307 CLEVELAND ST011 CITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
^' TREE REMOVAL APPLICATION FORM 0.
W. N_ 3 618
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one City, One Future,
NAME OF OWNER: Z,7- -1 Fee Rec. S i, i In —�
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SITE ADDRESS:SjE� �--�/ z 'c ter. �L,. �/ Date Rec.
Rec. By:
Clearwater, FL S, Rec't #
REQUIRED REPLACEMENT TREES
TREE REMOVAL PERMIT 4:' 3618 �-
NAME OF OWNER
OWNER'S ADDRESS
PHONE
SITE ADDRESS �' - �•a ,�- << C c r ._ �, -.t . �.
LOCATION OF TREE(S) ON LOT'S
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
- Permit #
*See "A" below
• Hazardous
• Declining J ✓
• Dead
0 Other (Specify)
removed is required. Fee Rec'd. $
Receipt #
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 I 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 Surveyed Location
e. Required Number of Parking Spac®s, = k (iii) Species
f. Proposed Number of Parking Spaces Diseased or Insect Infested Trees
g. Proposed Underground Utilities Trees to be Removed
h. Zoning Setbacks �� k Ajrae Barricade Detail & Locations
.. �h J T 7-N ...'.
- -2. Protective barriers are required around ail trees remaining on site during construction. These barricades must remain
intact during construction. The barriers must meet Clty; Specifications 4
B) REPLACEMENTS r
1. Tree replacement minlmum standards 12 overall height 4 "`caliper, Florida Grade #1 ''See inspectors note below to
determine the number of replacement trees required Replacerrlents required within'30 days.
I hereby certify that as property owner or as representative of th'e property owner,l have.yerified that the tree(s) sought
to be removed is wholly on property owned by fihe above identifietl propertv''o t and should it be determined that
the tree(j) are located wholly or partlaliy;on property owned by some other.personh #hen l agree to hold the City of
Clearwa er harmless in any claim made for wrongful rehnovaI of such trees) I hereby certify that this application together
with any,, lans submitted is a true representation of' ll facts concerning the proposed removal of the tree(s). Any deviation
from t4 permit issued shall render it null and void .and be`considere/ydy a/vj^igol�a #toh of t�hMe Cornrriunity Development Code.
Signs r of owner or applicant PriJnt�ed�Name
Address
city
DO NOT
ments:
�1
Required Replacement Trees:
Applicable Code Section:
o;�.
w�
Based on the Inspector's comments and information submitted, the above removal application is:
,Approved as Submitted 0 Approved - Modified as Noted Above 0 Denied
Signed: Date:
City Manager or Designee /Inspector
CLEARWATER
One City. One Future.
Brian J. Aungst, Mayor- Commissioner
Ed Hooper, Vice Mayor- Commissioner Bob Clark, Commissioner
Ed Hart, Commissioner J.B. Johnson, Commissioner
1362.0001 -GC White - Applicant, Yellow - Planning & Development Services
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2,263 sq. ft.
St. Augustine
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Plant Material List
Quantity Sym.
LC
Name
Common Name
Comments
N/A
SURVEYED BY
N/A—
BOOK NO.
N/A
_Botanikal
125
IP
Ixora "Petite Pink7
Dwarf Ixora "Petite Pink"
3 gallon, full 24" - 30" height
DWG NAME
N/A
735
LM
Liriope muse ari
Lilyturf
I gal, cont-, planted 18" on center
175
PM
Podocarpus macrophylla
Podocarpus Yew
3 gallon, full 30" - 36" height
676
SA
Seasonal Annuals
4" is - color red, maximum height 12"
V\
21
SR
Strelitzia reginae
Bird of Paradise
7 gal. cont., 24" - 36" ht., place by Land. Arch.
PD
Phoenix dactylifera 'Medjoor
Date Palm
12 ft. clear trunk
WF
Washingtona filifers
Desert Fan Palm
3- 8, 2-10, 3-15' clear trunk
81,000 sq. &
SS
Stenotaphrum secundaturn
St. Augustine Grass
40 cu. yd
Cypress Mulch (Grade B)
FINAL
LANDSCAPE
PLAN
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DESIGNED BY LC
CHECKED BY AK
SCALE
N/A
SURVEYED BY
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BOOK NO.
N/A
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HORIZ-
1 "=20
DATE DRAWN
11/22/99
DWG NAME
N/A
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DATE
No. N/A
SHEET NO.
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DATE
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