2021 Vela Norte Circle TREE21-0031 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
SUBDIVISION Sc IV C� N
APPLICANT INFORMATION
BLOCK
#
FOR INTERNAL OFFICE USE ONLY
PERMIT # �rQ C�&ZI �OCOJ
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#
EMAIL C> k �1 1 �t' L�i
hvA CITY is I` "L) Ci STATE /V1 !� ZIP CODE ) C' / Z
PHONE # CELL # Li - a,D l - U 0- I
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
M EXHIBIT A (Option 1) - PROOF OF OWNERSHIP: Cat verifies record of owner (Clerk of Courts)
NIV ❑ EXHIBIT A (Option 2) - LETTER OF AUTHORIZATION: Please complete if the applicant is not the owner — N
❑ 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 QRANGE flaggi D_g
, 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.
ALI
SIGNATURE OF APPLICANT
02 TREE REMOVAL PERMITAPPLICATION 03.01.2018
PRINT R TYPE NAME
DATE
EXHIBIT A: LETTER OF AUTHORIZATION ! N
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
OWNER INFORMATION
NAME
ADDRESS
CITY
AGENT INFORMATION
►ISG\ul�
CITY
STATE
STATE
l�
FOR INTERNAL OFFICE USE ONLY
PERMIT #
PHONE #
CELL #
ZIP CODE
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
SIGNATURE OF OWNER OR LEGAL REPRESENTATIVE
SIGNATURE OF APPLICANT
Signed and sworn before me on this
Identification verified:
Oath Sworn: ❑Yes ❑ No
day of
PRINT OR TYPE NAME
PRINT OR TYPE NAME
02 TREE REMOVAL - EXHIBIT A: Letter of Authorization 03.01.2018
Notary Signature
DATE
DATE
by State of
County of
My Commission expires
EXHIBIT B: 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 -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 "L ]"
• 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 _
V
l
i,
i
U�
3
y cm'hc�
G1
PREPARED BY:
02 TREE REMOVAL -EXHIBIT 8: Tree Inventory and Protection Plan 03.01.2018
SCALE: 1 SQUARE _
EXHIBIT Co TREE MITIGATION WORKSHEET
City OT Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, FL 32233
(P) 904-247-5800
List the species Cl"d diameter at breast height (dbh) of all trees identified on EXHIBIT B
FOR INTERNAL OFFICE USE ONLY
PERMIT #
ID
DBH
SPECIES
11 X 11=
removing
11 [11011=
preserving
replacing
COMMENTS (for use by City Staff)
2
1 �4 a
C.. 7
3
C I
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
02 TREE REMOVAL - EXHIBIT C: Tree Mitigation Worksheet 03.01.2018
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Ne4nn In tencian qx addroned clamped arMbpee) WARRANTY GEED RAMCO FORM OI
INDIVID, TO INDIVID.
"ams Stephen & Keely Hertel
1834 Spicer Ct.
Add'e•e Annapolis, MD 21401. d
This ns rumen Propend b7 y
MORREALE, MACK & TERRY, P,Cw}
John F. Morreale
449 Taft Ave., Glen Ellyn, I1 60137
Properly Appnleer• Perch Idenllfi6elion (Folio) Number(s):
Glenleelll
S.S,
sid:
ePA 4e ABOVE
7H! UNE
FOR
PROCEUM
OA7A
Book 9047 Pg
I+k: 9047
Pigs 1452
Doc# 98205062
Filed R Recorded
08/?.1/98
10:57x33 A.M.
HENRY We COOK
CLERK CIRCUIT COURT
MAL COUNTY, FL
RECw $ 6w00
DECD ��11
SPACE ABOVE THS LINE FOR REfoIIODA;
'
1452
�III" jWdVZajjjU 1; J; Made UW 14th day of August n.D. is 90 �✓
Donald L. Fagan and Gail G. Fagan, husband and wife
hereinafter called the grantor, to
STEPHEN Re HERTEL AND KEELY HERTEL, HUSBAND AND WIPE
whose post offwe address is 1834 Spicer Court, Annapolis, MD. 21401.
hereinafter called the grantee:
MkJerscer w1 ho,wln the Ines 'eroAlou t
ce lad 'er" INIP& IN 014 P"" Is a
Ws InaLmeel ond, the
ra, MPI e.Pesseaauvr oad Me1cm of lndlddneY, s*d Le soeeeuore and udP* of tomenuonc)
WitntBltet4: That the grantor, for and in consideration of the sum of $10,00 and other
valuable considerations, receipt whereof is hereby acknowledged, here grants, bargains, sells, aliens, remises,
releases, conveys and cmorms unto the grantee all (hat certain land situate in duval
County, State of Florida viz: _
LOT 53 SELVA NORTE' UNIT ONE ACCORDING TO THE PLAT THEREOF AS RECORDED
DUVALLAT BOOK 3NTY,dRI GES 94, 94A AND 94B, OF THE CURRENT PUBLIC RECORDS OF
�Qp�tt�tr. tuith atl the tenements, hereditaments and appurtenances thereto belonging or in anyfuise
appertatntng:
(00 3 Nut ani t0 1101bo the same in fee simple forever.
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, and hereby warrants the
tiIle to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land
ie free of all encumbrances, except taxes accruing subsequent to December 31, is
30 111tntas 94ertd, the said grantor has signed and sealed these presents the day and year first above
written.
Si ed, dialed d delivered in the presents of.•
J
DonaldFagan, y
r.
FaganGail G.
9TAT6 OF _� 7�A-�h-6�/ 1 I hereby Certify that on thle day, beforo me, en offloer duly suthorl:cd
COUNTY OF �1. n� ) to edminlefor oaths end tate eckno7rledlmenb, penonelly eppesred
__Do dl-d—l,_Fapan and Gail G. Fagaa, husband and wife
known to me to be the r enol S described In and who executed the (ongoing Instrument, who acknowledged Mfare me that they
executed the same, that I rolled upon the rollowing lam_ of Identlnestlon orlhe above named pereor% ;
and that an oath (waaxwn not) taken. 314L vy�
PATRiCU1A S7AFiFIH[)
Nofary Public - Sto6B 01 Fk)lktlt
My Commission Fi�kes Jan 31,2002
,,,, �,�omrnlsslon d CC693588
7 Wllnna my hand antic fRe{nl • i In the
day of-- `1�
and State leaf aftxeuld this
.A.D.19�.