51 BAY ESPLANADECITY OF CLEARWATER - PLANNING & DEVELOPMENT SERVICES
0 TREE REMOVAL APPLICATION FORM N2 3609
One City. One Future,
NAME OF OWNER: CI-17Y 0 r C.L f AR wA ► E.IZ Fee Rec. $ ITN/
5 i �A Date Rec:
SITE ADDRESS: _ i C L Y �.s �� �� Rec. By:
Clearwater, FL Rec't #
REQUIRED REPLACEMENT TREES
TREE REMOVAL PERMIT N2 3609
NAME OF OWNER C ITY Of✓ CLEARWATEIZ
OWNER'S ADDRESS 1 QJ ! M YRILE AVtc'Nl,c' i Rm IZ
PHONE
SITE ADDRESS 531 M ANi)>tLLY AVE_NJ _ UQ A� f= fL, J 0
LOCATION OF TREE(S) ON LOT Sc P;1, i E. K: �
SPECIES AND NUMBER OF TREE(S) 0 CA K'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
removed is required.
REASON FOR REMOVAL:
• Construction 01 �, &
• Permit # 13( P 114 S 091"
-See "A" below
• Hazardous
• Declining
• Dead
• Other (Specify)
Fee Recd. $
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
1. 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
(ii.) Surveyed Location
e. Required Number of Parking Spaces
(iii.) Species
f. Proposed Number of Parking Spaces
('iv.) Diseased or Insect Infested Trees
g. Proposed Underground Utilities
(v.) Trees to be Removed
h. Zoning Setbacks
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: 12' overall height, 4" 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
from thq permit issued shall render it null and void and be considered a violation of the Community Development Code.
��"PpH,en .)ar'l�rt ' As�4x_IG�Q
Signdture of owner &-6pplicbAt Printed Name
1c0 S nil- 1e {�-erMe KT, 12 -0 C C Ie,r ;A1.e7ft,T_ rot rks c,wc( Kt(,
Address I Age cy Representing (If Not Owner)
Clpwwgg Qr FL 33750 1 ?,010 5 41 21 - 4`d/*-,5
City State Zip Phone Fax
DO NOT WRITE BELOW THIS LINE - Not Valid Until Signed By City Manager or his Designated Agent
Required Replacement Trees:
Applicable Code Section:
G /S
Based on the Inspector's comments and information submitted, the above removal application is:
kApproved as Submitted ❑ Approved- Modified as Noted Above ❑ Denied
Signed: Date: l�
Ci Manager or Designee /Inspector
CLEARWATER
One Cite One Future,
Brian J. Aungst, Mayor- Commissioner
Ed Hooper, Vice Mayor - Commissioner Bob Clark, Commissioner
Ed Hart, Commissioner J.B. Johnson, Commissioner
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60 - SA-
47 - RID
60 - SA
130 -L
237 RID
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CI TY OF
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CEARWATER, FLORIDA
T
36 - RID
SCALE
N/A
EXCAVATE
<'Z
Parks and
Recreation Department
CALL LOCAL PUBLIC
U -OLITY NOWICA-11ON
areas.
EN R
C _FE
C-5
X
3.
Sod to be 95% weed free: Bahia Grass. Sod to be installed with tight joints, rolled and fertilized
3 - LL
DATE DRAWN
10 2
1 gallon container-
1 ®1 gram tablet
at time of installation.
8
N
�F
FIRE
109 - TAM
4.
it mix to be 2/3 existing soil and 1/3 peat moss, thoroughly mixed prior to back filling planting pit.
f "'1
CONSTRUCTION
LANE
IL
LANDSCAPE ARCHITECT
UPY
3 gallon container:
2-21 gram tablets
35 SR
5.
Ground cover and sodded areas shall be 2 inches below adjacent hard surfaces.
-
9 TQ/
136 TAM
5 gallon container
3 -21 gram tablets
EXISTING 5' S/W
J R T E E
— — — — — — — — — — — — — — — — — — — — — —
— — - 6.
No substitutions shall be made to the plant list and all materials must be as specified on t e a ndscaping
4 -21 gram tablets
4
16 - F [P
8 - SR
plan without prior approval from the Project Landscape Architect.
2
TO
Trees:
3-21 gram tablets each 1/2"
caliper
-
7 AC
EXIS-flNG DE ON POND
600
7.
All landscape areas shall be 100% coverage by an automatic irrigation system.
11
7 -21 gram tablets
-_RSP
F-
--
8
Relocation of Sabal Palm Trees shall be mix size with no palms the same height next to each other.
— — — — — — — — — — — — — — — — —
0
1Z4_o$7_,3;m%Em%1
39 HP Ixor cc` e lame of the Woods 3 gallon cont. 24"-30" high and full
n
Crape Myrtle Lave - der Std� -2
q 2 LIP Laggerstroemia indica "Purpurea" 65 gal. cont., min lit. OA 10 ft. LAi%'DSCAPr- r).t
21 - DOP I I
ti
701 T,Cf)() T.nntnnn on-mrn "T)nmrf Ornnori- T)x-x,-nrf T nntnnn - ()rnna- I an] i-nnf 19" nn
4- QL
Rlm�
APPRO 0Y
wl
5
DATE I
SUBMITTED FOR BUILDING PERMIT LC 10/24/9
DATE REVISION BY DATE
lift
SEA L,
CI TY OF
L
CEARWATER, FLORIDA
T
36 - RID
SCALE
N/A
EXCAVATE
<'Z
Parks and
Recreation Department
CALL LOCAL PUBLIC
U -OLITY NOWICA-11ON
VERT.
EN R
C _FE
-
5 SR
Break and Recreate"
TOLL FREE
1-800- 432-4770
3 - LL
DATE DRAWN
10 2
1 gallon container-
1 ®1 gram tablet
SHEET NO.
1 OF2
LounqS Area
109 - TAM
APPROVED FOR
f "'1
CONSTRUCTION
IL
LANDSCAPE ARCHITECT
DATE
3 gallon container:
2-21 gram tablets
35 SR
5 T
365 LM
136 TAM
5 gallon container
3 -21 gram tablets
7 gallon container:
4 -21 gram tablets
4
2
Trees:
3-21 gram tablets each 1/2"
caliper
Palms.
7 -21 gram tablets
F-
0
All A EMWE;E"'N
A P; E)
0T TO
S
PLANT
MATERLAL
SCHEDULE
Funbrell®
8 SR
AME
SPECIFICATIONS
:413,
EMSIING POLL - -
(BURIED) 7
AC
Allamanda cathartica
Allamanda
3 gallon cont. 22" runners
.
47
DOP
Nerium Oleander "Petite Salmon"
Dwarf Oleander Salmon
3 eallon cont. 24"-36" high and full
39 HP Ixor cc` e lame of the Woods 3 gallon cont. 24"-30" high and full
n
Crape Myrtle Lave - der Std� -2
q 2 LIP Laggerstroemia indica "Purpurea" 65 gal. cont., min lit. OA 10 ft. LAi%'DSCAPr- r).t
21 - DOP I I
ti
701 T,Cf)() T.nntnnn on-mrn "T)nmrf Ornnori- T)x-x,-nrf T nntnnn - ()rnna- I an] i-nnf 19" nn
4- QL
Rlm�
APPRO 0Y
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5
DATE I
SUBMITTED FOR BUILDING PERMIT LC 10/24/9
DATE REVISION BY DATE
lift
SEA L,
CI TY OF
L
CEARWATER, FLORIDA
INVESTIGATE
B EFORE YOU
(D
SCALE
N/A
EXCAVATE
<'Z
Parks and
Recreation Department
CALL LOCAL PUBLIC
U -OLITY NOWICA-11ON
VERT.
EN R
C _FE
"Take A
Break and Recreate"
TOLL FREE
1-800- 432-4770
HOR17. 1"=2
DATE DRAWN
10 2
M IN. 48 BEFORE
HOURS
YOU EXCAVATE
CLEARWATER BEACH FAMILY AQUATIC CENTER
LANDSCAPING PLAN
DRAWN BY
LC
DESIGNED BY
LC
CHECKED BY
LC
CONTRACT NO.
N/A
SCALE
N/A
SURVEYED BY
N/A
BOOK NO.
N/A
JOB NO.
N/A
VERT.
HOR17. 1"=2
DATE DRAWN
10 2
DWG NAME
/A
SHEET NO.
1 OF2
APPROVED FOR
CONSTRUCTION
LANDSCAPE ARCHITECT
DATE
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