TREE REMOVAL/RELOCATION PERMIT APPLICATION



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CITY OF HOLLYWOOD, FLORIDA DEPARTMENT OF DEVELOPMENT SERVICES TREE REMOVAL/RELOCATION PERMIT APPLICATION PERMIT # TR- INSTRUCTIONS: 1. Provide Complete Information On Form And Return To City Hall Rm308. Incomplete applications cannot be processed and may cause a delay or cessation in application processing. 2. Provide Number Of Trees, Species Type, Location(s) On Property, And Photograph(s) Of Trees You Are Applying To Relocate Or Remove. Failure to do so may cause a delay or cessation in application processing. NOTE: For Locations Other Than Single Family Residences, A Site Plan Or Scaled Survey May Be Needed. The City may request a scaled site plan showing existing tree inventory or tree survey be submitted concurrently with this application at its discretion. 3. Return Completed Application To City Hall Rm308. The City will inspect the tree(s) and determine suitability for removal or relocation. This document does NOT become a valid permit until all of the following have occurred: City staff have inspected trees and determined criteria and valid reason for tree removal exists Applicant has been contacted and advised of application approval and paid all fees A permit number has been assigned by the City of Hollywood at time of payment Applicant will have 60 days from date of issue to complete the work; when work is complete, call 954-921- 3900 to request an inspection; an inspector will then verify work so permit can be closed 1. Request for: [ ] Removal [ ] Relocation 2. Total number of trees applying for: 3. Reason for request: 4. Tree species, size(s) and location(s) on the property: 5. Address of requested tree relocation/removal: 6. Type of property: [ ] Single Family Residence [ ] Multi-family Residence (condominium, apartment) [ ] Developed Site (commercial, institutional, etc.) [ ] Vacant or Undeveloped Land [ ] Right-of-Way Swale Area [ ] Other City/County/State Public Property Site 7. Name of Applicant: Address of Applicant: Applicant Telephone: Applicant e-mail: Name of Property Owner: (if different from Applicant) Address of Property Owner: Telephone of Property Owner:

I/We certify that I/We understand and will comply with the provisions and regulations of Chapters 106 and 155 of the City of Hollywood Code of Ordinances and Article 9 of the Land Development Regulations. I/We further certify that the above statement or attached statements and drawings made on any paper or plans submitted herewith are true to the best of my/our knowledge. I/We understand that any false or incorrect information submitted on or with this application will result in the revocation of this permit and could result in applicable fines or charges. Companies hired to do work by the property owner are required to properly dispose of any waste at their sole expense. If any cuttings/materials are left for City removal, the PROPERTY OWNER(S) will be charged for this removal. For more information on debris removal, contact the City s contracted hauler (Waste Pro) at 954.967.4200. Signature of Applicant: Date: Signature of Owner: Date: (if different from Applicant) The permit and processing fee for single-family residences is $30.00 per tree, due upon issuance of permit. The fee for all others is a $100.00 processing fee, plus $30.00 permit fee per tree, due upon issuance of permit. Any tree removed without a valid permit will pay a permit fee of $90.00 per tree. Tree mitigation or replacement trees are required for each tree approved for removal. Please see attached for requirements. There will be a $25.00 charge for invalid payment. BELOW FOR OFFICIAL USE ONLY STATUS: [ ] Approved - (see below) [ ] Denied - Date: [ ] Partial Approval For Trees [ ] Incomplete Application- Date Contacted: Approved By: Date: TOTAL PAYMENT DUE $ (total of permit fees + tree fund contribution *if applicable) *Contribution to the Tree Trust Fund is only applicable by determination of the City that no reasonable room exists for replacement trees and is at the sole discretion of the City to render this determination. Contribution will be based on the appraised value of the trees requested for removal using the ISA trunk formula method. TOTAL REPLACEMENT TREES DUE (From approved replacement tree list): TREES @12 Height/2 Caliper OR PALMS @ 8 Clear Trunk (3 palms = 1 tree) Special Conditions: 2600 Hollywood Boulevard, Room 308 PO Box 229045 Hollywood, FL 33022-9045 Phone 954.921.3900 - Fax 954-921-3416 An Equal Opportunity and Service Provider Agency

CITY ORDINANCE S TREE REPLACEMENT REQUIREMENTS (ORDENANZA DE LA CIUDAD DE HOLLYWOOD REQUISITOS PARA EL REEMPLAZO DE ARBOLES) A. ALL TREES (TODOS LOS ARBOLES) 1. Replacement required within 60 days of approval of permit. (El reemplazo debe de realizarse dentro de los 60 dias posteriores a la aprobacion del permiso.) 2. Should be a tree from the approved list as located in the City s Landscape Manual (list attached). (Debe de ser reemplazado por un arbol de la lista aprobada en el City's Landscape Manual (manual de Jardines de la ciudad) (se incluye la lista). 3. Trees must be Florida Grade #1 or better. Los arboles deben de ser Grado #1 de la Florida o mejores. 4. Tree is required to have 2 inches of trunk caliper measured 4.5 feet above grade. Se require que el grosor del tronco del arbol mida 2 pulgadas, medidas deber ser tomadas a 4.5 pies por encima del nivel del piso terminado. B. TREES IN SWALE AREAS (ARBOLES QUE SE ENCUENTRAN EN LAS AREAS DE JARDIN ENTRE LA VEREDA Y LA PISTA) 1. Shall not be less than 12 feet in height. (No deberan ser de menos de 12 pies de altura.) 2. On corner lots, trees may not be planted within 25 feet of a point where the streets intersect, six feet at the intersection of an ally. (En lotes de esquina, los arboles deben de ser plantados detras de los 25 pies del punto de interseccion de las calles, y detras de los 6 pies de la interseccion de calle de servicio (alley).) 3. Trees shall not be planted within 25 feet of a street light, fire hydrant or storm water drain. (Los arboles no seran plantados a menos de 25 pies de un poste de luz de la calle, hidrante de incendios o drenajes de agua de tormenta.) 4. Trees to be planted under powerlines must be selected from an approved list located in the City s Landscape Manual (list attached). (Los arboles que van a ser plantados bajo lineas de alta tension deben de ser escojidos de una lista aprobada que se encuentra en el City's Landscape Manual (manual de jardines de la ciudad)(se incluye la lista).)

5. Trees shall not be planted within 2.5 of any paved surface. (Los arboles no seran plantados a menos de 2.5 pies de ninguna superficie pavimentada.) 6. All trees removed from swale areas must be replaced in the swale area. (Todos los arboles que han sido removidos de las areas de jardin entre la vereda y la pista deben de ser reemplazados en la misma area.) 7. Fruit trees are discouraged from being planted in swales (liability). (No se recomienda plantar árboles de fruta en las áreas de jardín entre la vereda y la pista (danos a terceros). C. TREES ON PRIVATE PROPERTY (ARBOLES EN PROPIEDAD PRIVADA) 1. May not be less than 12 feet in height. (No pueden tener menos de 12 pies de altura.) 2. If replaced with palm trees, three single trunked palms (list attached), each greater than 12 feet tall, are required to replace one hardwood tree. (Para reemplazar un árbol de madera dura, si se reemplaza con palmeras, tres palmeras de tronco único (lista adjunta), cada una debe ser demás de 12 pies de altura.) 3. May be planted anywhere on private property. (Los arboles de reemplazo pueden ser plantados en cualquier lugar dentro la propiedad privada). 4. If it is determined by City Staff that no physical space exists on site or in the adjacent right-of-way, the City may, at its sole discretion, approve either of the following: 1) Allow mitigation plantings to occur at an offsite public location 2) Make a monetary contribution to the City of Hollywood s Tree Trust Fund for each tree that is being mitigated. Monetary amount will be based on current market values for purchase, installation, establishment watering and maintenance for one calendar year, and will be determined by the Tree Removal/Relocation Manager.

Replacement Trees (Árboles de Remplazo) Ordinance (Ordinanza) 155.52 (C) (1) Common Name (Nombre Común) Red Maple Satinleaf Japanese Fern Tree Loblolly Bay Redbay Jamaicain Dogwood Dahoon Holly Black Ironwood Pink Tabebula Pond Apple African Mahogany Flame Bottle Tree Bald Cypress Silk Foss Tree Golden Shower Tree Silver Buttonwood Gumbo Limbo Indian Tamarind Jacaranda Kapok Tree Botanical Name (Nombre Botánico) Acer rubrum Chrysophylium oliviforme Filicium decipiens Gordonia lasianthus Persea borbonia Piscidina piscipula Ilex cassine Krugioderdron ferreum Tabebulia heterophylla Annona glabra Khaya spp. Brachychiton acerifolius Taxodium distichum Chorisia speciesa Cassia fistula Conocarpus erectus Bursera simaruba Tamarindus indica Jacaranda mimosifolia Ceiba pentandra

Laurel Oak Live Oak Mahogany Mastic Paradise Tree Pitch Apple Pongam Royal Poinciana Sea Grape Slash Pine Southern Magnolia Sweet Bay Weeping Podocarpus Wild Tamarind Yellow Poinciana Quercus laurifolia Quercus virginiana Swietenia mahogani Mastichodendron foetidissimum Simarouba glauca Clusia rosea Pongamia pinnata Delonix regia Cocolloba uvifera Pinus elliottii Magnolia grandiflora Magnolia virginiana Podocarpus gracilior Lysiloma latisiliqua Peltophorum pterocarpum

Salt Tolerant Trees As per Chapter 155 Code of Ordinance (Árboles Tolerantes de Terrenos Salinos) (Ordinanza Capitulo 155) (1) Indicates highly salt tolerant trees. (Indica árboles tolerantes de terrenos con contenido salino. (2) Indicates moderately salt tolerant trees. Plant behind dunes, need protection. (Indica árboles tolerantes de tenenos con mediano contenido salino. Plantas detras de dunas, necessitan protección. When removing a Hardwood Tree, replace tree with the following list: (Cuando remueva árboles de madera dura, reempace con árboles de la siguiente lista:) (**Note: If replacing hardwood trees with PALM TREES; the Ordinance requires 3 palm trees to 1 hardwood tree ratio). (**Nota: Si esta reemplazando árboles de madera dura con palmeras, la ordinanza requiere 3 palmeras por arbol de madera dura). Common Name (Nombre Común) Southern Magnolia (1) Frangipani (1) White Frangipani (1) Gumbo Limbo (1) Geiger Tree (1) Buttonwood (1) Seagrape (1) Marlberry (1) Golden Shower (2) Pigeon Plum (1) Pitch Apple (1) Botanical Name (Nombre Botánico) Magnolia grandifloria Plumeria rubra Plumeria alba Bursera simaruba Cordia sebestena Conocarpus erectus Coccoloba uvifera Ardisia escallonioides Cassia fistula Coccoloba diversifolia Clusia rosea

Joewood (1) Beauty Leaf (1) Indian Laurel (1) White Stopper (1) Lignum Vitae (1) Sweet Acacia (1) Tallowwood Plum (1) Bald Cypress (2) Ironwood (1) Jacquinia keyensis Calophyillum brasiliense Calophyillum inophyllum Eugenia axillaris Guaiacom sanctum Acacia farnesiana Ximenia americana Taxodium distichum Eugenia cofusa When removing a Palm Tree, replace with: (Cuando remueva palmeras, reemplaze con): Foxtail Palm (2) Royal Palm (2) Date Palm (1) Medjool (2) Coconut Palm (1) Cabbage Palm (1) Key Thatch (1) Flora Thatch Palm (1) Wodyetia bifurcata Roystonea elata Phoenix dactylifera Phoenix dactylifera Cocos nucifera, Malayan Dwarf, Maypan, Panama Tall Sabal palmetto Thrinax morrisii Thrinax ridiata

Trees Under Utility Lines As per 155.53 (A) (6) Important: Refer to plants by Botanical Name Lignum Vitae Lignum Vitae Yellow Elder Weeping Bottlebrush Erect Bottlebrush Glaucus Cassia N/A Cherry of the Rio Grade Japanese Privet Tabebuia Purple Tabebuia Thornless Acacia St. Thomas Tree Lipstick Tree Edible Fig Joewood China Doll Guaiacom sanctum (N) Guaiacom officinale (N) Tecoma stans (N) Callistemon viminalis Callistemon viminalis Cassia surattensis Eugenia coronata Eugenia aggregata Ligustrum japonicum Tabebuia impetiginosa Tabebuia umbellate Acacia choriophylla (N) Bauhinia tomentosa Bixa orellana (N) Ficus carica Jacquinia keyensis (N) Radermachera sinica Trees adjacent to or under power lines may not exceed 15 feet in height at maturity, according to Florida Statute 163.3209