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206 JEFFORDS ST�SEKV,* c ATER. APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER PLANNING DEPARTMENT (727) 5624741 DATE `d f Y`JN 2 2k RECEIPT NO. �� � . A non - refundable filing fee of1S10 OO Us required. Permit applicable for 6 months from date of approval. In accordance with flie CommuriiDevel'oprn t! ode, I hereby apply for permit to land clear and /or grub the property described below. 1. Location of Property: 2. Project Name: Nkc yL-pc, cQ \n l 3. Purpose of clearing and /or grubbing; 2 New Construction ❑ Demolition ❑ Tank Removal ❑ Other 4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed ditches, canals, and swales) 7) A4) 0. ,,2�f VS 5 5. Proposed method of debris disposal 6. Date you plan to begin work U PL) 7. Proposed method of soil erosion control 8. Q No -Tree Verification Required ❑ Tree Removal Permit Required I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF ARTICLE 3, DIVISION 12 REGARDING TREE PROTECTION DURING CONSTRUCTION AND ARTICLE 3, DIVISION 7 OF THE COMMUNITY DEVELOPMENT CODE REGARDING EROSION AND SILTATION CONTROL. /+ Sig—hature of Owner or Owners Representative Address i` iz. N� 1 �.n, ��� `� �� ,,tip �t "34 C- 2 Printed Name City State Zip Representatives' Firm 25 71T1 Telephone Cell Applicant must include Aerial Photograph or Scaled Site Plan showing property boundaries and limits of work. This is NOT a Tree Removal Permit. DO NOT WRITE BELOW THIS Land Resource Comm Based on the above comments and information submitted, the above clearing & grubbing application is: ❑ Approved As Submitted Approved - Modified As Noted Above ❑ Denied s o.7 Signed: �� °__ ` Date: City Manager or Ir slgnee CLEARWATER Frank Hibbard, Mayor Bill Jonson, Vice -Mayor John Doran, Councilmember Hoyt Hamilton, Councilmember Carlen A. Petersen, Councilmember 1362 - 0002 -GC White - Planning Department Yellow - Applicant 4-05 I �� NO TREE VERIFICATION or TREE REMOV L PERT IT REQUIRED VERIFICATION STATEMENT Owner; MlwV_'I GN PLA-"J i do- --, o' Phone: E -mail: Cell Phone: Owner's Representative: -J 1%� k-- ' 112 N1 !-2) �.0 Phone, E -mail: --jTre 5L L -4 i .a - fiv C7rG ✓P ,6,u z5 °f-�S- I�fZZS -� Cell Phone: Address of Applicant: 0 l 1c Z 1 Cy City: GLrVyr c� ✓� ;ti•� State: rL Zip: -3 -7 S77 Address of Proposed construction: Clearwater, Florida I hereby certify that the information contained herein is true and accurate and that I am the legal owner of the subject property or have legal authority to execute this form on behalf of the property owner. I am aware that any deviation from the information submitted with this form shall be considered a violation of the Community Development Code. In accordance with Section 4 -1205, Community Development Code, I request a release from the provisions of the tree removal permit section to allow the issuance of a building permit at the above location because one of the following conditions exists: 71 PROTECTED TREES EXIST ON THE SITE as defined in Section 8 -102 (non - prohibited species greater than four inches at 4.5 feet above grade), but ARE NOT REQUIRED TO BE REMOVED FOR CONSTRUCTION purposes, thus no tree removal permit is required. I further understand that these TREES MUST BE PROTECTED FROM DAMAGE BOTH BEFORE AND DURING ALL CONSTRUCTION ACTIVITIES ON THIS SITE as provided in Section 3 -1205 of the City code of Ordinances (A site plan is submitted with this request.) NO PROTECTED TREES EXIST ANYWHERE ON THE SITE of the proposed construction as defined in Section 8 -102 (non - prohibited species greater'than four inches at 4.5 feet above grade). PRINTED NAME: -lG. ► iZr,IF�"n,1 Owner or Representative SIGNED Bili Jonson, Vice -Mayor ature of Owner or Repre Frank Hibbard, Mayor John Doran, Councilmember Hoyt Hamilton, Councilmember Carlen A. Petersen, Councilmember 14.',0- 0022 -GC White - Planning & Development Services Yellow - Applicant 5 -02 v m 3 Q CITY OF CLEARWATER ' JUN 2 9 20,05 PLANNING DEPARTMENT (727) 562 -4741 Un V F: 1. 0 r"tin,.nt Ru G. it � L - -, i`t, PF rf 00 \i (Print or Type) Owner; MlwV_'I GN PLA-"J i do- --, o' Phone: E -mail: Cell Phone: Owner's Representative: -J 1%� k-- ' 112 N1 !-2) �.0 Phone, E -mail: --jTre 5L L -4 i .a - fiv C7rG ✓P ,6,u z5 °f-�S- I�fZZS -� Cell Phone: Address of Applicant: 0 l 1c Z 1 Cy City: GLrVyr c� ✓� ;ti•� State: rL Zip: -3 -7 S77 Address of Proposed construction: Clearwater, Florida I hereby certify that the information contained herein is true and accurate and that I am the legal owner of the subject property or have legal authority to execute this form on behalf of the property owner. I am aware that any deviation from the information submitted with this form shall be considered a violation of the Community Development Code. In accordance with Section 4 -1205, Community Development Code, I request a release from the provisions of the tree removal permit section to allow the issuance of a building permit at the above location because one of the following conditions exists: 71 PROTECTED TREES EXIST ON THE SITE as defined in Section 8 -102 (non - prohibited species greater than four inches at 4.5 feet above grade), but ARE NOT REQUIRED TO BE REMOVED FOR CONSTRUCTION purposes, thus no tree removal permit is required. I further understand that these TREES MUST BE PROTECTED FROM DAMAGE BOTH BEFORE AND DURING ALL CONSTRUCTION ACTIVITIES ON THIS SITE as provided in Section 3 -1205 of the City code of Ordinances (A site plan is submitted with this request.) NO PROTECTED TREES EXIST ANYWHERE ON THE SITE of the proposed construction as defined in Section 8 -102 (non - prohibited species greater'than four inches at 4.5 feet above grade). PRINTED NAME: -lG. ► iZr,IF�"n,1 Owner or Representative SIGNED Bili Jonson, Vice -Mayor ature of Owner or Repre Frank Hibbard, Mayor John Doran, Councilmember Hoyt Hamilton, Councilmember Carlen A. Petersen, Councilmember 14.',0- 0022 -GC White - Planning & Development Services Yellow - Applicant 5 -02 v m 3 Q EXISTING 1 PARKING _ TO REMAIN e 0 i f . 4, s 117.85' 17 o S 4 R ti 0 L +_ p� W H VJ N U vS F-- WUW F- 4 U O a u°J �I H a O U 1 RAMP EXIS TO h CONCRETE I .0 X85 LANDSCAPE iz.. X e. f . 4, s 117.85' 17 o S 4 R ti 0 L +_ p� W H VJ N U vS F-- WUW F- 4 U O a u°J �I H a O U 1 RAMP EXIS TO h CONCRETE I .0 X85 LANDSCAPE iz.. X 0.5'CONC. REMAINDER LOT 30 ASPHALT PARKING 7 7 7, - 7, gpm Class 14c) M; 1— o' REV,: 2004 2" 55-85 gpm Class W PVC 111 G 1, 1 C () ! 1'� 1 (4 () � -1 ',�, P; 117.85' RL - �' I STOPI� PER FL DESIGN STANDARDS 2 1/2ff ENGLISH UNITS 30 85-120 gpm Class W PVC CBS WALL —,3" qPrrir-ir-n mili rf-uNr. EXIS TING HOSE 90, C' 0 BLACK POLYURETHANE "i pao"- MRIMaw." , an - a-- U 1. OVIL— /ill PidnUng 5011 5nd11 De COMPOM Of 1/0 LOP 5011, 1/0 PM 1`5055 drlU 1/0 native material. PH to be in the following range: 11 to U or as required bg the specified plant material. 0 8. MAINTENANCE. All maintenance shall be the responsibility of the contractor until Z STOP SIGN DETAIL DISABLED PARKING SPACE DETAILS nintg days after date of acceptance. SD-01 X 9 FERTILIZATION, All furnished plants, trees, and sod shall be topdressed fertilized with No Scale NO SCALE . a 100% of-panic fertilizer anhed at the rate recommended bp the manufacturer. U 1. OVIL— /ill PidnUng 5011 5nd11 De COMPOM Of 1/0 LOP 5011, 1/0 PM 1`5055 drlU 1/0 native material. PH to be in the following range: 11 to U or as required bg the specified plant material. 0 8. MAINTENANCE. All maintenance shall be the responsibility of the contractor until Z STOP SIGN DETAIL DISABLED PARKING SPACE DETAILS nintg days after date of acceptance. SD-01 X 9 FERTILIZATION, All furnished plants, trees, and sod shall be topdressed fertilized with No Scale NO SCALE . a 100% of-panic fertilizer anhed at the rate recommended bp the manufacturer.