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SGN1999-02026 ~ O-Q 0 V ~~ ~ttv .~{} <If ~~ ~ CENTRAL PERMITl1 100 SOUTH MYRTLE AVEt'/J P.O. BOX 4748 I CLEARWATER, FLORID (813) 562-4567 PLANNING & DEVELOPMENT SIGN PERMIT APPLlC JION CITY o~E~i~~~A PLANS AND SPECIFICATIONS FOR ANY PROPOSED SIGN SHALL BE SUBMITTED IN DUPLICATE, DRAWN TO SCALE AND INCLUDE THE ~ FOLLOWING ~ ~ (a) Site Plan (b) Dimensions and elevations (Including the message) of the sign (c) Lot frontage on all street rights-of-way (d) Maximum and minimum height of the sign, as measured from finished grade (e) Location of the sign In relation to property lines, public rights-of-way, easements, buildings, and other signs on the property (Pole SIgns must be a minimum of 5 feet from property line) (f) DimenSions of the sign's supporting members (g) For illuminated SIgns, the type, placement. Intensity and hours of Illumination (Not more than five (5) footcandles of light Intensity for commercial signs ) (h) Construction and electrical specifications, for the purpose of enabling determination that the sign meets all applicable structural and electrical requirements of the Building and National ElectriC Codes (Indicate If UL rated) (I) Inventory of all exlstlnQ slQns on the same property and/or building on which the sign IS to be located, Indicating the number, type, use e g property Idenhfication, business Identification, etc) location and surface area (If -none: so Indicate) . All applications for signs shall Include detail drawings showing how the sign Is to be constructed and secured All signs greater than 32 square feet In size shall have structural drawing signed and sealed by licensed Florida engineer or architect ~ please note that Wind load requirements should conform to the 1991 edition of the Southern Standard Building Code V\ cp ~ PROJECT ADDRESS '390 ~ ~lA..-lN' ~ \) \) ~ LOT BLOCK/TRACT z o SUBDIVISION PARCEL NUMBER / / / / / TELEPHONE (""3,,-- -('"\"1"3 STA~ ZIP s~.,t,4_ OWNER _~'Z~~ c::- Gp..S.,o <\oJ ADDRESS 9/~~'~-:O" LESSEE (OF PROPERTY OR BUILDING) ~".. t>r-~ BUSINESS NAME ~ \-V A.. E~T~;:xu,,~ \ tvf'\"\ N to 6D. ADDRESS l-J ~~:L,;~w 3b-o 'S Sr, { ~ CITY/STATE/ZIP CODE c-: L~~ ~ 3.31bJ TELEPHONE ~l-,~S~ DESIGN REQUIRED D DISTRICT URBAN CENTER D STATUS DATE REVIEW NOT-APPLlCABLED CLRWTR BEACH D APPROVED D BOARD N GREENWOOD D DENIED 0 CONTRACTOR S", C:.,J Co,v~ I I"", c. TELEPHONE -# 2.-Gb~ ADDRESS '~4 S;;;. '\)("o.s. ~T CITY ~L- i2.W STATE~ . ZIP ~~ 1 ~b STATE NO CLEARWATER LICENSE NO C - 7....c=t1 '300<;: <>:&r,L'-farY <L\ r ~ TYPE OF SIGN _ POLE - PROJECTING - WINDOW _ CANOPY AWNING OR MARQUEE _ WALL ..,..--- GROUND _ PORTABLE _ OTHER SURFACE AREA IN SQ FT ,'-t "7 VALUE OF SIGN \~<"o. - ELECTRICAL PERMIT NEEDED? ~ FOR SIGNS LOCATED WITHIN THE CITY EASEMENT ALONG US 19, ESTIMATED REMOVAL COST 1430-o01B-GC - over- 5-96 L,........,-....... ~... ~_r .....~...~... I f'~"" \ r: .. 1':'" "'':1, tr' C ~,.. , . ' (1j1rrat>>'jbt\~~orltbf~~~f-~~~ ci~p"catlon form which Is ~gned by an IndiVidual other than the property owner shall be \ @p6jjI~ ~fe1rlzed ~tatement of authorlzanon consennng to the sign placement or, If the property or building upon ~ ,s~n1sto15el6Cated Is leased, a copy of the executed lease shall accompany the application form In the event the "i b Ilplng or property Is loosed <find the application form Is SIgned by an Indlvldool other than the lessor, the application ~.hall be \ at9?m.d by .a,l-iz~;statement of authorization signed by the lessor consenting to the sign placement and a copy of \ . ~ exe lease (Not r~L:Jlred for portable signs/face changes or signs approved by variances) i ,-",.11 LJ \ 'ft1~~~~W~0~~)~;1~i'/I'1 /~', CERTIFICATION I I certlfy thatafl\'fnformatlon submitted on this application and attachments thereto are true and correct to the be~,t of my i know\~ge:pndjl:)eltefl_ll~n_d~rstand tt.lat any inaccurate Information may result In revocation of the sign permit and removal I _ " of ar:w-slgn erected pursfJant to such permit I will be responsible for the Installation of the subject sign In accordance with the sign regulations of the City of Clearwater i I acknowledge that all nonconforming signs are subject to the amortization provisions contained In Section 44 55 of the City of Clearwater Code of Ordinances and must be brought Into compliance before October 13 1992 Furthermore, I understm'ld that ; any Investment made In or to a nonconforming sign during the amortization period, Including but not limited to message " changes, shall not constitute grounds for noncompliance or compliance later than October 13, 1992 Atlas Page Zoning ner (or representative) Name , , , i ! ~-B (~ ~ re (or authorized represEmtatlve) (FOR OFFICE USE ONLY) '-t'-l~5-1 (cD (tJ) t b;; c/ d . Slgnage Permitted ~Lf $~t IT- I '- ....,....,.:-.. > (' Date Traffic Eng Approv BUilding APprovai'~ east coPY < ...-c IA vanab\e ) , -, (.J "-' - -r rC c' ,c- 2: _~--..__ 1_... ..... -~----'""-.._.. -..-......-- )~ '" . :"