2165 COACHMAN RD NECITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
m TREE REMOVAL PERMIT
0
NAME OF OWNERS Sr�rn� 'A� Ci�v(tC;l
SITE ADDRESS Q.i yt N OoACHmrl ar^Z;�
PHONE 2 9 7-5'34-11
OWNER'S ADDRESS 0, 191% .t
LOCATION OF TREE(S) ON LOT S CE 6-0 A-4 0
SPECIES AND NUMBER OF TREE(S) ®!r
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.
RE N FOR REMOVAL:
Construction
•See "A' below
O Hazardous
❑ Declining
0 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 (i.) Diameter of 4.5' above grade (DBH)
c, Driveways and Walks h. Zoning Setbacks (il.) 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 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 pla sub itt d is a tr representation of all facts concerning the proposed removal of the tree(s). Any deviation
from the r it;' all der it null and void and be considered a violation of the Community Development Code.
Sign re of wner or applicant Printed Name
Address Agency Representing OCL #
20i�, /AV-11-- 3 .1 ,7 -_`�3yl - 73'C/4o23
City State Zip Phone /Cell Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Applicable Code Section: 3 -/Z-0�
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved as Submitted %Approved- Modified as Noted Above ❑ Denied
Signed: Date:
Community D velopm nt Coordinator or Designee /Inspector Valid for W months from the date of issuance.
1362.0001 -GC White - Planning & Development Services Yellow - Applicant Rev. 2-03
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APPLICATION FOR LAND CLEARING & GRUBBING PERMIT
CITY OF CLEARWATER
PLANNING DEPARTMENT
(727) 562,4741
DATE c�
RECEIPT
A non - refundable filing fee of $10.00 is required. Permit applicable for b 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. r
1. Location of Property: C aP}C 1 -�/►1 I� r-�
2. Project Name:
o wz-, G kv a. e i+
3. Purpose of clearing and /or grubbing: ❑ New Construction ❑ Demolition ❑ Tank Removal UMther
4. General description of existing vegetation, topography, and surface water Qncluding all existing and /or proposed
. ditches, canals, and swales)
5. Proposed method of debris disposal�'�° �-
b. Date you plan to begin work y_� V 1
7. Proposed method of soil erosion control 5 I
8. ❑ No -Tree Verification Required rA'free Removal Permit Required
I AM AV, AND UNDERSTAND THE REQUIREMENTS OF SECTION 52.08, CITY CODE OF ORDINANCES REGARDING
TREE TION DURING CONSTRUCTION AND ARTICLE 3, DIVISION 7 OF THE COMMUNITY DEVELOPMENT CODE
RE N AND SIL TATION CONTROL.
of Owner or
ems'
Printed Name
1,3 (, CP r'LivLc Do,
Address
CI ' state Zip
Representatives' Firm
Telephone Celt
Applicant must include Aerial Photograph or Scaled Site Plan showing properly 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 As Submitted Approved - Modified As Noted Above ❑ Denied
Si ned: Date: 3 /5 60 Y
Cif Manage or Designee
CLEARWATER
Brian J. Aungst, Mayor- Commissioner
Hoyt Hamilton, Vice Mayor- Commissioner Whitney Gray Commissioner Frank Hibbard, Commissioner
Bill Jonson, Commissioner
1362- 0002 -GC White - Planning Department Yellow - Applicant 11 -02
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ALL AREAS MWEE N STRIEET FAVEMENT AND
PARKING LOT TO BE TURFED OR RECEIVE
OTHER 1A DES CAPENS, TREATMENT,
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LANDSCAIFJ&'-� PLAN
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APPROVEI-D AS N'01--ED
ALL LANDSCAPING TO BE PROTECTED FRONT
Date 8
i VEHICULAR OR PEDESTRIAN TRAFFIC BY A MINIMUM
SIX INCH HIGH CURBING OR VAJEEL STOP&
ANY CHANGES IN SPECIES, SPECIFICATION3, OR
prowdy 1!1(1tF1 H ( d
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