FLS2013-12042�
3168 SAN MATEO ST
FLS2013-12042
1
Kathryn Callaphan Miller
o Zoning: Low Density Residential Atlas #: 283A nning & Development Department
���a�. _....i 1'1C1ilUlC J1.d11Udl U LeVeIO ment A lication
P pp
� Detached Dwellings, Duplexes orAssociated Accessory Use/Structures
IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND CORRECT INFORMATION. ANY MISLEADING, DECEPTIVE,
INCOMPLETE OR INCORRECT INFORMATION MAY INVALIDATE YOUR APPLICATION.
ALL APPLICATIONS ARE TO BE FILLED OUT COMPLETELY AND CORRECTLY, AND SUBMITTED IN PERSON (NO FAX OR DELIVERIES)
TO THE PLANNING & DEVELOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE.
A TOTAL OF il COMPLETE SETS OF PlANS AND APPLICATION MATERIALS (1 ORIGINAL AND 10 COPIES) AS REQUIRED WITHIN
ARE TO BE SUBMITTED FOR REVIEW BY THE DEVELOPMENT REVIEW COMMITTEE. PLANS AND APPLICATIONS ARE REQUIRED
TO BE COLLATED, STAPLED AND FOLDED INTO SETS.
THE APPLICANT, BY FILING THIS APPLICATION, AGREES TO COMPLY WITH ALL APPLICABLE REQUIREMENTS OF THE
COMMUNITY DEVELOPMENT CODE.
FIRE DEPT PRELIMARY SITE PLAN REVIEW FEE:
APPLICATION FEE:
PROPERTY OWNER (PER DEED):
MAILING ADDRESS:
$200
$200 (if for detached dwellings or duplexes) OR
$100 (if for accessory uses/structures for detached dwellings/duplexes)
PHONE NUMBER: C '% �`�� `7 0� �, ` `%�8'i
EMAIL: /7't..%, r' f'7't i/I e' �� (� �f C` tai�"-�
AGENT OR REPRESENTATIVE:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
ADDRESS OF SUBIECT PROPERTY: ,3/� s� Su?-%2 �,��Q C? �T.� ��E"2 /'c•✓c2.�� F� ..�..� 7.5~�
PARCEL NUMBER(S): � �J.-� �� � " %�„ - ��l `J � CA - �?' c"►CJ " (J � 'S �
LEGAL DESCRIPTION: � o�l (jy'� �,,5 �, �;' �C� �j�,S
PROPOSED USE(S):
DESCRIPTION OF RE4UEST:
Specifically identify the request
(include all requested code flexibility;
e.g., reduction in required number of
parking spaces, height, setbacks, lot
size, lot width, specific use, etc.J:
��
r
i `CS 7 �..// r�� � �.. u - w � �...�•-� �.� .
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Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 1 of 7 Revised 01/12
S
° learwater Planning & Development Department
�� Flexible Standard Develo ment A lication
p pp
� 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
APPLICATION CYCLE.
ZONING DISTRICT:
FUTURE LAND USE PLAN DESIGNATION:
EXiSTING USE (currently existing on site):
PROPOSED USE (new use, if any; plus existing, if to remain):
SITE AREA: �O. �i v�� sq. ft.
GROSS FLO�R AREA (total square footage of all buildings):
Existing: �� sq. ft.
Proposed: � sq. ft.
Maximum Aliowable: sq. ft.
,�_l� R
f2L
�
_ � �'� acres
GROSS FLOOR EA (total square footage devoted to each use, if there will be multiple uses):
First use: sq. ft.
Second use: �y sq. ft.
Third use: f�, sq. ft.
FLOOR AREA RATI (total square footage of all buildings divided by the total square footage of entire site):
Existing:
�
Proposed: \
Maximum Allowable:
BUILDING COVEF�,AGE/FOOTPRINT (l�t floor square footage of all buildings):
'ti
Existing: � sq. ft. ( % of site)
Proposed: � sq. ft. ( % of site)
Maximum Permitted: sq. ft. ( % of site)
GREEN SPACE HIN VEHICULAR USE AREA (green space within the parking lot and interior of site; not perimeter butfer):
Existing: sq. ft. ( % of site)
Proposed: sq. ft. ( % of site)
VEHICULAR USE REA (parking spaces, drive aisles, loading area):
Existing: sq. ft. (
Proposed: sq. ft. (
% of site)
% of site)
Ptanning 8 Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 2 of 7 Revised 01/12
9
IMPERVIOUS SURFACE RATIO (total square footage of impervious areas divided by the total square footage of entire site):
,*" EXIStlllg: e � �
_ ,.. Proposed: � _`�:�
Maximum Permitted: P �
DENSITY (units, rooms or beds per acre):
Existing: �
Proposed: %
Maximum Permitted: �
—�
OfF-STREET PARKING:
BUILDING HEIGHT:
Existing:
Proposed:
Maximum Permitted:
Existing: 6�_ Note: A parking demand study must be provided In conjunction with ony request
Proposed: ,� to reduce the amount of required off-street parking spaces. Please see the
Minimum Required: � adopted Parking Demand Study 6uidelines for further information.
WHAT IS THE ESTIMATED TOTAL VALUE OF THE PROJECT UPON COMPLETION? $ 3(I Q Q
ZONING DISTRICTS FOR ALLADJACENT PROPERTY:
North: L' � /�
South: ,� � /�,
East: � � �
West: � b �
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 �Gm6e�,– c�D/ 3 . to me and/or by
accurate to the best of my knowledge and authorize `
City representatives to visit and photograph the�q� � who is personally known has
property described in this application. produce #
2, S -�-Das identification.
��T/ L; /�/ f_/'C +�'✓� �.-- , . �v�,'
Signature of property owner or representative N ar pu ic, �� .
My comm sion pires: �
Notary Public State of Florida
My Commi�sion EE141534
Explrow 10lZe/�A1�
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 3 of 7 Revised 01/12
° Clearwater Planning & Development Department
Flexible Standard Development Application
� Site Plan Submittal Package Check list
IN ADDITION TO THE COMPLETED FLEXIBLE STANDARD DEVELOPMENT (FLS) APPLICATION, ALL FLS APPLICATIONS FOR A
SINGLE-fAMILY DETACHED DWELLING, DUPLEX, OR ACCESSORY USE/STRUCTURE ASSOCIATED WITH EITHER A SINGLE-FAMILY
DETACHED DWELLING OR DUPLEX SHALL INCLUDE A PLOT PLAN WITH THE FOLLOWING INFORMATION:
0 Responses to the General Appiicability criteria as set forth in Section 3-914.A. The attached Fiexibie Standard Development
Application General Applicability Criteria sheet shall be used to provide these responses.
❑ Responses to the flexibility criteria for the specific use(s) being requested as set forth in the Zoning District(s) in which the
subject property is located. The attached Flexible Standard Development Application Flexibility Criteria sheet shall be used to
provide these responses.
❑ A signed and sealed survey of the property prepared by a registered land surveyor including the location of the property,
dimensions, acreage, location of all current structures/improvements, location of all public and private easements including
official records book and page numbers and street right(s)-of-way within and adjacent to the site.
❑ If the applicati n would result in the removal or relocation of mobile home owners residing in a mobile home park as
provided in F.5�23.083, the application must provide that information required by Section 4-202.A.5.
\
❑ If this application is being su mitted for the purpose of a boatlift, catwalk, davit, dock, marina, pier, seawali or other si milar
marine structure, then the a lication must provide detailed plans and specifications prepared by a Florida professional
engineer, bearing the seal and ' nature of the engineer, except signed and sealed plans shall not be required for the repair
or replacement of decking, strin ers, railing, lower landings, tie piles, or the patching or reinforcing of existing piling on
private and commercial docks.
❑ A tree survey showing the location, DBH (diameter at breast height), and species on the parcel proposed for development
with a DBH of four inches or more and identifying those trees proposed to be removed.
❑ A site plan with the following information:
❑ North arrow, cale, location map and date prepared.
❑ Location of the oastal Construction Control Line (CCCL), whether the property is located within a Special Flood Hazard
Area, and the Bas lood Elevation (BFE) of the property, as applicable.
❑ Location, setbacks an
❑ Location of all existing a
of all existing and proposed building and structures.
proposed parking areas, sidewalks and driveways.
❑ Location, type of material an height of all existing and proposed fences.
❑ Location of al1 existing and p,rop ed utilities, including water, sewer, gas, and stormwater.
❑ Location of all existing utility eas ents, including Official Records book and page numbers, and any proposed utility
easements. �
❑ Building or structure elevation drawing that depict the proposed building height, building materials, and concealment of
all mechanical equipment located on the oof.
Planning 8 Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tei: 727-562-4567; Fax: 727-562-4865
Page 4 of 7 Revised 01/12
�
o Planning & Development Department
� C earwater Flexible Standard Development Application
� General Applicability Criteria
PROVIDE COMPLETE RESP(?NSES TO EACH OF THE SIX (6) GENERAL APPLICABILITY CRITERIA EXPLAINING HOW, IN DETAIL, THE
CRITERION IS BEING COMpLIED WITH PERTHIS DEVELOPMENT PROPOSAL.
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.
`J�t'� � /�1�� � �� 0'ii.�2i` 4/�a�� /� f� �A� ��
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.
��" .S' — .! a � / GcJ� �/ /.d-iT t�!' � trt�i l/Gdi/ c.,�.. � a � /J �4.O�-I�T �
3. The proposed development will not adversely affect the health or safety or persons residing or working in the neighborhood
of the proposed use.
�Y FS" -- .�a �. � c..� �r_YrX �c� %% 2 �'[l'. �� c Q�L /�i � � �� .o� �/�G1 _
4. The proposed development is designed to minimize traffic congestion.
���
5. The proposed development is consistent with the community character of the immediate vicinity of the parcel proposed for
development.
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6. The design of the proposed development minimizes adverse effects, including visual, acoustic and olfactory and hours of
operation impacts, on adjacent properties.
% f/ / /
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Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 5 of 7 Revised 01/12
o Planning & Development Department
� C earwater Flexible Standard Develo ment A lication
P Pp
� 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) IN 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).
�. � �-c� � rs �zn, �xi` �i n� l��-�
2. ��' I�'I.c C�7 G�-J�_'✓ �J c' cz.T C�' ('� G� ✓�h //Z ��(''�L Gt IZ �C K' Q V" 4'�/� c� C'_ �`�
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Planning 8 Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 6 of 7 Revised 01/12
.d
o Planning & Development Department
� C earwater Flexible Standard Development Application
� Affidavit to Authorize Agent/Representative
1. Provide names of all property owners on deed — PRINT full names:
2. That (I am/we are) the owner(s) and record title holder(s) of the following described property:
3. That this property constitutes the property for which a request for (describe request):
4. That the undersigned (has/have) appointed and (does/do) appoint:
as (his/their) agent(s) to execute any petitions or other documents necessary to affect such 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 Ciry representatives to visit and photograph the property described in this application;
7. That (I/we), the undersigned authority, hereby certify that the foregoing is true and correct.
Property Owner
Property Owner
STATE OF FLORIDA, COUNTY OF PINELLAS
Property Owner
Property Owner
BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON
THIS DAY OF ___ ________ _, ____ , PERSONALLY APPEARED
WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND SAYS THAT HE/SHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED.
Notary Public Signature
Notary Seal/Stamp My Commission Expires:
Planning & Development Department, 100 S. Myrtle Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 7 of 7 Revised 01/12
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L�GAL dESCRIPTION :
LDT 45� DEL �RO ESiATES, AGG�RDWG TO ?NE
r� aT �t$[bECTF. AS 14CCQR!lEF� it� PLAT BDf7lc t�.
�� 2v � �� ���rc Rr��uns nr �i�a��.��s �---.�--
COUN7Y. F�ORIDa. J�, . - -
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CER?IFIED TO : GRAPNIC SCAIE
G STUART HUNGERF�RD, Uli
gI�€�2 iT'€�t. :P�:.
aMER1GqN P1CINEER TITLE 1NSURAN[E GOMPRNY� �
� FIAOD ZONE � ���
GOMMUNITY PANEL �25�96-OD1lI1
DATED : 09-19-91
(Flt70D ZONE :'B".�C�: D", d� '%' ARE NOT
aW i9E5f6t�i7�T£� �id?LXt �lf121lii� Z� t�A_j
CERTlF]CATroN � �9�
1 CERIIFY TMAT THIS SURVEY wa$ MApE UNQCR MY OIRECTION AND THAT IT lIEETS NpTC�
TME M�NIMUM TECHNICAL STANDARDS 5 fORTH 9Y THE BOARD 0� PROFESSIONAL 1N COxvLIAUCC vl7N l.aC.
IAND SURVEYQRS AND MAPPERS IN R 61C17-6. FLOHIDA ADHINISTRnTVE CODE. 6lGJ7-6.oa71 r5a cv t1r tacarlav �-
PURSUA TO SECTION 472.027, f IDA TATUiE5, tASEIIF'N7S 0�+ RIGHT-�Y"-VA! Q� RfClLP4
� QiMCR ThI�H iNpS[' �! AfCORD �CAI, IS
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- fUR1�q�SHED ID TNE Stl?vE1'OR AHS N�iPA('R.
CLI . P{NSTAD. PLS p2453 l NORMAN A PANL, PLS N1349
1E Y!i HILLIC03S, P(S N448B LELAND F. SYARD PLS �p3858
N A CERTIFICATION OP nTL£, ZONING, EASEMENTS GR FREEDOM OF ENCUMBRANCES.
'U LESS IT BEARS THE SICNATURE AND THE ORtG�NA� Rq�SED SEAL OF A FLORIDA UCENSED SURVEvUR AND
r+twPpER THIS DRANINC, SKETCN, PLAT OR MAP IS FOR INFORAiATIONAL PURPOSES dNLY AND IS NOT Vu-1U'
VLEaSE REfER TO REYERSE SIDE F6R GENcRAL' NQTES k e�BBtiE41AT[ONS.'
THE vIIDER CEN7ER REv15iONS
FINSTAD, surve or in transition to 300o cu�r To �nr BLVD STE e�e
F'.�..A, .�JURV�.'�+Y� CURY. LH 6569 813 79R36D3R�AX 8i3 797-3567
1 PROFESSIONAL IAND SURVEYOR'S. PLaNNERS dc MAPPER'S• 36oD S. TnnlaHt TR SrE 3oz pROJECT N0�
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1) NO UNDERGROUND IN3TALLATiONS OR IlviFROVEMENTS HAVE BEEN LOCATED EXCEPT AS NOTED
2) NO INSTRUMENTS OF RECORD REFLECTING EASEMENTS, RIGHT OF WAY, AND/OR OWNERSHff WERE FUItNISHED TO THIS
SURVEYOR EXCEPT AS NOTED AND/OR SHOWN.
3) THIS SURVEY IS PREPARED FOR THE EXCLUSIVE USE AND BENEFTf OF TFIE PARTIES SHOWN HEREON. LIABILITY TO TI�tD PAR'TIES
MAY NOT BE TRANSFERRED OR ASSIGNEA
4) THIS SURVEY IS VALID IN ACCORDANCE WTI'H F.S. 627.7842, FOR A PERIOD OF 90 DAYS FROM DATE OF CERTIFICATION.
TYPE OF SURVEY: LAND OR BOUND RD� y USE: FOiJNAA�iON TTE-IN JQB NO. ZOZZ-OOOH
CERTIFY TO: KEITH GRIEFER ��`. _ . _
�_ _ ��_..�,a..r e�'� - V- ��� 0 30 02Nll AYENUE NORTHS, INC.
MAR.15.1999 3:34
SURVEY KETCH OF �OUNDARY SURVEY
NOT FOR DESIGTN UCTION
N0.9040 P. 7 �
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PAGE 29 OF TFIE PUBLIC RECORDS Of P1NElLAS
COUNTY, FLORiDA. �
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'U LESS IT BEARS TME SICMATURE ANO TNE ORIGINA� Rq15ED $EAL OF A FLORIDH LICENSEO SURVEYUR AND
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FINSTAD, surveyor lri transition t.0 CLEnR'✓A7ER, FIORIDA 39619
F.L.A. SURYEYS CURY_ LB 6569 a13-79�-3603 rnx 813-797-3567
( PROFESSIOVAL IAND SURti'EYOR�S, PLANNERS dc MAPPER'S • 3800 S. TAMIAMf TR STE 30Z PROJECT NO'
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