FLS2007-02010
~
~-t\'
CL WCoverShee!
.
FLS2007 -02010
1555 S HIGHLAND AVE
PUBLIX SUPERMARKET
PLANNER OF RECORD: NOT ENTERED
ATLAS # 315A
ZONING: C
LAND USE: CG
RECEIVED: 02/26/2007
INCOMPLETE:
COMPLETE:
MAPS:
PHOTOS:
STAFF REPORT:
DRC: ~- G.. d1
CDB:
12/21/2005 15.19
7275213500
MASTERKRAFT SCREEN
PAGE 05
,.
~
;,floarwater
U~
~
Planning Department
100 South Myrtle Avenue
Clearwater, Florida 33756
Telephone 727.562-4567
Fax' 727 ~5624865
rC~6b
CASE # EL.s dL(J ~ 7- C)Ol..tJ /0
RECEIVED BY (staff Initials)
DATE RECEIVED
.
o SUBMIT ORIGINAL SIGNED AND NOTARIZED APPLICATION
CJ SUBMIT 14 COPIES OF THE ORIGINAL APPliCATION. Plans aM
application are required to be collated stapled, and folded mto sets
CJ sUaMIT Af:>f"lICATION FEE $ -4-1~ 5 c:>O
ORIGINAl
RECEfVEo
FE8 2 6 2007
PlANNING DEPARTMENT
C ,..
'* NOTE 15 TOTAL S~S OF INFORMATION REQUIRED (APPLICATIONS PLUS SITE PLAN SETS)
FLEXIBLE ST~ARD DEYELOPMENT APPLICATION
(Revlsed 10/30/2006)
-PLEASE TYPE OR PRJNT-
A, APPLICANT, PROPERTY OWNER AND AGENT INFORMATION' (Code Section 4-202.A)
I=l~~~::='~ !r:::~>n!:::J~~~rt~+ rr--
PHONE NUMBER _.31'1 ~ r f{ - kt..r 6 FAX NUMBER q 16J - rib - 3 r~L
PROpeRTYOWNER(S): '" p~y ~~~ ~0' Lwse-e
U!rl ALL ",",nern en the deoo G r I ff; n :rr1teYnll iiQY'l ((I J:n~, : 0WV\Qr l
AGENT NAME
MAILING ADORSSS
PHONE NUMBER
CELL NUMBER
~.uJ(ck ~~ lTLCL.-.
S6QQ tJuJ /J02..!_~ ~ K .~, I-Z ,1.?3.r1
Gt~,,~ bJl4- 6'f.{oS FAXNUMeeR ~ qS"~- 6J'9 - fi 7-,=?P.
_ E,MAllADDRESS ~W/rk~~.L@ CII--Sf CB"nv
PROPOSED USE(S)
B. PROPOSED DEVELOPMENT INFORMATION: (Code Section 4.202,A)
PROJECT NAME - Y ~ ~ ~ "vlIvl0 W i i'Rd5ECT VAlUATION ~ 1'0 000. QQ
STREl;T ADDRESS J ~ (S; S J-h ~ ~oe ~/ A~a, ~ ,cJtgJ)"'uJa.11J J FL ill
PARCEL NuMeER(S) c2~ - J ~ tl S - Q(XJrX) - 540 - D 3l 0 _
PARCEL SIZE (acres) PARCEL SIZE (square feet)
LEGAL DESCRIPTION J....ft _ /3.e ) I Eo -r'1!ilW.J._
~~ 1ylWvW.
~
:sod
DESCRIPTION OF REQUEST
speen'ieally Idenbfy ttla request
(Include number of unrts or square
footage of non-rssldenl1al use and all
reque5led code devlstlons, e 9
raductlon m required number of
parkm9' spaces, specific use, elc )
~ ~ ~wrtl~
'1 [1J;mJ
S \~Iapnl'e Oapartment\J\tlellosllon FrJITT\t\llavelopmsnt ro\ilHA2006 Formo\FI~~IDle Sl<ln~,r~ iJavelo~m~M (FL3) <1000 o'Oe
I'IIp:C J of7
~
J
12/21/2006 15 19
MASTERKRAFT SCREFN
PAGE 06
7275213F.Pl0
DOES THIS APPl.ICATION INVOLVE THE TRANSFER OF DEVELOPMENT RIGHTS (TDR), A PREVIOUSLY APPROVED PLANNED UNIT
DEVE LOP ME NT, OR A PREVIOUSI. Y APPROVE D (CE RTI FIEO) SITE PLAN? YES _ NO _ (If yes <ltt<lct1 <I copy of the appllcsble documents)
C. PROOF OF OWNERSHIP (Code Section 4-202.A.5)
Q SU6MIT A COpy OF THE TITI.E INSURANCE POLICY, DEED TO THE PROPERTY OR SIGN AFFIDAVIT ATTE;$TING OWNERSHIP (see
page 7)
D WRITTEN SUBMITTAL REQUIREMENTS' (Code Section 3-913 A)
o Provide complete responsES 10 the SIX (6) GENERAL APPL/CABI UTY CRITERIA - Explain how each enterla IS achieved In delall
The proposed development of the land will be In harmony WIth the soale, bulk, coverage, density and ctlaracler of adjacenl properties In wh,eM It
1$ 10000led
-.1 k. ~
--rL v_
~~ ~c..-.t-Or
..e.."'<..l 7,-r'l p"1 ~
fA> d L A "'- LDc'*~ J $ fp.<JZ- iJ I '7 foy'iL- /..} I~~
V-t\ L"l ;-; es L-
2
The proposed development will not hinder or dlscournge the appropriate o'evelopmeml and use 0' >:IdJacent land and mnldlng5 or significantly
ImpaIr the value thereof
l';"Q.A1SW'A!f-W l...,ji/} YlIl+- 1rI//7/t.;.r OT/.A{;C('1/Jr($-~e. JtI) \ff; JnfP1Qnr.. Ir .
~~Il ~~~. ~ (L ~e.Co" ~ u-t.L, ~~rc~ -ro_~~re<!-_~cP, . .
ld:t~~ 1~ J~.R ~,... Ln~ :b-1~ rill~ l'Ut&-ro~ i-~~t-V J~ bl1~Ic(]"~ .
The proposso' development WIll not acfvarsElIy affect the health or safety ~ per30ns resldlr'lg or working In tl'le nel hborh<.,~od of the p opo:>ed use
"Ihe S P/l,~d-ur}<S' . ,i :(, Q. e", /
j') s -t::i:LuJ~:' rJ.Ll.u.L4-1" Jr-_/ . -1k<2- rQ.-,..,..2oLlOr 0' III O~ OrNt.'\-1J.2-.
I... -r-I iN'l-':I '1./ CtJ rn /I'?'; FI , -r:; r7 v .,~[l~ .
The propooed development IS designed to minimize traffic cO"9eSbon /1
Giv-/I.P-#"t:.ktJr I.S ev.f- {tl-e.",J:.. vi J:/t)'IA 6j/Jj) {/(j1/5 nb..-r-
~JI-~ ~/"-/J' c- ..
3.
4
5
6
The proposed development Is consistent WIth the community character of the Immedll'lte vlcl ly of the percel propOSOO
,..,- /J dt, I '3 ~ t:J .f2-)17' 1)
c () - -
L.)iJI ~:Q no~~L.'')(. el,( ~t;-r, '~i/ ~V?1HJ"r ~J!~ u..;-(l,.r~
;J Y"tVV' ) .I Cu'" ,#7..$l-r .
<J
fM oeslgn of the proposed development minimizes adverse effects, InCluding Vl5tl>:ll, acousllc and olfactory and !'lQurs of operabon ImpaOl$, on
adJ2cenl properties efJ
:(i. ~ r .5)-,"UL .r.~.!:--+--?r f )1-..l L "'7"'-S a,.... ('...11" I t-t.:-J rvt v..~_qy.
a- 5nUncl~~~/l u~t~;jJ hOt)?, t1J
ORIGINAL
FEB 26 2007
5,\PI~p"I"9 o..p"~ment\A.p~no~ncn Form91t1ll"~le~fl\l!nl rnvI9W\;j0ll6 Form"\FllOObl~ SI'ndard t:1aVQf<w.N'n! (FLS) ~'\INING DEPARTMENT
r~ge 2 rlf 7 CITY OF CLEARWATER
12/21/2005 15.19
MASTERKRAFT SCREFN
PAGE 07
727521351?10
WRITTEN SUBMITTAL REQUIREMENTS' (FlexIbility Cntena)
Cl Provlds complete responses to the appl,eable f1exiblhly cl'ltel'Ja for the sPE'Clfic Use as listed In each Zoning District to whrch the waIVer IS
ret:<l)ested (use separate sheets as nece~ary) - !iixplaln.b.2!l!! each cmena 15 ,whlevel;!, In \let::",,1
E. STORMWATER PLAN SUBMITTAL REQUIREMENTS (City of Clearwater Storm Dramage Design Criteria
Manual and 4.202 A.21)
I:] A STORMWATER NARRATIVE MUST BE SUBMITTED WITH ALL APPLICATIONS. All applications that Involve addltlon
or modml;;8lioO of Impel'llious surfece, Including buildings must Include a stol'TT1water plan that dsmonstrates compliance With the CIty of
Clearwater Storm Drainage Oe91gn Cl'1tena Mal'lual A r~uetlon In Impervious surface are<l does r'IOl QualitY as an exempUon 10 this requirement
o I f a plan IS not required, the nartatlve shalt provide an explanation as to why the slle 15 elrem!'t
o At a n'IlOlmuM, Ihe STORM\NATER PLAN shaflmclude tlie follOWing:
o EXlsllng topography extending 50 fe~ beyoncl an property lines,
I;;J Proposed gradIng Including finished floor elevations of an structl.lre$,
1;;1 All adjacent streets and mUnicipal stoml systems,
CJ Proposed slormwater Qetentlontretentlon area Including top of bank. toe of slope and oullet control $ln.letlJre
Cl A nan'aW...e dElseriblng !he proposed slormwater control plan Including alt calculations and data necessary to demonstrate compliance wlltl
the City m!lOl,IaJ,
o Proposed stormwater detant<on!relant!on area Including toP of bank, toe of slope and outlet control slruc:lure.
a Signatul'9 and seal of Florida Registered Professional Engineer on ..II plans and calculalloM
o COpy OF PERMIT INOUIRY LETTER OR SOUTHWEST FLORIDA WATER MANAGEME:NT DISTRICT (SWFWMD) PERMIT
$uBMITT AL (SWFWMO approval is required prior to I5SUElnCe of City BuildIng Perm II), If applicable
o ACKNOWLEDGEMENT OF STORMWATER PLAN REQUIREMENTS (Applicant must Inltlal one ofthe following)
Stormwater plan es nOled above Is Included
~ V Stormwater plan IS not required and explanation nalTatlve IS ettached At a mlOlmum, a grading plen end finIshed floor
JdB:2- elevatlo~ Shall t>e provided
CAUTION - IF APPLICATION REVIEW RESULTS IN THE REQUIREMENT FOR A STORMWATER PLAN
AND NONE HAS BEEN SUBMITTED, APPLICATION MUST BE RESUBMITTED AND SIGNIFICANT DELAY
MAY OCCUR
If you have quesllons regarding these requirements contact the C.ty Pubhc Works Administration ~n9Ineer1ng Oepartment at (727) 562-4750
F
SUPPLEMENTAL SUBMITTAL REQUIREMENTS: (Code Section 4-202 A)
a
a
81 GNE D AND SEALED SU RV!iiY (mcludlng legal description of property) - One Qrlg.nal and 14 COpIR,
TREE SURVEY (Including e;;l;lst1ng InlllS on $i!e snd within 25' of the adjacent $It~, by speOles, size (DSH 4" or greater), OInd loce!km,
including drfp Imes and indicating trees 10 be removed) - plesse deSign around the e~I$Mg troes,
TREE I NV!iiNTORY, prepared by a "certIfied arbor1sl", of alllrees 4" OSH or greater, reflecting SIZe, Ctlnopy (dnp lines) and
condition of such trees,
o
a
LOCATION MAP OF THE PROpeRTY,
PARKING D!iiMAND STUDY In oonJumrtlon With EI requ~l to make deV19\lons to the parking stMdsrds (Ie Reducs number of spaces)
Prior to the submIttal of this appll~tlon, the methodology of such ~udy shall be approved by the Community Development Coordinator ..nd
shall be In aacordanca With aocepted lraffla engineering pl'mclpleEl, The flndlngs of the study w111 be used In dctemllOlng whether or not
QsviatJons to the parking standards are approved,
a
CJ
o
CJ
GRADING PLAN, as applicable:
PRELIMINARY PLAT, as reqUlre<:J (Note, BUilding permits wllt not be issued unlll evidence of recording a final plat Is proVlde8'RIGINAL
COpy OF R!iiCORDED PLAT, as <lpphceble, RECEIVED
FEB 26 2007
S IPI~""InQ CBD"T1IT'DnAAllpllC!lUr;m Fcm"\dB""II)Jlm~nt 1!'It~Or. FMMIFlmdble S!~"d,1rd DBvel<)~tI'1~nIIFLS) ?OO6 IlOC
PRgC 3 of7 PlANNING DEPARTMENT
CITY OF CLEARWATER
12/21/2005 15.19
7275213F-Oll~
MASTERKRAFT SCREF'"
PAGE 08
\
G SITE PLAN SUBMITTAL REQUIREMENTS (Section 4-202 A)
o SITE PLAN With the follOWIng Informellon (not 10 exceed 24" II 36")
~ Index sheet referenclnglndivlduaf 5heets Included In ~ckage,
*- North SI'i'OW,
~ EngmeenrJg bar scale (mlmmum scale one II'lch equals 50 feet), llnd dlilte pret:Il;.red:
_1./ All dimensIons,
........... Foolpnnl and :ilLe of all EXISTI NG burldmgs and structures'
L Footpfll'lt and sIZe of <III PROPOSED buildings and structures,
L All required setbacks,
-L All eJllsllng anel proposed pOints of access,
_ All fI~qulred sight triangles,
Identfflcallon of enVIronmentally unique araas such as watercourSes, wetlands, tree masses, and specimen trees, Inetucling
description and location of understory, ground cover vegelatlon and Wildlife haMats, etc, Locatlon of all publiC and prwate easements,
Loeatlon of all stMat rights-of-way wlthm and aClJaCel11 to the Site:
Locabrm of elll$lrng publiC and private utllllles. including fire hydrants storm and sanltery GeWElr lines, manholes and lift statiol'ls, gas
and water fines,
All parking spaces driveways, loadll1g ereas and vehicular use areas,
DePletion by shading or crosshatching of all required parking lot Intenor landscaped areas
LOG<ltlon of all solid waste containers, recyclmg or fresh handling arellS and OU\$lOl;\ mechanical equipment end all required screening
{per Secllon 3-201 (0)(1) El n(ll ndex #701}'
location of all landscape m<llen$l,
Location of all onsrte $l1d offsrte storm-water mal1agement faclllUes
Location of all outdoo~ lighting fixtures, and
Locellon of all existing end proposoo Sidewalks,
[J SITE. DATA TABLE: for eldsllng, requited, and proposed development, In wntlenflabular form
rJt P- land area In square feel and acres,
~\ ~ Number of E;XISTtNG dwellll'lg units,
y->~ Number of PROPOSED dwelling units,
U~ Gross 1100r area devoted to each use,
1..1 J A Parking spaces total number, presented In tabular form with the
I" p. number of reqUired spaces,
1 fA lotal paved area, Including all paved parking 5pacas & dTTVeways,
lJ~ expressed il'l squers feel & percentage oftl1e paved vehicular area,
I I A. Officlal records book an d page 1'1 um bars of a II eJllstmg uldlty
1J..Lt'_ easement,
~ Building and structure heights,
Impenneable surfuce rello (I S R ), and
'A Floor arila rallo (F A R ) for all nonreSIdential uses
o REDUCEO COLOR SITE PLAN to scale (8 X! X 11),
CJ FOR DEVELOPME.NTS OVER ONE ACRE, provide Ihe fOllowing additional Information Of! Sile plan
'* One-foot contours or spot elevations on site
~ Offs.le el8va~ons If requlMd to evaluate !M proposed stol'l'l'lwaler m<lnagement for the parcel,
WA All open spaoe ereas,
!_ Looation of all earth or water retaining waifs and earth tJel'l'l'lS,
~Lot llIles aM bl.llldlllg lines (dimenSioned),
!J/! Streets and drives (dIJ'l'lensloned),
J!.A BUilding and structural setbacks (dimensioned),
N/A- $lnJcluraloverhangs
EXISTING
REQUIRED
PROPOSED
ORIGINAL
RECEIVED
FEB 26 2007
PLANNING DEPARTMENT
Cl1Y OF CLEARWATER
8 \PI~~rln~ oepe~,,"~ntlAllpllc.dm Form"1d8Vl1loprl'ltl~t revl8w\~OOG Fo!n~"'lexr~le ShndSI~ CeWlk:lpl11e_~1 (FLS) 2(lOG doc
Page 4 nf7
12/21/2SS5 15 19
7275213500
MASTERKRAFT SCREFN
PAGE 09
H LANDSCAPING PLAN SUBMITTAL REQUIREMENTS, (Section 4-1102 A)
u LANDSCAPE PLAN with the following Information (not to excMd 24' x 36")
~ All existing and proposed struclures,
hl..Ua. Names of 8 b utll ng streets,
~~ Drainage and retenllon areas InclUl::Ilng swales, side slopes and bottom elevatiOns,
~1A- Delineation and dimensions of all required perimeter landscape buffsrs,
~ Sight Vlslb~lty tnanglel3,
\'JJ..t?- Delineation and dlmen:'lIOns or all parking areas including lani;lScsplng Islands and C\lrbtng,
I' If\. Exlstlng trees OIl-Slte and ImmedIately adjacent to the Site, by species, size Bnd locatlol'lS, ,neludlng drlpllnes (as indicated on required
~~ tfee survey),
tJ/Pr Location, Size, and quanlrbes of all eXisting Bnd proposed landscape materials, Indicated by a key relatmg to the pjant schedule,
~ lltJ..-.- Plant schedule with a key (symbol OJ label) Indlcaling the 9.::o:e, description, speclflcallons, quanlrbes, end spacing requlremenl$ of all
1..'1E- eXisting and proposed landscape materials, Includlng botamcal and common nemes,
I \JA TyPical planting details for treeS, pelms, shrubs &nd ground cover plants including instructions, 5011 mixes backfilling, mulching and
~ proleCllve me<l9Ures,
~ Interior lanclseaplJ'tg amas hatched and/or shaded and labeled and ,nterior landseap!l coverage, expreS$In~ In OOlh squere feet encl
IIJ percentage covered.
Colldltlons of a previOUS development approval (c 9 condillons Impooed by the Community Development eoard),
fi/A Irrlgallon notes
u REDUCED COLOR LANDSCAPE PLAN to seale (8 ~ X 11),
u COMPREHENSIVE LANDSCAPE PROGRAM applicatIon, as appllcaOle Landscape assOCISt8(J with the Comprel1enslve Landscape
Program shall exceed mll'1lmum Gods requirements to offset the areas where minimum Coda will not be met
BUILDING ELEVATION PLAN SUBMITTAL REQUIREMENTS (Section 4-202,A 23)
i:J BUILDING ELEVA lION DRAWINGS - with the follOWIng Information
..illB. All sides of a II bUlldmgs;
~ DimenSions,
Colors (prOVide one full sized set of colored alavatlons), and
Materials
lJ REDUCeO BUILDING ELEVATIONS - same as above to scale on a x, x 11
J SIGNAGE (Division 19 SIGNS I Section 3-1806)
o All EXISTING freestandmg and BtIach~ -3191'19, Provide photographs and dlmeNlIons (area, height ete), mdlcate wI1ether they will be
removed or to rem am
lJ All PROPOSe;O freestanding and attached $Igns, PrOVIde details Including location, Size, height. COlOrs matenals and C1rawlng,
freestai'ldlng signs shall include the street address (numerals)
1:1
Comprehenslv€ Sign Program applicatIOn, as appllee-ble (separate appllcallon i:lnd fee reqUired)
Reduced 51gnage propo!<S1 (8 Yo X 11) (color) If submitting Comprehensive 5191'1 Program appl,,;,allon
ORIGINAL
R
o
FES 2 6 2007
PlANNING DEPARTMENT
CITY OF CLEARWATER
3 \P'~~~1~9 o8p'r1I11.~t\Appl,c~Uon For""\d~""IOJlmert r~",A;lOO6 rOfms\fl"lObl~ St:lnclard D.v~I~~man11FlS) ~QC8 dOC
I>llge 5 on
12/21/2006 15.19
7275213fi1il0
MASTERKRAFT SCREFN
PAGE 10
K TRAFFIC IMPACT STUDY. (Section 4.202 A.13 and 4~801 C)
CJ Include If requlred by the Traffic Operations Manager or hls/l1er deslgn~ or If the propose(j development
Will deqrade tl'1e ~ccePt<lble level of sel'Vloo for any roadwEy as adopted In the Compmhenslve Plan
Will generate 100 or more new vehIcle dlrectlonallnps per l'1our and/or 1000 or more new vehicle tnps per day
Will effecl a l'leartJy roadway segment and/or mtelSsctlon WIth five (5) reportabla accldsnts wfthm the pnor twelve (12) mont/1 pefJod Or
that Is on the City's annual IIsl of most hazardous InterseclJcns
Tnp generation shall De based on the most recent sdltlon of ll1e Instllule of Transportation Engmeer's (!TE) Tnp General Manual
The Traffic Impact Study must be prepared In accordance WlII'1 III .Seeping Meeting' l'1eld wftl1 tI1e Tr.affic Operations Manager snd the
PIsl'Inmg Oepartment's Oevelopment Rev1ew McmlOltler or their desIgnee (727-562.4750)
Refer to Secl1or> 4-801 C of tI"oe COMmUl'lity Development Code for eltceptlens to this requIrement
CI Acknowledgement of rrafflc Impact sructy requirements (Applicant must InlMl one of tI1e follcWll'tg)'
Traffic Impact Study IS Included The study must 1I,c!uoe a summary table of pre- and post"devel(l~ment levels (If sel'Vloe for all
madway legs and each turning movement at alllnterseclKlns Identllled In the $(;oplng Meotlng
X Traffic Impact Sludy IS not reqUired
CAUTION - IF APPLICATION REVIEW RESULTS IN THE REQUIREMENT FOR A TRAFFIC IMPACT
STUDY AND NONE HAS BEEN SUBMITTED, APPlICAlION MUST BE RESUBMITTED AND SIGNIFICANT
DELAY MAY OCCUR
If YOll have quesl10ns r~l!Itdl1'l9 the!le requirements. contact tI1e City l"'ul;l110 Works Admlnlstr.atlon Eng1l'leel'rng Dep::u1ment al (727) 562-
4750
L. FIRE FLOW CALCULATIONSI WATER STUDY:
Provide Fire Flow Calculatloll3 Water Study by a FIRE PRoreCTION ENGINEER to asslIre aI'1 .adequate water supply IS available and 10 detennlne If
any upgrades ara requlrlld by the developer due to lt1e Impact of thl5 project Tl'1e water supply must be able to support the r'1eeds of any requu'oo fire
sprinkler, standpipe and/or fire pump If a fire pump 1$ required the water supply most be able to supply 150% of lis rated OlOlp80lty Compll",r1CE' WIth
the 2004 Flonda Fire prevermon Code to Include NFPA 13, MFPA 14, N FPA 20, NFPA 291 and MFPA 1142 (Annex H) Is reqUired
o Acknowledgement of fire now calculatlonslwater study reqUlremenls (Applicant must rMlal one of the follQlNlng)
-)r-
, '"
FlTe Flow Caleula~"nsJINater Slucty l!llneluciad
Fire Flow CalculatlonsANe.tGr Study Is not l'eqUrred
CAUTION - IF APPLlCAilON REVIEW RESULTS IN THE REQUIREMENT FOR A FIRE FLOW
CAlCULATIONSl WATER STUDY AND NONE HAS BEEN SUBMITTED, APPLICATION MUST BE
RESUBMITTED AND SIGNIFICANT DELAY MAy' OCCUR
If you have questions regardIng lhese req"lIren'!ents contact tM City Fire Prevention Department $1 (727) 562..01334
M. SIGNATURE.
STATE OF FLORIDA, couNTY OF PINELLAS
Swom to and $ubscnbed bafOre e thIS day of
...5.:;&.,1Z- '-'4.~ . A
r<4c.#-J~L JA- .JUrhe2-. .... ~
produced :: ·
as IdenbficaiiOi1 r $ My Commission ExpllllS Aug
~ -~!;";-
-'-,~", "" 'iJ';'-/ CommlSSlOn # DD46DO
~lj~'llf~i~~~" Bond.e.d..Ay N;;Itlnn~1 ~ota
" Notary public,
My commiSSion eJl!' res fj- f ---& {
RECEIVED
S lP1an"ln~ llnpn~nl!nt\Applk~i"n F"rl'III\da"'fl"prn~nl revlew\200C F"''''''\FlllXlble Slan~hl" olW8lopmn~t (RSI 20Q6 ~EB 2 6 2007
P~g~ {i f1f1
PlANNING DEPARTMENT
CITY OF CLEARWATER
· 12/21/2005 15.19
7275213f.lOIV1
MASTERKRAFT SCREFN
PAGE 11
N. AFFIDAVIT TO AUTHORIZE AGENT'
1 Provide names of all property owners on deed - PRINT fulll'lames
~Q.\ ~rr\.
2 ihat (I amlwe ara) the owner(s) and record title holder{s) of tne follOWing desCribed property (address or genernllocatron)
3 That thiS property constitutes the property ror whlch a request for a (descl'lbe request)
4 That the under'$.gned (haslhave) appointed and (does/do) appall'll
as (hisllhelr) agent(s) to execute any petlllons or other documants nElCBssary to affact such petl~on,
5 That thll. affidaVIt has been e/l;~uted to Induce the City of Clearwater, Flonda to consider and act on the above descnbed property,
6 That SIte VISits 10 the property are necessary by CIty representatives In order 10 process thiS application and the owner (ll,llhonzes City
representallVes to VISit and photograph the property descnbed II'l thiS appllcallon,
7 that the foregoing I s true and correct
Property Owner
Property Owner
Property Owner
STATE OF FL.ORIDA,
COUNTY OF PINELLAS
Before me the un.;lerslgned, an officer duly commissioned by the ISW$ of the Stale of Florida on thiS
fd3&/2.-</4-/l '7' ;;)007 persol'lallyappeared ~c'"Aa. .J;;/l/C!LEfJ---
Deposes and says thaI he/She fully \Jr'lderslI;lr'lds the Cl:lntonts of the affidaVit that he/she srgned
/ ~IL-
,
day of
who haVIng been firet duly sworn
"'''~'''''' CATHLEEN HELLER
.......,,~.PtJ'...'.
fm.;'\ Nolary Public. Slate of Florida
~ . : . ~ My Commission ExpIres Aug 9, 2009
W. ='.1/ CommISSIOn # 00460096
I',.I~O;::'FI,.U"~""'"
'"'' "." Bonded By Nabonal Notary Assn
~
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* 1555 S Highland Ave
Clearwater, FL 33756-2374, US
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of use MapQuest and ItS suppliers assume no responsibility for any loss or delay resulting from such use
ORIGINAL
RECEIVED
FEB 2 6 2007
PlANNING DEPARTMENT
CITY OF CLEARWATER
http //swltchboard mapquest com/maps/map adp?formtype=address&country=US&popfla
2/20/2007
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I RS Custom F abncatlOll, Inc' s closed top dJ ked generator sub-base dJ esel fuel tank has an
mtegral steel dike mt-;:::ded :.: COlltam l":ju,ds ;,om tank ,eak OJ rupDlre The d1ke has illtegral
protectIOn on !.he top to prevent prCClpltatIon, debns or other elements from errtermg the dIked
area
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Closed top diked generator sub-base fuel tanks are lJsted by Underwnters Laboratones under UL
# 142, Special Purpose Tanks (EfVT), S pecla1 purpose tanks are Instal led In accordance wrth the
flanunab Ie and Combustl b Ie L I qmds Code, NFP A #30 of the NatIOnal Fire Protect:lon
AssocJatlOn -
IRS Custom FabncatlOn Inc's lme ot Closed Top Diked Generator Sub-base Fuel Tanks IS UL
# 142 listed under file #MH27650 Each closed top dIked generator sub-base fuel tank 1S
manufactured to comply With the follOWing specificatIOns
STANDARD FE4TVRES.
· UL 142 Listed, closed top dike constructJ.on
· Inner tank - 10 gauge ( 135'') steel
· Outer tank - 7 gauge ( 179") steel, top and bottom
· E1ectncal stub-up area With removable end channel
· Normal vent
· Inner tank emergency vent Sized to UL 142 specrficatIOns
· Outer contamment area vented by tank deSIgn
· Three (3) 2" NIT fittmgs
· Two (2) ~"NPT supply and return fuel dIp tubes
· FittIng for low level fuel SWitch
· One (l) 1" NPT basm dram fittmg
· Lockable fuel fill
· Direct readmg mechanIcal fuel gauge
· Fuel III basm SWitch
· 8atm black pamt fimsh
o [f@U;QW~ ml
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~EVEl ODMf-NT SEHV1CfS DEP r
CITY or CLEAFllN,c\TEi1
---..-...- ...~
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL
IRS Custom FabncatJ.on IS approved by the state of Flonda Department of En vuonm entaJ
ProtectIOn under File #EQ-497
f DE P approval IS requIred on all double walled, sub-base tanks above 550 gallons mstalled III
the State of Flomm TIus optJ.on IS avaIlable for all tanks we manufacture, although only requued
on those tanks above 5 SO-gall on capacity
11us optIOn mcludes
/
Seven (7) gallon filVsplll contamment manhole (FDEP approved under FIle -#EQ-226)
With 4" NPT cap
2 90% High fuel level SWitch (FDEP approved under File #EQ-161)
3 Leak detectJOn SWItch set l" above the contamment area bottom (FDEP approved under
Flle #EQ.161)
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PUBUX SUPERMARKET INC # 866
Zoning C atJaS# 315A
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ATrENUATED
ENCLOSURES
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FEATURES
· Approved for use wIth Cat UL 2200 LIsted generator set packages (which allows conversion of UL 2200)
LIsted open engine generator set package to a UL 2200 LIsted enclosed engme generator set package
· Durable, weather-resIstant, steel enclosure, ZinC phosphate treated for corrOSIon resIstance
· Environmentally friendly, polyester powder baked paint enhances durability and appearance
· Safety glass, control panel VIewing window IS standard for easy momtorlng of operatIon
· Externally mounted emergenc.y stop button provIdes for safe operatIon
· Rust free stamless steel locks and hmges and zinc plated hardware
· Lockable enclosure secures access to fuel fill, 011 fill, coolant and battery
· Enclosures designed wIth smgle pomt 11ft for e<lsy h<lndling
· Lube 0.1, coolant and fumes dIsposal Jines termmated on baseframe
· RadIator site gauge provides easy verrflcatlon of coolant level from the ground
· Crrtlcal exhaust sllencrng system housed wIthin the enclosure on unIts
· Sound attenuated for safety and maXimum product life System factory Installed
· Enclosure deSign rncorporates rear-mounted cirCUit breaker and control panel and accepts a
complete range of attachments
· InsulatIon has UL94-HFl Flame Ratmg
· Factory I nsta fled
OPTIONS
· Skid base with dragging pOInt and fork truck pockets
· Interror mamtenance light
· Yellow, white, beige or ASA61 gray pdlm
C@IIS
LISTED
.. . ,: - ., . .. . - - (,\ ""__on --,. -'-. - -- '"-- ~-~-"-I7"'~'"--C..i'ER.PIL1AR
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ENCLOSURE DIMENSIONS
Generator Set- PGS Model _
, ~
.34$
EnclllSl.l re O. merlSlOIlS
, Length ~ mm'finch) eV - '_
Width - mm (meh)
-HeIght w/o base - mm jlnchl~' ,
Apprn}(. Weight of Enclosure....
- kg fib) "'. ' , "
. ,
58nO f2281
1600 /63)
200n /79-/,
~EnclOsure height Includes exhaust system/llftmg eye, excludes base helghL
....Enclosure weight only Includes Sound Attenuated enclosure exhaust system and extended base
1139 (25,111
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U S so ..""ed
<Cl 2004 Cate,p,lla r
AI) rI 9 hts reserved
Prmted 'n U SA
LEHE4557--o0 0--04)
Matenals a nd specrflCiln 0 ns are su bJect to ct>a nge WIt t> <I l.It n lit, ce
The InternatIOnal System of Unrt!: (Sll IS used In thos publIcatIOn
'~ G ENE RAT fl. SET -. .,,-'<'------""~"t)---.-. C.4TE.RPILLAR
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FEATURES
COMPLETE READY. TO-RUN SYSTEM
· Available In low emissions (EPA & CARB
certified for nonroad use) or low fuel
con sum ptl 0 n ve~SI-Ons
· Full featured system Indudes base, exhaust
flex, charging alternator, battery, rack & cable
and povve, terminatIOn stripS or CirCUit breaker
· Fully operatJonal upon delivery - JUst add fuel
and power cables
FULL RANGE OF ATTACHMENTS
· Wrde range of bolt-on system expanSIOn
attachments, factory deSigned and tested
· Weather protective and sound attenuated
enclosures
SINGLE-SOURCE SUPPLIER
· Fully Prototype Tested with certified torsIOnal
Vibration analysIs available
· Complete systems deSigned and bullt at
CaterpIllar IS09001 certltied facilItIes
· UL 2200 Listed configuration available
WORLDWIDE PRODUCT SUPPORT
· WorldWide parts availabIlity through the
Caterpillar dealer network
· W,th over 1,800 dealer branch stores operating
In 166 countnes, you're never far from the
Caterpillar part you need.
· 99 7% of parts orders filled wrthm 24 hours
The best product support record rn the Industry.
· Caterpillar dealer servIce technicians are
trained to service every aspect of your electric
pG~ver generat.on system
· Preventive mamtenance agreements
· The Cat Scheduled Or! Sampling (S.O'SS"}
program cost effectively detects Internal engme
component condition, even the presence of
unwanted fluids and combustion by-products
LEHEJ07J-O 1
STANDBY
PRIME
60 Hz
300-500 kW
275-455 kW
Caterpillar IS leading the power generation
marketplace With Power Solutions engmeered
to deliver unmatched flexlbllJty, expandabllrty,
relrablllty, and cost-effectiveness
.,. CAP 3456 ATAAC DIESEL ENGINE
· Rel!able, rugged, durable deSign
· F1eld-,r::>rc",,=n on !ho:,:::::;::,.d:; of applications
worldwrde
· Four-stroke-cycle diesel engine combines
consIstent performance and excellent fuel
economy WIth minimum weIght
. CAT GENERATOR
· DeSigned to match performance and output
characteristics of Caterpillar dIesel engines
· Two-thirds pitch minImizes harmonic distortion
and faclhtates parallel operatIon
· UL 1446 Recognized Class H InsulatIon System
· Load adjustment module proVIdes engine
relIef upon load Impact and Improves foad
acceptance and recovery tIme
mil CAT CONTROL PANELS
· Three level') of r:ontrolc;:, deSigned to meet
IndIVidual customer needs
EMCP II prOVides digital monrtonng, metenng,
and protectIon
EMCP 11+ proVides EMCP II features along
With full-featured power meterrng and
protective relaymg
EMCP 11+ Auto-Parallehng prOVides EMCP 1(+
features plus synchronization and load shanng
· Segregated low voltage (AC/DC) accessory box
prOVides Single pornt access to accessory
connections
STANDBY/PRIME POWER GENERATOR SET PACKAGE - FRONT VIEW
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Package DimenSions
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Wrdth 1110mm 437m
; Height-\~~:--~;:~/: ~':~7 :5~-:tJ ~2J In' mi;n ~ ;, ,~' tl5 l;Jn.,(i-~
Weight 3833 kg 84501b'"
Note Do not use for mstallatlon design
.Based on largest avaJlable generator
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U K. & U 5 sourced
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All rI 9 hts reserved
Prrnted In U 5 A
LEHE3073-01 (10-03)
Mate rl a Is and spec:mcatl ons are sub)ect to eh ange with 0 ut notice
The International System of UnrlS (51) IS used In furs publrCiltlon
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Pee 21 2009 Z.43PH
JRS CUSTOM FABRICATION
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_iatiiJ~1&
Sub-Base Diesel Fuel Storage Tanks
JRS CU5tom fa.brtcation, \nc.'s dosed top diked generato( SUb/base dre:sel roel tank has an rntegral
steel dike Intended to ecntaln ltG'tl~ from tanK leak. or ruClture. Tne dIke ha9 lnt~gral prorecUon on
the. top to pr.e,vent predp!ta.t1on. de.brIs or other elements Prom entenng the c:Ilked area.
crose.d 101' diked generator sub-ba;se fuel tanks are listed by Underwriters laboratories under Ul
.#142; Special Purpose Tanks (EM). $pedal pt.ITPose tanld are to be Installed In a:o;ordance Wltn the
Flammable and Combustible L.Jqu:Jds Code. NFPA #30 of t'h_e Na'donal FIre protection Assodarton.
JRS Custom. Fabrication lnl:.' s line of Oosed Top Dlkl!d Generator Sub-baJi8 Fuel Tanks. (5 Ut -#142
lfsted under lile #-MH276S0. Each closed top diked generator 5'l.lb--ba:;e fuel tank Is manufactured to
comply WIth the followtng spec.t1lcatlons
ST.ANOARD Ri47llRES:
.. UL 142 UJi'ted. dosed top dike C:Ol1s.tnIction
. lnner tank-l 0 gauge t: T~5" steef
. Olltcitai'ik.~ 7 gauge (,179") st~l top and bottom
. Electr1ca1 sUlb-up area with removable end chanlil!!
. NormaJ vent
.. Inner tank emeTgraMcy vent sized to ut 142 spedfkat,onJi
. Outer co(ll:atnmenr area. vented by tank deslgh
.. Three (3) 2" NPT fittings
. Two (2) ,Vii'" rlPT ilUPPJy and return rue! dip rubes.
. Fitting for low level fuel s.witch
.. One (l ) 1" NPT bas; In draJ n fitting
.. Lockable fuel fall
. Direct readIng mechanIcal fuei gauge
.. Fuel In basin swltc:h
.. Satin biack paine finlal1
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186 N'W 68\11 Ayen ue, Ocala., Florida 34413 2: \/0 u:e (352) :I S 1-2] 00 Fax (3S 2l 35 1 -5 &81
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G-riffin InternatIonal Inc.
186 Bayside DrIve, ClealVVater, FL 33767
Tel- (727) 444-4495~ Fax: (727) 444-4496
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FYI 2.
January 24, 2007
TO:
City of Clearwater, BuIldmg Official
FROM
Griffin International Jnc
186 Bayslde Drive
Clearwater, FL 33767
This IS to advise that I hereby gIve penmsslOn to
Publix Super Markets Jnc
POBox 407.
Lakeland, FL 33802-0407
Robert Newman
Telephone # (863) 688-7407
who IS my tenant at La Belle Plaza, corner of Highland Ave S. & Bellaire
Road, Clearwater, FL 33756 to act on my behalf during t~12t.nnitting
process for bUlldmg improvements to PUBLIX STORE #8
~ ~ ~ ----
I ;t" ~ f /? ~ ,
C -{1/'Z/ /{/, / c;tD' ~ ~~1/(j{~/c ~ C" ?;:?St !t)7
Signature & Tj.tIe
\,.,. ..-'./
SWORN TO AND SUBSCRIBED before me thIS
~/h' . ,2007
STATE OF FLORIDA
PINEL LAS COUNTY
L/ J/ ;/' ,
NOTARY' ;C:t/)(A,/ Ji._-I)l4/-~t:o.p---v
f IF'
JJJ day of
"'''~::'''''' KARl KOWALSKI
1i:\ Notary Pubbc . S1ate of FIofida
1 f.1 . = Commlsston Explres May 16,2010
~ Commission' DO 553118
.....,. Bonded By NeIionaI Notify Asan ~
SEAL
PrInted Name ofNotary/Commlssion expires on7r/.;l!,,~ I~ ){)(Q.
d
~
[~ 1 ~ ~t'!l>. 'J :1} ;"","'1
IL,} OJ. '1 <j 7
jW ~J '~.;r;,.Y : j i~1>..'
August 28, 2006
Attn: BUlldmg Department
RE: AUTHORIZED PERMITTING AGENT
To Whom It May Concern:
Please be advised that Rachel Hunt is the authonzed permitting agent for Publix locations
mcluded m Wave II of the Generator Installations for Pubhx Super Markets, Inc
PUBLIX SUPER MARKETS, INC.
------
By: ~4~
Bob Newman
Director of Construction
SWORN TO AND SUBSCRIBED before me ttll~9,~ day of (\l~<;f-
200{,by BOB NEWMAN, Director of Construction of PUBLlX SUPER MA , INC., a FlOrida
corporation, on behalf of said corporation, who is personally known to me.
NOTARY:
i~~~';~~ Jodi L Sloan
f-- ,.@. '--% MY COMMISSION # DD179793 EXPIRES
~.&..{l January 13, 2007
-t,'1';",:;;$-' BOIWElITHaI TroY FAJN INSURANCE.INC
SEAL:
Printed Name of Notary
Commission No. And Expiration Date
./
\~, -I C P [ S Y 0 ~ ? I l I GIS A ....~ E A S U "':I E: ~I
Gnffin International Inc.
186 Bayside Drive, Clearwater, FL 33767
Tel: (727) 444-4495; Fax. (727) 444-4496
,::; t...:
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VCW\fr.>' I..:. \,;~
v III', /1,,_ ~ '-_
l ~ ~ 1 !.o,[
01 F. -, I." r D
E8 _/
Pi-! 2
January 24, 2007
TO
City of Clearwater, BUIldmg OfficIal
. ~
FRO IvI
Gnffin IntematlOna11nc
186 Bayslde Dnve
Clearwater, FL 33767
ThIS IS to advIse that I hereby gIve perrmSSlon to
Pubhx Super Markets Ine
POBox 407
Lakeland, FL 33802-0407
Robert Newman
Telephone # (863) 688-7407
who IS my tenant at La Belle Plaza, corner of Highland Ave S. & Bellmre
Road, Clearwater, FL 33756 to act on my behalf during ~~Qllltting
process for buIlding Improvements to PUBLIX STORE #~)
. 0t:Gc Ck Ie t{;lav{;. ?r Molt/)
Signature & T~
SWORN TO AND SUBSCRlBED before me this "'-Cj
~/U' ,2007
STATE OF FLORIDA
PINELLASCOUNTY
[,/" j /. ;j~-
NOTARY. ~ ~~~
t V
day of
KARl KOWAlSKI
NolBIy PublIC ' State of Fklrida
. CornmIaKln Expll9sMay 16, 2010
(Nllllillltilw\ . DO 553118
8IndId By NIlIonaI NoIIly AI8n
SEAL.
Pnnted Name ofNotary/ComnllSSlOn expIres on~ l~h(O.