54 BAY ESPLANADEs, CITY OF CLEARWATER - FORESTRY DIVISION : • 4 4
TREE REMOVAL APPLICATION FORM
9�k1 TEA E�oQ
NAME OF OWNER: T� �� 'r Fee Rec. $ 15
LOCATION OF WORK: I -�IQI� rte— Rec. By c .'5_-2'7
EEL-01)
Clearwater, FL Rec't # gcP iyci iCn
`� 410
REQUIRED REPLACEMENT TREES
------- pop�w_w.�e -w �awww.s
TREE REMOVAL PERMIT
NAME OF OWNER
OWNER'S -ADDR FMS � B Lfayy- 0fl-
PHONE 72- i yG----1 _ e
SITE ADDRESS -jAyv`A
LOCATION OF TREE(S) ON LOT ' r-
SPECIES AND NUMBER OF TREE(S)
GC"�474
REASON FOR REMOVAL:
Construction
❑ Hazardous
Declining
• Dead
• Other (Specify)
TO APPLICANT: A non - refundable fee of $ 15.00 for up to five trees to Fee Recd. $
be removed, plus $3.00 for every tree above 5 to be Receipt #
removed is required. 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
b. Structure Locations
c, Driveways and Walks
d. Parking Arrangement
e. Required Number of Parking Spaces
f. Proposed Number of Parking Spaces
g. Proposed Underground Utilities
In. Zoning Setbacks
I. All easements and Rights -of -Way
j. All Protected Trees Including:
0.) Diameter of 4.5' above grade (DBH)
(ii.) Surveyed Location
(iii.) Species
(iv.) Diseased or Insect Infested Trees
(v.) Trees to be Removed
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.
3. Tree replacement minimum standards: 8' overall height, 2' caliper, Florida Grade #l. See inspectors note below to
determine the number of replacement trees required.
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-idenfifled 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). 1 hereby certify that this application to-
gether with any plans submitted Is a true representation of all facts concerning the proposed removal of the tree(s). Any
Aviation from the permit issued shall render it null and void and be considered a violation of Chapter 52, Code of
I i kk'_V� - __ K dinances.
1"C L -
S nature of o er or applicant Prin ed Name
to Gwg�j
Address Agency Representing (If Not Owner)
City State Zip Phone
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his DesignAted Agent
Recommended Replacement
Required Replacement Trees:
Applicable Code Section:
Signed: Date
Ins ector
Based on the I ector's comments and information submitted, the above removal application is:
Approved as Submitted ❑ Approved - Modified as Noted Above ❑ Denied
Signed: Date:
City anager or Designee
CLEARWATER
One 01)j One Future.
Rita Garvey, Mayor- Commissioner
Ed Hooper, Vice Mayor - Commissioner Bob Clark, Commissioner
1362.0001 -GC J.B. Johnson, Jr., Commissioner Karen Seel. Commissioner 10 -97
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TOR INTERIO ISLANDS SITE MAP NEW COURTYARD
fl Min 50% coverage wit living materials..
SCALE: NONE N 4 R,T H
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—NEW C RTYARD FENCE ' ` ADDITION
(S`PARA PERMIT REQ'D.) SECTION 05,' TOWNSHIP 29, -RANGE 15 (SEE AT LEFT)
RAISED CURBS or PROTECT FRS
REQUIRED where interior an= pecd LOTS 4,5,61 AS, AN0 , 10
Areas abut pavem LOCKS .00-01 OF UNIT 3 MANP o4L o4Y
(10' -0" SETBACK REQ'ID.) ' CITY OF �:L.EARWATER, FLORIDA
AND PARKING LOT TO RT ` JI'ETJ OR
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® CHANGES IN SPECIES, SPECIFIC T�S, OR
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f LANDSCAPE PLAN
APPROVED AS NOTED
Date
BY-
Public .Works Administration
PLAN AND LANDSCAPING
SCALE: 3/1619
N T S; A
1. EXISTING IRRIGATION TO BE MODIFIED AS REQUIRED DURING LANDSCAPING PHASE OF PROJECT;
ALL NEW LANDSCAPING TO BE 100% IRRIGATED.
2. ALL DISTURBED AREAS TO BE SODDED OR SEEDED.
3. CONTRACTOR MUST OBTAIN A TREE REMOVAL PERMIT FROM THE CITY OF CLEARWATER BEFORE COMMENCING WORK.
4. ALL PLANT MATERIAL TO BE FLORIDA GRADE #1 OR BETTER.
O WINDOW. SCHEDULEA
N0. TYPE SIZE FIN FRAME GLASS REMARKS QTY
1 FIXED VARIES x 5' -6" BRZN BRZN TEMPERED i STOREFRONT 16
O SCHEDULE A A
NO. SIZE FIRE MATERIAL FRAME 'HARDWARE REMARKS QTY
A 4' -0" x 7' -0" N.A., GLASS STEEL LOGKSET DOUBLE DOORS; MASTER KEYED 6
B 2' -6" x 6' -8" N.A. WOOD WOOD 1LOCKSET 1
1. ALUMINUM HANDICAP THRESHOLDS AT EACH EXTERIOR DOOR
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-` 3 -NYLON CORDS WITH
6" WATER -BASIN 0 6" GASKET MATERIAL ����NN
AROUND SHRUB 6" WATER UUWN(jRO& . TO 4" MAX.)
MULCH (2" 10". TO 4" MAX.) TREE, 3' DIAMETER
WITHIN SHRUB RING
LADE WITHIN TREE RING
3- 2 "x4 "x18" STAKES
Pl.AN14NC'PIT TO BE 6" GRADE
WIDER THAN SHRUB BALL PLANTING PIT TO BE 6"
WIDER THAN T� E I V E D
UNDISTURBED EARTH .'
UNDISTURBED EAR
1?{UL 3 0 1999
A2 SHRUB PLANTING DETAI 1 NG DETAIL PLANNING ERVICES DEVELOPMENT
NOT TO. SCALE NOT Tl( GALE CITY OF CLEARWATER
NOTE,
CONTRACTOR TO FIEND
VERIFY ALL DIMENSIONS
BEFORE BEGINNING
CONSTRUCTION
IS NOT VAI ID SIGNED
1 44
ISSUEDFOR CONSTRUCTION PERMIT LA
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O SCHEDULE A A
NO. SIZE FIRE MATERIAL FRAME 'HARDWARE REMARKS QTY
A 4' -0" x 7' -0" N.A., GLASS STEEL LOGKSET DOUBLE DOORS; MASTER KEYED 6
B 2' -6" x 6' -8" N.A. WOOD WOOD 1LOCKSET 1
1. ALUMINUM HANDICAP THRESHOLDS AT EACH EXTERIOR DOOR
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-` 3 -NYLON CORDS WITH
6" WATER -BASIN 0 6" GASKET MATERIAL ����NN
AROUND SHRUB 6" WATER UUWN(jRO& . TO 4" MAX.)
MULCH (2" 10". TO 4" MAX.) TREE, 3' DIAMETER
WITHIN SHRUB RING
LADE WITHIN TREE RING
3- 2 "x4 "x18" STAKES
Pl.AN14NC'PIT TO BE 6" GRADE
WIDER THAN SHRUB BALL PLANTING PIT TO BE 6"
WIDER THAN T� E I V E D
UNDISTURBED EARTH .'
UNDISTURBED EAR
1?{UL 3 0 1999
A2 SHRUB PLANTING DETAI 1 NG DETAIL PLANNING ERVICES DEVELOPMENT
NOT TO. SCALE NOT Tl( GALE CITY OF CLEARWATER
NOTE,
CONTRACTOR TO FIEND
VERIFY ALL DIMENSIONS
BEFORE BEGINNING
CONSTRUCTION
IS NOT VAI ID SIGNED
1 44
ISSUEDFOR CONSTRUCTION PERMIT LA
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1. ALUMINUM HANDICAP THRESHOLDS AT EACH EXTERIOR DOOR
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O M
-` 3 -NYLON CORDS WITH
6" WATER -BASIN 0 6" GASKET MATERIAL ����NN
AROUND SHRUB 6" WATER UUWN(jRO& . TO 4" MAX.)
MULCH (2" 10". TO 4" MAX.) TREE, 3' DIAMETER
WITHIN SHRUB RING
LADE WITHIN TREE RING
3- 2 "x4 "x18" STAKES
Pl.AN14NC'PIT TO BE 6" GRADE
WIDER THAN SHRUB BALL PLANTING PIT TO BE 6"
WIDER THAN T� E I V E D
UNDISTURBED EARTH .'
UNDISTURBED EAR
1?{UL 3 0 1999
A2 SHRUB PLANTING DETAI 1 NG DETAIL PLANNING ERVICES DEVELOPMENT
NOT TO. SCALE NOT Tl( GALE CITY OF CLEARWATER
NOTE,
CONTRACTOR TO FIEND
VERIFY ALL DIMENSIONS
BEFORE BEGINNING
CONSTRUCTION
IS NOT VAI ID SIGNED
1 44
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