630 GULFVIEW BLVD S- �SEAI &O*
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APPLICATION FOR LAND CLEARING & GRUBBING PERMIT
CITY OF CLEARWATER
ENGINEERING DEPARTMENT
ENVIRONMENTAL MANAGEMENT
(813) 562 -4747
DATE 3 19 7
RECEIPT NO. 'd "
-1.46 `%5_I/
A non - refundable filing fee of $ 10.00 is required. Permit applicable for 6 months from date of approval.
In accordance with Section 50.22,1 hereby apply for permit to land clear and /or grub the property described below.
1. Location of Property: 630 South Gul fv i ew Boulevard, Clearwater Beach
2. Project Name: Jo Go Fun Center Expansion
3. Purpose of clearing and /or grubbing: [b New Construction p Demolition ❑ Tank Removal p Other
4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed
ditches, canals, and swoles) Vacant L o t
No existinn or proposed ditches, Swa-l@ -S --
5. Proposed method of debris disposal County Dump
6. Date you plan to begin work March 17, 1997
7. Proposed method of soil erosion control S i l t Barrier
8. p No -Tree Verification Required p Tree Removal Permit Required
I AM AWARE A D UNDERSTAND THE REQUIREMENTS OF SECTION 52.08, CITY CODE OF ORDINANCES REGARDING
TREE PROTEC ON DURING CONSTRUCTION AND SECTION 50.43 REGARDING EROSION AND SILTATION CONTROL.
Signature
Printed
or Owners Representative
P.O. Box 416
Address
Clearwater, FL 34617
City State Zip
Avant -Garde Builders, Inc. (813)442 -9640
Representatives' Firm Telephone
Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is
NOT a Tree Removal Permit.
DO NQT WRITE BEI*OW THIS LI
Forester Date
Based on the above comments and information submitted, the above clearing & grubbing application is:
�16proved As Submitted ❑ Approved - Modified As Noted Above p Denied
Signed: Date:
City Manager or Designee
White - Applicant Yellow - Environmental 6/96
1362-0002 -GC
IV-
�1rEl`�'
NAME OF OWNER:
CITY OF CLEARWATER - ENVIRONMENTAL DIVISION
TREE REMOVAL APPLICATION FORM 1- 71 O
AnastasuoulaS, Elias & Helen
LOCATION OF WORK: 630 So Gulfview B1 vd
Clearwater, FL
Fee Rec. $ 3D
Date Rec.
Rec. By:
Rec't #
REQUIRED REPLACEMENT TREES
PERMIT TO REMOVE TREE(S) 1 710
NAME OF OWNER Anastasopoul as , Elias & Helen REASON FOR REMOVAL:
OWNER'S ADDRESS
0 S. Gulfview Blvd. Xtonstruction
-.�,�,
PHONE 461 -9300 ❑ Hazardous
SITE ADDRESS 630 S Gulfview Blvd C1 Declining
LOCATION OF TREES) ON LOT See attached site layout ❑ Dead
SPECIES AND NUMBER OF TREE(S) I c- p Other (Specify)
&
TO APPLICANT: A non - refundable fee of $15.00 for up to five trees to Fee Recd. $
be removed, plus $3.00 for every tree above 5 to be Receipt # a
removed is required. Date
1. For new construction, additions or other modifications of a property which Involve the removal of a protected tree(s),
a site plan is required. This site plan must have a minimum scale of 1' =20' for single family lots, or 1' =50' for all others. The
site plan must include:
a. Major Changes of Grade 1. All easements and Rights -of -Way
b. Structure Locations J. All Protected Trees Including:
c, Driveways and Walks (i.) Diameter of 4.5' above grade (DBH) `
d. Parking Arrangement (ii.) Surveyed Location
e. Required Number of Parking Spaces (ill.) Species
f. Proposed Number of Parking Spaces (iv.) Diseased or Insect Infested Trees
g. Proposed Underground Utilities (v,) Trees to be Removed n�
h. Zoning Setbacks k. Tree Barricade Detail & Locations
2. Protective barriers are required around all trees remaining on site during construction. These barricades must remain
Intact during construction. The barriers must meet City Specifications.
3. Tree replacement minimum standards: 8' overall height, 2' caliper, Florida Grade #1. See inspectors note below to
determine the number of replacement trees required.
hereby certify that as property owner or as representative of the property owner, I have verified that the tree(s) sought
to be removed is wholly on property owned by the above - Identified property owner, and should it be determined that
the tree(s) are located wholly or partially on property owned by some other person, then, I agree to hold the City of
Clearwater harmless in any claim made for wrongful removal of such tree(s). I hereby certify that this application to-
gether with any plans submit led is a true representation of all facts concerning the proposed removal of the tree(s). Any
deviation front the Armit ued shall render it null and void and be considered a violation of Chapter 52, Code of
or
P.0! Box 416
earwater, FL
F. Chris Hensler,President
licant Printed Name,
Avant. -Garde Builders, Inc.
Agency Representing (If Not Owner)
34617 (813) 442 -9640
City State Zip Phone
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By Clty Manager or his Designated Agent
R�'el,
ded Replacement Trees:
eplocem ent Trees: , f� ll r► �,r�o,.
Applicable Code Section: S2, 33 !r
r
Signed: - s Date r r
Inspector
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved as Submift d WA-pproved- Modified as Noted Above O Denied
Signed: Date: r
City Manager or Designee
&94
1362.0001 -GC
C I T Y OF C E E A R W A T E R
NOTICE OF COMPLIANCE
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618 -4748
07/26/1995
The City of Clearwater Environmental Management Office has
completed its stormwater and landscape inspection.at your site.
The site was found to meet the requirements set forth by the
stormwater and /or landscape ordinance's in effect at the time of
site development. If you have any questions regarding this
report, please contact Rick Albee at (813) 462 -6598.
SITE: JO -GO (Capt. Bligh) Fun Center
SITE ADDRESS: 630 Gulfview Blvd. S.
OWNER: Elias Anastasopoulos
OWNER REP.:
RECOMMENDATIZ.QNS: Continue to maintain site to insure future
compliance.
V
-Equal Employment and Affirmative Action Employer"
STORMWATER INSPECTION REPORT
51 TE ; * PARCEL
SITE ADDRESS: 6"
p
BASIN: BASIN No. -
DRAINAGE AREA:
REQUIRED VOL.: ��t / PROP. VOL.:
POND TYPE
WEIR TYPE:
PROPOSED EXISTING
WEIR: L: D': WEIR: L+ D:
SKIMMER: M SKIMMER:
UNDERDRAIN : UNDERDRAII4 !
UNDERDRAIN C.O.:
� UNDER15RAII4 : C . 0: '.
LITTORAL SHELF: JA LITTORAL SI4EL V
COTES
INS P P. DATE: -?//r,
EROSION:
DENUDED:
POND CONSTRUCTED PER PLAN
CONTROL STRUCTURE CONST. PER PLAN
COMMENTS:
OVERGROWN:
COLLECTION.8Y�4
PRIO -01 CITY OF CLEARWATER ATTN EARL
PARCEL lD 17- 29 -15- 05004- 002 -0020 PAZIP YRBLT /EFF FLRS TOT SOFT $ /SOFT AVR
630 S GULFVIEW BLVD 1 00000 1989 1989 2,874 382.74 0.94.
OWNER'S NAME AND ADDRESS V P W G BLDGS == IMPROVEMENT == HEAT SOFT
ANASTASOPOULDS, ELIAS 1 24 RECREATIONAL- 2,294
ANASTASOPOULOS, HELEN LEGAL DESCRIPTION CENSUS PBOOK /PG
154 JAMESTOWN DR BAYSIDE SUB'NO. 5 260.02 38 38
ORMOND BEACH, FL 321,76 -7824 BLK B; LOTS 2,3,4.,24,25 6 NBHD
LOT SIZE = =) ISC . COUNTY E 100 FT LOT i
YEAR IMPROVEMENT LAND ASSESSMENT, AS /FT YEAR TAXES PD D TX /FT
1994 109,706 , 1,058,700 11,16B,400 406.54 1994 27,067.50 Y N 9.41
SALE DATE AMOUNT .BOOK /PAGE D41 O T
APPLICATION FOR LAND CLEARING & GRUBBING PERMIT
CITY OF CLEARWATER
PUBLIC WORKS DEPARTMENT
ENVIRONMENTAL MANAGEMENT DATE �' ✓ `'
j. (813) 462 -6747 RECEIPT NO.
A non - refundable filing fee of $10.00 is required per Resolution 86 -9. Permit applicable for 6 months from date of approval.
In accordance with Section 98.30, 1 hereby apply for permit to land clear and /or grub the property described below.
1. Location of Property 6l0 i, ,, t Ft/16 ) /3�L V
2. Project Name sn -40 10- u It 6
3. Purpose of clearing and /or grubbing . &/<.r 2ts I_oe l n6'
4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed
ditches, canals, and swales) r/_ #4-r L6l i- 4e-4'-r.rJ vr,y- 4 n1. We,W
5. Proposed method of debris disposal
6. Date you plan to begin work 0�-I
7. Proposed method of soil erosion control.
8. X No-Tree Verification Required ❑ Tree Removal Permit Required
I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING
TREE PROTECTION DURING CONSTRUCTION AND HAVE READ CITY'S EROSION AND SILTATION CONTROL POLICY
Subscribed and Sworn before me
Signature of Owner or Owners Representative
. &.4t 70 this ? k day of
Printed Name
Signature f Notary ,
Address
UE'4NA?'bKi �%-G� >�L�trr NAME OF NOTARY �u� <►' { -1t�3i ��c�lS�r.•`�
City State Zip COUNTY dL4_0 f�l• t
eJ1NOTARY PU911C•StATE OF FLQRICA
'3%& COMMISSION EXPIRES IV
Representatives' Firm Te ephone :,, •n rh• , "i. 8.1990
f0 r�l C+:kc I T, ugo.
Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is NOT
a Tree Removal Permit.
DO NOT WRITE BELOW THIS LINE
'0
Based on the above comments and information submitted, the above removal application is:
Approve As Submitted U Approved — Modified As Noted Above ❑ Denied
Signed. Date: .2 7 A-- F
City Manager or Designee /
;Rev. 9/87
White — Applicant Yellow — Environmental Pink — Inspector
CITY OF CLEARWATER
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618 -4748
December 3, 1992
The City of Clearwater Environmental Management Office has
completed its landscape inspection at your site. The following.
report is the result of our inspection. If you have any questions
concerning this report, please contact Rick Albee at (813)462 -6598.
SITE: JO -GO (Capt. Bligh) 630 Gulfview Blvd. S.
f OWNER: Elias Anastasopoulos
OWNER REP.:
INSPECTION DATE: 12/03/92
PASSED
DEFICIENCIES: None at this time, site exceeds code requirements.
CODES VIOLATED:
COMPLIANCE DATE:
RECOMMENDATIONS: Continue to maintain landscaping in a healthy
growing condition to insure future compliance.
INSPECTOR: Rick Albee
To insure compliance, a reinspection of the site will be
conducted after the compliance date. Failure to correct the
deficiencies above by the compliance date will result in the
issuance of a formal "Notice of Violation ".
' ' E q u a l E m p l o y m e n t a n d A f f i r m a t i v e A c t i o n E m p l o y e r ' '
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