SGN2001-10014
~ di--~TTh: --iil City of C'eAater
DCT 1 8 1001 elopment Services Department
outh Myrtle Avenue, Clearwater, FL 33756
one (727) 562-4567 Fax (727) 562-4576
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SIGN PERMIT SUBMITTAL REQUIREMENTS:
Site Plan with the following items:
(a) Location of the sign in relation to property lines, public rights-of-way, easements, buildings, and other signs on the property including dimensions.
(Freestanding signs must be a minimum of five (5) feet from any property line.)
(b) Lot frontage on all street rights-of-way.
ADDITIONAL SIGN PERMIT REQUIREMENTS:
(c) Inventory of all existinQ siQns on the same property and/or building on which the sign is to be located, indicating the number, type, use e.g. property
identification, business identification, etc.) location and surface area. (If "none", so indicate);
(d) Maximum and minimum height of the sign, as measured from finished grade;
(e) Dimensions of the sign's supporting members;
(f) For illuminated signs, the type, placement, intensity and hours of illumination. (Not more than five (5) foot-candles of light intensity for commercial signs.);
(g) Dimensions and elevations (including the message and color(s)) of the sign; and
(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.)
"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.
ALSO, please note that wind load requirements should conform to the 1997 edition of the Southern Standard Building Code.
PROJECT ADDRESS:
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A. APPLICANT, PROPERTY OWNER AND AGENT INFORMATION: (Code Section 4-1001)
(' i.\ I 'rJ:;lOC
APPLICANT (Business) NAME:- ;\( nc\ \.. .;;,
L'iO c; 'S OC~(I'
7,1-- Ift/3 ~413q
7' ~ (,\ n ~ G Yl
PHONE NUMBER:
FAX NUMBER:
MAILING ADDRESS:
PROPERTY OWNER(S):
(Must include ALL owners)
PHONE NUMBER:
AGENT NAME: (Contact Person)
Check if AGENT is Contractor S.~ .' D 0 < ,ti t ~ 5 A.- L.--r - ()C;o"'o, 4' 0 Cj
o Sign Contractor Name: l U f1 1') ~- ,~ l (Jf\ \;'\. ; ) State License Number: l...- ----1- L
MAILING ADDRESS: /50-0 U 1/11 Cf tOA R ~ -it 2::: i.n f(~ / J~ I :33 77/
FAX NUMBER: 5'3 G ~ Gt2t..r(}
PHONE NUMBER:
,L; ,'~&-444i
/.{ c.~ 3- 8 4 7.$J
CELLULAR PHONE NUMBER:
B. EXISTING SIGNAGE DEVELOPMENT INFORMATION: (attach photographs)
o SUBMIT PHOTO'S OF THE EXISTING SIGNAGE CURRENTLY LOCATED ON THE PROPERTY
TYPE OF SIGN(S): (include number of each sign)
It Attached sign L 0 Freestanding/Pole sign _ 0 Monument sign _
SURFACE AREA OF EXISTING SIGN(S): (include all signage dimensions) ) ~ ~ A-->)~tf8)
HEIGHT OF EXISTING SIGN(S): (include all signage dimensions)
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c. PROPOSED DEVELOPMENT INFO
~ION: (Code Section 4-1001)
~
STREET ADDRESS:
/?~c
o SPECIAL PLANNING AREA (if applicable) :
S, f-<, 55,. '-:.~, !hi [ ,
LEGAL DESCRIPTION:
ft.
PARCEL NUMBER:
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LOT FRONTAGE (along street right-of-way) : / 90
Zlc
PARCEL SIZE:
(acres, square feet)
o Corner Lot LOT FRONTAGE (along second street right-of-way) :
BUILDING FACADE FACING STREET: Height: ~ft. X Width: Lb ft. =
ft.
Dca
Square Feet
o Corner Lot: (bldg. facade facing second street)
Height:
ft. X Width:
ft. =
Square Feet
TYPE OF SIGN(S): (include number of each type of sign) )if" Electrical permit required
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~ Attached sign ~ pt Fre~anding/Pole sign ~ 0 Monument sign _
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SURFACE AREA OF PROPOSED SIGN(S): (include all new signage)
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HEIGHT OF PROPOSED SIGN(S): (include all new signage)
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VALUE OF PROPOSED SIGN(S): (include all new signage)
---
-
Statement of Authorization - Any application form which is signed by an individual other than the property owner shall be accompanied by a notarized
statement of authorization consenting to the sign placement or, if the property or building upon which the sign is to be located is leased, a copy of the executed
lease shall accompany the application form. In the event the building or property is leased and the application form is signed by an individual other than the
lessor, the application shall be accompanied by a notarized statement of authorization signed by the lessor consenting to the sign placement and a copy of the
executed lease. (Not required for portable signs/face changes or signs approved by variances,)
CERTIFICATION
I certify that all information submitted on this application and attachments thereto are true and correct to the best of my knowledge and belief.
I understand that any inaccurate information may result in revocation of the sign permit and removal of any sign erected pursuant 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 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 understand that any investment made in
or to a nonconforming sign during the amortization period, including but not limited to message change shall not constitute grounds for
noncompliance or compliance latir than October 13, 1992. , / I . I ,
',,,,1\ C\I\ ~\ \-A 11\ e ~ .oehb\ h'l 1\ ! Be ~ 1 bet ~ _......._
Print Property Owner (or representative) Name
Atlas Page 3~ A-- Zoning District
Property Owner's Signature (or authorized representative)
(FOR OFFICE USE ONLY
C-
Freestandin
Monument
S uare Feet Freestandin
S uare Feet uare Feet
Signage Permitted by Code
4.. Comprehensive Sign Program Required
Attached S uare Feet Attached uare Feet
Zonin A roval Zonin A roval
Date
Traffic En . A roval
Buildin A roval
Date
o Landscapinq Required
S uare Feet
. ., ... i
.
Cl SUBMIT ORIGINAL SIGNED AND NOTARIZED APPLICATION
Cl SUBMIT 3 COPIES OF THE ORIGINAL SIGN PERMIT APPLICATION
including folded plans
ATLAS PAGE #:
Supplement to ,
CASE #: SGN..~(,}:;. ,_- /60/4-
DATE RECEIVED: /'D J , CJ./a \
RECEIVED BY (staff initialS;: A '- b
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; Clearwater
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Planning Department
100 South Myrtle Avenue
Clearwater, Florida 33756
Telephone: 727-562-4567
Fax: 727-562-4576
Cl SUBMIT APPLICATION FEE $ 300.00
ZONING DISTRICT:
LAND USE
CLASSIFICATION:
COMPREHENSIVE SIGN PROGRAM APPLICATION
(Revised 08/27/01)
-PLEASE TYPE OR PRINT-
GENERAL PRINCIPALS: The intent of the Comprehensive Sign Program is to provide private property owners and businesses with "exibiUfy to
develop innovative, creative and effective sign age and to improve the aesthetics of the City of Clearwater.
D. APPLICANT, PROPERTY OWNER AND AGENT INFORMATION: (Code Section 4-1001)
APPLICANT NAME ~h~ t!c t; :; ~S t;;
MAILING ADDRESS: I 0. ~}. ~ ~ u f" i (l./...e A-/Lu) J?J-J., +/
IfJ1 443~3/tlFAXNUMBER: f7d7/jij3~3/?
PROPERTY OWNER(S): ~~ It ^ '^- S h Ih0 AJ o..u C?- /) ,A~ f{vf 11,., ~ h~ A.J /J{J
(Must include ALL owners)
PHONE NUMBER:
AGENT NAME (Co""" P,,,,,,,) To m '^- ( Ai ~ --j)
MAILING ADDRESS / Z'to S, /J1-(?5[)aV~ .) C/.e~~ ?/
PHONE NUMBER:I( (3 - 110 / 906 FAX NUMBER:
Check if AGENT is Contractor
o Sign Contractor Name: State License Number:
E. PROOF OF OWNERSHIP: (Code Section 4-202.A.5)
X SUBMIT A COPY OF THE TITLE INSURAN": POLICY, ~ OR AFFIDAVIT ATTESTING TO THE OWNERSHIP OF THE PROPERTY
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100 OCT 1 8 2001 \UlJ
PLJ.-NNING &, OEV~LO~R~~~ S\ cs
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IJU OCT 1 8 2001 l!1J
PLJ.i\INING & DEVELOPMENT S\ ~S
CITY OF CLEARWATER
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PLJ.NNING & DEVELOPMENT S\ ~S
CITY OF CLEARWATER
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F. WRITTEN SUBMITTAL REQUIREMENTS: (Code Section 3.1807.C)
[J l:Jrovlde complete responses to the COMPREHENSIVE SIGN PROGRAM CRITERIA:
1. Architectural Theme.
a. The signs proposed in a Comprehensive 81gn Program shall be designed as a part of the architectural theme of the
principal buildings proposed or developed on the parcel proposed for the development and shall be constructed of
materiala and colors which reflect an integrated architectural vocabulary for the parcel proposed for development.
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OR
b. The design, character, locatIon and/or materials oftha signs proposed in the Comprehensive Sign Program shall be
demonstrably more attractive than signs othelWise permitted on the parcel proposed for development under the minimum
sign standards. .
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2. Height. The maximum height of all signs proposed in a Comprehensive Sign Program is twelve (12) feet provided,
however, that a single attached sign with a sign face of no more than twelve (12) square feet may be erected lip to the
height of the Pncib'dJ~, \ ,\ , ~
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3. Lfghting. Any lighting proposed as a part of a Comprehensive Sign Program is automatically controlled so that the
IIghtll1g i.s..turned O.ff when the bllSines. s ~s dosed,. I,... .r.'
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4. Total Area of SIgn Faces. The total area of sign faces which are proposed as a part of a Comprehensive Sign Program
shall not exceed two (2) times the total area of sign faces permitted under the minimum sign standards on the parcel
proposed for development. "":.2..- ~:~. ~J I... I
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II OCT 1 8 2001 ,i
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PLJ.NNING & DEVELOPMENT S\ CS
CITY OF QUIRWATEI1 .
Page 2 of 5 - Comprehensive Sign Program AppricatJon _ CUy of Clearwater
.
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5. Community Character. The sign age proposed in the Comprehensive Sign Program shall not have an adverse impact on
the community character of the CIty of Clearwater.
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6. Property Values. The slgliage proposed in the Comprehensive Sign Program wIll not have an adverse impact on the
value of the property in the immediate vicinity of the parcel proposed for development.
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7. Elimination of Unattractive Slgnage. The signage proposed in a Comprehensive Sign Program will result in the
elln'lination of exIsting unattractive signage or will result in an improvement to the appearance of the parcel proposed for
development in comparison to signs otherwise permitted under the minimum sign standards.
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8. Special Area or Scenic Corridor Plan. rhe signage proposed in the Comprehensive Sign Program is consistent with
any special area or scenic corrIdor plan whIch the City of ClealWater has prepared and adopted for the are in which the
parcel proposed for development is located.
~~ 0 :5 ~ Y\. I. <, I f\ N.J S \'GC'I" \ QiG q 662
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G. SUPPLEMENTAL SUBMITTAL REQUIREMENTS: (Code Section 4-202.A)
tJ SIGNeD AND SEAl.ED SURVEY (Including legal description of property) - One original and 2 copies;
o LOCATION MAP OF THE PROPERTY;
H. BUILDING ELEVATION PLAN SUBMITTAL REQUIREMENTS: (Section 4-202.A.23)
Required In the evenl the application inoludes a development where design standards are In Issue (e.g. Tourist and Downtown Districts) or as parI
of this Comprehensive Sign Program. Far;sde dimensions may determine the permitted sign face area.
o BUILDING ELEVATION DRAWINGS - all sides of the bulldlng wlth proposed and existing sign age including height dimensions, colors alld
materials;
o REDUCED BUILDING ELEVATIONS - all sides of the b .
11) (black and whIte and color rendering, If possIble) as
Page 3 of 5 - Comprehensive 8ign Program Application - City of ClealWater
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L. AFFIDAVIT TO AUTHOR1~ ENT:
(Names of all property owners)
1. That (I am/we are) the owner(s) and record title holder(s) of the following described property (address or general location):
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2. That this property constitutes the property for which a request for a: (describe request)
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3.
That the undersigned (has/have) appointed and (does/do) appoint: {bttl h..1 ~
as (his/their) agent(s) to execute any petitions or other documents necessary to affect such petition;
4. That this affidavit has been executed to induce the City of Clearwater, Florida to consider and act on the above described property;
5. 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;
6. That (lIwe), the undersigned authority, hereby certify that the foregoing is u
./
Property Owner
STATE OF FLORIDA,
COUNTY OF PINELLAS
~
0&J~the undersigned, an officer duly commissioned b he State of Florida, on this _I, \ day of
. ' , 2CC1 \ personally appeared' It Q" who having been first duly sworn
Deposes and says that he/she fully understands the contents of the affidavit that he/S~hS' e.~.. .,' 0(1., .'
,"ilA~fi:k.,. linda Elaln<' c:.odine ,I' 00 c~ro ~ft"::Gr(..r
\ \ (.rK~ MY COMMISSlOt-- ' ',f", ,\ P ea Notary Public
My Commission Expires: 5 1 04- ~A'~ Me; "
'-rii,;;';'W IIONOEDlHRU ik )j fAiN '.,$.'.'..,NC~ INC.
Iluui"
IIMS21PDSIPlanning DepartmentlApplication Formsldeve/opment reviewlComprehensive Sign Program2.doc
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UU OCT 18 200llW
PU.NNIf~G 8, DEVELOPt",fENT S\, 'S;
c! rv OF CI r: '\RV' :\T-'-R' · VI..:
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Page 5 of 5 - Comprehensive Sign Program Application - City of Clearwater
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I. SIGN PLAN SUBMITTAL REQUIREMENTS: (Code Section 4-1001)
o
SIGN PLAN with the following information (not to exceed 24" x 36"):
All dimensions;
Sign height; '1 r r _
Sign message; CHilI/ I'r e: X fJff r= <; 5 C, H J/f/ E:S,c. F07).f}
Surface area of all proposed signs;
Surface area of all existing signs on parcel;
Colors and materials proposed; (;.((~f3.Il/
For illuminated signs: type, placement, intensity and hours of illumination;
Bar scale and date prepared;
L
J. SITE PLAN SUBMITTAL REQUIREMENTS: (Code Section 4-1001 & Section 202)
o SITE PLAN with the following information (not to exceed 24" x 36"):
All dimensions;
North arrow;
Engineering bar scale (minimum scale one inch equals 50 feet), and date prepared;
Location map;
Footprint and size of all buildings and structures;
All required setbacks;
All existing and proposed points of access;
All required sight triangles;
Location of all public and private easements;
Location of all street rights-of-way within and adjacent to the site;
Location of all existing and proposed sidewalks;
Location of sign in relation to property lines, public right-of-way, easements, buildings, and other signs on property;
Lot frontage on all street rights-of-way.
o SITE DATA TABLE for existing, required, and proposed development, in written/tabular form:
Land area in square feet and acres;
Number of attached signs on parcel;
Number of freestanding signs on parcel;
Number of monument-style signs on parcel;
Lot frontage on all street rights-of-way;
Square-footage of building facades facing adjacent street right-of-ways.
K. SIGNATURE: (Code Section 4-202.1)
.rf~
STATE OF FLORIDA, COUNTY OF PINELLAS \ ~
~"'!.qrrll 10 and subscribed before me this ~ day of
~1 A.D. , ~~ I is ~~_~~~;~h~~
produced as
identification.
I, the undersigned, acknowledge that all representations made in this
application are true and accurate to the best of my knowledge and
authorize City representatives to visit and photograph the property
described in this application.
epresentative
fo) [E ag [E 0 \l7 LE ~
wI OCT 1 820m JW
PU.NNING & DEVELOPMENT S\ GS
CITY OF Cl.E/\RWATER
Page 4 of 5 - Comprehensive Sign Program Application - City of Clearwater
Receipt No:
Date:
Line Items:
Case No
SGN2001-10014
Payments:
Method
Check
1200102806
10/18/2001
Tran Code
Payer
CHINA EXPRESS
.
Description
Comprehensive Sign Program
.
Revenue Account No.
010-341262
Bank No Acct Check No
1011
TOTAL AMOUNT PAID:
Amount Due
$300.00
Amount Paid
$300.00
$300.00
.NST # 97-272617
22, 1997 2:12PM
.
PINELLAS COUNTY FLA.
OFF.REC.BK 9846 PG 1194
PREPARED BY, RECORD AND
RETURN TO:
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0: f;Si';.-;\:GCY F~~'::-:':';;'/-", ': l~ ~,:
JEFFREY S. RAYNOR, PRESIDENT
JEFFREY S. RAYNOR, P.A.
14155 U.S. HIGHWAY ONE, SUITE 304
JUNO BEACH, FL 33408-1499
561.775.0087
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ASSIGNMENT AND ASSUMPTION OF LEASE
(KFC Lease)
- /1~ KNOW ALL MEN BY THESE PRESENTS: That PEGGY FARBER ,AS
ro'; '07~~RSONAL REPRESENTATIVE OF ROBERT D. FARBER ESTATE (hereinafter the
- "Assignor"), for Ten ($10.00) Dollars and other good and valuable
lA consideration, the receipt and sufficiency of which are hereby
r"acknowledged, does hereby grant, bargain, convey, sell, assign,
transfer, and set over unto JOHN SHANNON and ROBERT SHANNON
(hereinafter the "Assignee"), all of Assignor's right, title, and
interest in and to that certain Land Lease Agreement dated November
25, 1981, by and between ROBERT D. FARBER, as Landlord, and KFC
NATIONAL MANAGEMENT COMPANY, as Tenant, as extended, referenced in
Memorandum of Lease recorded February 12, 1982, in Official Records
Book 5309, Page 169, Public Records of Pinellas County, Florida
(the "Lease" ), covering certain premises located in Pinellas
County, Florida, and more particularly described in EXHIBIT A
attached and made a part hereof. This Assignment is made without
warranty, representation, or recourse.
IN WITNESS WHEREOF, Assignor has executed this Assignment
effective as of August 27, 1997.
WITNESSES:
.. . {.--rb'
~-#l Sign Above & Print
Name Below fi1M TiA/ 1f-/J-7l/815
ASSIGNOR:
Pe Fa ber, as Personal
Representative of Robert
D. Farber Estate
Wi ness . 2 S gn Above & Pint
Nt14?~ A. G~ lP
10033.003
08.21.97
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. PINELLAS COUNTY FLA.
OFF.REC.BK 9846 PG 1195
Assignee, for good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, does
hereby accept the foregoing Assignment, and Assignee assumes and
agrees for the remainder of the term of the Lease to perform fully
all of the terms, conditions and covenants of the Lease and all of
the obligations and liabilities of Assignor as Landlord thereunder.
IN WITNESS WHEREOF, Assignee has executed this Assumption
effective as of August 27, 1997.
WITNESSES:
/ 7
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Witn ss #1 Sign Above & print
Name Below "'S-\A?,A"qLUCO rI.t-fc(((
~.
Witness #1 Sign Above & Print
Name Below
~/
Robert Shannon
~/
Witness #2 Sign Above & Print
Name Below
10033.003
08.21.97
-2-
AUG-27-97 11:16 AM
BELLEAI.LAW.JU
.
813.61 5655
P.02
PINELLAS COUNTY FLA.
OFF.REC.BK 9846 PG 1196
Assignee, for good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, does
hereby accept the foregoing Assignment, and Assignee assumes and
agrees for the remainder of the term of the Lease to perform fully
all of the terms, conditions and covenants of the Lease and all of
the obligations and liabilities of Assignor as Landlord thereunder.
IN WITNESS WHEREOF, Assignee has executed this Assumption
effective as of August 27, 1997.
WITNESSES:
ASSIGNEE:
Witness #1 Sign Above & Print
Name Below
John Shannon
Witness #2 Sign Above & Print
Name Below
'----~--.IQ"'nA/'"lU ~~
Witness #1 Sign Above & Print
Name Bel ow -::ZlJrJ/Ja..I..Ft..u.oI'J~T
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Wiehess #2 Sign Above & Print
Name Below :iCt" ,'ce 5"~looi",.k&-<.....
STATE OF FLORIDA
("nTTNrrv nF DTl\T'I;'T.T]I. C
.
.
PINELLAS COUNTY FLA.
OFF.REC.BK 9846 PG 1197
STATE OF FLORIDA
COUNTY OF PINELLAS
Sworn to and subscribed before me, a Notary Public duly
appointed and authorized in the State and County aforesaid, this
d}-7-f!!::- day of August, 1997, by JOHN SHANNON, who personally
appeared before me, and who is/are personally known to me or (if
not p~rsonally ,known to me) who has/have produced
~~~.....~~ as identification.
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NOTARY PUBLIC:
[Seal, if any]
Sign Abo
Here:
Notary Public - State
Commission Expiration
Commission Number:
of Florida
Date:
STATE OF FLORIDA
COUNTY OF PINELLAS
Sworn to and subscribed before me, a Notary Public duly
appointed and authorized in the State and County aforesaid, this
day of August, 1997, by ROBERT SHANNON, who personally
appeared before me, and who is/are personally known to me or (if
not personally known to me) who has/have produced
as identification.
NOTARY PUBLIC:
[Seal, if any]
/'
Sign Above and Print Name
Here:
Notary Public - State of Florida
Commission Expiration Date:
Commission Number:
10033.003
08.21.97
-3 -
'COUNTY OF, FINELLA.)
. PINELLAS COUNTY FLA.
FF.REC.BK 9846 PG 1198
Sworn to and subscribed before me, a Notary Public duly
appointed and authorized in the State and County aforesaid, this
day of AUgust, 1997, by JOHN SHANNON, who personally
appeared before me, and who is/are personally known to me or (if
not personally known to me) who has/have produced
as identification.
NOTARY PUBLIC;
[Seal, if any]
Sign Above and Print Name
Here;
Notary Public - State of Massachusetts
Commission Expiration Date:
Commission Number;
STATE OF ~~USETTS
COUNTY OF ~iiitfXiX )
Sworn to and subscribed before me, a Notary Public duly
appain~d and authorized in the State and County aforesaid, this
~i day of August, 1997, by ROBERT SHANNON, who personally
appe red before me, and who i8/~ personally known to me or (if
not personally known to me) who has/have produced
as identification.
NOTARY PUBLIC;
[Seal, if any]
~~ 9P J'~.iUo
Sign Abov~and prin~~me . ~
Here; cl/ffU I-/. 1(-11 /lJ
Notary Public - State of MassaCh~etts
Commission Expiration Date: 1I...~g 1
Commission Number;
1.0033.003
08.21.97
-3-
.
. P INELLAS COUNTY FLA.
OFF.REC.BK 9846 PG 1199
STATE OF NEW YORK
COUNTY OF NEW YORK
cyf)
Sworn to and subscribed before me, a Notary Public duly
ap~~nked and authorized ~~he State and County aforesaid, this
day of -Augu3h 997, by PEGGY FARBER, AS PERSONAL
REPRESENTATIVE OF ROBERT D. FARBER ESTATE, who personally appeared
before me, and who is/are personally known to me or (if not
~son..~. 1 YN~ known J ( to me) , w~o, ,has/have produced
'IUA/ Y' 911~ '1re..nJ-LPs ldentlflcatlon.
.. \..- I
."
Sign Abo
Here:
Notary P
Commission
Commission
ic - State
Expiration
Number:
[Seal, if any]
- . - ..l f::C'h~~' 11
WM. ~ "\. f Nevi vOlt
'..... P'.JJ1~c, State 0 _....
,..~.:t'J N ~'-le4J4<:';; ..CJVj
I ~. '~'. ," 'f :1< countY
10'1 . 'n ,'4~" C. r ..
;- c':'a.,..(l('-:.-.. '".". "'ante~ber ~ ....
cornrn1:::S,O[l r:;q...a. i-'
10033.003
08.21.97
-4-
~ . (
. . .
.
.
PINELLAS COUNT~GF~~OO
OFF.REC.BK 9846
EXHIBIT .n..
That. part. of t.ho sout.hoaot 1/4 of t.ho Nort.hoaot 1/4 of t.ho Uorth.....eot 1/4 of Soction 22,
Townohip 29 South, Rango lS Eaot, pinellao County, Fl~rida, deocribod ao followo:
From t.ho Sout.hoaot cornor of oaid Northeast 1/4 of the Northwoat 1/4, run Woot SO foet
t.o tho Woot.erly boundary of Miosouri Avenue (now U.S. Alt.ernat.e 19) and the cont.orline
of Lakeview Avonue; thenco run Nort.h along the Weaterly bo~~dil~J of Miooouri Avonuo
(now U. S. Alternato 19), n diatance of 490.99 feet for a Poi~t of Boginning; thonce
continuo along aaid Weatorly boundary of Misaouri Avenuo, n diotanco of 190 foot,
t.honco Wast, parallol t.o t.he cent.erline of Lakovicw Avonuo, n dictanco of 100 foot;
thence Sout.h, parallel to the Westerly boundary of Hicaouri Avenue, a dictance of 190
feet; thenco Enat, parallel to the centerline of Lakcvicw Avc~uc, a dintance of 100
feot to the Point of Beginning.
.
.
PREPARED BY, RECORD AND
RETURN TO:
JEFFREY S. RAYNOR, PRESIDENT
JEFFREY S. RAYNOR, P.A.
14155 U.S. HIGHWAY ONE, SUITE 304
JUNO BEACH, FL 33408-1499
561.775.0087
ASSIGNMENT AND ASSUMPTION OF LEASE
(Taylor Lease)
KNOW ALL MEN BY THESE PRESENTS: That PEGGY FARBER, AS
PERSONAL REPRESENTATIVE OF ROBERT D. FARBER ESTATE (hereinafter the
"Assignor"), for Ten ($10.00) Dollars and other good and valuable
consideration, the receipt and sufficiency of which are hereby
acknowledged, does hereby grant, bargain, convey, sell, assign,
transfer, and set over unto JOHN SHANNON and ROBERT SHANNON
(hereinafter the "Assignee"), all of Assignor's right, title, .and
interest in and to that certain Lease Agreement dated September 24,
1963, by and between JOHN S. TAYLOR, JR., JOINED BY HIS WIFE,
MARION U. TAYLOR, AND JOHN S. TAYLOR, JR., AS EXECUTOR OF THE
ESTATE OF MARY HAZEL TAYLOR, DECEASED, as Landlord, and LEONARD L.
FARBER, as Tenant, as modified and amended, referenced in
Memorandum of Lease Agreement recorded September 8, 1965, in
Official Records Book 2224, Page 34, assigned and assumed in
Assignment and Assumption recorded September 28, 1965, in Official
Records Book 2237, Page 28, Assignment and Assumption of Lease
Agreement recorded March 30, 1977, in Official Records Book 4527,
Page 1884, Assignment and Assumption Agreement recorded December
15, 1977, in Official Records Book 4634, Page 386, and Assignment
and Assumption Agreement recorded January 23, 1978, in Official
Records Book 4648, Page 1074, Public Records of pinellas County,
Florida (the "Lease"), covering certain premises located in
pinellas County, Florida, and more particularly described in
EXHIBIT A attached and made a part hereof. This Assignment is made
without warranty, representation, or recourse.
10033.003
08.21.97
-1-
.
.
IN WITNESS WHEREOF, Assignor has executed this Assignment
effective as of August 27, 1997.
,
ASSIGNOR:
tbJ:J!;~honal
Representative of Robert
D. Farber Estate
WITNESSES:
tness #1 Sign
J-Jame Below
/ h1-1c- J> r r
Above & Print
Assignee, for good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, does
hereby accept the foregoing Assignment, and Assignee assumes and
agrees for the remainder of the term of the Lease to perform fully
all of the terms, conditions and covenants of the Lease and all of
the obligations and liabilities of Assignor as Tenant thereunder.
IN WITNESS WHEREOF, Assignee has executed this Assumption
effective as of August 27, 1997.
WITNESSES:
ASSIGNEE:
Witness #1 Sign Above & Print
Name Below
John Shannon
Witness #2 Sign Above & Print
Name Below
Witness #1 Sign Above & Print
Name Below
Robert Shannon
Witness #2 Sign Above & Print
Name Below
10033.003
08.21.97
-2-
.
.
IN WITNESS WHEREOF, Assignor has executed this Assignment
effective as of August 27, 1997.
WITNESSES:
Witness #1 Sign Above & Print
Name Below
Witness #2 Sign Above & Print
Name Below
ASSIGNOR:
Peggy Farber, as Personal
Representative of Robert
D. Farber Estate
Assignee, for good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, does
hereby accept the foregoing Assignment, and Assignee assumes and
agrees for the remainder of the term of the Lease to perform fully
all of the terms, conditions and covenants of the Lease and all of
the obligations and liabilities of Assignor as Tenant thereunder.
IN WITNESS WHEREOF, Assignee has executed this Assumption
effective as of August 27, 1997.
WITNESSES:
~Q;( )ac/(A,' p Q rile, p I)
Witn~ss #1 Sign Above & Print
Name Below -s-\-( ~.} U. C<(ll'(' II. t-f,,',(1
2 s~~n Abo~ & Print
low //I #"~ .J/11Y"/2&~ #'.5
~-
Witness #1 Sign Above & Print
Name Below
~..
Witness #2 Sign Above & Print
Name Below
10033.003
08.21.97
----
Robert Shannon
-2-
AUG-27-97 11:13 AM BELLEAI.LAW.JU
813 461 5655
P.02
.
.
IN WITNESS WHEREOF, Assignor has ~xgcutQd thig Assignment
effective as of August 27, 1997.
WITNESSES:
ASSIGNOR:
Peggy Farber, as Personal
Representative of Robert
D. Farber Estate
Witness #1 Sign Above & Print
Name Below
Witness #2 Sign Above & Print
Name Below
Assignee, for good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, does
hereby accept the foregoing Assignment, and Assignee assumes and
agrees for the remainder of the term of the Lease to perform fully
all of the terms, conditions and covenants of the Lease and all of
the obligations and liabilities of Assignor as Tenant thereunder.
IN WITNESS WHEREOF, Assignee has executed this Assumption
effective as of August 27, 1997.
WITNESSES:
ASSIGNEE:
Witness #1 Sign Above & Print
Name Below
John Shannon
Witness #2 Sign Above & Print
Name Below
.--- A0o(1()/.1~ SIte-v I91.;t
Witness #1 Sign Above & Print
Name Below (];k..1/lo/;S1u<J/JlT
~/2k-:d,~
Robert Shannon
../". ()
\)a,Y'<'C ( 'S;.-tJ...~/~
Witness #2 Sign Above & Print
Name Below ::sQ1?1'c..e Sq .b~I"b\;::...<--
.
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CERTIFICATE OF LIABILITY INSURANCE Oi"ID VII 0-,,"("",101>111.
_____________ LU.Clq -l_.____._~Ol.lS 10.;...._
THIS CI"TllrICATE '$I$'UED A' A MATT!R OF INI*OftMAl10N
ONlY AHO CONfERS NO RIGHTS UPON THE CElHlFlCA1T
HOLDIR. THIe CERTlFICATI DOIS NOT AMIND, EXTEND OR
AL TER THE COVERAGE AFFORDEe BY THE POLICIES BELOW,
COMPANIES AFFDRDlNG COVERAGE
China E.pr... Inc. Of Largo
JI nm LIN
1280 S. ~s5o~i Avenue
~. Clearwater FL 33'70
COVERAGF-S
THIS 15 TO CERTIFY THAT THI!: POLICIES OF INSiJRANCE LISTED 8ELOW HAVE BEEN ISSUED TO 'rHE INSUItEC NAMI!O ABOVE FOR lHE POLIC~ PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIRENENT. TERM Of< CON::llTlON OF JWV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH!S
c:eRTlI'ICJIITe MAY lie IssueD OR MAY peIHAIN. "He INSURANce Arl'OROeO 1.1'1' THe POLICII::S OesCHIIilt!C H~"EIN IS SU8JECT TO ALL THE TI:""'S.
EXCLUSIONS AND CCUjITlONS OF SUCH POLICIES. LIMITS SHOWN IlI1AY HAVE aeEN RECUCEO BY PAl D ClAIMS.
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CANCELLATION
_Ll~O AllY 0' 1111 M(lVllle&~IIl!~ I't'Llce. (j11l~1l~"!g lie'''''! Tfl!
1I~.IIUTIIlIl CATII TI4OIUOF, THlli8UIIlQ ClO..P.....VlNILC IND5AV"" TO MAl'
10 DAYS WIllnEI~ NOlleE YI) y~. C<TI1!C~n HOLOEFlI>IAMID TO THE lIFT.
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OF AtlV I(IHCI LII'Or-l TI-II CIlMI'A,..v, In AOI~TI OR "EPAE!e~IT A TlvE"J
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Sent by ttlE' .A.ward Wlnrling Che\lenne .rc
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PAODuCER
Ci!l.rron In3url1nce Aqoncy
Z::i:) West Wllters Avenue
Tampa Pl. 33604
Vi-clUe HUQhes
Ib......N6 813-933-7861
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1l!&OW'TIQN OF 0I'!MTIQl'llllOCATlt'N8IYIHIOI.E518PEOuu.. ITI". $
AlSO COVERAGE FOR BUSINESS INCOME-.- 40 000.00
~J~M 1/4 WITH 1000 DEDUCrI!1LE ON BUSUlESS ill!rd~~DalfyfiS 1000
DEDUCTIBLE I BUS );lEU PROP 1000 DEDu~fIBl.E. (PROOJ1 0
HUnDUG
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CEFlTIFICA'fE HOLDER
CHtWUl:J:
CHINA EXPRESS UTe. Oil' LARGO
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PROOF OF INSuaAUCE ONLY
1280 S MI SSOUlU AVE
CLEARWATER FL 33770
Viclci. Hug-hilS
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bACOFtD CORPORATION 1981l
ACORD 2s.N (1195)
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A.L.T.A. LEASEHOLD COMMITMENT
TICOR TITLE INSURANCE COMPANY
SCHEDULE A
Office File Number
Effective Date
Commitment Number
TR219701848
June 1, 1997
at 11:00 P.M.
97.'055
1. Policy or Policies to be issued:
AL T A LEASEHOLD OWNER'S POLICY (amended 10/17/92)
with Florida Modifications
Proposed Insured:
$142,500.00
John Shannon, Robert Shannon and Tamara J. Shannon
AL T A LEASEHOLD LOAN POLICY (amended 10/17/92)
with Florida Modifications
Proposed Insured:
$105,000.00
Pinellas Community National Bank, its successors and/or assigns
2. The estate or interest in the land described or referred to in this Commitment and covered herein is a Leasehold
Estate, and title thereto is at the effective date hereof vested in:
Heirs and/or Devises of the Estate of Robert D. Farber, deceased
3. The Land is described as follows:
That part of the Southeast 1/4 of the Northeast 1/4 of the Northwest 1/4 of Section 22,
Township 29 South, Range 15 East, Pinellas County, Florida, described as follows:
From the Southeast corner of said Northeast 1/4 of the Northwest 1/4, run West 50 feet
to the Westerly boundary of Missouri Avenue (now U.S. Alternate 19) and the centerline
of Lakeview Avenue; thence run North along the Westerly boundary of Missouri Avenue
(now U. S. Alternate 19), a distance of 490.99 feet for a Point of Beginning; thence
continue along said Westerly boundary of Missouri Avenue, a distance of 190 feet;
thence West, parallel to the centerline of Lakeview Avenue, a distance of 100 feet;
thence South, parallel to the Westerly boundary of Missouri Avenue, a distance of 190
feet; thence East, parallel to the centerline of Lakeview Avenue, a distance of 100
feet to the Point of Beginning.
Note: This Commitment consists of insert pages labeled in Schedule A. Schedule B-Section 1. and Schedule
B-Section 2. This Commitment is of no force and effect unless all schedules are included. along with any
Rider pages incorporated by reference in the insert pages.
,.
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A.L.T.A. LEASEHOLD COMMITMENT
TICOR TITLE INSURANCE COMPANY
SCHEDULE B - Section 1
Commitment Number TR219701848
I. The following are the requirements to be complied with:
1 . Instruments necessary to create the estate or interest to be insured must be properly executed,
delivered and duly filed for record.
a. Assignment of Lease by and between duly appointed Personal Representative
of the Estate of Robert D. Farber, deceased, "Assignor", and John Shannon,
Robert Shannon and Tamara J. Shannon "Assignees", assigning the Lease
described in Item 9, Schedule "B", Section 2.
b. Assignment of Lease by and between duly appointed Personal Representative
of the Estate of Robert D. Farber, deceased, "Assignor, and John Shannon,
Robert Shannon and Tamara J. Shannon, Assignees, assigning the Lease
described in Item 10, Schedule "B", Section 2.
c. Leasehold Mortgage from John Shannon, Robert Shannon and Tamara J.
Shannon, joined by their respective spouses, to Proposed Insured.
2. Payment of the full consideration to, or for the account of, the grantors or mortgagors.
3. Payment of all taxes, charges, assessments, levied and assessed against subject premises, which are
due and payable.
4.
Satisfactory evidence should be had
alterations thereto are completed;
materialmen are all paid.
that
that
improvements
contractor,
and/or repairs or
subcontractors and
5. The title policy, when issued pursuant to this commitment, will delete General
Exception No. 1 relating to rights or claims of parties in possession not shown
by the public records, if at closing the Owner signs an affidavit affirming that
there is no person in possession of the property or with a claim of possession
to the property, which Affidavit is acceptable to Ticor Title Insurance Company.
6. The title policy, when issued pursuant to this commitment, will delete General
Exceptions 2 and 3 relating to matters of survey and unrecorded easements, if
prior to closing the Company is furnished with a Survey prepared by a registered
Florida land surveyor dated no more than 90 days prior to the closing date of
subject transaction, certified to the Proposed Insured(s), Ticor Title Insurance
Company, and all other parties in interest, meeting the minimum standards for
land surveys as set forth in Chapter 472.027, Florida Statutes or in Chapter 61G-
17.6, Florida Administrative Code; subject to all matters disclosed by said
survey. Said survey must locate all easements listed in Schedule B - Section 2
hereof, as well as all improvements located on the land. In addition, the
Company will require completion by the surveyor of Ticor Ti tIe Insurance Company
Surveyor's Report Form No. 3061. The title policy will be subject to all matters
shown on said report.
7. The title policy, when issued pursuant to this commitment, will delete General
Exception No. 4 relating to any lien or right to lien for services, labor or
material furnished, which is imposed by law and not shown by the public records,
if at closing the Owner signs an affidavit acceptable to Ticor Title Insurance
Company affirming that no improvements have been made to the property within the
past ninety (90) days for which payment has not been made in full.
8. The title policy, when issued pursuant to this commitment, will delete General
Exception No. 5 upon the Company being provided with satisfactory proof that
there are no outstanding taxes, charges or special assessments which are. not
shown as existing liens by the public records.
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A.L.T.A. LEASEHOLD COMMITMENT
TICOR TITLE INSURANCE COMPANY
SCHEDULE B - Section 1, continued
Commitment Number TR219701848
9. The Lease and Sub-Lease described in Items 9 and 10, Schedule B, Section 2,
respectively, creating the Leasehold Estate described in Schedule "A" must be
recorded, or if Memorandums or "Short Form" Leases are recorded, executed copies
of the Leases must be furnished to the Company.
10. Provide the Company with an Estoppel Affidavit from the Lessor of the Lease
described in Item 9, Schedule "B", Section 2, or his successors or assigns,
stating that: 1) the Lease is still in full force and effect, and there has been
no default in the payment of rent; 2) there are no defaults under any other
terms, covenants or conditions of the Lease; and 3) there are no charges which
the Lessor, his successors or assigns, claim to be additional liens upon the
Leasehold Estate.
11. Provide the Company with Estoppel Affidavits from the Lessors and Lessees of the
Leases described in Items 9 and 10, Schedule "B", Section 2, their successors or
assigns, stating that there are no unrecorded modifications, extensions,
collateral agreements, transfers or other matters affecting said Leases and that
a complete copy of said Leases are attached to the respective Estoppel
Affidavits.
12. Provide the Company with an Estoppel Affidavit from the Lessor of the Sub-Lease
described in Item 10, Schedule liB", Section 2, or his successors or assigns,
stating that: 1) the Lease is still in full force and effect, and there has been
no default in the payment of rent; 2) there are no defaults under any other
terms, covenants or conditions of the Lease; and 3) there are no charges which
the Lessor, his successors or assigns, claim to be additional liens upon the
Leasehold Estate.
13. Record in the public records of Pinellas County, Florida, releases of the
following against the name Robert Shannon or, in the alternative, record proof
that Robert Shannon, one of the purchasers of leasehold estate described in
Schedule "A", is not one and the same person as the person(s) described in the
following:
(a) Certified Final Judgment recorded in Official Records Book 6098, page 233,
of the public records of pinellas County, Florida;
(b) Certified Final Judgment recorded in Official Records Book 8475, page 702,
of the public records of Pinellas County, Florida.
14. File in the Circuit Court of Pinel1as County, Florida, proper Probate of the
Estate of Robert D. Farber, deceased. NOTE: The Company reserves the right to
make additional requirements an/or exceptions upon review.
, I:,
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A.L.T.A. LEASEHOLD COMMITMENT
TICOR TITLE INSURPANCE COMPANY
SCHEDULE B - Section 2
Commitment Number TR219701848
II. Schedule B of the policy or policies to be issued will contain exceptions to the following matters unless the
same are disposed of to the satisfaction of the Company.
1. Defects, liens, encumbrances, adverse claims or other matters, if any, created, first appearing in the
public records or attaching subsequent to the effective date hereto but prior to the date the proposed
Insured acquires for value of record the estate or interest or mortgage thereon covered by this
Commitment.
2. Standard Exceptions:
a. Rights or claims of parties in possession not shown by the public records.
b. Easements, or claims of easements, not shown by the public records.
c. Encroachments, overlaps, boundary line disputes, or other matters which would be disclosed
by an accurate survey and inspection of the premises.
d. Any lien, or right to a lien, for service, labor, or material heretofore or hereafter furnished,
imposed by law and not shown by the public records.
e. Taxes or special assessments which are not shown as existing liens by the public records.
f. Any claim that any portion of said lands are sovereign lands of the State of Florida, including
submerged, filled or artificially exposed lands and lands accreted to such lands.
g. Taxes and assessments for the year 1997 and subsequent years.
3. Standard exceptions (b) and (c) may be removed from the policy when a satisfactory survey and
surveyor's report and inspection of the premises is made.
4. Standard exceptions (a) and (d) may be removed upon receipt of a satisfactory affidavit-indemnity from
the party shown in title and in possession stating who is in possession of the lands and whether there
are improvements being made at date of commitment or contemplated to commence prior to the date
of closing which will not have been paid for in full prior to the closing.
G~ Q
6.
7.
8.
9.
Agreement recorded in Official Records Book 2496, page 9, of the public records
of Pinellas County, Florida.
Florida Power Corporation Easement recorded in Official Records Book 3507, page
835, of the public records of Pinellas County, Florida.
Florida Power Corporation Distribution Easement recorded in Official Records Book
5462, page 544, of the public records of Pinellas County, Florida.
Florida Power Corporation Distribution Easement recorded in Official Records Book
5462, page 564, of the public records of Pinellas County, Florida.
Terms, covenants, conditions and other matters contained in unrecorded lease
dated September 24, 1963, by and between John S. Taylor, Jr., joined by his wife,
Marion U. Taylor, and John S. Taylor, Jr., as Executor of the Estate of Mary
Hazel Taylor, deceased, "Lessor", and Leonard L. Farber, "Lessee", as modified,
and as same is referenced in Memorandum of Lease Agreement recorded in Official
Records Book 2224, page 34; assigned and assumed in Official Records Book 2237,
page 28, Official Records Book 4527, page 1884 and, lastlyJin Official Records
Book 4634, page 386 and Official Records Book 4648, page 1074, all of the public
records of Pinellas County, Florida.
.
...... '..
.
(~
.
A.L.T.A. LEASEHOLD COMMITMENT
TICOR TITLE INSURANCE COMPANY
SCHEDULE B - Section 2, continued
Commitment Number TR209701848
10. Terms, covenants, conditions and other matters contained in unrecorded Sub-Lease
dated November 25, 1981, by and between Robert D. Farber, "Landlord", and KFC
National Management of Louisville, Kentucky, "Tenant", as same is referenced in
Memorandum of Lease recorded in Official Records Book 5309, page 169, of the
public records of Pinellas County, Florida.
Any and all bills, liens or assessments due City of Clearwater, Florida.
Any and all bills, liens or assessments due Pinellas County, Florida.
NOTE: Paragraph 1(h) of the Conditions and Stipulations of the ALTA Owner's and Leasehold Loan Policies (10/17/92)
(With Florida Modifications), defines leasehold estate as follows:
(hI "Leasehold Estate": The right of possession for the term or terms described in Schedule A hereof
subject to any provisions contained in the lease which limit such right of possession.
NOTE: On loan policies, junior and subordinate matters, if any, will not be reflected in Schedule B.
~ ~ --'/l';ir ~-~~1
, . Iii City of ClecAvater
OCT 1 8 ?Oll) . elopment Services Department
outh Myrtle Avenue, Clearwater, FL 33756
one (727) 562-4567 Fax (727) 562-4576
S6r12Do/-/ooJV
/
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SGN
SIGN PERMIT SUBMITTAL REQUIREMENTS:
Site Plan with the following items:
(a) Location of the sign in relation to property lines, public rights-of-way, easements, buildings, and other signs on the property including dimensions.
(Freestanding signs must be a minimum of five (5) feet from any property line.)
(b) Lot frontage on all street rights-of-way.
ADDITIONAL SIGN PERMIT REQUIREMENTS:
(c) Inventory of all existina sians on the same property and/or building on which the sign is to be located, indicating the number, type, use e.g. property
identification, business identification, etc.) location and surface area. (If "none", so indicate);
(d) Maximum and minimum height of the sign, as measured from finished grade;
(e) Dimensions of the sign's supporting members;
(f) For illuminated signs, the type, placement, intensity and hours of illumination. (Not more than five (5) foot-candles of light intensity for commercial signs.);
(g) Dimensions and elevations (including the message and color(s)) of the sign; and
(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.)
"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.
"LSD, please note that wind load requirements should conform to the 1997 edition of the Southern Standard Building Code.
PROJECT ADDRESS:
/ ,":;r <: .,.'C"..
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A. APPLICANT, PROPERTY OWNER AND AGENT INFORMATION: (Code Section 4-1001)
APPLICANT (Business) NAME: (~ hCl r7 Cl r -e 5 ~
MAILING ADDRESS: t '-6 0 c ~) O(^{ t '
7 17 -- 'I tl,3 "~ '-1/ 34
s Y\V\ m)G VI
5_\ C
_ 1
PHONE NUMBER:
FAX NUMBER:
t
8
PROPERTY OWNER(S):
(Must include ALL owners)
PHONE NUMBER:
AGENT NAME: (Contact Person)
Check if AGENT is Contractor. " ' . -, t I '\ 5' /1- T /'
] Sign Contractor Name: ~ i t1 () 1) \) € ~ t r)fl v - 'J State License Number: e- 0000 '--f () /
MAILING ADDRESS: 75(;-0 U InJ c' lo,., R ~ -ff:- 2 ~/ l.A/\ '.#fi/ j~ I J 3 "77/
FAX NUMBER: s-.)~~ ..... (~2.I./t
PHONE NUMBER:
,'J')t -- 4L14.Lf
4 t-, ,.~~. ~ 4'Z~;;
CELLULAR PHONE NUMBER:
3. EXISTING SIGNAGE DEVELOPMENT INFORMATION: (attach photographs)
] SUBMIT PHOTO'S OF THE EXISTING SIGNAGE CURRENTLY LOCATED ON THE PROPERTY
SURFACE AREA OF EXISTING SIGN(S): (include all signage dimenSions)
I
v~ ~ ."j"
-:'- ,11\
n
t : ~. : I:,' I '\
,
tl
TYPE OF SIGN(S): (include number of each sign)
.~. Attached sign ~ 0 Freestanding/Pole sign _ 0 Monument sign _
HEIGHT OF EXISTING SIGN(S): (include all signage dimensions)
-over-
c. PROPOSED DEVELOPMENT INFOR+N: (Code Section 4-1001)
.
STREET ADDRESS:
/ ;9"6c
s,
o SPECIAL PLANNING AREA (if applicable) :
L ~ 1 <-;'';'' "'-..:. '-' ..-:' I;~ l ~.
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LEGAL DESCRIPTION:
./'
II~o~
/90
ft.
.,~, ,",:,:. /c("'f (/ '::; / <....-Jt~y.~-J~/Z-/ G
'~ ():::.O -kf LOT FRON:AGE (along ."".t right-of-way) ,
(acres, square feet)
o Corner Lot LOT FRONTAGE (along second street right-of-way) :
BUILDING FACADE FACING STREET: Height: ~ft. X Width: ~ ft. =
PARCEL NUMBER:
PARCEL SIZE:
ft.
3CG
Square Feet
o Corner Lot: (bldg. fal,;ade facing second street)
Height:
ft. X Width:
ft. =
Square Feet
TYPE OF SIGN(S): (include number of each type of sign) Jlf Electrical permit required
;,'" I ~ J1~~') I ~ ~~~') I
tJ' Attached sign ~ ~ Freestanding/Pole sign -L- 0 Monument sign _
SURFACE AREA OF PROPOSED SIGN(S): (include all new signage) J )2,~ /;;:U ~ / ,..J ) A-
I~ '
HEIGHT OF PROPOSED SIGN(S): (include all new signage)
----....-
/
/'~
~--
VALUE OF PROPOSED SIGN(S): (include all new signage)
...---
<r'r.....-
, ...~ /
Statement of Authorization - Any application form which is signed by an individual other than the property owner shall be accompanied by a notarized
statement of authorization consenting to the sign placement or, if the property or building upon which the sign is to be located is leased, a copy of the executed
lease shall accompany the application form. In the event the building or property is leased and the application form is signed by an individual other than the
lessor, the application shall be accompanied by a notarized statement of authorization signed by the lessor consenting to the sign placement and a copy of the
executed lease. (Not required for portable signs/face changes or signs approved by variances.)
CERTIFICATION
I certify that all information submitted on this application and attachments thereto are true and correct to the best of my knowledge and belief.
I understand that any inaccurate information may result in revocation of the sign permit and removal of any sign erected pursuant 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 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 understand that any investment made in
or to a nonconforming sign during the amortization period, including but not limited to message change shall not constitute grounds for
n?~m~liance or complianc.,e latETr t~~n October 13, 1992. ,~l J. ,I ,
'i--..j\ c\.\ qV\\Il~t. ~ bd)b,\h~\ ;1, l5eJ1 X( ~-~-<.
"
Atlas Page ~C:k A. Zoning District
Signage Permitted by Code
Property Owner's Signature (or authorized representative)
(FOR OFFICE USE ONLY
c:.:.,
Print Property Owner (or representative) Name
.......
S uare Feet Attached
i >S (t~'/.. \:'~ l") ,..(<
uare Feet
uare Feet
.
~ Comprehensive Sign Program Required
Freestandin
S uare Feet Freestandin
S uare Feet Monument
Zonin A roval
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Zonin A roval
D.,"
Date
'Buildin Approval
o Landscapinq Required
Square Feet
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c. PROPOSED DEVELOPMENT INFOR+N: (Code Section 4-1001)
.
STREET ADDRESS:
/~'6C
o SPECIAL PLANNING AREA (if applicable) :
S, I-< 1 S').."-"...:K' M [; .
LEGAL DESCRIPTION:
ft.
,....,'......
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C._A____;J:~C..2:l
I G}C'C:;
LOT FRONTAGE (along street right-of-way): / 90
'2:/8
PARCEL NUMBER:
PARCEL SIZE:
(acres, square feet)
o Corner Lot LOT FRONTAGE (along second street right-of-way) :
BUILDING FACADE FACING STREET: Height: ~ft. X Width: ~ ft. =
ft.
DCG
Square Feet
o Corner Lot: (bldg. fac;ade facing second street)
Height:
ft. X Width:
ft. =
Square Feet
TYPE OF SIGN(S): (include number of each type of sign) }If Electrical permit required
/1:'", ,>".J~ I .L ~'~-.i) I
~.. Attached sign ~ ~ Freestanding/Pole sign -L- 0 Monument sign _
SURFACE AREA OF PROPOSED SIGN(S): (include all new signage) J <6.~ /;;;<D ~ / AJ } A_
I~ '
-'"
/
/ ~L '1 '--':> . ---
_:2 I ~ /
.-,..--'--
HEIGHT OF PROPOSED SIGN(S): (include all new signage)
VALUE OF PROPOSED SIGN(S): (include all new signage)
-----~'
-'
Statement of Authorization - Any application form which is signed by an individual other than the property owner shall be accompanied by a notarized
statement of authorization consenting to the sign placement or, if the property or building upon which the sign is to be located is leased, a copy of the executed
lease shall accompany the application form. In the event the building or property is leased and the application form is signed by an individual other than the
lessor, the application shall be accompanied by a notarized statement of authorization signed by the lessor consenting to the sign placement and a copy of the
executed lease, (Not required for portable signs/face changes or signs approved by variances.)
CERllFICA liON
I certify that all information submitted on this application and attachments thereto are true and correct to the best of my knowledge and belief,
I understand that any inaccurate information may result in revocation of the sign permit and removal of any sign erected pursuant 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 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 understand that any investment made in
or ~ a nonconforming sign during the amortization period, including but not limited to message change shall not constitute grounds for
nonc;,~m~liance or compliance latir ~~~n October 13, 1992. ;;.1 be, I ,
~ c\\ q\-j\ll\(: ~ ~(,hb\hv\ !\, l5e~1 t ~...~
Print Property Owner (or representative) Name Property Owner's Signature (or authorized representative)
(FOR OFFICE USE ONLY
~
Monument
S uare Feet
S uare Feet Monument
S uare Feet Attached
l.q
\~Ias Page
3C:.k. A~
Zoning District
Signage Permitted by Code
~ Comprehensive Sign Program Required
'-<J ./" " <.:........ (
I ;;. ( t:. " \.... . J I" <
S uare Feet
S uare Feet
roval
~>
Zonin A roval
Date
o LandscapinQ Required
Square Feet
~ ~ --'11\ r ~,.. '::~1
. .. . . I Ii City of ClecArater 4.oloh
DCT 1 8 ?fiD'; ~elopment Services Department .I
outh Myrtle Avenue, Clearwater, FL 33756
ELOPMENT SERVICES Di.'iffr.....-. one (727) 562-4567 Fax (727) 562-4576
CITY OF CLEARWATER
SIGN PERMIT APPLICATION . SGN S6r1200/-/o0Jcj
/
SIGN PERMIT SUBMITTAL REQUIREMENTS:
Site Plan with the following items:
(a) Location of the sign in relation to property lines, public rights-of-way, easements, buildings, and other signs on the property including dimensions.
(Freestanding signs must be a minimum of five (5) feet from any property line.)
(b) Lot frontage on all street rights-of-way.
ADDITIONAL SIGN PERMIT REQUIREMENTS:
[c) Inventory of all existina sians on the same property and/or building on which the sign is to be located, indicating the number, type, use e.g. property
identification, business identification, etc.) location and surface area. (If "none", so indicate);
:d) Maximum and minimum height of the sign, as measured from finished grade;
:e) Dimensions of the sign's supporting members;
:f) For illuminated signs, the type, placement, intensity and hours of illumination. (Not more than five (5) foot-candles of light intensity for commercial signs.);
:g) Dimensions and elevations (including the message and color(s)) of the sign; and
: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.)
'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.
I\LSO, please note that wind load requirements should conform to the 1997 edition of the Southern Standard Building Code.
PROJECT ADDRESS:
I ":;r '::.s~.
.
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". APPLICANT, PROPERTY OWNER AND AGENT INFORMATION: (Code Section 4-1001)
APPLICANT (Business) NAME: C, :'\(\17 cl e" (' -e S C
MAILING ADDRESS: ~ L~ J (:'; c S c.C~( t '
7 7, 1 -- 'I "-1.3-:.. "II 3 if
S ~"v, nr)G y!
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PHONE NUMBER:
FAX NUMBER:
~
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~J
PROPERTY OWNER(S):
(Must include ALL owners)
PHONE NUMBER:
AGENT NAME: (Contact Person)
Check if AGENT is Contractor S (. .,'
] Sign Contractor Name: ,t rJ n 1)
,
MAILING ADDRESS:
\) {;) S l~)f1 L\ S ,'J- State License Number: ET .~, OCOO 'I (} 9
75 U'lJ L.dnl rf to(\ g ~ #-'2)/ L4\ l,!)e,/ j::':' I 33 77/
,/,')t -- (,,/44:Lf FAX NUMBER: S' ~~~.. G:'2l,.(j
4 c:) -- ~. '-I -lS{
PHONE NUMBER:
CELLULAR PHONE NUMBER:
~. EXISTING SIGNAGE DEVELOPMENT INFORMATION: (attach photographs)
SURFACE AREA OF EXISTING SIGN(S): (include all signage dimensions) I
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f !
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] SUBMIT PHOTO'S OF THE EXISTING SIGNAGE CURRENTLY LOCATED ON THE PROPERTY
TYPE OF SIGN(S): (include number of each sign)
,~ Attached sign ~ 0 Freestanding/Pole sign _ 0 Monument sign _
HEIGHT OF EXISTING SIGN(S): (include all signage dimensions)
-over-
,; ..
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