FLS2013-01001 1625 GULF TO BAY BLVD �n nt�epartment
° Clearwater FLS2013-01001
� pplication
Dannys Tobacco Shop -j� SIC�8nt1Q1 USBS
� Zoning: Commercial
Atlas#:297g
IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND COKKtl.1 �rvrvn�.�,-......__ __ AISL ADING� DECEPTIVE�
INCOMPLETE OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPLICATION.
ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY,AND SUBMITTED IN PERSON(N FAX OR DELIVERIES)
TO THE PLANNING&DEVELOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE.
A TOTAL OF 11 COMPLETE SETS OF PLANS AND APPLICATION MATERIALS(1 ORIGINAL AND 10 COP�ES)A REQUIRED WITHIN
ARE TO BE SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW C�MMITTEE. PLANS AND APPLICAT ONS ARE REQUIRED
TO BE COLLATED,STAPLED AND FOLDED INTO SETS.
THE APPLICANT, BY FILIN6 THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REq IREMENTS Of THE
COMMUNITY DEVELOPMENT CODE.
FIRE DEPT PRELIMARY SITE PLAN REVIEW FEE: $200
APPLICATION FEE: $475
_.__-----
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PROPERTY OWNER(PER DEED): �� � �L G.
MAILING ADDRESS:
PHONE NUMBER: � • �
EMAIL: "�
AGENT OR REPRESENTATIVE: ''
MAILING ADDRESS: /J ��7
i
PHONE NUMBER: '
EMAIL:
//� � f� / ,yr��r� ,�-.
ADDRESS OF SUBJECT PROPERTY: ! v� 1�%►f � C� !� /�� �G�/� • � • U,t�`T�l,�/� ,. ��� ��7�T
PARCEL NUMBER(S):
LEGAL DESCRIPTION: � d•� /+' � � 7� J r
� ` f - /dd.6 ��
-� �c�r�
PROPOSED USE(S): BI�/Z
DESCRIPTION OF REQUEST: � " � r
D , '
Specifically identify the request J
(include all requested code flexibility;
e.g., reduction in required number of
parking spoces, height setbacks, lot
size,lot width,specific use,etc.):
Planning&Development Department,100 S.Myrtle Avenue,Clearwater,FL 33756,Tel:727-562-4567;Fa :727-562-4865
Page 1 of 8 Revised 01/12
o Planning&Development Department
� � ���a��r Flexible Standard Development Application
� Data Sheet
PLEASE ENSURE THAT THE FOLLOWING INFORMATION IS FILLED OUT, IN ITS ENTIRETY. FAILURE TO COMPLETE THIS FORM
WILL RESULT IN YOUR APPLICATION BEING FOUND INCOMPLETE AND POSSIBLY DEFERRED UNTIL THE FOLLOWING
APPUCATION CYCLE.
ZONING DISTRICT: C
FUTURE LAND USE PLAN DESIGNATION: l� l�
EXISTING USE(currently existing on site): \����/
PROPOSED USE(new use,if any;plus existing,if to remain): ���
SITE AREA: rOC,� sq.ft. acres
.
GROSS FLOOR AREA(total square footage of all buildings):
Existing: ���j �� sq.ft.
�`u/JUj_ f�e-�
��' ���0 SG-ft•
axim m Allowable: sq.ft.
GROSS FLOOR AREA(total square footage devoted to each use,if there will be multiple uses):
First use: sq.ft.
Second use: sq.ft.
Third us�: sq.ft.
FLOOR AREA RATI�(total square footage of ail buildings divided by the total square footage of entire site):
Existing:
Proposed:
Maximum Allowable:
BUILDING COVERAGE/F�OTPRINT(1�`floor square footage of all buildings):
Existing: sq.ft. ( %of site)
Proposed: sq.ft. ( %of site) � -�•
Maximum Permitted: sq.ft. ( %of site)
GREEN SPACE WITHIN VEHICULAR USE AREA(green space within the parking lot and interior of site;not perimeter buffer):
Existing: sq.ft. ( %of site)
Proposed: sq.ft. ( %of site)
VEHICULAR USE AREA(parking spaces,drive aisles,loading area):
Existing: sq.ft. ( %of site)
Proposed: sq.ft. ( %of site)
Planning&Development Department,100 S.Myrtle Avenue,Clearwater,FL 33756,Tel:727-562-4567;Fax:727-562-4865
Page 2 of 8 Revised 01/12
IMPERVIOUS SURFACE RATIO(total square footage of impervious areas divided by the total square footage of entire site):
Existing:
Proposed:
Maximum Permitted:
DENSITY(units,rooms or beds per acre): BUILDING HEIGHT:
Existing: Existing:
Proposed: Proposed:
Maximum Permitted: Maximum Permitted:
OFF-STREET PARKING:
Existing: � ,��� Note:A parking demand study must be provided In conjunction with any request
Proposed: to reduce the omount of required off-street parking spaces. Please see the
Minimum Required: adopted Parking Demand Siudy Guidelines for further information.
WHAT IS THE ESTIMATED TOTAL VALUE OF THE PROJECT UPON COMPLETION? $
ZONING DISTRICTS FOR ALL ADJACENT PROPERTY:
North: �
South: �
East: �
W est: C
STATE OF FLORIDA,COUNTY OF PINELLAS ��
I, the undersigned, acknowledge that all Sworn to and subscribed before me this ' day of
representations made in this application are true and .�,�� a�\o� .to me and/or by
acwrate to the best of my knowledge and authorize �
City representatives to visit and photograph the �—� � � � ,who is personalty known has
property described in this application. produced �-�L L��'�a�����' 3��es identification.
L�./ �`..
-L..
Sign�tare of property owner or representative Notary public,
My commission expires ` �-0 ��1�
a�� ,• Li�NA�SSIPOYA
� � Notary PuSSic,State of Florida
Commission�Dp9p8963
My comm.expires Aug.1L�,2013
Planning&Development Department,100 S.Myrtle Avenue,Clearwater,FL 33756,Tel:727-562-4567;Fax:727-562-4865
Page 3 of 8 Revised 01/12
o (� Planning&Development Department
� l� �a�a�er Flexible Standard Develo ment Application
p
� General Applicability Criteria
PROVIDE COMPLETE RESPONSES TO EACH OF THE SIX(6) GENERAL APPLICABILITY CRITERIA EXPLAINING HOW, IN DETAIL,THE
CRITERION IS BEING COMPLIED WITH PER THIS DEVELOPMENT PROP�SAL.
1. The proposed development of the land will be in harmony with the scale, bulk, coverage, density and character of adjacent
properties in which it is located.
��.v�M PYr:� �•,��,!J`' -� ���/J
2. The proposed development will not hinder or discourage the appropriate development and use of adjacent land and buildings
or significantly impair the value thereof.
��.,J �P / � F� - �v_�°-�/�--�, re;�u i�J�D��?'-� ��
.
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3. The proposed development will not adversely affect the health or safety or persons residing or working in the neighborhood
of the proposed use.
�'.�.,n I! �Np�ra�j��ZJ� ILd�
4. The proposed development is d:esigned to minimize traffic congestion.
H R I'�I t � �—r�mrTi�,i�.��`r-�g�'
5. The proposed development is consistent with the community character of the immediate vicinity of the parcel proposed for
development.
� '�.
/�?�z P`1lr�r�l—, 2�a �e,►� r :�
.L�-�� ;d7�.,o ��A�
6. The design of the proposed development minimizes adverse effects, including visual, acoustic and olfactory and hours of
operation impacts,on adjacent properties.
�t i rTi).�� �AI1��T1e ��� �7V�f�I��f ��►��°,��/I�T�P� :
Planning&Development Department,100 S.Myrtle Avenue,Clearwater,FL 33756,Tel:727-562-4567;Fax:727-562-4865
Page 6 of 8 Revised 01/12
o (� + Planning&Development Department
� l.� `ea�al�er Flexible Standard Develo ment A plicatian
P p
� Flexibility Criteria
PROVIDE COMPLETE RESPONSES TO THE APPLICABLE FLEXIBILITY CRITERIA FOR THE SPECIFIC USE(S)BEING REQUESTED AS SET
FORTH IN THE ZONING DISTRICT(S)tN WHICH THE SUBJECT PROPERTY IS LOCATED. EXPLAIN HOW,IN DETAIL,EACH CRITERION
IS BEING COMPLIED WITH PER THIS DEVELOPMENT PROPOSAL(USE SEPARATE SHEETS AS NECESSARY).
� -
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3.
4.
5.
6.
, � .�
7.
8.
Planning&Development Department,100 S.Myrtle Avenue,Clearwater,FL 33756,Tel:727-562-4567;Fax:727-562-4865
Page 7 of 8 Revised 01/12
o (� + Planning&Development Department
� l.� eal�Vat��r Flexible Standard Develo ment Application
p .
� Affidavit to Authorize Agent/Representative
1. Provide names of all property owners on deed—PRINT full names:
1��C ; G�G
2. That(l am/we are)the owner(s)and record title holder(s)of the following described property:
/� :� <—_ �� � G�' � , /'
ti
i
3. That this property constitutes the property for which a request for(describe request):
!�'A�
4. That the undersigned(has/have)appointed and(does/do)appoint:
�/X/Il1 E / -,/�-`�G�'� �f.�/If J���!',�?G'�l'/'d-�(��
as(his/their)agent(s}to execute any petitions or other do�uments necessary to affect s ch petition;
5. That this affidavit has been executed to induce the City of Clearwater, Florida to consider and act on the above described
property;
6. That site visits to the property are necessary by City representatives in order to process this application and the owner
authorizes City representatives to visit and photograph the property described in this application;
?. Tha±{!/:�:e),±,M..� ndersign?d authority,hereh �fy that the foregoine is true and correct.
�
Property Owner Property O ner
Pr erty Owner Pr erty Owner
�
STATE OF FLORIDA,COUNTY OF PINELLAS
BEFORE ME THE UNDERSIGNED,AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATF�OF FLORIDA,ON
THIS ,`��� DAY OF ��`� , °���/a` , PERSONALLY APPEARED
�`� �'� �� WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND SAYS THAT HE/SHE FULLY UNDERSTANDS THE CONTENTS HE AFFIDAVIT THAT HE/SHE SIGNED.
�
�,� ,� L!A(dA OSSIPOVA
Notary Public,State of�lorida
Commission�DD908963 otary Public Signature
, My comm.expires Aug.10,2013
Nota My Commission Expires: � � �, oZ���
Planning&Development Department,100 S.Myrtle Avenue,Clearwater,FL 33756,Tel:727-562-4567;Fax:727-562-4865
Page 8 of 8 Revised 01/12
TION
�ecorded in Plat Book 11, Page 31 and
Pinellas County, Florida.
- GULF TO BAY BOULEVARD
...
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�° Basis oi Bearings 194.78'(M)
S89°54'41�E(M) Aspho/t 194.84'(P
S89 54 41 E(C)
2' Conc. Curb
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