41 DEVON DRSEai "��r CITY OF CLEARWATER s PLANNING & D
Q TREE REMOVAL PER
9�4rERE��
(tLOPI ENT SERVICES`
111T `i
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NAME OF OWNER Q �'t'1 e
iV
OWNER'S AD RESS 3C� .'f��%,' �' L-�ocf
PHONE 09) 7 7 99
SITE ADDRESS se6'l
LOCATION OF TREE(S) ON LOT Sc� og /.v S
SPECIES AND NUMBER OF TREE(S) 4 (52 ��/ X &66e/ awcP w,Wbg
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.
-Permit #
-See "A" below
• Hazardous
• 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 L 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.
OVAL:
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 amt e representation of all facts concerning the proposed removal of the tree(s). Any deviation
from th .9 permit issue r6fl render it null and void and be considered a violation of the Community Development Code.
Signat f owner or applicant Printed Name
100- Cli 0, P Cif/
Address Agen6y Representing OCL #
C tC,Vr4V,- cam f=/ 337sB 7)-'7- 7z 7 -
City State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Inspector's Comments
Required Replacement Trees:
Applicable Code Section: 0
Based on the Inspector's comments and information submitted, the above removal application is:
Approved sus Submitted JApproved- Modified as Noted Above , ❑ Denied
Signed: V V1,11 Date: i A010
Communi Developm nt Coordinator or Designee /Inspector Valid for ix m nths from the date of issuance.
1362.0001 -GC White - Planning & Development Services Yellow - Applicant Rev. 4 -01
•
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S
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KEY
® Beach Sunflower
0 White Fountain Grass
OSandarkwa Viburnum
• Cabbage Palm
Live Oak
PLANT MATERIAL SCHEDULE
2C
20'
20'
20'
Typical
H A M D E N D R I V E
SYM.
QUAN.
BOTANICAL NAME
COMMON NAME
SECIFICATI
HD
260
Helianthus debiles
Beach Sunflower
MIN. 4" LINERS; 8 " -10" HT.; FULL; 18" O.C.
QV
1
Quercus virginiona
Live Oak
MIN. 14' O.A. HT. X 6' SPD.; 3" D.B.H.; B &B
SP
27
Sabol palmetto
Cabbage Palm
MIN. 3'X3' ROOT BALL; 12' -24' O.A. HT.; NO BOOTS,
STRAIGHT CLEAR TRUNKS; O.A. HTS. AS NOTED ON PLAN; 8' O.C.
PS
258
Pennisetum setaceum 'White'
White Fountain Grass
MIN. 1 GAL., 14" HT; FULL; 24" O.C.
VS
125
Viburnun suspensom
Sandarkwa Viburnum
MIN. 3 GAL.; 18 "X18 "; 36" O.C.
SOD
N/A
Stenotophrum secondatum ' Floritam'
Floritam St. Augustine
SOLID SOD, BUTTED & ROLLED
QUANTITY TO BE DETERMINED BY CONTRACTOR
RECORD DRAWINGS
SURVEYED BY TDRAWN BY
REVIEWED BY
PROJECT ENGINEER DATE
APPROVED BY
CITY ENGINEER MICHAEL D. QUILLEN. P.E. i 33721 DATE
Grate inlet
Grate 3.18
Inv 12" RCP S 1.30
Inv 12" RCP N 1.20
SOD
W
Z
O
W
0
o' _ 10' 20'
SCALE: 1" = 10'
GRAPHIC SCALE (IN FEET)
L A`1 la SCALE PI_.AN
APPROVED AS NOTED
Date— � � � oS
By .__� - -i kat W
lantts' -!phlj rnv t he properly instalieti
11 i t approved l;'. a l: cr to C 0 1juspection.
Rei;.upeztien fcea are mandatory.
ANY CHANCES IN SPECIES, SPECIFICATIONS, OR
DES!CNWITHOUf THE CONSENI OF THE P!ANN!NG
C?'I ='r i. �� REM ERS P F N APPROVAL V00,
AL t LANDSCAPING TO BE PROTECTED FROM
VEHICULAR OR PEDESIR!AN TRAFFIC BY A WNIVIUNI
SIX INCH HIGH CURBING OR WHEEL STOPS,
ALL AREAS BETWEEN STREET PAVEMENT AND
PMKING LOT TO BE TURFED OR RECEIVE
OMER LANDSCAPING TREATMENT.
I�
I�
v
N
O
r—i + —1 12" RCP
Z _ —
Grate Inlet
Grate 3.03
Inv 12" RCP N 0.90
Inv 10" VCP W 1.00
. . n•- nnn c n SAC.
I (�; - -�'� 1 INVESTIGATE DRAWN BY
t1000 ,1. �� ` CITY OF CLEARWA'1 ER, FLORIDA BE OAVATE BVD
J SCALE N/A
PUBLIC WORKS ADMINISTRATION CALL LOCAL PUBLIC DEVON DRIVE PARKING L O T
ENGINEERING UTILITY NOTIFICATION HORIZ. 1 " =10'
100 S. Myrtle Ave. CENTER CONCEPTUAL LANDSCAPE APPROVED FOR
TOLL ' �ATCA �(�►V
1-800-432-4770
REVISION BY DATE �.,G „�,,�,' Clearwater, F1 33756 MIN. HOURS BEFORE CONSTRUCTION
w
DESIGNED B
SU E ` y ` 00.11
0`G1�C
DATE ORAWiJ° AA� ,$
CITY ENGINEER
-lk
7
ED BY CONTRACT NO.
05- 0046 —EN
�0�,, 575 JOB NO. 2005039
SHEET NO.
„,,;dndscope 7 OF 8
P.E. 111 33721 DATE
41 Devok D. PAI lo'}
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