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o Planning & Development Department
�� earwater Flexible Standard Development Application
� Detached Dwellings, Duplexes orAssociated Accessory Use/Structures
IT IS INCUMBENT UPON THE APPLICANT TO SUBMIT COMPLETE AND CORRECT INFORMA710N. 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 PLAN LOPMENT DEPARTMENT BY NOON ON THE SCHEDULED DEADLINE DATE.
i
A TOTAL F 1 COMPLETE SETS F PLANS AND APPLICATION MATERIALS (1 ORIGINAL AND 10 COPIES) AS REQUIRED WITHIN
ARE TO BE U MI EVIEW BY THE DEVELOPMENT REVtEW 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):
200
$200 (if for detached dwellings or duplexes) OR
(if for accessory uses/structures for detoched dwellings/duplexes)
� . T��EZ
MAILING ADDRESS: � �� �OEN1�l Y�tv E• — CI.,E�� �A t f"� � Y L• ���
PHONE NUMBER: «Z�� 22�-I '�K?_O�
EMAIL: 1M1 c��� 1�YS► co ��c-et-e . �o�
HlitfVl Vlt FttYl'tt�tlV'IH'lIV[:
MAILING ADDRESS:
PHONE NUMBER:
EMAIL:
ADDRESS OF SUBJECT PROPERTY: �� ��O£ N��C �tv E.'- CLE►AC�-wV�'f�'CZ �.� L. ��,d�
PARCEL NUMBER(S): �y- Zq- I�-��qSO - O�b — O v��
LEGAI DESCRIPTION: Ld'�' �'� �,O CK �r y S17��� `�p1����' i�l-�T
�jb OK �� �J �'16E �P � �'�,I CK `�E<.O'� 9� p� '71 �JE t�...� C�J�
PROPOSED USE(S): L��I I�'�
DESCRIPTION Of REQUEST: L�'C� �.1�'�C7�D�- �tS�Z. rc}�IS1 11s�E1 �O�- ���� 'P1�
Specifically identify the request ✓�'�F'E7 ��jL£ "Rj �¢.E�'\��C� �(b �Ml��t�}
(include aIl requested code flexibility;
e.g., reduction in required number of
parking spaces, heighT, setbacks, !ot
size, !ot width, specific use, etc.):
Plannir.y & Dev�!apment �epartrnen?, i00 S. Myrtle Avenue. Ciearwater, FL 33756, 7ei: 727-562-4567; Fax: 727-562-4865
Pays 1 of 7 Revised 01(12
IMPERVIOUS SURFACE RATIO (total square footage of impervious areas divided by the total square footage of entire site):
Existing: 3�eqg _�O
Proposed: (p�'�o . O� /
�vtaximum Permitted: �I y�i�o,�
DENSITY (units, rooms or beds per acre):
Existing: � 'l,J EC.G 1rJ fa
Proposed: / �WELC..►�(a
Maximum Permitted:
OFF-STREET PARKING:
BUILDING NElGHT:
Existing:
Proposed:
Maximum Permitted
t 1 0 0 ��r
i
/� � Ov �E�
30� oa t��r
Existing: 2 SQ�« Note: A parking demand siudy must be provided In conjunction with any request
Proposed: (J �_ to reduce the amount of required off-street parking spaces. Please see the
Minimum Required: adopted Parking Demond Study Guidelines for further information.
WHAT IS THE ESTIMATED TOTAL VALUE OF THE PROJECT UPON COMPLETION? $
�
ZONING DISTRICTS FOR ALL ADIACENT PROPERTY:
North: �,►V) J�Q
soUtn: C,M 1'1,2
East: (,�u1 l7/2
W est: II/]�,1Z
STATE OF FLORIDA, COUNTY OF PINELLAS
I, the undersigned, acknowledge that all Sworn to and subscribed before me this _/ d•�-' �`� day of
representations made in this application are true and DC..��jGi' Z Di . to me and/or by
accurate to the best of my knowledge and authorize ��
City representatives to visit and photograph the /�i� 9wc. �/r ��G� , who is personally known has
property described in this application. produced ��srt,.iya. l�L�✓c✓S �.e ccntc...as identification.
/ 1 IU v � � _ `
Signature of�ph�operty owner or representative
Q•.J�..-���
Notary public,
My commission expires: �iu-y. a�
,,,,��,,,,
'.20��"" "�i�� ; ANGELA WOODARD
. . z Notary Public - State oi Florida
-' •'e
;N„ .oP; My Comm. Expires Aug 21, 2015
����OFFLO���, Commission # EE 1239A6
11111
Planning & Developrnent Department, 100 S. Myrtie Rvenue, Clearwater, F� 33756, Tei: 727-562-45&7; Fax: 727-SS2-4865
oage 3 of 7 Revised 01r12
� Planning & Development Department
� C earwater Flexible Standard Development Application
� 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 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.
��sw�+�lE�'F"s �� ��€�l +�+��€ -co '�r� �o��Tu i� ��.� NF,
rr �u.ozE u.., H rr��b � rt�r�o Ny o� �,R � c.Elu �Ro�E�e..Ti �S .
The proposed development will not hinder or discourage the appropriate development and use of adjacent land and buildings
or significantly impair the val�e thereof.
►� M�So���� o� �F '�t�✓EZo��u.E�r ►s c.oc�},�'� ►� —►�� �-c.�
`lW`�fl �r ocsf c�� s�b� 2 wocx-� n.oT Nn�F ►�r aEE,�4-i��t ��.r o� T�
V�4��S o� �95�tC�N � '�'+�?E�-T1E5.
3. The proposed development wiil not adversely affect the health or safety or persons residing or working in the neighborhood
of the proposed use.
'f���S iS" ��.FSi�Ea���- 2�M�,'�t� M��►� c��ry C���i�- aAS St
�o�-�-y- �,� �-c-` � p rJ 2- Z,D I. I o� i�tE Cc� � U^� t T� 17EvEC c�� �ENT c.oDE �
��C. ?� �c� TNIS ��.�-'f cu�c� �var iw���9cr � rl�L7� o� �m��j o�
��Sa,aS 1r2.FSiDi�.14i rn1 'r?-i'€ '�1�1E����LNo�,
4. The proposed development is designed to minimize traffic congestion.
�"H�S 1�!Qo�E"�Ty iS wc��rE'� ►� � �ES�DE��►� NE�I �tB�ey�O
.��c� w�t,� �oi ��ii�%��T TI2�f-�'►�. c����ST►c7.-�•
5. The proposed development is consistent with the community character of the immediate vicinity of the parcel proposed for
development.
TNt1 �s /h �v►V�so�,l�y �s�DcNC.t �,.-�s�1-, �ir'� c�► � r� •°�;�S�4r�coc�
�2 � � 9� � c,�5 ► H� o v��fi�c. �r�'�E,9-� �`t-N GE t1 �4-S r.�� � ��f'�Y.e�il
�20 � 'i�t�E N E� 6 rt�c�'� }f-c� O►7-
The design of the proposed development minimizes adverse effects, including visual, acoustic and olfactory and hours of
operation impacts, on adjacent properties.
%i�St 1��5 I �E t`�S �'� ✓Yl fi50 a�� � 7 H"g- Lh�Ol�T- 1�C7�S NO'r
�hh��1E�25E�N E"tt"�'c..'f'" Ti�tE" �:Jts'�E� '�ES117ENC�S.
Planning & Development Department 100 S. Myrtle ,4venue, Clear.vater, F� 33756, Tel: 727-562-4567; Fax: 727-562-4865
Page 5 �f 7 Revised 01f12
� Clearwater
Planning & Development Department
Flexible Standard Development Application
� Affidavit to Authorize Agent/Representative
1. Provide names of all property owners on deed — PRINT fuli names:
�Ni � ���.. ►� T�--c.EZ _
2. That (I am/we are} the owner(s) and record title hoider(s) of the foilowing described property:
�. �M '� N� O Vr,� w3EGZ ActJ1� `�Ct�"j� 'C\'Cl�c '� �-'�J � 12
3. That this property constitutes the property for which a request for (describe request):
I�t� � 'rN'E fi � Cf ��'�ll IT ,
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 City representatives to visit and photograph the property described in this application;
,
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Pro�rty Owner Prope� wner
� Propegty Owner Property Owner
�i
, STATE OF FLORIDA, COUNTY OF PINELLAS
BEFORE ME THE UNDERSIGNED, AN OFFICER DULY COMMISSIONED BY THE LAWS OF THE STATE OF FLORIDA, ON
THIS .� ^ d DAY OF 1%e"%�0�'� , �� 7 , PERSONALLY APPEARED
%Y�� q� / /c ���,Z. WHO HAVING BEEN FIRST DULY SWORN
DEPOSED AND SAYS THAT HElSHE FULLY UNDERSTANDS THE CONTENTS OF THE AFFIDAVIT THAT HE/SHE SIGNED.
,�,��„�,,
'04PRY pUe��. ANGELA WOODARD /% ( �
'' "°: Notary Public - State of Florida (�(i• t,J
;,» : e; My Comm. Expires Aug 21, 2015
'•%'F o:: Commissiori # EE 123946 Notary Public Signature
'�� ° �n�o
Notary Seai/Stamp My Commission Expires: � K-�. ��. eZ.�� �
Planning & Develo�ment Departmeni, iC0 S. iLtyrtie Avenue, Clearwater, FL 33756, Tel: 727-562-4567; Fax: 727-562-4$65
?age 7 of 7 Revised G1i1 �
CITY OF CLEARWATER, FLORIDA
AFFID�VIT OF POSTING
Case #: SW02014-05003
i, Ralph Saraceno being duly sworn, deposes and says:
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,��� � � ����
c�FFICIAL REC.aR�3S a4F�i�
l.EC�I.A.TIal,E SRY�'.� ��pZ'
1. That I am Code Inspector employed by the Planning and Development Department of the City of
Clearwater.
2. That on the 31th day of July, 2014, I posted a copy of the attached Notice of Vio{ation on G14
PHOENiX AVE at Clearwater City Hail and at 614 PHOENIX AVE Clearwater, Florida.
Further Affiant sayeth naught.
STATE OF FLORIDA
COUNTY OF PINELLAS
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,L^'�.- � .�' .� , v,,�.�, r � _.
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�Ralp�Sarace��
SWORN AND SUBSCRIBED before me on this 31th day of July, 2014, by Raiph Saraceno.
� PERSONALLY KNOWN TO ME
❑ PRODUCED AS IDEN7IFICATION
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(Notary Signature)
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Type of Identification
Notary Public,
Notary Public State o( Florida
James Wagner
My Commission FF 046309
Expires 10/15/2017
Name of Notary (typed, prinled, stamped) Commission Expiration Date
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