1285 FT HARRISON AVE SSEAIr>k
APPLICATION FOR LAND CLEARING & GRUBBING PERMIT
�_ CITY OF CLEARWATER
rEpF�Q� PLANNING & DEVELOPMENT SERVICES
(727) 562 -4741 DATE
RECEIPT NO.
A non - refundable filing fee of $10.00 is required. Permit applicable for 6 months from date of approval.
In accordance with the Community Development Code, I hereby apply for permit to land clear and /or grub the
property described below.
1. Location of Property: - ��� / _ L 4i-mel
2. Project Name' -Mot-tan Plans- Ho i' ark — �iT �• o
3. Purpose of clearing and /or grubbing: New Construction ❑ Demolition ❑ Tank Removal I] Other
4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed
ditches, canals, and swales) E x i ,�76 oR Gam, �2r,aca C on tii c--0' � a - ON r y p a 08
5. Proposed method of debris disposal
6. Date you plan to begin work Q 5A E
7. Proposed method of soil erosion control 5► I �- (3a t-r- i er
8. U No -Tree Verification Required E(Tree Removal Permit Required
I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 52.08, CITY CODE OF ORDINANCES REGARDING
TREE PROTECTION DURING CONSTRUCTION AND ARTICLE 3, DIVISION 7 OF THE COMMUNITY DEVELOPMENT CODE
REGARDING EROSION AND SILTATION CONTROL.
Signature of O er orQw e five
s� 7Z o
Printed Name
49 I Memo r-)a l N Wy, -#_-300
Addre,
city I State Zip
KING-
�ntGI��ER► Ivy
Representatives' Firm
813 9380 —S58I 813 BBo SSBZ
Te hoe Fbx
Applicant must include Aerial Photograph or Scaled Site Plan showing property boundaries and limits of work. This is
NOT a Tree Removal Permit.
DO NOT WRITE BELOW THIS LINE _ r
Land Resrce Comments:
Based on the above comments and information submitted, the above clearing & grubbing application is:
❑ Approved As Submitted Approved - Modified As Noted Above Q Denied
Signed:
City Manager Designee
Date: Z 0
CLEARWATER
Brian J. Aungst, Mayor- Commissioner
Ed Hart, Vice Mayor- Commissioner Whitney Gray, Commissioner Hoyt Hamilton, Commissioner
1362 - 0002 -GC White - Planning & Development Services Yellow - Applicant
Bill Jonson, Commissioner
7 -01
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S Ike '�; CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
���•r�oQ
TREE REMOVAL PERMIT
aTIat
NAME OF OWNER Morfo n Pl o.n-�- lAOSPAcam'
OWNER'S ADDRES �Z33 S. F4'. N1wrc -�So n /lye. Clearw4i-es• 3375Co
PHONE '12"1 4to $09-1
SITE ADDRESS -
LOCATION OF TREE(S) ON LOT
SPECIES AND NUMBER OF TREE(S)
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:
G'Construction
• 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 I. All easements and Rights -of -Way (ill,) Species
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e. Required Number of Parking Spaces (Iv.) Diseased or Insect Infes ed rees °®
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 t permit issued shall render it null and void and be considered a violation of the Community Development Code.
Signature of owner or appl'ic'ant Printed Name
4T2.I Memona] Hwy. �3pO �IVAG En5"Y)fa inq
Address Agency Representing OCL #
�4 rl� 33�3'�r (8�3) 83a -8881 (S13�SSo -8882
City State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Required Replacement Trees:
Applicable Code Section:
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved as Submitted kApproved- Modified as Noted Above ❑ Denied
Signed: Dater_
Communi Develop nt Coordinator or Designee /Inspector Valid for six months from the date of issuance.
1362.0001 -GC
White - Planning & Development Services Yellow - Applicant
Rev. 4 -01
TREE INVENTORY
FOR
MORTON PLANT / MEASE HOSPITAL
CLEARWATER CAMPUS
A.M.P. PROPERTY
TREE INVENTORY
FOR
MORTON PLANT MEASE HOSPITAL
CLEARWATER CAMPUS
A.M.P PROPERTY
Prepared by:
A.A.A. Tree Service of Tampa, Inc.
September 3, 2002
OVERVIEW: Wayne Smith, Certified Arborist with A.A.A. Tree Service
conducted an on site inspection of the trees as indicated on the attached
drawings. Some trees indicated on the drawings were missing and others had to
be added. The purpose of the inspection was to assess the condition of the trees
and their site contribution. Each tree was assigned a number, noted size and
vigor rating. Comments were made when deemed necessary.
INVENTORY CODE: The location number is the first listing on the left hand
column and references a corresponding location appearing on the attached
drawings. Only common names will be used. The size of the tree will be
measured at 4.5' above grade or standard I.S.A. procedures. The condition
rating will be from 0 -5 using increments of 1. The condition rating weighs many
factors, tree vigor, structural strength, insect and or disease problem, nutritional
deficiencies, species characteristics, future maintenance and site location. In
general a tree with a 3.0 overall rating is a tree worthy of preservation. 0 is
dead, 1 is not worth the expense to improve its condition, 2 is below average and
would need remedial work to improve to a rating of 3. A rating of 4 is an above
average tree and 5 is a specimen tree.
a''
Morton Plant Mease
Clearwater Campus
Tree Inventory / AMP
September 3, 2002
Number
Size
Common Name
Condition
1.
6"
Laurel Oak
2
2.
6"
Laurel Oak
3
3.
38"
Live Oak
4
4.
28"
Live Oak
4
5.
14"
Sabal Palm
3
6.
10"
Sabal Palm
3
7.
31"
Live Oak
4
8.
20"
Live Oak
4
9.
24"
Live Oak
4
10.
36"
Live Oak
4
11.
34"
Live Oak
4
12.
21"
Live Oak
4
13.
10"
Live Oak
4
14.
16"
Live Oak
4
15.
21"
Live Oak
4
16.
19"
Live Oak
4
17.
17"
Live Oak
4
18.
40"
Live Oak
4
19.
40"
Live Oak
4
20.
13"
Live Oak
4
21.
15"
Live Oak
4
22.
14"
Sabal Palm
3
23.
12"
Sabal Palm
3
24.
4"
Live Oak
4
25.
14"
Sabal Palm
3
26.
13"
Laurel Oak
3
27.
4"
Live Oak
4
28.
4"
Live Oak
4
29.
4"
Live Oak
4
30.
4"
Live Oak
4
31.
10"
Sabal Palm
3
32.
4"
Live Oak
4
33.
4"
Live Oak
4
34.
4"
Live Oak
4
35.
4"
Live Oak
4
2
Commments
Co- dominant stems
36.
18"
Washingtonia Palm
3
37.
4"
Live Oak
2
Transplanted tree has die back
38.
12"
Live Oak
3
39.
4"
Live Oak
4
40.
4"
Live Oak
2
Co- dominant stems
41.
16"
Laurel Oak
3
42.
12"
Washingtonia Palm
3
43.
12"
Washingtonia Palm
3
44.
12"
Washingtonia Palm
3
45.
9"
Laurel Oak
3
46.
10"
Sabal Palm
3
47.
6"
Laurel Oak
2
48.
11"
Laurel Oak
3
49.
6"
Laurel Oak
2
50.
10"
Laurel Oak
3
51.
12"
Live Oak
4
52.
8"
Laurel Oak
2
Trunk damage
53.
30"
Laurel Oak
2
Co- dominant stems
54.
14"
Laurel Oak
2
co- dominant stems
55.
4"
Live Oak
3
Poor quality / transplant
56.
4"
Live Oak
3
Poor quality / transplant
57.
4"
Live Oak
2
co- dominant stems
58.
4"
Live Oak
3
Poor quality / transplant
59.
8"
Sabal Palm
3
60.
14"
Sabai Palm
3
61.
10"
Sabal Palm
3
62.
16"
Laurel Oak
2
Co- dominant stems
63.
10"
Sabal Palm
3
64.
15"
Laurel Oak
3
65.
9"
Laurel Oak
3
66.
6"
Live Oak
3
67.
11"
Live Oak
4
68.
8"
Live Oak
3
69.
16"
Laurel Oak
2
Hollow
70.
13"
Laurel Oak
2
Poor crotch formation
71.
11"
Sabal Palm
3
72.
6"
Washingtonia Palm
3
73.
12"
Sabal Palm
3
74.
6"
Washingtonia Palm
3
75.
11"
Washingtonia Palm
3
76.
14"
Sabal Palm
3
77.
10"
Live Oak
3
78.
36"
Live Oak
2
Co- dominant stems
79.
10"
Live Oak
4
80.
10"
Live Oak
4
81.
16"
Sabal Palm
3
.v
82.
10"
Live Oak 3
83.
10"
Live Oak 3
84.
8"
Laurel Oak 2
85.
7"
Live Oak 2
86.
4"
Live Oak 2
87.
4"
Live Oak 2
88.
10"
Live Oak 4
89.
4"
Live Oak 3
90.
4"
Laurel Oak 2
91.
5"
Live Oak 2
92.
4"
Live Oak 2
93.
6"
Live Oak 2
94.
9"
Live Oak 2
95.
8"
Laurel Oak 2
96.
10"
Laurel Oak 3
97.
13"
Live OAK 4
Covered with vines
Covered with vines
IIL-85- R -1
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EXISTING
LEGEND
°
STORM PIPE
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SPOT GRADE
ASSOCIATES, INC.
SPRINKLER HEAD
PHONE 813 • 880 • 8881
SIGN
FAX 813 • 880 • 8882
POWER POLE
E -MAIL king0kingengineering.com
GUY WIRE
VALVE
t
LIGHT POLE
FIRE HYDRANT
GRATE INLET
DO
STORM MANHOLE
(S�
SANITARY MANHOLE
PROPOSED
LEGEND
—••• BOUNDARY
---^— DRAINAGE FLOW DIRECTION
X 39.30 PROPOSED ELEVATION
STORM PIPE
► FLARED END SECTION
N J 0 STORM STRUCTURES
A o a TREE BARRICADE
m t,_ SILT FENCE
ASPHALT REPLACEMENT
0 10 20 40
IN
i36.40 N,S =30.73 SCALE: » = 20� I
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® REPLACE EXISTING GRATE INLET WITH TYPE
"J-010"
Q
J -010 j41 & (GALV. RETICULINE GRATE)
GE =36.
IE =30,� (N,S)
(CO 71ACTOR TO FIELD VERIFY PIPE
INVERTS PRIOR TO ORDERING STRUCTURE)
SAW CUT AND
REPLACE ASPHALT
SEE SHEET 2 OF 3
EXERCISE EXTREME CAUTION
EXCAVATING IN VICINITY OF
EXISTING ELECTRIC DUCT BANK
X10•
CONCRETE WALKWAY
F// r/ \-- REMOVE EXISTING STORM PIPE
AND 29 FE19Ax30" ERCP ® 0.487
f
MATCH LINE "A -A"
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DESIGNED THE SIGNATURE OF THE
QUALITY CONTROL OFFICER
IN THIS SPACE INDICATES
D.B.F. THAT ALL REQUIRED PERMITS
DRAWN HAVE BEEN 013TAINED AND
THAT CONSTRUCTION IS
D.B.F. /T.J.C. AUTHORIZED TO COMMENCE.
CHECKED
Q.C.
ENGINEERING
4921 MEMORIAL HIGHWAY
ONE MEMORIAL CENTER, SUITE 300
TAMPA, FLORIDA 33634
ENGINEERING LICENSE #00002610
AAA rf%U I ME: "A-All
ANIP SITE
FOR
MORTON PLANT HOSPITAL
1233 FT. HARRISON
CLEARWATER, FLORIDA 33756
<5 c,
PROJECT SITE
JEFFORDS STREET
ROAD
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�• CORBETT STREET �-
VICINITY MAP
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CENTRAL
AVENUE
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SHEET DISCRIPTION
1 DRAINAGE PLAN, NOTES, AND LEGEND
2 GRADING, DRAINAGE DETAILS AND NOTES
3 EROISION CONTROL DETAILS AND NOTES
TREE LEGEND
' TO REMAIN TO REMOVE
12' OAK TREE ? = 12' OAK TREE
/2•Q = 12' JACARANDA TREE 12' PALM TREE
? = 12' PALM TREE
= 12' HOLLY TREE
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4 1/20/03 REV. EX. TREES, RESUBMIT TO CITY
DRAINAGE P LAN, NOTES, AND LEGEND 3 12/12/02 RESUBMIT TO CITY, SWFWMD. ISSUED FOR BID.
2 12/9/02 UPGRADE EX. STORM, REPLACE FLUME, PER SWFWMD
1 11/18/02 ADDED FILTERDRAIN AND RESUBMITTED TO SWFWMD
NO. DATE DESCRIPTION
CORBETT STREET
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'DATE:
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/��, SCALE:
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APP'o • : <. ` AS SHOWN of
BY N% •yf20FES IONA 04
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ASSOCIATES, INC.
PHONE 813 • 880 • 8881
FAX 813 • 880 • 8882
E -MAIL king0kingengineering.com
ANIP SITE
FOR
MORTON PLANT HOSPITAL
1233 FT. HARRISON
CLEARWATER, FLORIDA 33756
<5 c,
PROJECT SITE
JEFFORDS STREET
ROAD
x
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�• CORBETT STREET �-
VICINITY MAP
A ■ 0 w" "m ■ \I oft lm%/
CENTRAL
AVENUE
0
�- 0r1CC I 111UMA
SHEET DISCRIPTION
1 DRAINAGE PLAN, NOTES, AND LEGEND
2 GRADING, DRAINAGE DETAILS AND NOTES
3 EROISION CONTROL DETAILS AND NOTES
TREE LEGEND
' TO REMAIN TO REMOVE
12' OAK TREE ? = 12' OAK TREE
/2•Q = 12' JACARANDA TREE 12' PALM TREE
? = 12' PALM TREE
= 12' HOLLY TREE
J
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4 1/20/03 REV. EX. TREES, RESUBMIT TO CITY
DRAINAGE P LAN, NOTES, AND LEGEND 3 12/12/02 RESUBMIT TO CITY, SWFWMD. ISSUED FOR BID.
2 12/9/02 UPGRADE EX. STORM, REPLACE FLUME, PER SWFWMD
1 11/18/02 ADDED FILTERDRAIN AND RESUBMITTED TO SWFWMD
NO. DATE DESCRIPTION
CORBETT STREET
�►'11
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DE�ECi}.Y
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2" - n .
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,•,r • FIELD BOOK NO.
• I� 2 2, :;WA3 -
• ;u* SHT.
'DATE:
r t 5536 DEC. 9. 2002
/��, SCALE:
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APP'o • : <. ` AS SHOWN of
BY N% •yf20FES IONA 04
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