2119 COACHMAN RD NECITY OF CLEARWATE
0 1
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9kAi �
NAME OF OWNER
SITE ADDRESS 2119 ME
PHONE 7 2-7 — ` q2-- 311-7
OWNER'S ADDRESS 2-12.D L
LOCATION OF TREE(S) ON LOT —
SPECIES AND NUMBER OF TREE(S)
U
EP 33 0 200-5
U
TO APPLICANT: A non - refundable fee of $15.00 for up to five trees to
be removed, plus $3.00 for every tree above 5 to be
removed is required.
SERVICES
REASON FOR REMOVAL:
'Construction
-See "A" below
Ell Hazardous
• Declining
• Dead
• Other (Specify)
Fee Rec'd. $
Date
A) CONSTRUCTION
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 f. Proposed Number of Parking Spaces j. All Protected Trees Including:
b. Structure Locations g. Proposed Underground Utilities (i.) Diameter of 4.5' above grade (DBH)
c, Driveways and Walks h. Zoning Setbacks (ii.) Surveyed Location
d. Parking Arrangement I. All easements and Rights -of -Way . (iii) Species
e. Required Number of Parking Spaces (iv.) Diseased or Insect Infested Trees
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.
B) REPLACEMENTS
1. Tree replacement minimum standards: 10' overall height, 2.5" caliper, Florida Grade #1. See inspectors note below to
determine the number of replacement trees required. Replacements required within 30 days.
I 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 m de for wrongful removal of such tree(s). I hereby certify that this application together
with any plans submitted is a true re resentation of all facts concerning the proposed removal of the tree(s). Any deviation
fr the permit iss all render ' null and void and be considered a violation of the Community Development Code.
s'ignature, o o er or applicant Printed e
2-120 DMv-1 eel C oo,4.
Address Agency R presenting OCL #
CI FL- 33Mos -7 Z -7 -W2 -311-7 4q2 9693
City State Zip Phone /Cell Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his DesignaWd Agent
Based on the Inspector's comments and informati . n submitted, the above removal application is:
❑ Approved as Submitted CApproved- Modified as Noted Above ❑ Denied
n
Signed-�- Date: lo k,
Community Deve pment Co rdinator or Designee /Inspector Valid for sixfnonths from the date of issuance.
1362.0001 -GC White - Planning & Development Services Yellow - Applicant Rev. 2-03
m
m
090twilism-
2x2 VERTICAL
WOOD STAKES
lx4 HORIZONTAL CROSS
WOOD MEMBER OF
APPROVED SUBSTITUTE
DETAL
NOTES:
1, ALL Vw001) SH'XI- BE SPRUCE OR PINE--NOT PRESSURE TREATED.
2 CROSS TIES FHALL NOT CROSS OVER WOODY ROOTS,
1 REMOVE ALL STRING &/OR WIRE WRAPPED AROUND TRUNK.
4, REMOVE ALL STRAFS, ROPES, WIRE, &/OR STRINGS USED TO LIFT THE ROOTBALL. 9o.
5. REMOVE All BURLAP &/OR WIRE FROM THE TOP OF THE ROOT RA-L.
C. TOP OF ROCOIBALL GO BE SET 2' BELOW FINISH SURROUNDING FINISH GRADE,
2"X2"X4' '
2' 2'X4" CROSS MEMBER
2-2.5'DRY'hALL S(
29
D AND LOOSENED
fE SOIL 8ACKF1E__._.__-'
? "X2'X4" STAKE
TREE PLANTING DETAIL
77
3 10 5 TWIES THE WIDTH
OF THE ROOTBALL
12
_- MULCH 3" FROM TRUNK
'_N#,fJLCH 3' DEPTH
,,-TILLED AND LOOSENED
NATIVE S(FL BACKFILL
FERTIUZER TABLETS
AS SPECIFIED, PLACE
UNIFORMLY AROUND
—ROOT MASS BETWEEN
MIDDLE AND BOTTOM
-OF ROOT MASS
UNDISTURBED SOIL
—2-2"X4" STAKE W/
LONG TAPER WNW I8'
INTO UNDISTURBED
S01
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PLANT SPACING DETAIL (SECTION)
N.T.S.
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- - ----------
ORIGINAL DATE:
05.98.05
0S'JEL0PVFtjj 5E vlop$ oL
01 OF I CA 1*�A
TV
SHEET
ISSUED FOR PERMITTING ONLY
6
OF 6
LEGAL DESCRIPTION:
I N 0110
SECTION 12, TWP 29 S., RGE. 15 E.
X70'7"
X74,0,3 72.8
10
NOTES.-
T
#2110 DREW
LEGEND
Cluster 72.6
ADJACENT
STRUCTURE
(C)
= Calculated Data
EIP
= Edge of Pavement
P.S.
= Plat Book
Average Did.
FINISHED FLOOR = 74.50
(R)
= Radiai Line
EL
= Elevabon
POP
= Permanent Control Point
F1 q 518
(D)
= Data per Description
EOW
= Edge of Water
PG(s)
= Page($)
SYMBOLLEGEND
(M)
(P)
= Measured Data
= Data per Plat
FOR
FCM
= Found Iron Rod PA Cap
= Found Concrete Monument
PLS
POB
= Professional Land Surveyor
= Point of Beginning
M = Water Meter
19
L r[,_1_
+/-
= Plus or Minos
FIR
= Found Iron Rod
POC
= Point of Commencement
= Fire Hydrart
A/C
= Air Conditioner
FND N&D
= Found Nail & Dsc
Pip
= Power Pole
cDo = Utility Pole
TREELEGEND
RTIFIED TO:
BWfF
= Bar ire Ferre
FOP
= Found Open Pipe
PRM
= Permanent Reference Monument
= Guy Anchor
OREIL
= Condominium net Book
FPIAH
= Florida Power Co. Marrinde
PVC/F
= Plastic Fence
oa = Water Valve
BRADLEY CONSTRUCTION CO. INC.
C/C
= Covered Concrete
FPP
= Found Pinched Pipe
R
= Radius
= Sign
A
JACARANDA
OLD REPUBLIC NATIONAL TITLE INSURi
cis
= Concrete Slob
G.I.
= Grate ElevaLon
RM
= Right-of-way
C = Sanitary Manhole
C/SW
= Concrete Sidewalk
GV
= Gate Valve
RCP
= Reinforced Concrete Rue
= Drainage Manhole
OAX
CBS
= Concrete Bock Structure
HYD
= Fire Hydrant
S N&D
= Set Nail & [)!so PL842605
= Grease Trap
0
EL STATEMENT:
CIP
= Cast Iron Pipe
I.E.
= Invert Elevation
SIR
=Set Iron Rod & Cap PLSP2865
= Spot Elevation
_QD2__
THIS STRUCTURE APPEARS TO BE IN FLOOD ZONE
REWS
CL
= Centedhe
LB
= Corporate Certificate Number
SMH
= Sanitary Manhole
= Lightpole
13
PALM
'X", ACCORDING TO THE FLOOD INSURANCE RATE
J.S.B.
CLIF
= Chaintink Fence
LP
= Light Pole
TOB
= Top of Bank
0, = Well
MAP COMMUNITY PANEL NUMBER 125096 0109 H.
DRAWN 8Y` DA TF:
C,O,
= Clearrout
M,0.1_
= More or Less
TOS
= Toe of Slope
= Centerline
0
MAGNOLIA
MAP REVISED DATE MAY 17, 2005. PROVIDED BY
CLP
= Concrete Ught Pole
MES
= Mitered End Section
UP
= Utility Pole
= Handicap
THE FEDERAL EMERGENCY MANAGEMENT AGENCY.
CMP
= Corrugated Metal Pipe
MLP
= Metal UghtPole
WIF
= Wood Fence
A = Floodlight
Curio.
= Concrete
NIC
= No Cap
Wk!
= Water Meter
0 = Cleanout
CHECKED 8} ° D.J.E. SCALE
A
= Delta Angle
NFNS
= Not Found and Not Set
WV
= Water Valve
M = Power Box
D.B.
= Deed Book
(NR)
= Not Radial
D/W
= Driveway
O.R.
= Official Record Book
DMH
= Drainage Manhole
OHW
= Overhead Wres
JOB NO. 3681