1822 BELCHER RD N0 s�`� CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
° TREE REMOVAL PERMIT
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NAME OF OWNER
SITE ADDRESS Z 2- i
PHONE •7 L ? L t ie-1
OWNER'S ADDRESS Imo: 3 y AEZ
LOCATION OF TREE(S) ON LOT 5 .L- � ��
SPECIES AND NUMBER OFTREE(,S) 5`.-- Si7 G L 'X3 , LCD/
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:
Construction
-See "A" below
• Hazardous
• Declining
• Dead
• Other (Specify)
Fee Rec'd. $
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 1. 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: l0' overall height, 2.5" 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 QVowner or ap IIc nt Printed Name
Address
City State Zip
Agency Representing OCL #
Phone /Cell
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Applicable Code Section: ` /20 5
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved as Submitted #Approved-Modif e m ® _> ! , ' - o ^^^=��+
Signed: t5t;P2006-01 600
Community evelop nt Coordinator or Designee /Inspector
SITE WORK `
PAPPAS AND SON LLC
1362.0001 -GC White - Planning& Development SeN Zoning: C atlas#262B
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SECTION 1, TOWNSHIP 29 5 UTH, RA
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51GHTV151BILITY TRIANGLES (TYP.) ---
ALL 5HRUD5 TO BE MAINTAINED UNDE
30" HT.
10' LIS BUFFER LINE-
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TREE LEGEND
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plumb, with top
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PALM
above finish
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grade
Root ball
Existing native
Native sod
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backfill
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TREE LEGEND
Set 5hrub
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plumb, with top
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of rootball I"
PALM
above finish
TREES TO BE REMOVED
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plumb, with top
2" Mulch 0 0
of rootball I"
botanical Name
above finish
Fmi5h Grade
grade
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Existing native
Native sod
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backfill
30" ox,
5HRUE3 PLANTING
DETAIL
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Code
botanical Name
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5pecification
Spacing
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IC13
[lox cornuta burfordii
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3 gal., 24" x 14'
30" ox,
CIS
ca 0
IX
Ixora Nora Grant
Nora Grant Ixora
3 gal., 24" x 24"
30" o.c.
LU
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Lager5troemia inclica
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5' ht. x 5'5pr., 2" cal.
4
QV
Quercu5 vircjimana
LL
I 2'ht. x 4' spr., 2.5 " caliper
35' o.c.
LL
POM
PodocarpU5 5pp.
0 0
3 gal., 24" ht. x 24" spr.
Ln
18G
TJV
TraGhCI05permurn ja51`MnoiCI65
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3 gal., 12" ht. x 18" spr.
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I gal., G" ht. x 12" spr.
18" ox.
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Code
botanical Name
0
5pecification
Spacing
=J
IC13
[lox cornuta burfordii
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3 gal., 24" x 14'
30" ox,
CIS
ca 0
IX
Ixora Nora Grant
Nora Grant Ixora
3 gal., 24" x 24"
30" o.c.
LU
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Lager5troemia inclica
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5' ht. x 5'5pr., 2" cal.
4
QV
Quercu5 vircjimana
LL
I 2'ht. x 4' spr., 2.5 " caliper
35' o.c.
LL
POM
PodocarpU5 5pp.
0 0
3 gal., 24" ht. x 24" spr.
30" o.c.
18G
TJV
TraGhCI05permurn ja51`MnoiCI65
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3 gal., 12" ht. x 18" spr.
30" o.c.
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I gal., G" ht. x 12" spr.
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Quart.
Code
botanical Name
Common Name
5pecification
Spacing
5
IC13
[lox cornuta burfordii
Burford Holly
3 gal., 24" x 14'
30" ox,
80
IX
Ixora Nora Grant
Nora Grant Ixora
3 gal., 24" x 24"
30" o.c.
3
L I
Lager5troemia inclica
Crape Myrtle
5' ht. x 5'5pr., 2" cal.
4
QV
Quercu5 vircjimana
Live Oak
I 2'ht. x 4' spr., 2.5 " caliper
35' o.c.
1 15
POM
PodocarpU5 5pp.
PodocarpU5
3 gal., 24" ht. x 24" spr.
30" o.c.
18G
TJV
TraGhCI05permurn ja51`MnoiCI65
Var, Confederate Jasmine
3 gal., 12" ht. x 18" spr.
30" o.c.
137
TJN
Trachelospermum asiaticum "minima"
Dwarf Confederate Jasmine
I gal., G" ht. x 12" spr.
18" ox.
2 1 G
Rl
RaphICIOP15 indica
Indian Hawthorn
3 gal- 18" ht. x 15" spr.
30" o.c.
G
5P
5abal palmetto
Cabbage Palm
I O'C.t., 5traic3ht trunk
10' o.c.
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Taxodium di5tichum
Bald Cypress
I 2'ht. x 4' spr., 2.5 " caliper
35'o.c.
125
V5
Viburnum su5pen5um
Sanclarkwa Viburnum
3 gal., 24" ht. x 24" spr.
30" o.c.
2
UA
UIMU5 alata
Elm
I 2'ht. x 4' spr., 2.5 " caliper
35' o.c.
G
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Zama furfuracea
Cardboard Palm
7 gal,, 24" ht. x 24" spr.
30" o.c.
�AN L`)5CAF`t
A5-E3U I LT5
LANDSCAPE
ARCHITECTS
1666 Laney Drive
Palm Harbor, Florida 34►83
Phone 727 787-2840
Fax 727 785-4017
Landscape Architecture
Site Planning
Contract Administration
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A5-E3U I LT5
LANDSCAPE
ARCHITECTS
1666 Laney Drive
Palm Harbor, Florida 34►83
Phone 727 787-2840
Fax 727 785-4017
Landscape Architecture
Site Planning
Contract Administration
41111
�AN L`)5CAF`t
A5-E3U I LT5
LANDSCAPE
ARCHITECTS
1666 Laney Drive
Palm Harbor, Florida 34►83
Phone 727 787-2840
Fax 727 785-4017
Landscape Architecture
Site Planning
Contract Administration