161 BRIGHTWATER DR4
CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
TREE REMOVAL PERMIT
NAME OF OWNER L�l I0001t1MyI)C�`D, _1_.. -C
OWNS 'S DRESS ,D Cog Con "Cow
PHONa7
SITE ADQR SS —
LOCATION OF TREES) ON LOT -ErO J N- C,Cn6 0 e fs ' r 0 t -9i }�
SPECIES AND NUMBER OF TREES) ca ms �f ;Zei C:
TO APPLICANT: A non - refundable fee of $15,00 for up to five trees to
be removed, plus 0100 for every tree above 5 to be
removed Is required.
REASON FOR REMOVAL:
u Construction
-Permit # - - --
•See "A" below
• Hazardous
• Declining
• Dead
• Other (Specify)
Fee Rec'd. $ —
Receipt #
A) CONSTRUCTION Date
1. For new construction, additions or other modifications of a property which involve the removal of a protected tree(;).
a site plan is required. This site plan must have a minimum scale of 1 " =20' for single family lots, or P =50' for ail others. Tha
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 0.) Diameter of 4.5' above grade (DBI -1)
c, Driveways and Walks h. Zoning Setbacks (li.) 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.
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B) REPLACEMENTS
1. Tree replacement minimum standards: 12' overall. height, 4" caliper, Florida Grade fl, 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 Clh/ -f
Clearwater harmless In any claim made for wrongful removal of such tree(s). I hereby certify that this application logs:
with any plans submitted is a true representation of all facts concerning the proposed removal of the free(s). Any devic
fro 'h permit issued s it render it null and void and be considered a violation of the Community Development C
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Signature of owner or appNQpnt Printed Name
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Address Agency Representing OCL # UJ
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City State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent Lo
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insp ctor's Comments:G° /� L � C
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l2eCiUirP,d Replacement Tract, I�
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Applicable Code Section: ✓ (� �(?? { �jj
Rased on the Inspector's comments and information submitted, the above removal opplic ti� is:M (J T Q t'J
Approved as Submitted Approved- Modified as Noted Above vv U Denied JUL 0 9 .2003
Sinned: Date*six -
omr
unity eve!cp nt Cwordinator or Designee /Inspector Valid nths f 1 l.if'I�9ES DEPT
i 3o2.t1i7� 1 -.
CITY ^ ! C L E A , � A
White . Punning & rJevelopment Senslces Yai ow - Applicant T F?
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OLEANDER
(NERIUM OLEANDER)
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IRMNGLE FOR—," PAD
ROADWAY TRAFFIC,
PER CITY
05/02/03
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CHINESE HIBISCUS
(HIBISCUS ROSA—SINENSIS)
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WOOD
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INDIAN HAWTHORNS
POWER POLE
PER CITY
300
(RAPHIOLEPIS INDICA)
3 GAL., 18" O.C.
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(LANTANA CAMERA)
1 GAL., 12" O.C.
8"
2
EXISTING CABAGE PALM
SIZE AS INDICATED
A
(TO BE SAVED)
.0
90
YEW PODOCARPUS HEDGE
3 GAL., 24" O.C.
U-) 0
PODOCARPUS MACROPHYLLUS)
28"-30" HEIGHT
TREES = ST—A & ST—B
cl CD
SHRUBS = )H—A, SH—B
GROUNDCOVER = GC—A, GC—B, GC—C
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.��pf,o'�FA L 170-D
LANDSCAPE SCHEDULE
SYMBOL QUANT. I COMMON NAME I HEIGHT/SIZE/NOTES
2 DAHOON HOLLY 10' MIN. H, 3" CALIPER
(ILEX CASSINE L.)
SPANISH CHERRY 10' MIN. H, 2-1/2" CALIPER
QW_ 10 (MIMUSOPS ELENGI) 15-20 SPACING
WASHINGTONIAN PALM 10' MIN. H, 2-1/2" CALIPER
(WASHINGTONIA ROBUSTA) 15-20' SPACING
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OLEANDER
(NERIUM OLEANDER)
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PER CITY
12/16/02
PER CITY
05/02/03
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80J
CHINESE HIBISCUS
(HIBISCUS ROSA—SINENSIS)
2' MIN.H, 3 GAL., 36" O.0
07/03/03
'j
INDIAN HAWTHORNS
08/14/03
PER CITY
300
(RAPHIOLEPIS INDICA)
3 GAL., 18" O.C.
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YELLOW LANTANA
300
(LANTANA CAMERA)
1 GAL., 12" O.C.
8"
2
EXISTING CABAGE PALM
SIZE AS INDICATED
A
(TO BE SAVED)
90
YEW PODOCARPUS HEDGE
3 GAL., 24" O.C.
PODOCARPUS MACROPHYLLUS)
28"-30" HEIGHT
TREES = ST—A & ST—B
ORNAMENTAL TREE= OT—A & OT—B
SHRUBS = )H—A, SH—B
GROUNDCOVER = GC—A, GC—B, GC—C
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SEAWALL
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'_FTCATTON-S, OR
D E I
i'N
.��pf,o'�FA L 170-D
LANDSCAPE SCHEDULE
SYMBOL QUANT. I COMMON NAME I HEIGHT/SIZE/NOTES
2 DAHOON HOLLY 10' MIN. H, 3" CALIPER
(ILEX CASSINE L.)
SPANISH CHERRY 10' MIN. H, 2-1/2" CALIPER
QW_ 10 (MIMUSOPS ELENGI) 15-20 SPACING
WASHINGTONIAN PALM 10' MIN. H, 2-1/2" CALIPER
(WASHINGTONIA ROBUSTA) 15-20' SPACING
2
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6
OLEANDER
(NERIUM OLEANDER)
5 GAL., 24" O.C.
...................
PER CITY
12/16/02
PER CITY
05/02/03
G ;'-,H—A
50
CHINESE HIBISCUS
(HIBISCUS ROSA—SINENSIS)
2' MIN.H, 3 GAL., 36" O.0
07/03/03
PER CITY
INDIAN HAWTHORNS
08/14/03
PER CITY
300
(RAPHIOLEPIS INDICA)
3 GAL., 18" O.C.
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YELLOW LANTANA
300
(LANTANA CAMERA)
1 GAL., 12" O.C.
8"
2
EXISTING CABAGE PALM
SIZE AS INDICATED
A
(TO BE SAVED)
90
YEW PODOCARPUS HEDGE
3 GAL., 24" O.C.
PODOCARPUS MACROPHYLLUS)
28"-30" HEIGHT
TREES = ST—A & ST—B
ORNAMENTAL TREE= OT—A & OT—B
SHRUBS = )H—A, SH—B
GROUNDCOVER = GC—A, GC—B, GC—C
2
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issue Date: 03/1
Revisions:
No. Date Description
...................
PER CITY
12/16/02
PER CITY
05/02/03
7/01 /03
PER CITY
A
07/03/03
PER CITY
A
08/14/03
PER CITY
A
ZA
08/20/0-3-
-PER CITY
Z\
A
•
A
09 DESIGN /DEVELOPMENT
❑ PERMITTING &BIDDING
❑ CONSTRUCTION DOCUME
THIS DRAWING IS AN INSTRUMENT OF SERVICE AND SHALL REMAW11-I'lE PROPERTY OF THE
ENGINEER, AND SHALL NOT BE REPRODVCED. PUBLtSHED OR USED IN ANY WAY WITHOUT.
THE CONSENT OF THE ENGINEER. OPYRIGHT 2001 NOT PUBLISHED
EXAFRI, P.E. 0 5
COPIES OF THESE 10LANS ARE NOT VALID `UNLESS V" A L
EMBOSSED WITH THE SIGNING ENGINEER'S, SEAL
issue Date: 03/1
Revisions:
No. Date Description
...................
PER CITY
12/16/02
PER CITY
05/02/03
7/01 /03
PER CITY
A
07/03/03
PER CITY
A
08/14/03
PER CITY
A
ZA
08/20/0-3-
-PER CITY
Z\
09 DESIGN /DEVELOPMENT
❑ PERMITTING &BIDDING
❑ CONSTRUCTION DOCUME
THIS DRAWING IS AN INSTRUMENT OF SERVICE AND SHALL REMAW11-I'lE PROPERTY OF THE
ENGINEER, AND SHALL NOT BE REPRODVCED. PUBLtSHED OR USED IN ANY WAY WITHOUT.
THE CONSENT OF THE ENGINEER. OPYRIGHT 2001 NOT PUBLISHED
EXAFRI, P.E. 0 5
COPIES OF THESE 10LANS ARE NOT VALID `UNLESS V" A L
EMBOSSED WITH THE SIGNING ENGINEER'S, SEAL
issue Date: 03/1
Revisions:
No. Date Description
10/23/02
PER CITY
12/16/02
PER CITY
05/02/03
7/01 /03
PER CITY
A
07/03/03
PER CITY
A
08/14/03
PER CITY
A
ZA
08/20/0-3-
-PER CITY
Z\
A
A
09 DESIGN /DEVELOPMENT
❑ PERMITTING &BIDDING
❑ CONSTRUCTION DOCUME
THIS DRAWING IS AN INSTRUMENT OF SERVICE AND SHALL REMAW11-I'lE PROPERTY OF THE
ENGINEER, AND SHALL NOT BE REPRODVCED. PUBLtSHED OR USED IN ANY WAY WITHOUT.
THE CONSENT OF THE ENGINEER. OPYRIGHT 2001 NOT PUBLISHED
EXAFRI, P.E. 0 5
COPIES OF THESE 10LANS ARE NOT VALID `UNLESS V" A L
EMBOSSED WITH THE SIGNING ENGINEER'S, SEAL
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