HomeMy WebLinkAboutBLDG PERMIT #6285Date: CITE' OF CAPE CANAVERAL
PERMIT APPLICATION
J
Tracking # 0 �2 �O
Peril -lit # � 5,)
RECEWED FOR THE REMOVAL OF TREES
ON RESIDENTIAL PROPERTY OF THREE OR LESS RESIDENTIAL UNITS
JAN 12 2089 Authority: City of Cape Canaveral Code of Ordinances Sec. 102-37(e) l lie je f
(321) 868-1222
City of Cape Canaveral Buildin- Department I03 Polk Ave. Cape Canaveral. Fl, 32920
You may download this application: xiiA-w.myf1orida.com/cape. You may fax to: (321) 868-1247. Important: Please complete the checklist
on this form and protide documentation as indicated. A copy of contract may be required. Applications will not be accepted unless complete.
APPLICANT WILL BE CALLED WHEN PERMIT IS READY.
(Contractor or (Avner is required to sign for the permit, unless indicated othenvise by affidavit. I.D. may be required)
Address of Job Site: rx� ��, �..,�..�� � (' P''I'l b,
Legal description of property TWN. RNG: SEC: SUBD: BLK LOT: _ PB: PG.
Property Owner Name: ° of Phone dy _ Address: C :tel
Contractor Name: 0r1 ov) e iM Name of Company
Address:
State License No.: Phone (office): Phone (celllpager.): Fax:
1-ar3i3732--(P?Y-./5,31
[Plea e check all th#t apply (proof may be required). Of the tree(s) to be removed, are all the trees: ❑ dead? D'Arseased?
offering from severe structural defects? ❑ posing a clear and obvious safety hazard?
Please
the reason tree(s)
st
D;o, �pp,,plan to relocate the tree(s)uor re plant nevy tr� Please I✓ describe:
se describe:
3 -c, k (-1 f'> j(; C -q - i i -e- (, ( [ _T_' l' 6� tai 0 1 Llj [ L c r f t c t t )4 a r) -�) i t.Ixw% C ''I Ulf, lr t z.,
d.b.h. is diameter at breast height (4 % feet above grade) ) f/
Caliper is the measurement of a tree 12 inches from the soil level. i1 ,ti <'" )1 t
A Specimen Tree is one with a 24" or greater caliper measurement.
City Council shall have final approval authority for the removal of Specimen Trees. &i i �' � d = It e¢ .,l re ) a u
Type of Residential
Building built or proposed
on the property
Single Family Residence
Quantity of
protected/native
trees over 3" dbh
to be removed
Of the trees planned for removal, Sum total dbh of all inches
how many have caliper of all protected/native
measurement of 24" or larger? trees to be removed
Valuation of
tree removal
work
$
Townhome
Contractor's State License
Record will be kept on file after initial submittal
Current worker's Comp. Policy / Exem tion
Apartment
} City Council Approval. (if needed - please attach approval mumu, -s) �
1 For removal of specimen or lfusto..o u ees
Other (specify) ' .l 3
�3� , d
Permit Application Checklist
Notes
Completed Permit Application
Current building code edition: FL Bldg. Code 2001 (as revised)
Current survey or Scaled plot plan
showing all existing/proposed construction and landscaping
Contractor's State License
Record will be kept on file after initial submittal
Current worker's Comp. Policy / Exem tion
Record will be kept on fele atter initial submittal
} City Council Approval. (if needed - please attach approval mumu, -s) �
1 For removal of specimen or lfusto..o u ees
Application is hereby made to obtain a permit to do the tree removal and replacement work as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the
Standards of all laws regulating tree removal in this jurisdiction. A copy of the permit -,hail be posted on-site until all tree
removal activities are complete. By signing, applicant affirms that all above is true and correct and that he/she is an
auuthori=.ed agent .of the Contractor and/or. the Owner and has the authority to apply four this permit.
iant's e: , Date: JAppltW. . � '
No use only: In the State of Flori Conn of Brevard sworn and subscribed before me this
�' Y � d� County day of �r� . c...�-� �t , E0�>
Print.,ed name of Applicant vvho produced identification:
r is personally l no m to me.
@pal. CG
JO
11 U i iry
- .....,,.J
Signature - Notary Public At Large
G:kB1dg Dept.ReomslBP AppI. Removal of Trees (j 6.Axemption) This form may he duplicated.
or
Address: A
BUILDING PERMIT FEES:
r C
Building Permit per square footage: ........................ny
Total. Sq. Ft. (Living Area):.
Total Sq. Ft. (Enclosed Area):
Building Permit based on valuation: .....c . - - -.
Total Sq. Ft. (Living Area):_ - /030
Total Sq. Ft. (Enclosed Area):
3uilding Permit miscellaneous:...........
Total Sq. Ft. (Living Area):
Cotal Sq. Ft. (Enclosed Area):
?lectrical...................................................................:......................................
'lumbing...................................................................:..............................:.....
✓Iechanical...........................................................................................................
►uilding Permit Plan Check Fee.......:.............................................................
'ire Dept. Plan Check Fee ................................................... .........................
radon Trust Fund: sq. footage ...............................
Ioncurrency Management Fee.........................................................................
`apital Expansion Fee....................
....................................................................
Total Building Permit Fees:......
EWER PERMIT FEES:
SewerImpact Fee................................................................................
SewerTap Fee ............................... ........ -•.,,,........ ,---------
T-- f a l SATy e- Pe-m-'rppq
By: Date:
Site/Address:
Map/Location:
owner: public private unknown other _ / �,
Date: l _( °' f lnspefctor. Lei ra V1.3
Date of last inspection: n L ()
TREE CHARACTERISTICS
Tree #: Species:
/ <1
i i�'ct Ls 5 sC xC cFIC%
e
HAZARD RATING:
Failure + Size +
Potential of part
Target =
Rating
Hazard
Rating
Immediate action
needed
Needs further
inspection
Dead tree
I
DBH: # of trunks: Height: Spread: J
Form:l generally mmetric ❑ minor asymmetry i- major asymmetry El stump sprout ❑ stag -headed
Crown class: dominant ❑ co -dominant ❑ intermediate ❑ suppressed
Live crown ratio: % AZsively
[1young ❑ semi -mature mature ❑ over-mature/senescent
Pruning history: ❑ crown clea d thinned '❑ toeeedcrown raised ❑ pollarded ❑ crown reduced ❑ flush cuts IJ cabled/braced
❑ none Vmultiple pruning events Approx. dates: (i n
Special Value: ❑ specimen ❑ heritage/historic ❑ wildlife F --unusual ❑ street tree ❑ screen ❑ shade ❑ indigenous
TREE HEALTH
Foliage color nor al ❑ chlorotic 7J necrotic Epico ' ? Y N
Foliage density: normal ❑ sparse Leaf size: normal 1771 small
Annual shoot growth: ❑ excellentaverage ED poor Twig Dieback? Y
Woundwood development: 11 ex ellent average, El poor ❑ none
Vigor class ❑ excellent V average ❑ fair ❑ poor. j /
Major pests/diseases: /l��' ;i/ 'M_ c Epp sty a, 1 e� �%C It _ ,(
protected by gov. agency
Growth obstructions:
❑sta e s ❑ wire/ties Elsigns 11cables
urb/pavement ❑ guards
❑ other
4)1,
0
SITE CONDITION
Site Character. residence ❑ commercial ❑ inaustr;al ❑ park ❑ open ace ❑ natural ❑ woodland\forest
Landscape type:parkway ❑ raised bed El container —imoundlawn ❑ shrub border E, wind break
Irrigation: none ❑adequate ❑inadequate ❑excessive ❑ trunk wettled
Recent site disturbance? Y N ❑ construction ❑ soil aist:;rbance ❑ grade change ❑ line clearing ❑ site clearing
• dripline paved: 0% 10-25%25-50°'a 50-75% 75-100% Pavement lifted? Y
• dripline w/ fill soil: g0 i0 -25;a 25-50% 50-75% 75-100%
'1% dripline grade lowered: 0-. 10-25% 25-50% 50-75% 75-1"v0%
Soil problems: ❑ drainage ❑ shallowcompacted droughty ❑ saline ❑ alkaline ❑ acidic ❑ small volume ❑ disease center ❑ history of ail
❑ clay ❑ expansive _ slope ° --aspect:---
Obstructions:
spect06strucfions: ❑lights El signage ❑line of -sight ❑,view El overhead lines ❑underground utilities ❑trafficadjacent veg. Ap1,
Exposure to wind: ❑ single tree ❑ below canopy above canopy ❑ recently ex5,sed ❑ windward, canopy edge ❑ area prone to windthrow
Prevailing wind direction: ti p _J Occurrence of snow/ice storms Tnever ❑ seldom ❑ regularly
TARGET L Z
Use Under Tree:r
' building parking _7 traffic pedestrian 11 recreation Ct�'landscape ❑ hardscape El small features ❑utility lines
Can target be moved? Y (N � Can use be restricted? Y (N_v
Orr„ panry; I occasional t(ca r_1 intprm;ttont use [I frenuent use 9/constant use
the International Society of Arboriculture assumes no responsibility for conclusions or recommendations derived from use of this form.
Work, Request Information Request: F -0011'56-'0'7__-_'___'_i
...Issue and Location
Issue Inspection, Trees_____._.__._____. ��a ned
Address plumber
.vimr Work Order
_----
Route:
Summary
Intersecting Route
Removal of 4 trees 230 Columbia
I Attachments:Attach
Drive.. �
l
Cir L610 r;.t 7ggh
rif�li
Requestor jJoy Lombardi �I
Dennis Clements has already been out � Is FEMA?: r Is FHWA7:
,there and was not able to determine 1iaserRelted:
=the status.....
EBptter: r�
11 5
,I
Stormy Evans(1107)
1'0
Entry Dike
; D111212009 3 3335 PM
WKay
Assigned By.
' ',Natasha LaGroneLETW
� New Request
Assigned To
McKee
_.__
Due Duke:
_ Frederick Geddes(1189)
Save Request
De artment
P
Skreet Division
.
Priority:
y
Routine +
E-mail Request
Activity
— =
`Maintenance
_- �
(I
pokes
F
El 3
'ti+Pc�rk Order #
--- =--
wo
❑ 3.5
�p Convert Request to
50Work Order and Email
Status
�j
_ 03 F-550 Flat/Dump (3183)
r
i
!
Convert Request to
Worker's Notes:
❑ 04 F-250 V-10 (3329)
❑ Wes Fox (1056)
❑ Other
❑ 07 Case Backhoe (1111)
_ David Delaeraz �� 19G`
��
—Massey 240 Tractor (1754)
❑ Chuck Cordero (1062)
❑ Date Started:
EMPLOYEES (SD)
11 5
❑ 97 Ford F 250 (2485)
Stormy Evans(1107)
1'0
❑ 90 Ford Flatbed (2233)
❑ Francis Daine(1106)
MAN
❑ 94 Ford Ranger (227 1)
❑ Tim Davis(1007)
❑ 1.5 HOURS
❑ 94 Toyota PU (2443)
_ Frederick Geddes(1189)
❑ 2 PER
_ 07 Life Truck (none yet)
_ Jose Cmito(1187)
L11PER
2.5 SON!!!
❑ 01 Dodge PU (2669)
❑ Robin Smith (1197)
S
Imnates(9999)
El 3
❑ O1 Dodge PU (272 1)
COLLECTIONS
❑ 3.5
— 02 Dodge PTT (3 105
—
/RECLAIM WATER
_ 03 F-550 Flat/Dump (3183)
Ll Larry McConnack (1065)
L1 4
❑ 04 F-250 V-10 (3329)
❑ Wes Fox (1056)
❑ Other
❑ 07 Case Backhoe (1111)
_ David Delaeraz �� 19G`
��
—Massey 240 Tractor (1754)
❑ Chuck Cordero (1062)
❑ Date Started:
❑ Massey 230 Tractor
Ed Boes (1172)
PW/WR
❑ Anthony Grieco (1193)
— Ford F350 Van (3966)
STORMWATER
_ Jeff Ratliff (1180)
— Jeep Cherokee (2278) PW
—
PUBLIC WORKS
❑ Dodge % ton PU (2363)
_
Walter Bandish (106 1)
Date Completed
Ford F350 Boo
`301Boom_
—
OTHER:
❑ Ford F250 (3314)
Ford E250 (3484) SW
FORM VER 3.0/FY06
❑ Ford E250 (3486) PW
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City
f; Cape CanaveraE
I REVIEW CORRECTION SNFFT
Date of Review: 1/27/09
Project Name: Colonial House
Project Address: 230 Columbia Dr.
Colonial House Owners
Applicant Name: Association, Inc.
Phone Number: 321-403-0344
Fax: 321-783-6611
The following items were noted on your submittal as areas requiring correction and/or clarification.
Please address each comment by its corresponding number. You may fax replies to (321) 868-1247.
If you have any questions about this plan review please call (321) 868-1222 and ask to speak with the
plans examiner.
Please provide:
Wl. Inspection performed by City of Cape Canaveral, revealed trees on permit application to be in good health.
Therefore, the trees removed are required to be mitigated per theeplacement guidelines per City of Cape
Canaveral Ordinance Sec. 102-43. '7 il tree
v"2� The sizes of the trees to be removed areVas follows: 2-4", 4-5", 1-6" for a total of 7 trees between 4"-8"dbh.
Therefore, a total of seven trees are required with a minimum 4"dbh, minimum 10" tall and 2' spread.
Replacement trees shall be of equal shade potential and shall be replaced by a desirable tree per list in Sec. 102-
52. Z1 @s dam Na@ ---d
61-t
1-t " • JZ -7
g✓i Plot pian indicating trees to be removed and location of
replacement trees to be planted including type and size.
Wd4- deo "
ds� %J® SIL W/BUSY awiewdUUi
Sin-oprely,
Dennis Clements
Plans Examiner/Building Inspector
7510 N. Atlantic Avenue • Post Office Box 326 • Cape Canaveral, FL 32920-0326
Telephone: (321) 868-1222 • Fax: (321) 868-1247
www.myflorida.com/cape • email: ccapecanaveral@cfl.rr.com
105 Polk Ave. Cape Canaveral, FL 32920
(321) 868-1222 (321) 868-1247 (fax)
To: Colonial House Owners Association From: Dennis Clements
Fax: 321-783-6611 Pages: 2
Phone: 321-403-0344 Date: 1/27/09
Re: Tree Removal CC:
❑ Review ❑ Please Comment ❑ Urgent Please Reply ❑ Please Recycle
Plan review comments for your review. Any questions please give me a call.
Dennis Clements
Plans Examiner/Building Inspector
Transmit report
P.1
01/27/2009 01:36
26YE04055
TC:385532
REMOTE STATION
START
TIME
Pages
RESULT
REMARKS
97836611
01-27 01:36
00:00 12
002/002
OK
REMARKS TMR:Timer, POL:Poll, TRN:Turn around, 2IN:2inl Tx, ORG:Original size set, DPG:Book Tx
FME:Frame erase Tx. MIX:Mixed original, CALL:Manual-Com, KRDS:KRDS, FN'D:FOR0RD
FLP:Flip Side 2, SP:Special Original
FCODE:Fcode, MBX:Confidential. BUL:Bulletin, RLY:Relay, RTX:Re-Tx, PC:PC-FAX
S-OK:Stop communication, Busy:Busv, Cont.:Continue, No ans:No answer
M-full:Memory full, PW-OFF:Power switch OFF, TEL:Rx from TEL
1 OS Polk Ave, Cap6 Canaveral, FL 32920
(321 ) 868-1222 (321) 86B-1247 (1ax)
To: Gelonial House Owners Association
Cape Canaveral
BWIcIl"department
F-- Dennis Clements
Fac 321-783-6691 Paw- 2
IPF--- 321-403-0344 I7at0: 1/27109
Re: Tragi Removal cc=
Q Review T] Please Co.nmo..t O l!.>geat Please Reply M Pl-a Racy -
11 -
Plan review comments for your review_ Any questions please give me a call
Dennis Clements
Plans Fs-amir�ar/R�,ifrfir.r, Inspectcr