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525 DRUID RDTREE REMOVAL APPLICATION FORM N� 08968 N2 � NAME OF OWNER: lbr F)f I'O A fs .j IS In of-�/ Fee Rec. $ �f SOS- I • LOCATION OF ORK't I-V�ca� Rec. By: Clearwater, FI. Rec't # o e l 4,06 REQUIRED REPLACEMENT TREES PERMIT TO REMOVE TREE (S) �, N® .08968 NAME OF OWNER L-. t-Na' 15 u�- OWNER'S ADDRESS f5_10 Dc-Old QUA FOR REMOVAL: � o struction t16� . 110" 34w(o PHONE - YdiillJ" '?qq4 � El Hazardous LOCATION OF TREE (S) try 0.N ��Dar— l/la 10-� ❑Dead Dying ❑ Other - (Specify) LOCATION OF TREES ON LOT SPECIES AND NUMBER OF TREE (S)-:.- 17.CQr TO APPLICANT: A non - refundable three dollar ($100) fee' is re Fee Rec: $ quired for each tree ,requested to be. removed Rec't• # 02 & lPd r? PLEASE READ AND SIGN: 1. On New construction, additions, or other modrficat+ons O(a, property which requires the removal or relocation of a protected tree(s) (Larger than 4" in diameter at 41/2 ft. above grade) a S+te;Plan is.regwretl ,.When removal is reque; ted for construction purposes, the Site Plan must have a minimum scale of 1 ":0' for single. family lots or 1.7. 30 for multi-fam+ly commercial orandustrial sites. The Site Plan must show: 1. Major Changes of Grade 9 z:All Easements -aiid R+ghts'6f =Way 2. Structure Locations 10. All 'Protected Trees Including: 3. Driveways and Walks i A. Drameter (DBHf at 4 >>x ft above grade 4. Parking Arrangement (if any), B;Location (Surveyed) 5. Required Number of Parking Spaces C: Species 6. Proposed Number of Parking Spaces` D; Any Disease6br Insect 9nfested Trees 7. Underground Utilities to be installed r' E: Designate Trees Requested to be:- Removed 8. All Setbacks per Zoning 2. Protective Barriers are required around all trees r`emaming pn site during construction These;barricadesinust remain intact during construe tion as a citation will result if they-09 not remain <standing and functional- Protective= Barnersmust meet•CdySpecifications per City Ordinance. 3. The replacement (Planting) of trees (Minimum tit `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 number of trees required when the approved permit is returned t'o you x I hereby certifiy that as property owner or es representative of the property owner l have verified that the'iree(s) sought to be removed is wholly on property owned by the above - identified grope -4, er and sho_ uld d appear to' 6 ?determ ned that t#' tree(s)' -are located wholly or partially on property owned by some other person, then, I,agree to hold the City of Clearwater tiarmless.in any cla+ 'made for wrongful removal of such tree(s). I hereby certify that this application,toge.ther 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 eonsidered a violation'�bf Ordinance 1623, Section 23A, Code of Ordinances. Signature of Applicant if not owner r Printed Name Agency 'Representing & Phon Signature 'of Owner e.o, bo :21 W s g t ;,;.: Date Received Address U I i Called /Mailed i01�AQY% tVWA.S Ol. h'_:?.'. PICKED UP City 6 State REQUIRED:.- REPLACEMENTS DO NOT WRITE BELOW TtF1'S)LINE — Not Valid Until Sigg6d Bra City Manager or his Designato4 Agent _ Recommended Replacement Trees Required Replacement ".�ii� /t /��r� / / / / / /L� /_'���� /mil %Jtf ///,�1%//.�' Based on the Inspector's comments and information submitted, the above removal application is: ❑ Ap rovg`d As Sub m• d A �pproved — Modified As Noted Above 11 Denied Signed: Date: City Manager or D ignee� -��r�- i�� APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER PUBLIC WORKS DEPARTMENT ENVIRONMENTAL MANAGEMENT (813) 462 -6747 DATE e; / ,2% 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 400 Ft East Ft Harrison On Southsi de nru; d Roan 2. Project Name Dr. Brian Salisburg Parking Lot 3. Purpose of clearing and /or grubbing Build Parking Lot 4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed ditches, canals, and swales) Area Is All Tall Grass With One Five Inch And One Eighteen Inch Oak Tree, Existing Ditch Along West Property Line 5. Proposed method of debris disposal Haul To Dump R 7 Date you plan to begin work When Permit In Hand Proposed method of soil erosion control ❑ No -Tree Verification Required Silt Screen R9 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 / ^GQ- 8`ii —I5 Signature of Owner or Owners Representative Tina M. Franke Printed Name P.O. Box 21 Address Tarpon Springs, FLA 34688 City State Zip Wayne's Paving Inc. 920 -7828 Representatives' Firm Telephone Subscribed nd Sworn before me this day of a 192. Signature of Notary NAME OF NOTARY( ^, I e. J f e- I% `P 1 Z!10 46— COUNTY sTxr FLORIDA lirQfl. XP. NOV.29.1993 COMMISSION EX ThR� i;.s t IgA1. I1tS. WID. 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 Conents ,Z�/� /G �/ G.�%� S � //l/� aw 9'Z Based on the above comments and information submitted, the above removal application is: ❑ Approved As Submitted Approved — Modified As Noted Above ❑ Denied Signed: Date: City Manager or Designee] Rev. 9/87 White — Applicant Yellow — Environmental Pink — Inspector 1 ` fig j 2, S Ynca\o S�eCS ^- �fi• ) e�t►a ,-file i v���. i ��Ct t3f' � � � o�. �c � �� R-d. , �ci yr PP No, "I'[1 IL-7 Q) Cij C7) cn 0 0 b 00 525 dmAc ftoad W 5allz,6u% E, m I COSTR(UCT.48)' CONRETE SITE BENCH MARK �u W , Bo CABLE FENCE TO EXISTING GRATE _C 77OA/ 16 CD n BE REMOVED BY TOP EL. 33.50 SE 0 WNSHIP 29 E 15 EAST 4-0' TYPICAL T , RANG OTHERS. F X I '�� Ti ri w, D INVERT Fl. 29.94 /PRIVET HEDGE rn I A I r-1 I A e-% "% 0'% 1 1 A 1 *7-c - F-1 -% r"A 1 P'% A mfitigr3s] As alar'lls MAIRI COMPACTED LIMEROCK iUB - BASE COMPACTED EARTH -T-4, 95% r'ROCTOR DENSITY 2 STRANDS NO. 12 GAL WIRE EARTH SAUCfR MN.rX 7' STAKES PERMIT HANDICAP PARKING DATR. JU NE 8,1992 L) TREE PLANTING DETAIL __..._132.0 -_-- 1 1/2- AND OVER SURFACE WATER FLOW DRUID ROAD TRAFFIC FLOW FILE No. SHALL BE COVERED BY MULCHES SUCH AS STRAW, WAY, FILTER FAB JIG, FA B i , ADD CONTRACTOR NOTE, CHANGE SIDE SLOPE, PROVIDE HEAVY LINE AROUND AND SOD, OR SOME OTHER PERMENENT VEGETATION AFTER FINAL GR.. F ER FINAL G I t L T P 0 0 'J)f;7� ESTABLISHED ON ANY PORTION OF THE PROJECT SITE, THAT PORnO E:` TI 1) f r PRO"T SITE SHALL BE PROVIDED WITH ESTABLISHED PERMENENT SOIL STAP_ CLEARWATER, FLORIDA 34624 LARGO, FLORIDA 34640 L CCA 770#V FIM BOOK PAGE No.: PARKING LIMITS REVISED SKIMMER ELEVATION PROVIDE DISCHARGE PIPE ELE JASMINE 813-- 585 0812 STOCKPILES SHALL BE PROTECTED AT ALL TIMES BY ON-SITE DRAINAGE' CHANGE PARKING LOT ELEV. AT S CORNER. 4 STAKES REQUIRED OF DUST FROM STOCKPILES MAY BE REQUIRED, DEPENDING UPON THEIR 0 REMOW BURLAP TOP 1/3 LOCATION AND THE EXPECTED LENGTH OF TIME THE STOCKPLIE WILL BE 2' CYPRESS MULCH MAGNOLIA DRIVE > SEDIMENT TRAPPING MEASURES: SEDIMENT BASINS AND TRAPS, PERIMETER BERMS, FILTER FENCES, BERMS, SEDIMENT BARRIERS, VEGETATIVE BUFFERS AND OTHER MEASURES INTENDED TO TRAP SEDIMENT AND/OR PREVENT THE c TRANSPORT OF SEDIMENT ONTO ADJACENT PROPERTIES, OR ONTO EXISTING WATER BODIES, MUST BE INSTALLED, CONSTRUCTED OR IN CASE OF z VEGETATIVE BUFFERS, PROTECTION FROM DISTRIBANCE, AS A FIRST STEP IN THE LAND ALTERATION PROCESS. '"�')RKING IN WATERWAYS: SILT CURTAINS OR OTHER FILTER SILTATION REDUCTION DEVICES MUST BE INSTALLED ON THE DOWNSTREAM SIDE OF THE IN-CHANNEL ALTERATION ACTIVITY TO ELIMINATE IMPACTS DUE TO 0 SWALES AND RETENTION AREAS: RETENTION AREA BERMS AND BASINS TO z BE ESTABLISHED AT ONSET OF PROJECT. ALL INTERIOR SWALES, ETC., INCLUDING DETENTION AREAS WILL BE SODED. THE CONTRACTOR WILL BE REQUIRED TO PROHIBIT DISCHARGE OF SILT THROUGH THE OUTFALL LAKEVIEW ROAD 2�� REQUIRED TO CLEAN OUT THE DETENTION AREA BEFORE INSTALLING ANY PREMANENT SUBDRAIN PIPE. mfitigr3s] As alar'lls MAIRI COMPACTED LIMEROCK iUB - BASE COMPACTED EARTH -T-4, 95% r'ROCTOR DENSITY 2 STRANDS NO. 12 GAL WIRE EARTH SAUCfR MN.rX 7' STAKES TREE STAKING DTAIL ALL NEW TREES SHALL BE 6' HIGH AND 1 1/2' CALIPER fJh'F PARt"T 'OH: (0WHFR) r i V v //Rt 2/3 DRIP LINE HARDWOOD TREES . LEGENI:DD-- PERMIT HANDICAP PARKING DATR. JU NE 8,1992 SILT SCREEN TREE PLANTING DETAIL __..._132.0 -_-- 1 1/2- AND OVER SURFACE WATER FLOW 1520 CHATFAU WOOD TRAFFIC FLOW FILE No. SHALL BE COVERED BY MULCHES SUCH AS STRAW, WAY, FILTER FAB JIG, FA B i , ADD CONTRACTOR NOTE, CHANGE SIDE SLOPE, PROVIDE HEAVY LINE AROUND AND SOD, OR SOME OTHER PERMENENT VEGETATION AFTER FINAL GR.. F ER FINAL G I t L T P 0 0 'J)f;7� ESTABLISHED ON ANY PORTION OF THE PROJECT SITE, THAT PORnO E:` TI 1) f r SITE SHALL BE PROVIDED WITH ESTABLISHED PERMENENT SOIL STAP_ CLEARWATER, FLORIDA 34624 LARGO, FLORIDA 34640 DRAWN BY- FIM BOOK PAGE No.: PARKING LIMITS REVISED SKIMMER ELEVATION PROVIDE DISCHARGE PIPE ELE 813 ---- 536 5843 813-- 585 0812 STOCKPILES SHALL BE PROTECTED AT ALL TIMES BY ON-SITE DRAINAGE' CHANGE PARKING LOT ELEV. AT S CORNER. 4 STAKES REQUIRED OF DUST FROM STOCKPILES MAY BE REQUIRED, DEPENDING UPON THEIR REMOW BURLAP TOP 1/3 LOCATION AND THE EXPECTED LENGTH OF TIME THE STOCKPLIE WILL BE 2' CYPRESS MULCH TREE STAKING DTAIL ALL NEW TREES SHALL BE 6' HIGH AND 1 1/2' CALIPER fJh'F PARt"T 'OH: (0WHFR) r i V v //Rt 2/3 DRIP LINE HARDWOOD TREES . LEGENI:DD-- 2/3 DRIP LINE FOR HARDWOODS DRIP LINE AND FULL_ DRIP LINE FOR PINES OR 6 FOOT WITH EVER IS LARGER PINE AND EVERGREEN TRE-1 ES 1 NOTE TO CONTRACTOR- \111�� E[\I(',II"JEER- RICHARD WASILIEWSKI PE PERMIT HANDICAP PARKING DATR. JU NE 8,1992 SILT SCREEN - -32.0 _11 FINISN GRADE __..._132.0 -_-- CONTOUR ••• ?:c SURFACE WATER FLOW 1520 CHATFAU WOOD TRAFFIC FLOW 2/3 DRIP LINE FOR HARDWOODS DRIP LINE AND FULL_ DRIP LINE FOR PINES OR 6 FOOT WITH EVER IS LARGER PINE AND EVERGREEN TRE-1 ES 1 NOTE TO CONTRACTOR- \111�� E[\I(',II"JEER- RICHARD WASILIEWSKI PE F',_JRVEYOR: _U�ENE S. CAUDELL DATR. JU NE 8,1992 FUID BOOK No�: No. REVISIONS DESCRIPTION Ft,JGH'flER [10. 15586 SURVEYOR NO.2311 ••• ?:c E;� OWNERS TELEPHONE NO.JNDICATE BENCH MARK 1520 CHATFAU WOOD 1231 ROSEWOOD STREET FILE No. SHALL BE COVERED BY MULCHES SUCH AS STRAW, WAY, FILTER FAB JIG, FA B i , ADD CONTRACTOR NOTE, CHANGE SIDE SLOPE, PROVIDE HEAVY LINE AROUND AND SOD, OR SOME OTHER PERMENENT VEGETATION AFTER FINAL GR.. F ER FINAL G I t L T P 0 0 'J)f;7� ESTABLISHED ON ANY PORTION OF THE PROJECT SITE, THAT PORnO E:` TI 1) f r SITE SHALL BE PROVIDED WITH ESTABLISHED PERMENENT SOIL STAP_ CLEARWATER, FLORIDA 34624 LARGO, FLORIDA 34640 DRAWN BY- FIM BOOK PAGE No.: PARKING LIMITS REVISED SKIMMER ELEVATION PROVIDE DISCHARGE PIPE ELE 813 ---- 536 5843 813-- 585 0812 STOCKPILES SHALL BE PROTECTED AT ALL TIMES BY ON-SITE DRAINAGE' CHANGE PARKING LOT ELEV. AT S CORNER. CONTROLS WHICH PREVENT EROSION OF THE STOCKPILE MATERIAL. CONTR16'C',,,-- CKECKED BY: F-L S C. OF DUST FROM STOCKPILES MAY BE REQUIRED, DEPENDING UPON THEIR ELEV. 33.50 O ELEV. 32.24- ma ba aul PROVED ALUMINUM SKIMMER OUTFALL STRUCTURE MODIFIED TOP SET ELEVATION 33.50 TYPE J INLET (SLOT) SET BOTTOM AT ELEV. 31.74 /15 IMPROVEMENT PLAN I L ------ SCALK SHEET No. I OF I T, EA EROSION AND SIL TA 77ON CONTROL /7 0 F ••• ?:c STABILAZATION OF DENUDED AREAS: DURING CONSTRUCTION, DENIUDED�.A4 *00 I —A �TER SHALL BE COVERED BY MULCHES SUCH AS STRAW, WAY, FILTER FAB JIG, FA B i , AND SOD, OR SOME OTHER PERMENENT VEGETATION AFTER FINAL GR.. F ER FINAL G I t L T P 0 0 'J)f;7� ESTABLISHED ON ANY PORTION OF THE PROJECT SITE, THAT PORnO E:` TI 1) f r SITE SHALL BE PROVIDED WITH ESTABLISHED PERMENENT SOIL STAP_ MEASURES® WIAETHER BY IMPERVIOUS SURFACE OR LANDSCAPING, PROTECTED AND STABLIZATION OF SOIL STOCKPILES: FILL MATERIAL STOCKPILES SHALL BE PROTECTED AT ALL TIMES BY ON-SITE DRAINAGE' CONTROLS WHICH PREVENT EROSION OF THE STOCKPILE MATERIAL. CONTR16'C',,,-- OF DUST FROM STOCKPILES MAY BE REQUIRED, DEPENDING UPON THEIR LOCATION AND THE EXPECTED LENGTH OF TIME THE STOCKPLIE WILL BE PRESENT, SEDIMENT TRAPPING MEASURES: SEDIMENT BASINS AND TRAPS, PERIMETER BERMS, FILTER FENCES, BERMS, SEDIMENT BARRIERS, VEGETATIVE BUFFERS AND OTHER MEASURES INTENDED TO TRAP SEDIMENT AND/OR PREVENT THE TRANSPORT OF SEDIMENT ONTO ADJACENT PROPERTIES, OR ONTO EXISTING WATER BODIES, MUST BE INSTALLED, CONSTRUCTED OR IN CASE OF VEGETATIVE BUFFERS, PROTECTION FROM DISTRIBANCE, AS A FIRST STEP IN THE LAND ALTERATION PROCESS. '"�')RKING IN WATERWAYS: SILT CURTAINS OR OTHER FILTER SILTATION REDUCTION DEVICES MUST BE INSTALLED ON THE DOWNSTREAM SIDE OF THE IN-CHANNEL ALTERATION ACTIVITY TO ELIMINATE IMPACTS DUE TO INCREASED TRIBIDTY. SWALES AND RETENTION AREAS: RETENTION AREA BERMS AND BASINS TO BE ESTABLISHED AT ONSET OF PROJECT. ALL INTERIOR SWALES, ETC., INCLUDING DETENTION AREAS WILL BE SODED. THE CONTRACTOR WILL BE REQUIRED TO PROHIBIT DISCHARGE OF SILT THROUGH THE OUTFALL STRUCTUTRE DURING CONSTRUCTION OF ANY DETENTION AREA AND WILL BE REQUIRED TO CLEAN OUT THE DETENTION AREA BEFORE INSTALLING ANY PREMANENT SUBDRAIN PIPE. THE OWNER SHALL HAVE THE RESPONSIBILITY OF THE MAINTENANCE 1. REMOVE ALL DEBBRIS THAT MAY ACCUMULATE IN THE AREAS, SWALES AND OUTFALL CONTROL STRUCTURES. 2. MOW GRASS WEEKLY OR AS REQUIRED AND REMOVE THE CLIPPINGS. 3. CHECK THE RETENTION AREAS AND DRAINAGE SYSTEM DURING AND AFTER A MAJOR STORM EVENTS TO INSURE THE SYSTEM IS PREFORMING. NOTE TO CONTRACTOR: EROSION CONTROL MEMPES RE'�UIRED EROSION CONTROL MEASURES MUST REMAIN INTACT THRUOGHOUT CONSTRUCTION. FAILURE TO INSTALL OR PROPERLY MAINTAIN THESE BARRICADES WILL RESULT IN ENFORCEMENT ACTION WHICH MAY INCLUDE CITATIONS, AS PROVIDED BY ORDINANCE #90-17, AND CHAPTERS 40-4 AND 40D-40,F.A.C. INTIATION OF CIVIL PENALTY PROCEDURES PURSUANT TO SECTION 373,129,F.A.C., CAN RESULT IN A PENALTY NOT TO EXCEED S 10,000 PER OFFENSE WITH EACH DATE DURING WHICH SUCH VIOLATION OCCURS CONSTITUTING A SEPERATE OFFENSE, /15 IMPROVEMENT PLAN I L ------ SCALK SHEET No. I OF I T, Certified as a true and correct copy. On June 24, 1993, the Development Review Committee approved an amendment to the certified site plan for Dr. Salisbury's Parking Lot. Qklf{ Witness my hand alrld4er eal'e6V�� e City of Clearwater, Florid �o this 1 th day! 0OAugust, o •,' "' t . Ott„ 1993. I be*ty C tq ark C nditions #4a E ; "E%7 and ,hove peers °�riet "7 Su 'ect to foll&wAg' diti ns. ► ®.+ o4 1. Signs arfd, fer C)AgAw@ps4°a� ,subject to separate re,6%w Ad percrE tting`ptocesses. 2. The requisite i36IGlln ► 4t'st�lI's must be procured within one (1) year from the date of certification of the final site plan and all requisite certificates of occupancy must be obtained within three (3) years of the date of certification of the site plan. 3. The related final plat shall be recorded within one (1) year from the certification date of the preliminary plat or prior to issuance of a certificate of occupancy, whichever comes first.