100 BAYSIDE DR99g�9TER.
CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
TREE REMOVAL PERMIT
c� 1 r) t
NAME OF OWNER
OWNER'S ADDRESS -L I—)
1'= ar�':'�
PHONE '7 r`7 L143 4 0C� &' / CC-77_l
Lk ids b-1- n $..• � a. 1, i\
SITE ADDRESS �-r-•f�--
LOCATION OF TREE(S) ON LOT 5C-C- S-r-`rf:
SPECIES AND NUMBER OF TREE(S) -CAR/
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.
O A ; -� _ 00
REASON FOR REMOVAL:
] Construction APP
- 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(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
wi th any plans submitted is a true representation of all facts concerning the proposed removal of the tree(s). Any deviation
fir m the per sued shall render it null and void and be consider - d a violation of the Community Development Code.
C-0/1 A-P-A-0-- S
Signature of owner or applicant Printed Name
1 '3® j Y,SZo 001 SIVAJ �1es1 PAUIS tj__C,
Address Agency Representing OCL #
v t_45A2 i;JA i��Q F1, (0 r7,)-7 LI it Z5-0o ' % 1- I s �
0 27h
2)
4 . 4' 4
00
Ci
State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Va id Until Signed By City Manager or his Designated Agent
Ins p ct
is Comments: -
Ill iri
l Dnnlnr -.n i=l nt Tracc'
NA Re
n
Apjlic&Ie Code Section: 7:)
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved as Su itted Approved- Modified as Noted Above ❑ Denied
Signed Date:
Community velopment Coordinator or Designee /Inspector Valid for si months from the date of issuance.
1362.0001 -GC White - Planning & Development Services Yellow - Applicant Rev. 4 -01
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NOTE:
UTILITIES ARE GRAPHICALLY SHOWN BASED ON FIELD
OBSERVATIONS AND CITY UTILITY MAPS AND DO NOT
REPRESENT THE TRUE LOCATION.
APPROXIMATE --
LOCATION
OF 16" WATER MAIN
APPROXIMATE
LOCATION
OF SANITARY SERVICE
(CITY UTILITY MAP)
I
1t 3.98
�tiCLAIMf =Q
� u
~� W
Q
I
4.06
W_
GTE
G /
�-c
BOX
•FENCE TIE
P.O.C. - Point of Commencement
0.00'
c
4 "X4"
F.P.P. - Found Pinched Pipe
P
F.O.P. -Found Open Pipe &Cap
M — Meoeursd Data
4.28
SANITARY
MANHOLE
F.C.M. Found Concrete Monument
SURVEY IS SUBJECT TO A
77TLE SEARCH FOR EASEMENTS,
R /GHT5 — OF— WAY AND OTHER
MA TTERS OF RECORD.
BASIS OF BEARINGS ARE PLAT,
UNLESS OTHERWISE S7A7FV
NO UNDERGROUND LOCATED
UNLESS SHOWN HEREON.
3.71
3.05®SANITARY
MANHOLE
SECTION 8, TOWNSHIP 29 SOUTH, RANGE 15 EAST, PINELLAS COUNTY, FLORIDA
Boundary Survey
L yALLEV CC B \\
Bq ySI D
4,16 C
(5o' RIG -,. 4,33 D R f V E
HT OF' WAY) �
EXISTING SA
ALONG CENTERLINE SEWER �—
CLEAR w
q TER
- zL LINC
4,56
4.62
HARBO
R
FOUND X —CUT
IN SEAWALL 1.20'
3,50
\� SEAWALL
18" CMP
ALONG PROPERTY
LINE INVERT AT
SEAWALL - QLg'
x 3,81
4.31 x 4.51
3.3
co 'dM,
•N M r
N N
5.11 Co x 4.81 Z
¶on co
EASEMENT
v�
S
81'48'14"
82-14'52 E
•FENCE TIE
P.O.C. - Point of Commencement
0.00'
a
4 "X4"
F.P.P. - Found Pinched Pipe
P
F.O.P. -Found Open Pipe &Cap
4.84
LEGAL DESCRIPTION:
LOT 1, "COLUMBIA SUBDIVISION NO. 5" ACCORDING TO THE PLAT
THEREOF, RECORDED IN Pk--AT-BOOK 31, PAGE 16, PUBLIC RECORDS
OF PINELLAS COUNTY, FLORIDA.
[OK91611innicnilvis,
THIS LOT LIES IN FLOOD ZONE "AE" (BASE FLOOD ELEVATION:
11.00') ACCORDING TO F.E.M.A. FLOOD INSURANCE RATE MAP
#12103C- 0102G, DATED SEPTEMBER 3, 2003.
C£RT/F/ELD TO' SUN WEST BEACH MOTE4
I
CERnRCA nOYV•-
1, GUY D. HALE, THE SURVEYOR IN RESPONSIBLE CHARGE, HEREBY CERT Y -.SyAyT
7H£ SURVEY REPRESENTED HEREON AND THAT SAID ABOVF CROIX
SKETCH ARE ACCURATE TO THE BEST OF MY KNOWLEDGE A. ,
CER77FY THAT THIS SURVEY MEETS THE MINIMUM TECHN /CAIN ! ` �I
SECTION 4 027 FLORIDA STA 231 TES (OR RULE CHAPTER .!' A►
SURVEY VA L S£ ED WTH AN EMBOSSED►, Af;p j fC4
GUY D. HALE US 4626
✓OS NUMBER.' 200JJ74 DA 7E 1 /05% r
IXJY HALE LAND SURWY1N6
flfo oWRiCAS71 aIR/6£ 51'N7F C
17J 741?bt6 aFOfiYDA 7M 3f -,7228
LEGEND
P.O.C. - Point of Commencement
F.I.R. - Found Iron Rod & Cop
a
P.O.B. =Point of Beginning
(D) = Data per Deeoripflon
F.P.P. - Found Pinched Pipe
P
F.O.P. -Found Open Pipe &Cap
M — Meoeursd Data
P.CP. — Permanent Control Point
C — Calculated Data
F.C.M. Found Concrete Monument
PG.(s)) —Page (e)
S.I.R. — Set Iron & Cap 1/2' L.S. #4626
O.Ff. — Official itecord Book
U9 - Corporate Certificate Number
> gat Book
P.L.S. - Land Surveyor
RECEIVED
= Radius
Concrete Sl
C.S. Concrete Slab
PE*B"
— Delta Angle
OONC. - Concrete
Edge of Pavement
S/W — Sidewalk
R//yyyy =Right —ot —way
rL — Centerilne
1 - Storm Sewer Manhole
D/W > Dr veway
JAN ? 9 ����
M.E.S. - Mitered End Section
T.O.B. - Top of Bonk
WV = Water Valve
SSMH = Sanitary Sewer Manhole
T.O.S. — Toe of Slope
GV - Gate Volvo
WM = Water Meter
FHA — Fire Hydrant Assembly
PLANNING
L/P = Light Pole _
E — - Overhead Wires
DEPARTMENT
—
a — - Sanitary Sewer
CITY OF CLEARWATER
x o,00 = �NAVD
Gaser
1988ATION __
G — -
BASED ON BRASS DISK —
S — = Storm Sewer
•
LP -15 USCE 1968
CERnRCA nOYV•-
1, GUY D. HALE, THE SURVEYOR IN RESPONSIBLE CHARGE, HEREBY CERT Y -.SyAyT
7H£ SURVEY REPRESENTED HEREON AND THAT SAID ABOVF CROIX
SKETCH ARE ACCURATE TO THE BEST OF MY KNOWLEDGE A. ,
CER77FY THAT THIS SURVEY MEETS THE MINIMUM TECHN /CAIN ! ` �I
SECTION 4 027 FLORIDA STA 231 TES (OR RULE CHAPTER .!' A►
SURVEY VA L S£ ED WTH AN EMBOSSED►, Af;p j fC4
GUY D. HALE US 4626
✓OS NUMBER.' 200JJ74 DA 7E 1 /05% r
IXJY HALE LAND SURWY1N6
flfo oWRiCAS71 aIR/6£ 51'N7F C
17J 741?bt6 aFOfiYDA 7M 3f -,7228
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HANDICAP
ACCE55 —
51GHT '
TRIANGLE
HAMVEN DRIVE (60 R /kN )
am
BUTTONWOOD STANDARD
® BUTTONWOOD SHRUB (5 DWARF 50HEFFLERA ® STAR JASMINE
JATROPHA MEXICAN PETUNIA BOUGAINVILLEA
5ABAL PALM CREPE MYRTLE COCONUT PALM
r-J47
WA51HINTONIAN PALM 0 LEADWORT
WHITE BIRD • NATAL PALM
QUEEN PALM CHRI5TMA5 PALM
0 HIB15CU5
40 BOTTLE BRUSH
LAND50APE PLAN
Scale: 1" = 10 ft
TRIANGLE
AI�lV Ci- ;ANGES Ii`i SPECIES,
SPECIFICATIONS, OR DESIGN
WTHOUT THE CONSENT OF THE
PLANNING DIRECTOR RENDERS
5'11.4..,3 P OPPO IA!. VOID.
tr
Z
w
Y
Z
LANDSCAPE PLAN
PPR�0 ED N ED
DAT
MO
W
ALL AREAS BETWEEN STREET
(� PAVEMENT AND PARKING LOT
TO BE TURFED OR RECEIVE OTHER
LANDSCAPING TREATMENT.
� All AREAS BETWEEN STREET PAVEMENT AND
PARKING LOT TO BE TURFED OR RECEIVE
OTHER LANDSCAPING IREATMENI
LANDSCAPE TREATMENT REQUIRED
FOR INTERIOR ISLANDS
Min 50% coverage with
Ruing matedals
All LANDSCAPING TO BE PROTECTED
FROM VEHICULAR OR PEDESTRIAN
TRAFFIC BY A MINIMUM SIX INCH
HIGH CURBING OR WHEEL STOPS
51GHT
TRIANGLE
EXISTING QUEEN PALM
BASE OF LEAF BUD
BASE OF HEART/NUT OF PALM
— 1111=
FINI5H GRADE 11111=
ROOT BALL
RECEIVING HOLE SHALL BE
APPROXIMATELY 2' LARGER THAN
ROOT BALL DIAMETER
11111 = 11111= 11111 =11111
11111 =11111 TM
HURRICANE OUT OR FULL HEAD
SEE SPECIFICATIONS
NOTE: BUD SHALL BE PERPENDICULAR
TO GROUND PLANE. TRUNK SHALL BE
5TRAI6HT AND WITHOUT CURVE5.
NO SCARRED OR BLACKENED TRUNKS.
BURLAP TO PROTECT TREE- -
MINIMUM 5 LAYERS
2 NON —SLIP METAL COLLARS
(6) 2 X 4 WOODEN STRIPS OVER BURLAP
6" 501L SAUCER TO HOLD YVATER
PLANT PALM O" TO 2" ABOVE GRADE
3" MULCH, REFER TO 5PECIFICATION5
(3) 2 X 4 BRACES NAILED TO 2 X 4
WOODEN STRIPS
2" X 4" X 3' STAKE
NATIVE 501L BAGKFILL OR AMENDED 501L
AS REQUIRED BY 501L ANALY515
COMPACTED 501L TO PREVENT SETTLING
EXI5TING 5UBGRADE
NOTE: 5TAKING 4 GUYING REQUIRED FOR PALMS, IF NECESSARY, OR AS DIRECTED BY THE LAND5CAPE ARCHITECT.
PALM TREE PLANTING AND STAKING DETAIL
NOTES:
1. ALL WOOD SHALL BE SPRUCE OR PINE -NOT PRESSURE TREATED.
2. NA.
3. REMOVE ALL STRING 4 /OR ARE WRAPPED AROUND TRUNK.
4. REMOVE ALL STRAPS, ROPES, WIRE, Q,/OR STRINGS USED TO LIFT THE ROOTBALL.
5. REMOVE ALL BURLAP d /OR ARE FROM THE TOP OF THE ROOT BALL.
6. TOP OF ROOTBALL TO BE SET 2" TO 4" ABOVE SURROUNDING FINISI-
LANT 50HEDULE
�"/''
RUBBER H05E
HEIGHT 5URVERYOR5
LAPED ® TRUNK
TAPE
THREE 5TAKF-5
X 8
5TAKF-5
AT 120° APART —�
TRUNK
Y
OTY
50TANICAL NAME
MMON NAME
IZE
NTAINER
REMARKS
TILLED AND LOOSENED
GUY WIRE
NATIVE SOIL BAGKFILL
M
1
ADON1221A MERRILL/
HRISTMA5 PALM
'TO & HIGH
545
GRADE
R
RECASTRUM ROMANZOFFIANUM
EEN PALM
16' - 15' YVOOD
dB
5
GAINVILLEA 5PECTABIL-15
UGAINVILLEA
ELL15
10 GAL.
E
NOGARPUS ERECTU5
ILVER BUTTONWOOD 5TD.
' HIGH
NTAINER OR 54B
E5
5
NOGARPU5 ERECTU5
ILVER BUTTONWOOD
16" HIGH
GAL.
HRUB
L
ALL/STEMON L ANCEOL.ATA
TILE BRUSH
10' OA, 7"
NTAINER OR 545
M
16
AR155A MACROCARPA
ATAL PLUM
10" HIGH
GAL.
N
G05 NUC/FERA
DONUT PALM
' WOOD
dB
RS
1B/5CU5 R05A- 51NEN515
IB15CU5
14" HIGH
GAL.
H
1
ATROPHA HA5TATA
ATROPHA
' TO 5' HIGH
15 GAL.
M
6
A,5MINUM MULTIFLORUM
TAR JASMINE
14" HIGH
GAL.
I
GER5TROEMIA INOICA
REPE MYRTLES
' - 10' HIGH
O GAL.
ED
A
5
LUMBAGO AURICL4 ATA
EADWORT
14" HIGH
GAL.
X
15
H1LOOENDRON XANAI7U
NADU
12" HIGH
GAL.
B
UELLIA BR/TTONIANA
EXICAN PETUNIA
12" WIDE
1 GAL.
A
15
HEFFLERA ARBORICOLA
WARF 5CHEFFLERA
14" HIGH
GAL.
N
TRELITZIA NICOL AI
HITE BIRD OF PARADISE
4' TO 5'
15 GAL.
P
ABAL PALMETTO
ABAL PALM
10' - 14' WOOD
85
R
HINGTON /A ROBU57A
IloNA5HINI57TONIAN PALM
14' - 16' WOOD
r2OLIV EARTH BALL
HEI
FERTiUZER TABLETS AS
SPECIFIED. PLACE UNIFORMLY
AROUND ROOT MA55
BETMEEN MIDDLE AND
BOTTOM OF ROOT MA55
MULCH 3" FROM STEMS
3" MULCH LAYER
'REPARED PLANTING SOIL
EXISTING UNDISTURBED SOIL
SHRUB 4 GROUNDCOVER PLANTING DETAIL
N.T.5.
SPREAD
b
Qa
a
211,1 1„—.t
�"/''
RUBBER H05E
HEIGHT 5URVERYOR5
LAPED ® TRUNK
TAPE
THREE 5TAKF-5
X 8
5TAKF-5
AT 120° APART —�
TRUNK
MULCH 3" FROM
MULCH 3" DEPTH
20 GAGE GALV
TILLED AND LOOSENED
GUY WIRE
NATIVE SOIL BAGKFILL
NOTE: SET ROOT
BALL 2 TO 4" ABOVE
GRADE
ROOTBALL
UNDISTURBED 501L
Y
PROVIDE TREE5, 5HRU55 AND PLANTS THAT COMPLY WITH STANDARDS OF FLORIDA GRADE #1 OR BETTER AS GIVEN IN GRADES AND STANDARDS FOR NURSERY
9 XANADU PLANTS, STATE OF FLORIDA, DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICE5.
ALL PLANTING AREAS AND OTHER AREAS AS INDICATED SHALL RECEIVE A MINIMUM OF 3" OF PINE STRAW MULCH.
50D AS INDICATED SHALL BE FLORATAM 50D
PROVIDE AUTOMATIC IRRIGATION SYSTEM TO PROVIDE FULL COVERING OF PLANTING AND 50D AREAS. - 5URROUNDIN6 ALL NEW PLANTING
AREAS. SYSTEM TO HAVE RAIN 5EN5OR WITH AUTOMATIC SHUT OFF.
2 TIMES THE WIDTH
OF THE ROOTBALL
TREE PLANTING DETAIL
N.T.5.
7 Sri i 12006 IU m , 'I
DEVELOPMENT SERVICES DEPT
CITY OF CLEARWATER
Oq /05/06
LAND5CAPE PLAN
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