSEONLY (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. PREPARED BY: ���,;�, <_ 02 TREE REMOVAL -EXHIBIT 8: Tree Inventory and Protection Plan 03.01.2018 SCALE: 1 SQUARE _ �� ��� is I � � i � °,� _'' i Z ���� r,.. ��� f i �� / , f% � I I i € :, I ,y � I �. � '� � r� � �` j �1c��� -; (� �, 'y !r. 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 # 02 TREE REMOVAL - EXHIBIT C: Tree Mitigation Worksheet 03.01.2018 ID DBH SPECIES re oving preserving replOacing COMMENTS (for use by City Staff 1 �,� 2 ! � r �.�.p �� 3 11 �-� '' 4 i j , li! 5 ` �' � � � a i 6 � � int 7 ( � bl 8 / v iYt 10 � , � 0 � A l 1'1 1 E: 11 J 12 � J � ���( �Id.�Ir + ` L ✓ 14 �� G� L! �' �.. � �C��(. 16 �� i GLI�I��.� ,, � � �` I ��.� 1 17 18 19 20 21 22 23 24 25 02 TREE REMOVAL - EXHIBIT C: Tree Mitigation Worksheet 03.01.2018 cMn^v Rska'. �M.�'.�i �i.Af- '.a'Yi �:�f$�.di � .� �✓m „"Phi ' J'' •F4 �4� yjT _ tE � 0 y Y j 141. Y+ , +Y+ �" it y T � I r- n yy gar - y�t I2. 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