201, 215 GULFVIEW BLVD SP.4
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CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
9
TREE REMOVAL PERMIT
NAME OF OWNER
SITE ADDRESS Z 5 S' • t, 11 v i t
PHONE
OWNER'S ADDRESS
LOCATION OF TREE(S) ON LOT
SPECIES AND NUMBER OF TREES)
PA LM
TO APPLICANT: A non - refundable fee
be removed, plus $3. R removed is re uired.
Fee peed. S
A) CONSTRUCTION OCT LIZ911 0 7 2008 ` 11
Date
1. For new construction, additions or oth ons of a property w ' I volve the removal of a protected tree(s),
a site plan is required. This site plan must h ve or sir le fa mily lots, or 1 " =50' for all others. The \1
site plan must include: DEV it tvJ, .'E �li'I, -4)EP7
a. Major Changes of Grade f. Pro r Ing paces- T 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 OQ
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: 10' 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.
Cn
I hereby certify that as property owner or as representative of the property owner, I have verified that the tree(s) sought D
to be removed is wholly on property owned by the above - identified property owner, and should it be determined that 0
the tree(s) are located wholly or partially on property owned by some other person, then, I agree to hold the City of 7,
Clearwater harmless in any claim made for wrongful removal of such tree(s). I hereby certify that this application together l
with any plans submitted is a true representation of all facts concerning the proposed removal of the tree(s). Any deviation
from the permit issued hall render it null and void and be considered a violation of the Community Development Code.
- 4�; r Itl4b K-C
Signature of
2�§Ir or applicant rintd Name /
-2,5 ?_21 S Y1- S`� !20 5 5
Address Agency Representing OCL #
L-y -t z. (-'L 3 3 �S'97 LF(3 -9q -7- Z o 4 5 e3 -rt -7 3 - Y3 4?
City State Zip Phone /Cell Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
In pe tor's C ment :
REASON FOR REMOVAL:
Construction
R i qu
ed Replacemen ) Tree
.See "A" below
Appli
Bise
❑ Hazardous
❑ Declining
❑ Dead
z
O
� �F01 lk/
to
❑ Other (Specify)
I
Fee peed. S
A) CONSTRUCTION OCT LIZ911 0 7 2008 ` 11
Date
1. For new construction, additions or oth ons of a property w ' I volve the removal of a protected tree(s),
a site plan is required. This site plan must h ve or sir le fa mily lots, or 1 " =50' for all others. The \1
site plan must include: DEV it tvJ, .'E �li'I, -4)EP7
a. Major Changes of Grade f. Pro r Ing paces- T 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 OQ
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: 10' 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.
Cn
I hereby certify that as property owner or as representative of the property owner, I have verified that the tree(s) sought D
to be removed is wholly on property owned by the above - identified property owner, and should it be determined that 0
the tree(s) are located wholly or partially on property owned by some other person, then, I agree to hold the City of 7,
Clearwater harmless in any claim made for wrongful removal of such tree(s). I hereby certify that this application together l
with any plans submitted is a true representation of all facts concerning the proposed removal of the tree(s). Any deviation
from the permit issued hall render it null and void and be considered a violation of the Community Development Code.
- 4�; r Itl4b K-C
Signature of
2�§Ir or applicant rintd Name /
-2,5 ?_21 S Y1- S`� !20 5 5
Address Agency Representing OCL #
L-y -t z. (-'L 3 3 �S'97 LF(3 -9q -7- Z o 4 5 e3 -rt -7 3 - Y3 4?
City State Zip Phone /Cell Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
In pe tor's C ment :
R i qu
ed Replacemen ) Tree
Appli
Bise
able Code Section:
on the Inspector's comments and information submitted, the above removal application is:
Z LU ❑ Approved as Submitted Approved- Modified as Noted Above ❑ Denied
® '
Signed: ^- Date: ll? 0
Community evelopmen Coordinator or Designee /Inspector Valid for si months from the date of issuance.
1362.0001 -GC White - Plannina & Davelonment Services YQIInW - Annflcnnt Acv 9114
CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
TREE REMOVAL PERMIT
rEN�o�
NAME OF OWNER
SITE ADDRESS 1 ?..o t Cr, (FU 1'q LA3 i L) d
PHONE V3--10 7 � I D 7 3
OWNER'S ADDRESS -'360
LOCATION OF TREE(S) ON LOT le
SPECIES AND NUMBER OF TREE(S)
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.
4E FOR REMOVAL:
C nstruction
•See "A" below
• Hazardous
• Declining
• Dead
• Other (Specify)
Fee Recd. $
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
Z
O
6.
C�)
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 y
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. Cn
I hereby certify that as property owner or as representative of the property owner, I have verified that the tree(s) sought y
to be removed is wholly on property owned by the above - identified property owner, and should it be determined that O
the tree(s) are located wholly or partially on property owned by some other person, then, I agree to hold the City of 77
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 the it issued shall and void and be considered a violation of the Community evelo ment Code.
��
Signature of owner r applicant Printed Name
�
75-?? i S rZ S-Y t-3 � � _ e"ss
Address Agency Representing OCL #
UU� - 3 Ss � Fi3- ?/ ed 9d7 d2c�7
City State Zip Pt-Tone/Cell Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manaaer or his Designated Agent
Inspector's Comments:
Based on the Inspector's comments and information submitted, the above removal application is:
I] Approved a Su mitted AjApproved- Modified as Noted Above ❑ Denied
Signed: Date:
Community D velopmen Coordinator or Designee /Inspector Valid for mon hs from the date of issuance.
1362.0001 -GC White - Plannina & Develooment SeMces Yellow - ADDIICant Rev. 2-03
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SECTION 7 & 8, TWP. 29 S., RNC. 15 E., PINELLAS COUNTY, FLORIDA
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CLEARWATER BEACH RESORT & HOTEL
CLEARWATER, FLORIDA
JULY 1412008
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CIVIL ENGINEERING —LANDSCAPE
ARCHITECTURE — PLANNING
KEITH ZAYAC & ASSOCIATES, INC.
(7 2 7) 793 -9888
701 ENTERPRISE ROAD I, STE 404
SAFETY HARBOR, FL 34695
WWW.KEITHZAYA C. COM
ED 6001 - LIG 2606212
DESIGN ASSOCIATES, P.A.
I.III k-ffitecture (#516) & Site PleI
Frofe-AdonAl Affsociation, Emilio Fatter, LS.LL
7500 SW 85 Court. Miami, FL 33143
Teiephane (305) Z70-2202 Fax (345) 279-2504
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CLEARWATER BEACH RESORT & HOTEL
CLEARWATER, FLORIDA
JULY 1412008
III IIII [I I I i _w
an's 1%
CIVIL ENGINEERING —LANDSCAPE
ARCHITECTURE — PLANNING
KEITH ZAYAC & ASSOCIATES, INC.
(7 2 7) 793 -9888
701 ENTERPRISE ROAD I, STE 404
SAFETY HARBOR, FL 34695
WWW.KEITHZAYA C. COM
ED 6001 - LIG 2606212
DESIGN ASSOCIATES, P.A.
I.III k-ffitecture (#516) & Site PleI
Frofe-AdonAl Affsociation, Emilio Fatter, LS.LL
7500 SW 85 Court. Miami, FL 33143
Teiephane (305) Z70-2202 Fax (345) 279-2504