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2580 GULF TO BAY BLVD<�$ ° "Ok1. APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER �l t� DATE �S � PLANNING DEPARTMENT o�TE (727) 562 -4741 RECEIPT NO. non- refundable filing fee of $10.00 is required. Permit applicable for 6 months from date of approval. n 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: �S ft) 2. Project Name: llrpC/ .4 //V/U 3 3. Purpose of clearing and /or grubbing: U<ew Construction ❑ Demolition ❑ Tank Removal ❑ Other 4. General description of existing vegetation, topography and surface water (including all existing and /or proposed ditches, canals and swales): e6(_5 #03 5. Proposed method of debris disposal: 1�5ll 6. Date you plan to begin work: 7. Proposed method of soil erosion control: J�L�C -1L� d�lt'S�/ �-✓�� 8. ®'No Tree Verification Required ❑ Tree Removal Permit Required I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF ARTICLE 3, DIVISION 12 REGARDING TREE PROTECTION DURING CONSTRUCTION AND ARTICLE 3, DIVISION 7 OF THE COMMUNITY DEVELOPMENT CODE REGARDING EROSION AND SILTATION CONTROL. /? / Signature of Owner or Printed Name ,Z.5- e'Of�Glt_F Mddre>; City State+ _ Rep rese atives' Firm Telephone v Cell 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 Based on the above comments and information submitted, the above clearing & grubbing application is: ❑ Approved A prove - odified as Noted Above ❑ Denied / Signed: Date: t 14 City Manager or Pesignee Rev. 03 -2010 CITY OF CLEAR4lRi` 4 _. NAME OF OWNER Menna - Pinellas, SITE ADDRESS 2580 Gulf to Bay PHONE 727- 781 -1900 OWNER'S ADDRESS 36464 US Hi LOCATION OF TREE(S) ON LOT At SPECIES AND NUMBER OF TREE(S) Blvd. lit! SEP202011 ear b tfV ghway 19 North, Palm Harbor, FL 34684 West Side of Hotel Oak (1) 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. SERVICESD``� W 01 REASON FOR REMOVAL: 121 Construction •See "A" below 11 Hazardous ❑ Declining • Dead • Other (Specify) Fee Rec'd. $ Date A) CONSTRUCTION 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 (l.) 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 Specificafions. 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 ve4fied that the tree(s) sought to be yemoved Is wholly on property owned by the above - identified property owner, and should it be determined that the/the(s) are located wholly or partially on property owned by some other person, then, I agree to hold the City of i i d c . s al pf 5 :^h tr°5�� ..... v rnrFifii tF,nt this nnnlirntic�n ttyn�AthF?f C,I�(�rWQTer fl(]r(IIIeJs II 1 any 1aa11il� �Iilatie fOi vvrviiigi u, rci � i ^vV.. �..�. - wIty any plans submitted is a trus representation of ail fads concerning the proposed rei r iuvai of i �e h ee(s). A icy devlafion fffn the permit issued shall render it null and void and be considered a violation of the Community Development Code. I Housh Ghovaee Signature GO-6wner or applicant 300 S. Belcher Road Address Clearwater FL Printed Name Northside Engineering Services, Inc Agency Represent ln- 727- CL 8036 727 - 443 -2869 77 -709 -0943 33765 Office Mobile Fax City State Zip DO NOT WRITE BELOW THIS LINE - Not Valid Until Comments: Phone /Cell Fax ied By Citv Manaaer or his Designated A Applicable Code Section: ` Based on the Inspector's comments and information submitted, the above removal application is: ❑ Approved as Submitted 4Approved-Modified as Noted Above ❑ Denied Signed: `� Date: Community Develop ent Coordinator or Designee /Inspector Valid for six months from the date of issuance. z O n • D D m Tree Inventory Holiday Inn Expansion As required by the City of Clearwater, I have completed an assessment of all trees (6" dbh or greater) on the subject site and within 25' beyond the property lines. My opinion is set forth below as to the viability (rating of 1 -5) and any potential hazards of these trees. # / Tree Size & Species atin and other pertinent comments 1 8" Queen Palm 2 2 6" Queen Palm 3 3 6" Queen Palm 2 4 25" Laurel Oak 3 5 50" Live Oak 4 6 40" Live Oak 4 7 42" Live Oak 4 8 4,7,9" Camphor 3 9 15" Live Oak 2, co- dominate, in wires, hazard 10 12113" Jacaranda 3 11 34" Live Oak 3, Co- dominate, in wires 12 30" Live Oak 3, in wires, one -sided 13 27" Laurel Oak 4 14 16" Sabal 3 15 30" Camphor 3, Co- dominate, in wires 16 40" Camphor 2, Co- dominate, in wires, hazard 17 18" Laurel Oak 4, I affirm that my opinions have been made in good faith, with no coercion from others. I further affirm that I have no interest with the parties or people involved with neither this issue nor any interest with regard to the outcome. Sincerely, Chuck Butler, Certified Arborist, Certificate #FL -1235A Butler's Nursery, Inc. 7011 75t" Street North Pinellas Park, Florida 33781 (727) 544 -0445 — phone, (727) 541 -5027 — fax AP 0 m 1, 018" 0 3' 1 6' CHAIN LANK FENCE--,, S 01 alp 4 1 W pp -7- tHWD–,- 0 HW---.— EX. RETEN ION 3 34 CON B P.) pbND CURB P.) 6" CON c m K A t. 6' WOOD FENCE LP 2373.86' �m 05, LEV. 4&77Hc )OWN I - ,as J, 00 MeNt ) ppd -L-�N' 08*41'211 - 55.A -7 17.36 04 • "I ACKNOWLEDGE THE PLACEMENT & LOCATION OF ALL MEASURES THIS PLAN REQUIRESi • #5936 TO CONTROL TURBIDITY & EROSION FOR THIS SITE. THIS PLAN SHALL BE MADE AVAILABLE TO SITE CONTRACTOR" DA TE. OUSH GHOVAEE) NOM PRINCIPAL POST POSMON, C070 20* TOWARD FLOW `-MER FABRIC SILT LFLOW SILT FENCE SHALL NOT BE 7RENCHED IN WHERE EXIST ALVACENT TO 7REES DESIGM47ED TO REMVN GROUND THE SILT FENCE MUST BE SECURED 7HROUGH ME Ll PLACEMENT OF FILL OVER 7HE LOWER UP OF THE 2"x4' OR 2.5MAM. ME LOWER UP OF THE EARRIME WOOD, l.JJLBS.1F7. MIN. S7EEL 6' MAX EX. DUMPSTER nL7ER FABRIC IN tK x cy) (01 ASPHALT DRIVE 00 EXIST GROUND I - ,as J, 00 MeNt ) ppd -L-�N' 08*41'211 - 55.A -7 17.36 04 • "I ACKNOWLEDGE THE PLACEMENT & LOCATION OF ALL MEASURES THIS PLAN REQUIRESi • #5936 TO CONTROL TURBIDITY & EROSION FOR THIS SITE. THIS PLAN SHALL BE MADE AVAILABLE TO SITE CONTRACTOR" DA TE. OUSH GHOVAEE) NOM PRINCIPAL POST POSMON, C070 20* TOWARD FLOW `-MER FABRIC SILT LFLOW SILT FENCE SHALL NOT BE 7RENCHED IN WHERE EXIST ALVACENT TO 7REES DESIGM47ED TO REMVN GROUND THE SILT FENCE MUST BE SECURED 7HROUGH ME POST OPRONS, PLACEMENT OF FILL OVER 7HE LOWER UP OF THE 2"x4' OR 2.5MAM. ME LOWER UP OF THE EARRIME WOOD, l.JJLBS.1F7. MIN. S7EEL 6' MAX nL7ER FABRIC IN CONFOR&ANCE WITH SPECS. OR EQUAL EXIST GROUND FOYFAML < POSMON C) PRINCIPAL POST POSMON, C070 20* TOWARD FLOW `-MER FABRIC SILT LFLOW EXIST GROUND lK 1119 M., 111 , 411111 0 IC .1 x< UJ3: GRATE NLET "RATE LC-LEV, = 49.98 iNli, �:"LEV, = 4&56--- �',IAWOLE RHvI ELE"'V. 4� -t(. = ZVT68 R-fRX,?,0F ELEV, 4-6.79 -1 E i 11 - v ASPHALT DRIVE 00 a tl l"ll Z o , - - - ------ ---- -- -------- - - N 08"41'21 17.36 lZ 5J.J CB11 0 EXIST. ELEVATION x EXIST. CONTOUR 10 NEW ELEVATION +10.00 S 0V03'04" w 120.31 EXIST. STORM SEWER NEW STORM SEWER NEW UNDERDRAIN EXIST. SAN. SEWER LP NEW SAN. SEWER EXIST. WATER SERVICE . ...................... NEW WATER SERVICE NEW INLET NEW SAN. MANHOLE NEW CLEAN—OUT(C.O.) C.O. NEW BUILDING AREA NEW ASPHALT NEW CONCRETE TEMP. SILT BARRIER POINT OF CONNECTION OF NEW UTILITY TO EXIST. M METER B.F.P.D. BACKFLOW PREVENTION DEVICE F.H.A. FIRE HYDRANT ASSEMBLY F.D.C. FIRE DEPARTMENT CONNECTION T.B.O. TEMPORARY BLOW—OFF T.&V. TAP AND VALVE LAI _3 LL_ .6� < R " rJ RE3 E [,!L_FJ R 0 41" LEV� 47�98 - rL) IT A 1ELEV, 40,1 48,03 ,-.�MNJITARY MANW-A-E RIM ELEV, 47.71 INV, FLEV. 41.23 �',IAWOLE RHvI ELE"'V. 4� -t(. = ZVT68 R-fRX,?,0F ELEV, 4-6.79 -1 E i 11 - v ASPHALT DRIVE 00 a tl l"ll Z o , - - - ------ ---- -- -------- - - N 08"41'21 17.36 lZ 5J.J CB11 0 18, 1$ 0 30" 43 (o LEGEND EXIST. ELEVATION x EXIST. CONTOUR 10 NEW ELEVATION +10.00 S 0V03'04" w 120.31 EXIST. STORM SEWER NEW STORM SEWER NEW UNDERDRAIN EXIST. SAN. SEWER LP NEW SAN. SEWER EXIST. WATER SERVICE . ...................... NEW WATER SERVICE NEW INLET NEW SAN. MANHOLE 18, 1$ 0 30" 43 (o LEGEND EXIST. ELEVATION x EXIST. CONTOUR 10 NEW ELEVATION +10.00 NEW CONTOUR EXIST. STORM SEWER NEW STORM SEWER NEW UNDERDRAIN EXIST. SAN. SEWER NEW SAN. SEWER EXIST. WATER SERVICE . ...................... NEW WATER SERVICE NEW INLET NEW SAN. MANHOLE NEW CLEAN—OUT(C.O.) C.O. NEW BUILDING AREA NEW ASPHALT NEW CONCRETE TEMP. SILT BARRIER POINT OF CONNECTION OF NEW UTILITY TO EXIST. M METER B.F.P.D. BACKFLOW PREVENTION DEVICE F.H.A. FIRE HYDRANT ASSEMBLY F.D.C. FIRE DEPARTMENT CONNECTION T.B.O. TEMPORARY BLOW—OFF T.&V. TAP AND VALVE 1`141 � A "k A & * THIS DRAWING IS AN INSTRUMENT OF SERVICE AND SHAL!KiMAIN THE PROPERTY OF THE ENGINEER, AND SHALL NOT BE REPRODUCED, PUBUSHED7OR USED IN ANY WAY WITHOUT THE CONSENT OF THE ENGINEER. C)tOPYRIGHT2011 NOT PUBUSHED A 'IrT RAM K GOEL, Ph. b., P.E. #47431 COPIES OF THESE PLANS ARE NOT VAUD UNLESS EMBOSSED WITH THE SIGNING ENGINEERS SEAL a, 00 X< U I L�IRAFE dNLET 3R ATE ELEV. = 49,98 NV. EL.EV. = 48,56-- d0 018" GRA(—POTINLET 4992 ��JV—IL—IEV, 4&77 HC I F p lo'pgo- 6' WOOD FENCE LP 233.86' m I 00 —N 08041'21 17.36' MIR C-� �r M�j MEWMA SEELME Li i PF24 iNV, EL[V, A 8, 56 /013 ?3 L L _T T S % TJ CL" - LOT I STUDEBAKER'S (PLAT BOOK 92, PAGE 38) ASPHALT DRVvE 'AAY & PMRKINfG' Lp 6 , CB 11 6' WOOD FENCE LP 233.86' LK DUAfPSTErT I ASPHALT m 0 LP I -' N O8 °4-1'21" W 17.36' SYMBOL LEGEND Il 'te: 04129/11 Revisions: - Li oc ■1■ 1■1■ ]