1501 BELCHER RD NTREE REMOVAL APPLICATION FORM 186
NAME OF OWNER: 6 e\ < o� /� �-- Fee Rec. $ S '0U
Date Rec: _ 17301.9f-
LOCATION OF WORK: (SC) �� Rec. By: 171U /
Clearwater, FL Rec't # a Ao o )3�4
REQUIRED PLACEMENT TREES 2
EMS daw Mau w-ma smash ®. o w. amp... vso��os��a����
PERMIT TO REMOVE TREE(S) .186
NAME OF OWNER �r'�" 'r / r C REASON FOR REMOVAL:
OWNER'S AD RESS (—)4( c i p Construction
PHONE o C, Ile D - 3 D �,Slzardous
SITE ADDRESS 01beclining
LOCATION OF TREE(S) ON LOT L°G <. F S G�cd&A ❑ Dead
SPECIES AND NUMBER OF TREE(S) f ( %Ue o!7 ❑ Other (Specify)
TO APPLICANT: A non - refundable fee of $15.00 for u
be removed, plus $3.00 for every tre.i
removed is required. r;
1. For new construction, additions or other mrr ificatiori o
a site plan is required. This site plan must havV'.AG( ninlmU n's
site plan must include:'
4
a. Major Changes of Grade
b. Structure Locations >, .� ,
c, Driveways and Walks 4/
d. Parking Arrangement ��1 `r'j' ✓r�F
e. Required Number of Parking
f. Proposed Number of Parking Sl5bF& ;" d� ?; , ';✓ ;
g. Proposed Underground Utilities`"''
h. Zoning Setbacks
2. Protective barriers are requiiedaround dpi tr es remains
intact during construction. The barriers must rrie City Spe'
3. Tree replacement minimtrrS siaridards:. 8'.ovrall,he(gh'
determine the number of rep lacdment trees` required
1 hereby certify that as property owner or as re' res�ntafive
to be removed is wholly on property owned by,the dbove:
the tree(s) are located wholly or part`dlkytiohproefity ?owl
Clearwater harmless in any claim fnade' for Wror rem'
i. n ' �.,.,
gether with any plans submitted is a true represen.t: tafi ono
f'i
deviation from the permit iss(jed +'thail render it'ni;ilK) anclw
Ordinances', i' f ✓ C . ~ ��: is {
X11
five trees to Fee Rec'd. S /S -0611
ove. 5 to be Receipt # ---)L 6 oo �6
Date / 7,
?PeUY which Involve the removal of a protected tree(s),
' » �'
of.;1.-'2� fo`t;5ngle family lots, or 1' =50' for all others. The
-s and Rights -of -Way
Trees Including:
of 4.5' above grade (DBH)
Location
or Insect Infested Trees
ill & Locations
These barricades must remain
inspectors note below to
7ef I hd51%'verI!bd that the tree(s) sought
ov'3nefM'hd should It be determined that
Xp�`rb: Ethe l agree to hold the City of
Wreb cer iry�that this application to-
thezprbpbsed removal of the tree(s). Any
are`a,lolfion of Chapter 52, Code of
`c,�425e_
City '< State? r =Zrp!' (?hone �t£q�i{ ✓
'
DO NOT WRITE.BEL`OW THIS LINE `Not V1' Unftil tigne'd BY'City Managerorhis Designated Agent
�..
Inspectors Comm e�nts: ` l� %u d't'��'l /Q;Y ► Od @4 ; G � .O 4 c? /rl. Q t ` t i 9
/_ V !.v /l r ,J , . ¥,,•f %ss n ,`yr .�. J✓�� rS h
C -(.
r�i s CC. .r S vc /7' /n _ �a ��� 'A�
O (/ - r�
Recommended Replacement Trees:
(Required Replacement Trees: t
Applicable Code Section:
`' r / � . may. �•- '
Signed: / / t Date
Inspector
Based on the Inspector's comments and information submitted. the above removal application is:
U Approved as Submitted ,Npproved- Modified as Noted Above U Denied
ew
Signed: Date: 0 _
City Manager or Designee/
8 -94
0 „, CITY OF CLEARWATER - PLANNING 8
o� TREE REMOVAL P
NAME OF OWNER «i
SITE ADDRESS d/ 7foei 066 d
PHONE iZ1. 62
OWNER'S ADDRESS a Q
LOCATION OF TREE(S) ON LOT oOVZ 4 '
SPECIES AND NUMBER OF TREE(S)
1501 N BELCHER RD
BCP2007 -02306
PEDESTRIAN BRIDGE/TRAIL
REAM WILSON TRAIL - LONG CENTE
Zoning: I atlas# 272A
I KtAbUN rvl< Ktivtvvrru:
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.
a Construction
•See "A” below
JJ Hazardous
eclining
Dead
Other (Specify)
Fee Rec'd. $
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 (ill.) Species
e. Required Number of Parking Spaces (iv.) Diseased or Insect Infested Trees
k. Tree Barricade Detail & Locations
Z
O
c•
0
t�
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: 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 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 ! !'
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
fro file pe it i ed I render it nut d void and be considered a violation of the Community Development Code.
6� G
Signature of on-er or cant Printed Name
a c
Address Agency R presenting OCL #
City State Zip Phone/C Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager„ or his Designated Agent
Ins or's Comments:`
;)
Required Replacement Trees:
Applicable Code Section:
Based on the Inspector's comments and information submitted, the above removal application Is:
❑ Approved as Submitted R(Approved- Modified as Noted Above ❑ Denied
� t
Signed: % _ �, Date:
Community D velopment Coordinator or Designee /Inspector Valid for six m nths from the date of issuance.
1362.0001 -GC White - Planning & Development services Yellow - Applicant Rev. 2-03
11
NAME OF OWNER
OWNER'S ADDRESS
PERMIT TO REMOVE TREE (S)
The Center Foundation
1501 N. Belcher Road
Clearwater PHONE
LOCATION OF TREE (S) above address
LOCATION OF TREES ON LOT see attached.
SPECIES AND NUMBER OF TREE (S) V r 0/l /e.T , P�,,✓Z- (
TO APPLICANT: A non - refundable three dollar ($3.00) fee is re-
quired for each tree requested to be removed.
PLEASE READ AND SIGN:
7325
REASON FOR REMOVAL:
%17 Construction
❑ Hazardous
❑ Dead - Dying
❑ Other - (Specify)
Fee Rec: $
Rec't #
On New construction, additions, or other modifications of a property which requires the removal or relocation of a protected tree(s) (Larger
than 4" in diameter at 41/2 ft. above grade), a Site Plan is required. When removal is requested for construction purposes, the Site Plan must
have a minimum scale of 1 ":0' for single family lots or 1 ":30' for multi - family, commercial or industrial sites. The Site Plan must show:
1
1. Major Changes of Grade
2. Structure Locations
3. Driveways and Walks
4. Parking Arrangement (if any)
5. Required Number of Parking Spaces
6. Proposed Number of Parking Spaces
7. Underground Utilities to be installed
8. All Setbacks per Zoning
9. All Easements and Rights -of -Way
10. WI Protected Trees — Including:
A. Diameter (DBH) at 41/2 ft. above grade
B. Location (Surveyed)
C. Species
D. Any Diseased or Insect Infested Trees
E. Designate Trees Requested to be Removed
2. Protective Barriers are required around all trees remaining on site during construction. These barricades must remain intact during construc-
tion as a citation will result if they do not remain standing and functional. Protrective Barriers must meet City Specifications per City Ordinance
1623.
3. The replacement (Planting) of trees (Minimum Ht. of 6') may be required on your property before occupancy is allowed. Trees are to be selected
from the approved list on file in the Environmental Division. See inspectors note below to determine the number of trees required when the
approved permit is returned to you.
I hereby certifiy 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 appear to 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 from the permit issued shall render it null and void and be considered a violation of Ordinance 1623, Section 23A,
Code of Ordinances.
John E. Picot 797 -7744
Signature of Applicant if not owner
lAmclEei tehudedke
Agency Representing & Phone
2055 flood Street, Suite 210
Address
Sarasaota, FL 34237 (813) 957 -3770,
City
State
Printed Name
Signature of Owner
Date Received
Called /Mailed
PICKED UP /L
REQUIRED REPLACEMENTS 7 T
DO NOT WRITE BELOW THIS LINE — Not Valid Until Signed By City Mana�c er or his Designated Agent
Inspector's Comments:
Recommended Replacement Trees
Required Replacement
Signed
hi-05 CHAID5 -fP&-E(. AIN 6 ( D• A-
Date V/ , U
Based on the Inspector's comments and information submitted, the above removal application is:
❑ Approved As Submitted (Approved — Modified As Noted Ab ve El Denied
� /
Signed: ��yyr! ' � Date:
City Manager r Designee i
f
405
EXISTING
SAN MH #1
LIMIT OF RO
RIM SSAO
41.15Po
INV 30 °Cl SE 28.40
4t
na
4146
ENVE
NEW DROP INLET (8')
wow
1= CL
4143
411
SANITARY ATLAS
33
41.23
4140
OAS
FLAYMOUND
ENVELOPE
SA w CUT EXISTING A HALT
4[33
42.5 42,50
4L51
ROO
4L
41 1
so
4133
ROOT PRUNE TREES PRIOR TO ANY COX-
130
IU3 wn
1
DECK
11,15
41.43 1.6
1.60 .10
41.0 4LOO
APPROVED BY CITY STAFF PRIOR TO CORK
Roo
4L25 00 00
41.43
0
.00
Roo
41.110
EXISTING GRATE INLET:
41.00
TOP ELEV_ 3134'
4LOO
1#1
24" RCP
EXISTING
SAN MH #1
LIMIT OF RO
RIM SSAO
41.4
INV 30 °Cl SE 28.40
PRU G
32
INV 8lVcP N 21.55
L24
NEW DROP INLET (8')
wow
1= CL
SEE DETAIL, THIS SHEET
DECK
.0
SANITARY ATLAS
Lu
41.23
1,04 4W
4148
ILOO !L2
SA w CUT EXISTING A HALT
IL2
i1. %1
4L51
4L
41 1
ROOT PRUNE TREES PRIOR TO ANY COX-
130
1
443
41.43 1.6
1.60 .10
APPROVED BY CITY STAFF PRIOR TO CORK
46.43
1113
41.43
4x.43
STING PLAYGROUND ECUFNENT TO
REMAIN, TYPlCAt-'______'
rE}DST. POTTER POLE
EXISTING GRATE INLET:
TOP
m
"oso
0.21
TEF_
.; 39,18
0
7 41,05 011TINI 'RATI INLET:
TOP ELE 38.11 �
K0�V, E 3j Or RCP)
INV .
5.0 08' RCP)
SAUJCUT XISTING,ASPHALtZ
1.0-41
11
CITY OF CLEARWATER
OWNER INFORMATION
PUBLIC WORKS ADMINISTRATION/CONSTRUCTION,
a r t'i a S ite F 1 ATTN: PERRY LOPEZ
IL Iii COU CTION MA NA
GER
1 10.0 PT. NG NSTR
P-0- ROY 414R
SCALE: 1/4`4-0"
EXISTING
SAN MH #1
LIMIT OF RO
RIM SSAO
INV 30 °Cl SE 28.40
PRU G
INV 30"Cl W 28,40
INV 8lVcP N 21.55
C.O.
NEW DROP INLET (8')
INV: 35.10
1= CL
SEE DETAIL, THIS SHEET
SANITARY ATLAS
Lu
SHEET 212A
"oso
0.21
TEF_
.; 39,18
0
7 41,05 011TINI 'RATI INLET:
TOP ELE 38.11 �
K0�V, E 3j Or RCP)
INV .
5.0 08' RCP)
SAUJCUT XISTING,ASPHALtZ
1.0-41
11
CITY OF CLEARWATER
OWNER INFORMATION
PUBLIC WORKS ADMINISTRATION/CONSTRUCTION,
a r t'i a S ite F 1 ATTN: PERRY LOPEZ
IL Iii COU CTION MA NA
GER
1 10.0 PT. NG NSTR
P-0- ROY 414R
SCALE: 1/4`4-0"
LIMIT OF RO
PRU G
C.O.
INSTALL A PROK,
200 L. 4° ss c
SAN. SEtUER 0 O, 0%
SA w CUT EXISTING A HALT
RIP LIKE OF EXISTING TREES, AVOID
I REPAIR AS REQUIRED,
e
CONSTRUCTION ACTIVITIES IN THESE AREAS.
ROOT PRUNE TREES PRIOR TO ANY COX-
STRUCTION UORK; PRUNING SHALL BE PREFORMED
BY A LICENSED AR GRIST AND SHALL BE
APPROVED BY CITY STAFF PRIOR TO CORK
BEING DONE, TYPICAL.
a
EXISTING GRATE INLET:
TOP ELEV_ 3134'
SE, INV. EL.- 351B 08' RCP)
TREE
ARRiC
0
SEE
ETAIL.
HIS ET
AS 301 SANITARY
0A
4 4 4
�sj FOR
OTES
SEDER LINE
4 @30 0.941
PRO? E 43' r-SCH. 40 PVC
NIf 1_1�
0,41
NEU G
6 ST N $EOER LINE
kkoo OR .0
1 [Nvycl;. (81 PVC)
0.45
INTO EASTHIG CATCH BASIN
11.20 -,,No S N% EL. 35. 08, RCF)
0
as kc,
�T.
4012
"oso
0.21
TEF_
.; 39,18
0
7 41,05 011TINI 'RATI INLET:
TOP ELE 38.11 �
K0�V, E 3j Or RCP)
INV .
5.0 08' RCP)
SAUJCUT XISTING,ASPHALtZ
1.0-41
11
CITY OF CLEARWATER
OWNER INFORMATION
PUBLIC WORKS ADMINISTRATION/CONSTRUCTION,
a r t'i a S ite F 1 ATTN: PERRY LOPEZ
IL Iii COU CTION MA NA
GER
1 10.0 PT. NG NSTR
P-0- ROY 414R
SCALE: 1/4`4-0"
0M,
j
i o variegdlea Arooncoid by otnerS
0 0
0 0
Bush All rid
0
C
0
0
--0
Existing Landscape beds to be infilled with
material to be located by Project Manager.
- 70 Peter Pan Agapanthus
- 11 Bush Allamanda
STPEE1
A1,L API�EAS
v,
OTHP'�
/ �o7
ALL t-1
%i "o.
to CO
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ONNOVAIM
LA N T L E 13 E N *
LagersLroeniia undica Wluskogee'(Crape Myrtle)
Plumbago ariculata (Plumbago)
Allainanda schoLfii (BLIsh Allamanda)
Jasminuni sambac (Arabian Jasmine)
Scefflera aboricola (VariegilkId Aboricola)
PenniseLuni SeLaceLuni 'Ruhrurn' (Purple FounLain Grass)
Aj)apanthus Teter Pari'(Agapamhus)
Cordyline LeriniodliS 'Red SisLer'n7i Rods)
ASpdrar,US densiflorus'Nlyers'(FoxLdil Fern)
Arachis glabrata Tcol.urf' (Perennial PearruL)
Perennial Color
10 01111
Sunshine Limitless Playground
Landscape Plan
10
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45 gal, Std. 3" min. cal, Florida grade #1 or IxAter
3 gal. fully routed 60"O.c.
3 gal. fully rooted 36"o.c.
3 gal. fully rooted 48"o.c.
3 gal. fully rooted 36"ox,
3 gal. fully rooted 36"ox.
3 gal, ftIlly rooted 24"o.c.
3 1
gal. fully roofed 24"o.c.
3 gal. fully rooted 30"o.c.
1 gal. fully rooted 12"o.c.
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CONTRACT NO. N/A
JOB NO. N/A
SHEET NO.
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RECORD DRAWINGS
INFSn GASEA
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CITY
OF CLEARWATER, FLORIDA
rG (D
EXCAVATE YOU
VE
SURYED BY DRAWBY
0
CALL LOCAL PUBLIC
REVIEVED BY
k
PARKS
& RECREATION DEPARTMENT
UTILITY NO WICATION
PROJECT LANDSCAPE ARCHITECT
DATE
CENTER
APPROVED BY
7'
-4TER ��i
It Starts in Parks"
OM
1--R00 °432 - 4770
SUPEMASING LANDSCAPE ARCHTIECT
DATE
REVISION By DATE
I
MIN. 4a HOURS BEFORE
YOU EXCAVATE
ONNOVAIM
LA N T L E 13 E N *
LagersLroeniia undica Wluskogee'(Crape Myrtle)
Plumbago ariculata (Plumbago)
Allainanda schoLfii (BLIsh Allamanda)
Jasminuni sambac (Arabian Jasmine)
Scefflera aboricola (VariegilkId Aboricola)
PenniseLuni SeLaceLuni 'Ruhrurn' (Purple FounLain Grass)
Aj)apanthus Teter Pari'(Agapamhus)
Cordyline LeriniodliS 'Red SisLer'n7i Rods)
ASpdrar,US densiflorus'Nlyers'(FoxLdil Fern)
Arachis glabrata Tcol.urf' (Perennial PearruL)
Perennial Color
10 01111
Sunshine Limitless Playground
Landscape Plan
10
W
M
E
I
In
W
M
Im
N
45 gal, Std. 3" min. cal, Florida grade #1 or IxAter
3 gal. fully routed 60"O.c.
3 gal. fully rooted 36"o.c.
3 gal. fully rooted 48"o.c.
3 gal. fully rooted 36"ox,
3 gal. fully rooted 36"ox.
3 gal, ftIlly rooted 24"o.c.
3 1
gal. fully roofed 24"o.c.
3 gal. fully rooted 30"o.c.
1 gal. fully rooted 12"o.c.
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CONTRACT NO. N/A
JOB NO. N/A
SHEET NO.
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