1100 DRUID RD0 S``�`•' CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
99� o�° TREE REMOVAL PERMIT
NAME OF OWNER Lix ��w4fj_�Z i o d51,i t 4Vr"0?4 rry
SITE ADDRESS //00 y '2v 1b P->> 0 LFATz 61,44
PHONE ( y 1 - s -9 ?--7-
OWNER'S ADDRESS 9 0 e, car vt v1,Jr> ;r- c c�� "�+ ��-�
LOCATION OF TREE(S) ON LOT 1-21 12FLf 1-4 ir.} F,Zc3ri r OF L-D ca.
SPECIES AND NUMBER OF TREE(S) PA Lxm -
CwC, rr->N�
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.
REASON FOR REMOVAL:
Construction
See "A" below
• 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 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 the Community Development Code.
re of o=f�_ licant Printed Name
acv 1�> �„1LL3 k12T i SDaJ a�S�Y�� oeJ x /tilt
Address Agency Representing OCL #
2-k y e7ay i L--k/ i` L 33 .S 2 i
City State Zip
DO NOT WRITE BELOW THIS LINE - Not Valid Until
Phone/Cell Fax
ned By City Manaaer or his Designated Agent
Applicable Code Section: J — iz
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved as Submitted °Approved - Modified as Noted Above ❑ Denied
Signed: Date: Z S D
Communi Developme t Coordinator or Designee /Inspector Valid for si montfls from the date of issuance.
1362.0001 -GC White - Planning & Development Services Yellow - Applicant Rev. 2-03
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CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
a TREE REMOVAL PERMIT °S
NAME OF OWNER (,f/. &/1Xk)A7E K 't11)V5rJ b-
OWNER'S ADDRESS 100 Cf,C V E4 A1V D `AZT kr6rA Z
PHONE 7 'i - O
SITE ADDRESS R o i n
LOCATION OF TREE(S) ON LOT
SPECIES AND NUMBER OF TRE $ A
at > rrZl oc
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.
REASON FOR REMOVAL:
yConstruction
• Permit #
-See "A" below
*Hazardous
0 Declining
❑ Dead
❑ Other (Specify)
Fee Recd
Receipt #
A) CONSTRUCTION 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 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: 12' overall height, 4" 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 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 th ermit issued shall r ' null and void and be considered a violation of the Community Development Code.
E16 P14EN Rbo
Signature owner or applicant Printed Name
Address Agency Representing OCL #
17 C-L-EM, io 1q7_C_k rt- �; 3 ?�� -
City State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
ment
Applicable Code Section:
•
s
•
it
0
Based on the Inspector's comments and information submitted, the above removal ap lib' 6h' J''+ EN t -9 ERViGES DEPT
_ _`: `.'.._ �.)F t:;!_EARINATER
❑ Approved as Submitted &,Approved-Modified as Noted Abo e a
Signed: ' Date:
Community evelopmen Coordinator or Designee /Inspector Valid for six 6nths from the date of issuance.
1362.0001 -GC White - Planning & Development Services Yellow - Applicant Rev. 4 -01
'leprocluction of this drawine in whole or in part is not permitted
he written permission of Marearet Moore Landscape Flanniri!@ and Deslen
1
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REUVE I,, I 34
A IN ����� sacs LM -F-16 24' �
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to etT1c in
to rim in f
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TOTAL FHA5E
QUANTITY 1 2
1L UM '''>''" AND 5FECIFICATION
K Y 50TANICAL NAME COMMON NAME 5FECIFICATIONS
00
50
-
ANN
ANNUALS
Impatiens
4' pots, red, pk, lay. pure. salmon
11
1 i
-
C
CYCUS REVOLUTA
King Sago
-1 Coal., 24 - 30' spread, full, uniform
-
40
CT
CORDYLINE TERMINALIS
T1 Plant
3 Ga I., multi stock Insta II 4' O.C.
145
140
5
DV
DIE TES VEGETA
African Iris
I Gal., full, uniform, I a' O.G.
3
-
3
G
GARDENIA ENIA JA5MINOIDES
Gardenia
-1 Gal, 3' full
30
4
2 r
LCA
LANTANA LAMA
Lantana
1 Gal., full uniform pots, lavender, I a' O.C.
ro4
co4
-
LCA
LANTANA CAMA A
Lantana
1 Gal., full uniform pots, red, 1 a' C.C.
14
1 2
2
LJ
LIGU5TRUM JAPONICA
Ligustrum Tree
& x &, multi - trunk, full -head, matching ti
31 2
31
2i5
LM bb
LIRIOPE MUSCARI, Big Blue
Liriope 'Big Blue'
1 Goal., full, clean pots, I a' O.C.
395
312
23
PC
FLUM5AG0 CAPEN515
Plumbago "Imperial Blue'
3 Coal., Iro - la', full, uniform, 'imperial blue', 3' O.G.,
1,350
1,350
-
PL
PENTA5 LANCEC}LATA
Pentas
4' pots, rose, pinky pure, lav, red, I a' O.G.
Po
ro
-
_FR
PHOENIX ROE5ELENII
Pygmy bate Palm
Triple, Trunk Triangulation, 4 1/2' -5' OA, matching
490
31,71
1,13
PS
PHILODENDRON SELLOUM
Selloum
3 Gal., 20 - 24' uniform, deep green, 4' Q.G.
252
252
-
USSELIA EQUISETIFORMIS
Firecracker Plant
3 Gal., lro - la' sp. red fl., 3' O.C.
53ro
lalb
41
RI
RHAPHIOLEPIS INDICA
India Hawthorn
5 Gale, lro -IS' sp. wh. fl., 3' O.G.
1 5
-
15
ROSA
ROSA spp.
Rose Bushes
3 Gal , 2 - 3', red, yel, pink, assorted col., 5' O.G.
255
233
25
RS
ROSA SINEN5I6
Hibiscus
3 Ga 1, la - 20' Red, Pink, Yel., Peach, 4' O.C.
3
3
-
RS
ROSA SINENS15 STD.
Hibiscus STD.
1 Coal., 4 - 5' Red, matching full heads
16
1 41
2
SR
5YAGRU5
Queen Palm (52)
1" OA. Green wood, fat trunk I t`
24
1 5 d
ro
ROMANZ IANUM
1 5' OA. Careen wood, fat trunk "
1 17
Q 3
I
a CO fi h _J C. l L —..—I- a YI
2
RC
24
1
54
RI
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SIUALE . svt CT G'
28 MaV
10' GV 4 R 1 (^UJR 12 "5scxrs FT 11NlCL11N1
k'i1 \ _• ®� _ — ' .p / r�s¢c -riwe ( �ESdPENt'S
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REMAIN
en`s
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PROJECT:
5AR5EE TOWERS
Fi2momm
a/V 5TEEP INCLINE
K
K K L (0
9 I/J t\
1 1/2' SLEEVE 5R K 4
(FOR WIRINS) v LIMIT OF
Al K Is L - I
2 102 ' FIFE
3/4
K
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12 4-4
LJ 2 m
0
6HEET IDE6CFIFTION:
IFFIGATION FLAN
Reproduction of this drawing in whole or in part is not permitted without
the written permission of Margaret Moore Landscape Planning and Design.
1007-im
REVISIONS--
1-11-02
DATE:
JOB #
L-)RALUN 5r: N.B.
IRRIGATION INDUSTRIES
FP: 121-126-0210
CPECKED BT-
MARGARET 1. MOORE
0
1 21 L 2' SLEEVE
---- --� 5ED LINE (FOP, WIPINC-;)
12
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