PSP95-24
PSP 95-24
201 Poinsettia Ave
Sky Tower
~
\,
;;
PlATS 300.00
TOTL 300.00
CHCK 300.00
s9agA10:22NOV.02~95CHNG .00
LINE 05
~ .0'
~'" \)
-y\. .
l,
....
~/ d
-------'
(\
PLATS 300.00
TOTL 300 .00
CHCK 300.00
~:~:~~'~7 r(~
\J \;C
J VJ~
~"-
~
CENTRAL PERMITTING DEPARTMENT
10 S. MISSOURI AVENUE
CLEARWATER, FL 34616
Telephone 462.6567 - Fax 462-6476
cfif~
APPLICATION FOR SITE PLAN REVIEW
-
\pphcant (Owner of Record) r: ll'f 0 'F C k .,:::A'Ru..)A--\Q'iZ.. Phone J?J,3 I J.jl:J'2- In 7'DO
,ddress I \ ".J c:; m (l~ E 0 ~ A \/pj. 11 J P ~ City Q Le.t::)l';:>u"IA-lP-R State F L ZIp 0' 4- h I '7
lepresentatlve ...J ;:;I'Yll~5 f? aROfi.A,,-) Telephone (gJ'3 1 .2")[- 'O?5oq
4.ddress ~ ltf" (3l-'r-H.JC,A A \/P..... CIty -r-rq,1"YfI)f} State FL. ZIp ..13(",Ol.o
r>reparer of Plan PF YOL7t.JI'~ fJJL..I"\EFtf'c:,./ 'NC j6JltllS> r.I7E.Y.:x.l~rotasslonal TItle ~F'ee6lcjl.)AL- r:-A.:JI{,IuEl.r;J!.
~ddress €302... Not.Tlt fe.l.cttER. ~AD City .cj..EAR:NAf~ State FL- ZiP '346:z.'5
Telephone (f313 ) 4-4-7. +6Zt.- -==---
TItle of Proposed Site PlanlProJect (5~YTOt-L) ~R, ~
Parcel Number 0& / ~q / 1$ / },''''It.O{... /000 /0'00
General location and Address(lf known} of Property
s
Zonmg C'?V (PRO'RJ._<eP}
land Use Plan ClasSification R F}.i} ('PR..ncn..r->n)
Existing Use of Property c.. \ T'i .vA- "'K \<J N ~ 1-01
Proposed Use of Property 5 \oJ.. \~LJ.jC;;:R ( 01 1T':T)OoR. (' f) vn ~ RR'(l,1 Po l- 'RA" l""'P.AI I (1) )
If variances and/or conditional uses are mvolved, explalO hf more space reqUired attach separate sheet} f..J ()
YOU MAY BE SUBJECT TO A PARKS AND RECREATION FEE City Code of Ordinances, Sees 5401 - 5435 rBQUlres a parks and
recreatIOn Impact fee to be paid for all nonreSidentIal projects over 1 acre m size and all reSidential developments Has thiS property
compiled with these ordmancesJ _ It yes, explain how and when
Assessed Just value of property (attach venflcatlOn)
Most recent sales pnce (attach venflcatlOnj
--:~ ..... - -. -
As of (date)
Your Fee for thIS Site Plan ReVIew IS S
Please submit that amount With thiS completed application
The applicant, by flhng thiS apphcatlOn agrees to comply With SectIOn 4321 of the City s Land Development Code
ATTACHED FOR YOUR INFORMATION AND COMPLIANCE
J~~
(Owner of Record)
THAT SECTION IS
Signature.
.If the apphcatlon IS Signed by an mdlvldual other than the property owner (e g the representatlve). please attach a statement Signed
by the property owner authonzmg thIS mdlvldual to sign the apphcatlon
1) THE SITE PLANS MUST BE DRAWN WITH THE NORTH ARROW TO THE TOP OF THE PAGE
21 THE SITE PLANS MUST BE FOLDED TO NO LARGER THAN 9~ x 12~
3) SITE PLANS SUBMITTED SHOULD BE LIMITED TO ONE PAGE IF AT ALL POSSIBLE
4) SUBMIT 16 COPIES OF THE SITE PLAN FOR REVIEW WITH THIS APPLICATION
ReVIsed 9/95
CITY OF CLEARW A I crt
CONCURRENCY REVIEW
STANDARD FORM
Applicant lAlQrmahon R~.p.
2 Owner InlormatlOn
Name J Ampb G-K'Ot::A-"-..l
Address :1 \1(> R h.'AI\.)("A AV-Q
iA-vf)PA Fl .'"'3~~np
}
Name Cxry fH= ('J..I::::''A-R~\PY--
Address J 1'J.. 5 ();('~ AVf?
C.hP.~.Qt.OA-ler. FL .,<-I/rl"
Telephone ( 5\3) a") l~ ;As-a q
Telephone (&'13) L.I b'J. w b70D
3 Type 01 Request
BUIlding Permll
Annexation
Site Plan Aevlev..
a PrelimInary
b Final
c Certified
V land Use Plan Amendment
V Rezoning
Tree Removal Permit
SubdiVISion Plat Review
a Preilmlnary
b Final
Clearing & Grubbing Permll
Vanance
DR I
ConOlTlonal Use
Other
t, Street Address/Location of Request
~l~n\A ~VeN,-,pj RP~u)~!';"f...1 N1~1~P. STReeT A}.:l'D
(I.-A I.?~LU Pt-y 131-..(3)
==a-.. - -. - ~~~ -
5 Description of Requesi
S~'fIO~ (f)IJTJ7fJOR c.Oml""net-fl_,A-l. "Re~~~ ')
Phase \
c:::..>MM.~Cw
Phase \l
Pha se l\l
a Type of Use
b Number 0; Units (II leslden'llall
c Gross Floor Area (11 nonresldenllal)
d Proposed Sl2e 01 Water Meter
e Gross Acreage of Site/lot
j $12e of Dumpster(sl
r; 1'=7 '$<11. PI"'
067 At:.
CENTRAL PERMITTING DEPARTMENT
10 S MISSOURI AVENUE
CLEARWATER, FL 34616
Telephone 462-6567 - Fax 462-6476
APPLICATION FOR SITE PLAN REVIEW
\pphCDnt (Owner of Recordl ~ l""f"i 0 'F C h...~AR0'A--~ Phone { }():~ J .l.-flp'l.- In 700
\ddress -lJ'J S ()C;C-EO~ AVPl1lJe... City c.~f?:tJ.m-le.K.. State FL ZIp ..:34-hl '7
leprcsentatwo ..J lC\r""Y\GS f?-G-J3..QS.At,) Telephone (SI:.3) .;1.')1- 05"O~
:i.ddrnss ~~ I-:Rt0c:A A\lP.... CIty -rRt"1'}f)A- Stete FL ZiP ~~=3l" 01.0
)repllrer of Plan 12E".Yo..:>t<..ll"~ ~IN!':.F.t:~ 1 I~CuIt7l7 r.Vkr.....,~rolos<;;lOnal Title ~~,~AL J;.4.XIl.l,"-E[..e.
!l.ddrcss f30L Not.llI f€LcItER Sc1AD City ":::LEARWAT~ Stete FL. ZiP '546.t.'5
Telephone (613 1 4-47 - +62.2-
Title 01 Proposed Site PIRn/PrOJect ~V-J)::::R L.. c..
)
P arcol Number 0 8 I ~ 9 / IS / },""it. Q (;, / 000 / 07 00
Gonllr61 LocatIon Rnd Adrlress{lf known) of Propllrty l=t))\"\S.5l.JTi"\Pl A\/~Oe.. r.3~ I"nAR1A~I"Je.
S \ ~1:.... A-I0D Q.A\.J"$\8 u..) 'A'I Bf..-v'n
Zonmg c:'PP (PROfb..<eP) Land Use Plan ClaSSificatIon R \<=: ~ (PR~)
Exls tlng U<;; e of Propert y C.1"\'1' 4?A- rz KJ 'N G.- ~,-
Proposed Use 01 Property 5 \-l. \rTOl)Jt:;;;R (OlJTJ)OOR C' Om YYJ RR~1 A I- RA" no..fGJ I c::t..) )
II Vllflances and/or conditional uses are Involved, e)lp181Jl (If more space required attach separate sheet)
f...Jn
YOU MAY BE SUBJECT TO A PARKS AND RECREATION FEE City Code of OrdlJl8nces, Secs 5401 " 5435 reqUires 8 parks and
recreat Ion Impact fee to be p81d for all n onres.dentl81 prOjects ovor 1 acre In su:e snd all resld entlal developments H as thiS property
comphed WIth these ordinances? If yes, e)lplaln how and when
Assessed Just value 01 property lattach verlflcatron)
Mo<;;t recent sales pflce {attach verificatIOn}
As of (date)
Your Fee for thiS Site Plan ReView IS $
Please submit that amount With thiS completed application
The applicant, by flhng thts applicatIon agree<;; to comply With Section 4321 of the City s Land Development Code
ATTACHED FOR YOUR INFORMATION AND COMPLIANCE
J~~
(Owner of Record)
THA T SECTION IS
SI gn alur e 4
411 the apphcatlon .s s'gned by an Ind,vldual other than the property owner (e g the representative), please attach a statement s.gned
by the property owner authOflllng th.s IndiVidual to Sign the applicatIOn
1) THE SITE PLANS MUST BE DRAWN WITH THE NORTH ARROW TO THE TOP OF THE PAGE
2) THE SITE PLANS MUST BE FOLD"'ED TO NO LARGER THAN 9~ l( 12"
3) SITE PLANS SUBMITTED SHOULD BE LIMITED TO ONE PAGE IF AT All POSSIBLE
41 SUBMIT 16 COPIES OF THE SITE PLAN FOR REVIEW WITH nlls APPLICATION
ReVised 9/95
ClE:A".vAlLH
r'-'-y
/,
NOV.02'95 1
PLATS
TUTl
CHCJ(
CHNG
NQ5932
300.00
30iJ.OO
300.00
.00
10:2~ A