1555, 1569 FT HARRISON AVE NAPPLICATION. FOR LAND CLEARING &„ GRUBBING.'PERMIT
CITY OF CLEARWATER
PUBLIC WORKS DEPARTMENT
ENVIRONMENTAL MANAGEMNT DATE
(813) 46yY2 RECEIPT NO. /3 X41
A non - refundable filing fee. of $10. r6i ired,per Resolution'864,Permit,applicable for 6 months from date of approval.
In accordance with Section 98.30, I'' "hereby apply for permit to land clear and /o� grubahe property' described below
1. Location. of'Property 1564 �,�r tayr HnrriS�n � �,ar�+ erg �r
.,
2. Project Name Fairwinds: Intensive Residential Freatmettit Facility.
3.' :Purpose;of clearing andlor grubbing yaw Construction
4.' Generale description of existing vegetation, topography, and - surface water (including all existing and /or proposed
ditches,x canals, 'and wales). 1 'dithh runihAgg parzAH1 .to Southypro'pert� • fine.
t :
bl „ 5 Proposed method of debris disposal Dumb
r. ;
6 Date you plan 'to begin work. ASAP
7. 0''" roposed method of soil erosion control` Ray bail's sand bags, etc .
Pt,
8 0 No Tree Verification. Required- C4 Tree Riemoval Permit Required Fyn/
,•7.Lt.
I AM AWARE AND; UNDERSTAND THE .REQUIREMENTS OF .SECTION 98; CITY_ CODE OF ORDINANCES REGARDING
TR.EEP.RO�T,�'CTION DURING CONSTRUCTION AND HAVE READ,CITY:'S EROSION AND SILTATION :CONTROL POLICY
`Subscribed and Sworn ,before efore me
Signature of Owner or Owners Representative
thisday of,
Grey 'D. Veltman"
P irited Name
f y
455 N , Indian Rocks. Rd. '.
r I Signature of N tart
�^ Address
NAME OF ,NOTARY.
Belleau Bluffs. FL 34640
zi COUNTY
City . State pia :r
' A Y PUBLIC CTATE' 01 FIRA of
kFairwinds Pltio ernes, Inc.. 584- -7141 COMMISSION EXPIiSF
p 1 t2
Re resentatives .irm Tele hone
p P @okDE0 THRU GEr AL
Appli'cant`rnust include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work: This "is'NO
a' Tree Removal Permit.`
A DO NOT WRITE BELOW THIS LINE
irr7ierlAe�
Comments u, i
IF
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beAv e co sru. cl oP ter Resource Spec. Date `
Comments''�12 /t'f� 'f %%,..� S'%'t°•
Y ZJUGV C >,�- rirX ��,� ,c. e" 7'
Z�r� -/1�
Urban (Forester
Da
Based' on 4he above' comments :and information submitted, the above': removal application is
Approved As ubmitted 11, °Approved Modified As Noted Above O Denied
Signed . Date:G"
City Manager or.De ignee r i
Rev..9 /87'
White - Applicant .Yellow — Environmental Pink Inspecto
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APPLICATION FOR LAND CLEARING & GRUBBING PERMIT
CITY OF CLEARWATER
WORKS DEPARTMENT + ,
ENVIRONMENTAL WANAGEMENT DATE
i p (813) 452 -6747 RECEIPT NO.
Anon- refundable filing fee .4,160.00 is equired�eResolutlon�86 .P�er�mt�pplicab� nor 6d%onths from date of.app oval
In accordance with- Section .98.30,, 1 hereby apply for' permit. clear and /or' rub the property described below`,,
Y PpY . P. 9 P P Y
1 Location of Property / T r l A/u 1.-,
4 F 2 Pr #ect Name
-°
3. Purpose of clearing- and /or grubbing /�„� /c, e► l
,,.
4. General . description of existing vegetation, topography, and surface water (including, all existing and /or' proposed
' 7 ditches, canals, and swales) . T 9
• fr. :7.
5. Proposed, method, of debris disposal
�.. `6. Date you plan to begin work
r
7. Proposed method of soil erosion control
8. ❑ .No -Tree Verification Required I�Tree Removal Permit. Required
' FAM AWARE AIAD UNDERSTAND THE'REQUIREMENTS OF SECTION 98, CITY CODE OF;ORDINANCES REGARDING+ . .
t J TREEP?ROTECTION DURING CONSTRUCTION AND HAVE READ CITY'S EROSION AND SILTATION CONTROL POLICY
r ✓'i - •P���� Subscribed and Sworn before me,`, ,
S'ignaturie' f Owner or Owners Representative _ ' I
-yy this
all of
Printed Name
Signature of Notary
Address #
r NAME OF NOTARY YirJ %fly '�
City State Zip COUNTY
S/7 /y�/ COMMISSION: EX'PIRESt�opaRV
Representatives' Firm: Telephone
R ; r 0 6P95tP ,�
,.
A . , Applicant"m 'NOT
include Aerial Photograph or Scaled.Drawing showing property boundaries and limits of work. his Is NOT
a Tree Removal Permit.
DO NOT`WRITE BELOW THIS LINE.
Comrraerits
{{
Water Reso rc S ec.. Dated y,
a Comments /^ _
; . h Urban F.'o'r'ester" Date°
Based on the above comments -and informationsulimed, "the above removal applic
ttt 'a ion is:
b' A pp roved As ` 'ubmitted , A pp roved , Modified A s N oted Above ~ r
❑ Denied .
�� • . r� , � � ` , )
Signed.. , } Date: (/C:, L J 2:
':City Manager'or. Designee
Rev. 9W
w White Applicant • Yellow — E4ironmental �,, Pink, -- Inspector'
n Sa-
x
,. • t of - ! `,y F , Y _ - �. ��� ..
}} s
f PERMIT -TO REMOVE TREE (S)
NAME OF OWNER Fairwinds /Sugar Creek Properties -
OWNER'S ADDRESS
Clearwater PHONE 584 7141
LOCATION OF TREE (S) 1 SS5 S Ft - Harrison
LOCATION OF TREES ON LOT See attached
SPECIES AND NUMBER OF TREE (S) 5 trees
„i
7595
REASON FOR REMOVAL
X] Construction
❑ Hazardous
❑ Dead - Dying
❑ Other - (Specify)
TO APPLICANT: A non - refundable three dollar ($3.00) fee is re- Fee Rec: $
quired for each tree requested to be removed. Rec't #
PLEASE READ AND SIGN:
1. On New construction, additions, or other modifications of a property which requires the removal or relocation of a protected tree(s) (Larger R.
than 4" in diameter at 41/2 ft. above grade), a Site Plan is required. When removal is requested for construction purposes, the Site Plan must
have a minimum scale of 1":0' for single family lots or 1 ":30' for multi - family, commercial or industrial sites. The Site Plan must show:
1. Major Changes of Grade 9. All Easements and Rights -of -Way
2. Structure Locations 10. All Protected Trees —., Including:
3. Driveways and Walks A. Diameter (DBH) at 41/2 ft. above grade
4. 'Parking Arrangement (if any) B. Location (Surveyed) t.,
5. Required Number of Parking Spaces C. Species
�6. Proposed Number of Parking Spaces D. Any Diseased or Insect Infested Trees
7. Underground%.Utilities to be installed . E. Designate Trees. Requested to be Removed
8. All Setbacks per Zoning
2. Protective Barriers are required around all trees remaining on site during construction. These barricades must remain intact during construc-
tion as a citation will result if they do not remain standing and functional. Protective Barriers must meet City Specifications per City Ordinance.
3. The replacement (Planting) of trees,(Minimum Ht. of 6') may be required on your property before occupancy is allowed. Trees are to be selected
from the approved list on file in the Environmental Division. See inspectors note below to determine the numberof'ntrees required when the
approved permit is returned to you.
I hereby certifiy 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 appear to 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 together with any plans submitted is a true representation of all facts concerning the proposed removal
of the tree(s). Any deviation from the permit issued shall render it null and void and be considered a violation of Ordinance 1623, Section 23A,
Code of Ordinances.
Douglas Merritt
Signature of Applicant if not owner Printed Name
,,Sugar Creek Properties
Agency Representing & Phone Signature of Owner
455 Indian Rocks Road
Address
Belleair Bluffs, Fl.
City
State
Date Received
Called /Mailed
PICKED UP
REQUIRED REPLACEMENTS
DO NOT WRITE BELOW HIS LINE — Not Valid Until Signed By,City Manager or his Designated Agent
Z101 J
Inspector Comments:
Recommended Replacement Trees
Required Replacement Trees
Signed _
Date
Inspect6r // / . {
C/
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Appro ed As Submitted proved — Modified As Noted Above ❑ `Denied._
Signed: ` ' / /
.7 //k� � ' ..Z1�`i..�!��� Date:
` City Manage�rDesi_g'r��ee '` /
C I T Y OF C L E A
R
W A
T
E R
POST
OFFICE
BOX 4748
CLEARWATER,
FLORIDA 34618
-4748
November 9, 1992
The City of Clearwater Environmental Management Office has
completed its compliance landscape reinspection at your site. The
following report is the result of our reinspection. If you have any
questions concerning this report, please contact Rick Albee at
(813)462- 6598.
SITE: Fairwinds 1555/1569 Ft. Harrison'Ave. S.
OWNER: Fairwinds Properties
OWNER REP.: Greg D, Veltman
ORIGINAL COMPLIANCE DATE: 11/19/92
REINSPECTION DATE: 11/06/92 PASSED
IF PASSED: Maintain landscaping in a healthy growing condition
to insure future compliance.
IF FAILED: A formal Notice of Violation will accompany this
report.
"Equal Employment and Affirmative Action Employer'
C I T Y OF C L E A R W A T E R
POST OFFICE BOX 4748
CLEARWATER, FLORIDA 34618 -4748
October 14, 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: Fairwinds 1555/1569 Ft. Harrison Ave. S.
OWNER: Fairwinds Properties
OWNER REP.: Greg D, Veltman
INSPECTION DATE: 10/13/92
FAILED
DEFICIENCIES: Requires 24 shrubs (24" ht.) in the north landscape
buffer, adjacent to parking lot.
CODES VIOLATED: Sec.136.023(c)(2),(h)(1) eff. 10/85
COMPLIANCE DATE: 11/19/92
RECOMMENDATIONS:.
INSPECTOR: Rick Albee
h
a
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 ".
t
ow
to
''Equal Employment and Affirmative Action Employer''
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