12 IDLEWILD ST1ooR 5-�. MG�es��c
CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
TREE REMOVAL PERMIT
NAME OF OWNER , ` E -\
SITE ADDRESS � 8( IN Ne- CQ 3 -
PHONE _) o3 19q
OWNER'S ADDRESS -aC70
LOCATION OF TREE(S) ON LOT
SPECIES AND NUMBER OF TREE(S) 13 r15
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 Recd. $
A) CONSTRUCTION Date 2, -5 0 62
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 (1.) 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 (m) 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
th it issue all render it null and void and be considered a violation of the Community Development Code.
Signature of owner or applicant Printed Name
1k45?5 Pal
Address Agency Representing O L #
City State Zip Phone /Cell Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Inspector's Comments:;`
Applic ble Code Section:
Based on the Inspector's comments and information submitted, the 9 b rem - a app lic�d°Tion ls-
❑ Approved as Submitted Approved- Modifiedted°`Atve 3 Z0FS led
Signed: ®EV E L ®P fi N Community evelopmekt Coordinator or Designee /Inspector a �gte dt s� Fn ,� tl fT� a pf issue
1362.0001 -GC White - Planning & Development services Yellow - Applicant
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Support Contact -- Na
Nolls In tree wood
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For Cabbage Palms:
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NOTE: ALL TREE STAKES AND SUPPORT WIRES
WILL BE REMOVED AFTER 1 COMPLETE
GROWING SEASON,
>r Cabbage Palm Installation-
For Cabbage Palms:
m All Fronds at Time
All Trunks to be Smooth and
f Digging and Planting
All Bum Barka Brushed Away
it Washington Palm Installation:
For Washington Palmst
,ovc ins do row of fronds
Leave all boats on trunk
s up with biodegradable twine
Variegated Ginger
VG
2 Layers Burlap Pad at
36" 0C
Support Contact -- Na
Nolls In tree wood
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PS
3- Ga1,24 'x24'
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2" x 4" Brace (Yellow Pine)
Schefftera Arboricola "trinette"
Space Three at 120" Typical
VA
Remove after one growing season.
36" 0C
2 ®x 4' Stake (Yellow Pine
Three Feet Long
Gold Tree
Remove after one growing season.
2 1/2'®Cat,10`h-t
Saucer Rim
110
Finish Grade
Raphiolepis indica
3° Minimum Mulch
IH
-- Rodtball" 16" Minimum
30" 0C
%dius From Trunk
Washed—In and Tamped
White Fountain Grass
Planting Sall Mixture
3- Gat,24 'x24'
Existing Sail
PALM STAKING +
PLANnNG DETAIL
N ®T4s_
Parsonii Juniper
CAiVBR-TA STREET
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LANDSCAPE TABLE
Quantity
Symbol
Scientific Name
Common Name
Code Name
Planting Size
Spacing
24
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Atpinia sanderae
Variegated Ginger
VG
3- Ga1,24°'x24'
36" 0C
38
Philodendron setloum
SellouM philodendron
PS
3- Ga1,24 'x24'
36" 0C
58
. I N
Schefftera Arboricola "trinette"
Variegated arboricola
VA
- Gat,24 "x24`
36" 0C
13
Taloebuia argentina
Gold Tree
TB
2 1/2'®Cat,10`h-t
per /ptan
110
LLJ
Raphiolepis indica
Indian haw-thorn
IH
3- Gat,14'x14"
30" 0C
97
Pennisetum setaceum
White Fountain Grass
WF
3- Gat,24 'x24'
36" 0C
20
Juni eras horizontal,is
Parsonii Juniper
Pi
3®-Gat,14`x14"
361, 0C
6
ZaCila rlari-tima,
Cardboard Pala
ZM
3- Gal,24 "x24"
per /plan
4
Nerium oleander
Meander Tree form
0l,_ }
2 1/2" -Cat, 'HT
per /plan
94
Qq
Podocarpus macrophyllLls
Yew podocarpus
PM
3- Gat,30 'ht
36'° 0C
7
Roystonea elata
Royal, Pala
RP
8 & 8,10' +CT
Per /plan
28
Saat palmetto
Sabat Pala
SP
8 & 8,10` -ACT
per /plan
SY`iO'-,I L
LAL 10' _
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Issue Date: 02102104
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BUTLER'S NUSERY, INC.
7011 75TH ST. N. PINELLAS PARK,
1 541-5027
PH- 544-0445 FAX.
DESIGNED BY R.BELKO
CHECKED BY: C.BUTLER
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BUTLER'S NUSERY, INC.
7011 75TH ST. N. PINELLAS PARK,
1 541-5027
PH- 544-0445 FAX.
DESIGNED BY R.BELKO
CHECKED BY: C.BUTLER
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