2394 GULF TO BAY BLVD�� ( 1
�'� APPLICATION FOR LAND CLEARING & GRUBBING PERMIT f
OF
99�ATEa- PLANNING CITY
& DEVELOPRMENTT SERVICES
(727) 562 -4741 DATE 2111 d�---
7l RECEIP 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. c
1. Location of Property; ,� ��✓/ °f T r/C �® ,� ���/.D 3
2. Project Name:
3. Purpose of clearing and /or grubbing: klNew Construction ❑ Demolition ❑ Tank Removal U Other
4. General description of existing vegetation, topography, and surface water (including all existing and /or proposed
ditches, canals, and swales)
5. Proposed method of debris disposal
6. Date you plan to begin work
7. Proposed method of soil erosion control
8. WKNo -Tree Verification Required ❑ 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,
9
Signatt e oof. o wne Pl w ners Representative 7;!, ' .
Printed Name
Address
S-1' F1
city
M
ilepresenrative ' rm
%S2J -d�67 727- 52 7- 7
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:
0 Approved As Submitted C( Approved - Modified As Noted Above 0 Denied
n
Signed: ?'`. Lr_ `' "7 i,,� -�• - Date: G
City Manager or Designee }
CLEARWATER
Brian J. Aungst, Mayor- Commissioner
Ed Hart, Vice Mayor- Commissioner Whitney Gray, Commissioner Hoyt Hamilton, Commissioner Bill Jonson, Commissioner
1362- 0002 -GC White - Planning & Development Services Yellow - Applicant 01
ti
NO TREE VERIFICATION --
_ or
99tigTE1l���4r NO TREE REMOVAL PERMIT REQUIRED VERIFICATION STATEMENT
CITY OF CLEARWATER
PLANNING & DEVELOPMENT SERVICES
(727) 562 -4741
(Print or Type)
Owner: ✓ �/ 14 -Z Phone: j.
Owner's Representative: � , '{ I
✓(C 3-P Phone:
Address of Applicant: 2 �17 74
c
C.
ity: � c % < ��- < �z v ? r State: Zip:
Location of Proposed construction:-- - 9'8' 7"- 27-3i'�
Clearwater, Florida
I hereby certify that the information contained herein is true and accurate and that I am the legal owner of the
subject property or have legal authority to execute this form on behalf of the property owner. I am aware that any
deviation from the information submitted with this form shall be considered a violation of the Community
Development Code. In accordance with Section 4 -1205, Community Development Code, I request a release from
the provisions of the tree removal permit section to allow the issuance of a building permit at the above location
because one of the following conditions exists:
O PROTECTED TREES, as defined in Section 8 -102 (non - prohibited species greater than four inches at 4.5 feet above
grade) exist on the site, but ARE NOT REQUIRED TO BE REMOVED FOR CONSTRUCTION purposes, thus no tree
removal permit is required. I further understand that these TREES MUST BE PROTECTED FROM DAMAGE BOTH
BEFORE AND DURING ALL CONSTRUCTION ACTIVITIES ON THIS SITE as provided in Section 52.08 of the City code of
Ordinances (A site plan is submitted with this request.)
Q NO PROTECTED TREES, as defined in Section 8 -102 (non - prohibited species greater than four inches at 4.5 feet
above grade), EXIST ANYWHERE ON TbE SITE of the proposed construction.
PRINTED NAME: I , �? t�j c S
Owner or
SIGNED: ,
Signature of Owner or Redesentative
Ed Hart, Vice Mayor- Commissioner
CLEARWATER
Brian J. Aungst, Mayor- Commissioner
Whitney Gray, Commissioner Hoyt Hamilton, Commissioner
1430 - 0022 -GC White - Planning & Development Services Yellow - Applicant
Bill Jonson, Commissioner
7 -01
Property Management Construction Consultant
& Inspections
W.A. Adams Jr.
Construction, Inc.
"Concept through Completion"
Sime 1973
MOW""
W.A. Adams, Jr.
Ph: (727) 527 -0769
Ph /Fax: (727) 527 -7359 2965 - 47th Ave., N.
Cell: (727) 458 -6864 St. Petersburg, FL 33714
'E� '� :i 'fry 73
MENANIMN
(goo a /W)
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PLANT LIST
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NOTES
DATE
1®
,
I
11 ;2:0 0 1
06-11 2001'
LANTANA GOLD 1gi
s
MULCH
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ALL PLANTING TO RECEIVE 20-10-20 tGRIFORMTABS
75
DWARF OLEANDER TI TE PINK 3gl 18" OA
3.
A ° GROUND COVER FERTILIZER OCA
4,
ALL PLAN71NG AREA TO RECEIVE A 1007 IRRIGATION
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337
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ALL PLANTING MATERIAL SUBJECT TO AVAILABILITY
TY
PLANT LIST
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223
INDIAN A aR 3gl 1 S
NOTES
DATE
1®
ALL PLANTINGS TO RECEIVE OF CYPRESS
I
11 ;2:0 0 1
06-11 2001'
LANTANA GOLD 1gi
MULCH
Z
ALL PLANTING TO RECEIVE 20-10-20 tGRIFORMTABS
75
DWARF OLEANDER TI TE PINK 3gl 18" OA
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A ° GROUND COVER FERTILIZER OCA
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ALL PLAN71NG AREA TO RECEIVE A 1007 IRRIGATION
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337
VARkr.GATED MININA JAS 191 12- RUNNERS
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.
ALL PLANTING MATERIAL SUBJECT TO AVAILABILITY
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ED TIP PHONTINIA GLABIA 3 gi 24" OA
AND OR APPROVED UAL MATERIAL FROM
s
ACCEPTABLE GRADES AND STANDARDS FOR FLORIDA
125
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NURSERY PLANTS D APPROVED BY CITY OF
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