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1006 FT HARRISON AVE NCITY, O F C L E A R W A T E R POST OFFICE BOX 4748 CLEARWATER, FLORIDA 34618.47418 NOTICE OF COMPLIANCE 03/29/1995 A' The City of Clearwater Environmental Management Office has completed its stormwater and landscape inspection at your site. The site was found to meet the requirements set forth by the stormwater and /or landscape ordinance's in effect at the time of site development. If you have any questions regarding this report, please contact Rick Albee at (813) 462 -6598. SITE: Weible Medical Center SITE ADDRESS: 1006 Ft. Harrison Ave. N. OWNER: Dell & Debra Weible OWNER REP.: RECOMMENDATIONS: Continue to maintain site to insure future compliance. STORMWATER: Inspect outfall weir periodically and remove debris buildup (mulch) at skimmer. ' E q u a l E m p l o y m e n t a n d A f f i r m a t i v e A c t i o n E m p l o y e r ' ' TREE REMOVAL APPLICATION FORM 000769 NAME OF OWNER: V ' ' S ' �5 Fee Rec. $ I ,5lx Date Rec: ;,z_\ ;L-9� LOCATION OF WORK: ��� (o N l` � � f r S�ti' lk' _ Rec. By: Clearwater, FL Rec't # 11 jjSo REQUIRED PLACEMENT _T_REES 1 _._. --- -- - -- --- - -' w w w��� �q �_w.w w.w.s .� a_wae -w -s w.w -�:•w w w w"�iii w w w w w w w w s w w s w PERMIT TO REMOVE TREES) NAME OF OWNER % C-✓ -e al­( OWNER'S ADDRESS /Ad'16 PHONE 7 SITE ADDRESS c r .r- v G LOCATION OF TREE(S) ON LOT a . SPECIES AND NUMBER OF TREE(S) OQ y.e,f _)0769 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 Rec'd. $ be removed, plus $3.00 for every tree above 5 to be Receipt # rl _11ZISL, removed is required. Date I a - 1a -9 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..l' =20',for single family lots, or 1' =50' for all others. The site plan must include:' -'K a. Major Changes of Grade nr• is 3 All easements and Rights -of -Way b. Structure Locations - j: All Protected Trees Including: c, Driveways and Walks ,(i.) Diameter of 4.5' above grade (DBH) d. Parking Arrangement ` . 1 (11.) Surveyed Location ' e. Required Number of Parking Spacesi• (U Species f. Proposed Number of Parking Spaces = Diseased or Insect Infested Trees g. Proposed Underground Utilities Jay ..t< ,,;r (v,) Trees to be Removed h. Zoning Setbacks k: `Tree Barricade Detail & Locations 2. �Protective barriers are required around all trees remaining on_si during construction. These barricades must remain intaLt during construction. The barriers must.rrieet City Specifications:,` 3. Tree replacement minimum standards 8'•overall height, 2' caliper, Florida Grade #].'See inspectors note below to deterrrype the number,.of repldcerrient trees iequired. I hereby certify that as property owner or as representative of the property owner, I ave verified that the tree(s) sought to be removed is wholly on property owned'bythe' above - identified property owner, and should it be determined that thedtree(s) are located wholly or partially: on property owned by,iome;other person then', I agree to hold the City of Clearwater harmless in any claim mad6,.fpr wrongful removal•of suc6_tree(s).J 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 deviation from the permit issued;shalLrender it null and void and be considered ai violation of Chapter 52, Code of Ordinances. Signature of owner or applicant i y = q ,, Printed Name.f'. . Address ti` ? 'r ' f Agency Representting (If Not Owner) 9_4 City }s r State ;r ;, c ;. rZip ' , -Phone DO NOT WRITE BELO LINE - Not;Volid Until Signed By City Manager or his Designated Agent Inspector's Comme Recommended Replacement Trees: O Applicable Code Section: Signed: Date 2- 2 Z 9. f7- Inspector Based on the Inspector's co men and information submitted, the above removal application is: Signed: Lj Approved as Submitted roved - Modified as Noted Above p Denied Date: City Manager or esignee 8-94 IG( i-�Ip 6��'4I`G� -1 - PN10 -01 CITY OF CLEARWATER PARCEL ID 09- 29- 15- 25542 -002 -0170 PAZIP YRBLT /EFF FLRS TOT SOFT $ /SOFT AVR 1006 N FORT HARRISON AVE 00000 1991 1991 4,279 42.76 OWNER'S NAME AND ADDRESS V P W G BLDGS == IMPROVEMENT == HEAT SOFT WEIBLE, DELL R. 1 30 GENERAL OFFICE 4,002 THOMAS - WEIBLE, DEBRA A. LEGAL DESCRIPTION CENSUS PBOOK /PG 1006 N FORT HARRISON AVE ELDRIDGE, J. J. 261.00 OH1 85 CLEARWATER, FL 346153017 BLK B, S 1/2 OF LOT 16 & NBHD LOT SIZE = => ISC COUNTY ALL OF LOT 17 12,090 SO FT 93 X 130 YEAR IMPROVEMENT LAND ASSESSMENT SO /FT YEAR TAXES PD D TX /FT 1994 148,300 41,100 189,400 44.26 1994 4,387.70 N N 1.02 SALE DATE AMOUNT BOOK /PAGE DT 0 T SALE DATE AMOUNT BOOK /PAGE DT 0 T APR. 1990 183,000 7244 2030 M A SELLER'S NAME = = = = == LAND / PROPERTY USE == = = = = == HOMESTD LP 24 330 INSURANCE COMPANY OFFICE 0 N MORTGAGE COMPANY AMOUNT DATE MTG TYPE RATE NUMBER GENERAL REVIEW DATE BUILDING REVIEW DATE 19- DEC -91 22- DEC -93 ENTER =FWD F1 =DOCS F2 =BLDG F4 =TAX F5 =LGL F7 =DIM F8 =XFEAT F13 =SKTCH F6 =COMP MENU PN10 ISC READY NO TREE VERIFICATION or NO TREE REMOVAL PERMIT REQUIRED VERIFICATION STATEMENT (Print or Type) �Q� Owner e �u ( t ) -, t � (%__ PHONE byo c Owner's Representative "Alli (CI- Qu'V! t ��i 1-0. Co. PHONE Address of Representative ( CU o ( (`: �� (.o �..� Lrt `-, c, `(• 7 4 (4 0 Location of Proposed Construction A 4 ) F�� Clearwater, Florida According to Section 98.32, Code or Ordinances, I, the above, request a release from the provisions of the tree protection ordinance to allow the issuance of a building permit at the above location because one of the following conditions exist: NO TREES, as defined in Section 98.01 (non - exempted species greater than 4 inches at 41/2 feet above grade or any size mangrove), EXIST ANYWHERE ON THE SITE described above at the location of the proposed construction. Subscribed and Sworn before me this _ day of I of 1.9 (Signature of Notary) NAME OF NOTARY COU NTY COMMISSION EXPIRES SIGNED ("Signature of owner or representative) PRINTED NAME (Owner or Rep) PROTECTED TREES, as defined in Section 98.01 (non- exempted species greater n than 4 inches at 41/2 feet above grade or any size mangrove) exist on the site described above at the proposed location, but ARE NOT REQUIRED TO BE REMOVED FROM CONSTRUCTION purposes, thus no tree removal permit is re- uired. 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 98.01 (Asite plan is submitted with this request). Subscribed and Sworn before me SIGNED 0i11�� ?- �— `tl (Signature of owner orjrepresentative) I. day of AJffFM e• liJ I 19 �� , (Signature of Notary) NAME (� NOTARY 111111 t24 PUBLIC STATE OF FEORI6A COUNTY, W COfMISSION lip, INS. INQ« COMMISSION EXPIRES PRINT(�ED NAME (Owner or Representative) ENVIRONMENTAL MGMT . ..... White Copy BUILDING ..... .........................Yellow Copy APPLICANT .... ...........................Pink Copy PERMIT TO REMOVE TREE (S) NAMI OF OWNER 'JVs _) � C01Q t rte / OWNER'S ADDRESS 4 1Jnc air K Cx � �_A EA N FOR REMOVAL: __ c onstruction PHONE 5 °�SsgS El HH�ardous'' LOCATION OF TREE (S) c 6 �ctiu-k.t (a^�- Ueed - Dying J, El Other - (Specify) LOCATION OF TREES ON LOT 2' SPECIES AND.-NUMBER OF TREE (S) TO APPLICANT: Anon- refundable threedollar($�.00) fee 1a re� Fee Rec: $ quired for each tree requte� tote remb�e� Rec't # �� o { PLEASE READ AND SIGN:. i c 1. On New construction,, additions, or other�ffidltications of a4property which ,requires-- the remo%(k or relocation of a protected tree(s) (Larger than 4" in diameter at 41/2 ft. above grade) a Site 0", Is requtrd -When remti l is requested for construction purposes, the Site Plan must yC S.d� =A Cn s .. have a minimum scale of 1 ":0' for singl8 fam�il Mots or 30' fibY mulfifamily com¢ymeroi'a"i o ndustrial sites. The Site Plan must show: AJk 5rxa �s 1. Major Changes of Grade �` ` R 9 All EaS13meMs attd 3i4hts-o*ay _ 2. Structure Locations t tU 41 f ? rote cted�Treesn i 3. Driveways and Walks FAA Diatn ter (DBH) at--,AT2 ft_ above grade 4. Parking Arrangement (if any) s i � Location JSurveyec ) 5. Required Number of Parkin S acesr �S t✓$ �cl � �. .,� q 9 per,, � 6. Proposed Number of Parking Spaces D Ariy t5rsaased�ir I ested Trees 7. Underground Utilities to be e Removed r . S. All Setbacks per Zoning++�f 2. Protective Barriers are required around all tree's rem9iriln �n,:�de4durt gi ' tuctaon These bar�I st :Femain intact during construc- tion as a citation Will result if they do�rtot Ftematn standing antl -466 lanall hciwtive a Hers must meet City Specifications per City Ordinance. Ar 3. The replacement (Planting) of treks (MirnmumtHt o#6�),raay be;regwred onyo r prop srty, a�rerocu�iana_is allowed. Trees are to be selected from the approved list on .file m�the E,nvlronrtil ntai Dtvisi n�Seettnspeciors note below t det r- in -64 he number of trees required when the approved permit is returned�to you ` r - I hereby certifiy that as property owner or as iepreseritsfive 3�ihe pro erry.owaer �I #ta�ie ve fiad iQ tka, ifee jl'%ught to be removed is wholly on property owned by the above identified pfbperty owner antl Si ou d it�ippe r to c)et�rrnmed ftiat tie tree(s)Fe located wholly or partially on property owned by some otfier persont, then ►,;agree to,.. ftd thb}Cit bf Ctearharitlessn a�iy claitta nlaite,fiir wrongful removal of such tree(s). I hereby certify that this;appilicationlogetherwit any tarts sub. fitted a rtaetepr efittation ofall facts chi 6rning the proposed removal of the tree(s). Any deviation from the permit issued shelfencfer at null nii void andzbe considerd a vio'lation;of Ordinance 1623, Section 23A, Code of Ordinances. 2. Al Signature of Applicant if r%t o ner��Pnnted '}a Tom. {�• }� -=�' - 1 A' afare ofOwner y Agen Representing &Phone ` i. Date r:Received Address =?:? G~ /� Called /Mailed Gc ' E PICKED UP City., State REQUIRED REPLACEMENTS t DO NOT WRITE BELOW THIS LINE L-", t V lid IlnfiltSi 'n •?By City °t' anager or his Designated Agent Inspector's Comments: Recommended Replacement Trees Required Replaces Signed Based on the Inspector's comments and inform ion submitted, the above removal application is: ppro s ►Emitted ❑ Approved — Modified AsNoted Above Signed: Date: City Manager or Designee ❑ Denied ��"`"+ Ltd' �'^ x' t�sv.'"° ?i.'(�it.+�nll+�dfit�•r+"'�,yj , *� �`". �q�., ...... ��yrs••- �'+ t: �a: ��3,v�'tpi,m :b.::'+!aw+'"�wa�r w.:t'°�;'�r�'���F�ti APPLICATION FOR LAND' CLEARING & GRUBBING PERMIT ' CITY OF CLEARWATER .. ,PUBLIC WORKS DEPARTMENT ` "ENVIRONMENTAL MANAGEMENT, DATE f` f c�• "t rHS` r '(813) 462-6747,_k­ o RECEIPT N0. - . +: , f ' A non-refundable filing fee of $10 00 Is required per Resolution 86 -9 Permit applicable for 6 months from date of �appr8,val , `In accordance,,with Section 98.30, I hereby.apply for permit to land clear. and /or grub the property described belowu 1`.'"%� Location of Proper Co v 2: Rroject Name (W �� s p r c;; l C? 2,tn`t Pts" , 3 Purpose of clearing and /or grubbing P& i kA f_1 c5t" 1` :, iNl,0 e�)� 4 a( 4 'General description of existing vegetation, topogra'p'hy, and surface water (including all existing and /or proposed , ditches;' canals, and swales) �c �) 6.�t r j ybb 5 Pr6posed' method of debris disposal' °� O try6.v-t 5 ti ."� ' ,• - . . �._.,_.• -.. - f t to Date,you plan. to begin work so_: � ct - 1177 C,,Ak ° i a 7. Proposed method of soil erosion,.control R� !i;',7 as ,- 1+ S < . j j{ 4- k 8 No -Tree Verification Required _ "`•❑ Tree - Removal Permit Required t � r I'AM AWARE AND UNIDERSTAND THE. REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING- TREE PROTECTION, DURING CONSTRUCTIONrAND HAVE READ.CITY'S EROSION AND SILTATION.CONTROL POLICY {cr �"'�"'r.,c.e�, .. .. - - - � dx..:�7 T � i• is `> Subscribed and Swor before me41� . , Signature of Owner or Owners fiepresentative t this day of J, Printeds.Name ry ,.'^`� ft �► 3't-1 l �ln �'`t' Vl 4J f x e s �i Signature o6t4dtary Address fi .' NAME, OF NOTARY .loe�fJt t p C. �� State Zip COUNTY ,,:= v` " °Ml':COISSION EXP. NO! 1993. I - �r a! . �o _�CTi ic1 '* ei� .. 8'��~ S i COMMISSION XPI. , w s Representatives' Firm Telephone {: p Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is NOT � �• a.Tree Removal•Permit.. DO,NOT WRITE BELOW THIS LINE' y .. k, Comrn is • �' r } « ,fir e �x -Water �i`es�urcer�S PC. �I ' `Date i, P Comments .,�;?/(./ f �f rbaraorester "`"f date . t tBased on the above comments` and Information submitted, the above''removal appllcatlon is:. r so Approved Asp Subnurtted f ❑ Approved. Modified As Noted ,Above h _ ❑ .4Denle�d' �. Signed': Date City Manage Designee rr ' �! ,. r Fti ; "*. M • ,,» +�,,,. s,, y Rev. 9/87 +� a, '; *,: white — Applicant rr�,t. .r w Yellow— Environmental ,t,,, . r . ;,: (Pink - Inspector C I T Y OF C L E A R W A T E R POST OFFICE BOX 4748 CLEARWATER, FLORIDA 34618 -4748 May 14, 1992 The City of Clearwater Environmental Management Office has completed its landscape inspection at your site. The following report is the result of our inspection. If you have any questions concerning this report, please contact Rick Albee at (813)462 -6598. SITE: Weible Medical Center 1006 Ft. Harrison Ave. N. OWNER! Dr. Debra T. Weible OWNER REP.: INSPECTION DATE: 05/14/92 DEFICIENCIES: None at.this time. CODES VIOLATED: COMPLIANCE DATE: PASSED RECOMMENDATION:Continue to maintain landscaping in a healthy growing condition to insure future compliance. INSPECTOR: Rick Albee To insure compliance, a reinspection of the site will be conducted after the compliance date. Failure to correct the dbficiencies above by the compliance date will result in the issuance of a formal "Notice of Violation ". "Equal Employment and Affirmative Action Employer' i it •wt 4+Yn,,, pY 4 >t , a S.' r , d?' 2~ 'u�.. { APPLICATION FOR LAND'.CLEARING & GRUBBING PERMIT F3 CITY OF CLEARWATER PUBLIC WORKS DEPARTMENT ' ENVIRONMENTAL- MANAGEMENT , DATE (813) 462 -6747 RECEIPT NO. A non- refundable filing fee of $10.00 is required per Resolution 86=9. Permit applicable for,6 months from date of approval. In accordance with. Section 98.30; I hereby apply for permit to land clear and /or grub the property described below. 1 Location -of Property •i �'11_�" Z Project I Name t ii X6 ilia 4 �#, i P v 01 4 irr. 3 Purpose of clearing and /or grubbing "W,'2% u 4 : General .description of existing vegetatioin, totpography, .and .surface water (including all' existing and /or. proposed - ditches,, canals; .and swales) i ,. `'i S'l LE "_ b i 5. - Proposed method of debris disposal .. 6: Date ; „you plan `to begin ,work zll ,c._,k., e 7. Pro osed. method- of ,soil erosion control its t, f r., . ? <: w. ”. y> ' r ' C r�•si i ,.i c -. n _ / p r...3 8. ©No -Tree Verification Required : 1 Tree Removal Permit. Required I AM AWARE AND UNDERSTAND THE .REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING TREE PROTECTION. DURING .CONSTRUCTION AND HAVE READ CITY'S ,EROSION AND SILTATION CONTROL: POLICY Subscribed and Sworn before me a ,1 Signature of Owner.or Owners Representative Win. this —'day of t w y i r 1 s Printed Name 4. - rat : r .. :, _'emu. ,r'.' l i'i3''.%'.:' ✓. .JS>G—S.g..r CW r9P t, r Signature of;:Notar Address J ' rit f . NAME OF NOTARY Cr� I�'t�� City State Zip COUNTY `f ;rt < f L� Z1 3� T � i� �t : '��'� �c ` j j COMMISSION X' ��jON EXP. NOV:29.1993 Representatives' Firm Telephone Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is NOT a Tree Removal Permit: DO NOT WRITE BELOW THIS LINE Comments f'1-Cis Cvi� C' j-r, ac _ :A j ,� Water'Res�ourc..Spec.. Date Comments 17h. / ! 1'� 0 ".77/6�� / f "' ? ' ' � � r 6/C -17 Z 0 7_1 14- I . j6r. r .P Forester %' Date Based on the above'comments and information submitted, the above removal application is`: L Approved As Submitted i ❑ Approved = Modified As Noted Above < 0 Denied Signed: Date: ` / - City Manages or Designee Rev. 9/87 White .;7 Applicant Yellow.- EnJironmental Pink — Inspector' PRE-CAST CONC. WHEELSTOP N.T.S. Debra Weible, M.D. F-1, L tla " FILL V4 WITH JOINT /?-" SEALANT 1z `R _T r 'A 4k TRANSVERSE CONTRACTION OR LONGITUDINAL I/j'EXPANSION JOINT JOINT, SAWED OR PRE - MOLDED. FILL WITH JOINT SEALANT. 1001 Highland Avenue North Largo, Florida 34640 CONTRACTION JOINT EXPANSION JOINT :A ZONING SPECIFICATIONS: LONGITUDINAL KEYWAY CONSTRUCTION JOINT FOR PAVEMENT 6 INCHES OR GREATER, STRAIGHT 2, UsaSe:----Med1_a1 OF-f-ice BUTT TYPE JOINT USED FOR 5 INCH PAVEMENTS OR LESS. COMPACTED SLIB-BASE--`� KEYWAY JOINT I Ae L! Mj cog ,PRC>P. 1bWP'LF_ 51 I 00TIM-204". S 1/2" SECTION 9 -T 29 S R 15 E I FLUME DETAI A 2, 1" 11 a. fir, ka 4 1 I---------- ----------- k� 2WNER. - Debra Weible, M.D. F-1, L 1112 Druid Road Clearwater, Florida 34616 rb 0rS9kV-\G CU 12-F, Spencer and Jonnatti Architects, Inc. RETES1111TIOZA $A-Cot4 1001 Highland Avenue North Largo, Florida 34640 ZONING SPECIFICATIONS: 1. Zone. CN 2, UsaSe:----Med1_a1 OF-f-ice U ,*ENO 00 n 00 00 Fag _FW4 I---------- ----------- k� 2WNER. - Debra Weible, M.D. F-1, L 1112 Druid Road Clearwater, Florida 34616 rb 0rS9kV-\G CU 12-F, Spencer and Jonnatti Architects, Inc. RETES1111TIOZA $A-Cot4 1001 Highland Avenue North Largo, Florida 34640 ZONING SPECIFICATIONS: 1. Zone. CN 2, UsaSe:----Med1_a1 OF-f-ice L f A IF- �tl_ o-1 U A, I � ; N r " C. P� 0.5 r) H o. o 2. CThone trlaoccatotr i osnhs aolf l veexrisitfy i ng t hue tliolciatties o n arane d aepplerovaxtimioan t eo. f w RA I 0 N U FORT A AVN'' — ---------- S E E ---------- ())0' 4 '0' 'L F... A g.3 U.L U I I uz I U . P. 4 v Ott, 5EC-T1W G-C., SWAL-E DET41L- OTS. ff% '9001RAINA"E a LAN D" "'E PLAN JJ 0 i