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Home My WebLink About7-30-14 Electronic Submittal of Hand delivered items to Dave Dickey_Tree removal appDate: CITY OF CAPE CANAVERAL Tracking # PERMIT APPLICATION Permit # FOR THE REMOVAL OF TREES Authority: City of Cape Canaveral Code of Ordinances Sec. 102-37(e) (321) 868-1222 City of Cape Canaveral Building Department 7510N. Atlantic Ave. Cape Canaveral, FL 32920 You may download this application: www.cityofeapecanaveral.or:r You may fax to: (321) 868-1247. Important: Please complete the checklis on this form and provide 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 Owner is required to sign for the permit, unless indicated otherwise by affidavit. I.D. may be required) Address of Job Site: SW Corner of the intersection of Cape Shores Circle & AlA (portion of 260 Cape Shores Circle) Legal description of property: TWN: 24 RNG: 37 SEC: 26 SUBD: 00 BLK00251.OLOT:0000.00PB: n/a PG: n/a Property Owner Name: Robert Baugher Phone321-784-2318Address: 2210 S. Atlantic Ave, Cocoa Beach,FL 32931 Contractor Name: N/a at this time NameofCompany: N/A Address: N/A State License No.: N/A Phone (office): N/A Phone (cell/pager.): N/A Fax: N/A Please check all that apply (proof maybe required). Of the tree(s) to be removed, are 3)L the trees: dead? NO diseased? not obvious suffering from severe structural defects? posing a clear and obvious safety hazard? unknown unknown Please clarify the reason tree(s) must be removed: Site development Do you plan to relocate the tree(s) or re -plant new tree(s)? Please describe: Relocate, no/TBD. Replant per landscape code. Applicant desires to pay into Tree Fund for majority. Request City Council input on specimen tree removal. lvotes: d.b.h. is diameter at breast height (4'/z feet above grade) Caliper is the measurement of a tree 12 inches from the soil level. 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. Type of Residential Building built or proposed on the property Quantity of protected/native trees over 3" dbh to be removed Of the trees planned for removal, how many have caliper measurement of 24" or larger? Sum total dbh of all inches of all protected/native trees to be removed Valuation of tree removal work Single Family Residence X A plan showing location and sizes of trees to be removed and planted showing all existing/proposed construction and landscaping $ Townhome Record will be kept on file after initial submittal In/q Current Worker's Comp. Policy / Exemption Record will be kept on file after initial submittal Apartment City Council Approval if needed - please attach approval minutes 7lT TTl�TI /`1lY tier For removal of specimen or historic trees X Other S eCl )-Commercia See attached pl s and spreadsheet for prelimi ary evaluation. Chanqes kav occur due ounci considerations. l rL--b- -Urz CUR-KESPUVLJENCE TO iEFe LUCAS AT:] et trey iucas@atkins lobal comb 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 shall 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 authorized agent of the Contractor and/or the Owner and has the authority to ply for this permit. Jeffrey as - Authorized Agent Applicant's Name: Kathleen Sousa Applicant's Signature: �� 11.4 Date: ?—Z57- / Notary use only: In the State of Florida, County of Brevard sworn and subscri d ore me this ,2 day of JV I by Je4L-0ecs o., ►O, a t F o f Printed 46e of Applicant kr n +1, leeh "u t A- � who produced identification. i�. L—' or Seal: is personally known to me. ,p 04* Notary Public State of Florida " Mary Jo Hill Si a otary Public At Large My Commission Ee 196037 OFA Expires o5/08/2016 G:1Bldg.Dept.FormslBP Appl. Removal of Trees (3 D.U.) This form may be duplicated. Permit Application Checklist Notes X Completed Permit Application X A plan showing location and sizes of trees to be removed and planted showing all existing/proposed construction and landscaping n/a Contractor's State License Record will be kept on file after initial submittal In/q Current Worker's Comp. Policy / Exemption Record will be kept on file after initial submittal X City Council Approval if needed - please attach approval minutes 7lT TTl�TI /`1lY tier For removal of specimen or historic trees l rL--b- -Urz CUR-KESPUVLJENCE TO iEFe LUCAS AT:] et trey iucas@atkins lobal comb 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 shall 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 authorized agent of the Contractor and/or the Owner and has the authority to ply for this permit. Jeffrey as - Authorized Agent Applicant's Name: Kathleen Sousa Applicant's Signature: �� 11.4 Date: ?—Z57- / Notary use only: In the State of Florida, County of Brevard sworn and subscri d ore me this ,2 day of JV I by Je4L-0ecs o., ►O, a t F o f Printed 46e of Applicant kr n +1, leeh "u t A- � who produced identification. i�. L—' or Seal: is personally known to me. ,p 04* Notary Public State of Florida " Mary Jo Hill Si a otary Public At Large My Commission Ee 196037 OFA Expires o5/08/2016 G:1Bldg.Dept.FormslBP Appl. Removal of Trees (3 D.U.) This form may be duplicated.