DRB96002
DRB 96002
1223 Cleveland St
Taiost Tai Chi Sign
3!OJ
(-\- OL\ ~ \ 05
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PLANS AND SPECIFICATIONS FOR Am PROPOSED SIGN SHALL BE SUBMITTED IN DUPLICATE. DRAWN TO SCALE AND INCLUDETHE ~
FO~O~NG ~
~
(0) SIte Plan
(b) Dlmenslons and elevations (Including the message) of the sign.
(c) Lot frontage on all street rlghts-of.way
(d) Maximum and minimum height of the sign. as measured from finished grade,
(e) Local1on of the slgn In relal10n to property lines, public rig hts-o f.way . easements. buJldlngs. and other signs on the property
(Pole slgns must be a minimum of 5 feet from property Une )
<0 Dlmenslons of the sign's supporting members
(g) For illuminated slgns. the type. placement. Intensity and hours of illumination. (Not more than five (5) footcandles of light
Intenslty for commerdal slgns.)
(h) Construcllon and electrical speCifications. for the purpose of enabling determlnallon that the sign meets all applicable
structural and electrical requirements of the BuildIng and Nallonal Electric Codes, (Indicate if UL rated.)
<D Inventory of all exlstlnQ sfans on the same property and/or buIlding on which the sign Is to be located. Indicating the number,
type. use e g. property Idenl1flcatlon. business Identification. etc) location and surface area (If "none." so Indicate.)
· All applications for signs shall include detail drawings showing how the sign Is to be constructed and secured All slgns greater
than 32 square feet In size shall have structural drawing signed and sealed by licensed Florlda engineer or archItect
8J.SQ. please note that wind lood requirements should conform to the 1991 edltlon of the Southern Standard Building Code
LOT
BLOCKIlRACT
SUBDIVISiON
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PROJECT ADDRESS
( '3.- 2. 3 Cc....s. V ~ L,.4-,v'D 5' T.
PARCEL NUMBER
- I
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OWNER
M P L 72H\'--Ti
I Z. i'3 CL c: v~ l.w~ S--;-
TELEPHONE
ADDRESS
ClTY
C<.. VJ \l(...
STATE
(-i.
ZIP ""'J "'fc (~
LESSEE (OF PROPERTY OR BUILDING) -5TI!: v'.f {-fowc
BUSINESS NAME 11\-0 is"( (AI etA I -:5C'c. (""Ti or" FLIt _
ADDRESS 1310 N. jhOAl,t2VC 5"1"",
CITY /STA TE/ZIP CODE Tlh-l.- ..+ H+S 5 C---c: I Fe..?> L "3 {.\ 3
DESIGN REQUIRED El
REVIEW NOT-APPLICABLE 0
BOARD
DISTRICT URBAN CENTER..BJ.
CLRWTR BEACH 0
N GREENWOOD 0
TELEPHONE q 0 <( ~ 2- "2 cr - '5'1 3d'
STATUS DA~~
APPROVED )gt 6/'2B/q~
DENiED 0 ' I'
TELEPHONE .3); - S-/~ -'f6 J "J
CONTRACTOR
B.1^t ( 0t6~(c;..+n(l.f LIe.
STATE NO
I Z- '1 '? <i f./ l.-.f 1"( 5, N
E.r () ()o 00 3Y
C l6tyi..,J o1-'f""6iL (~
CITY STATE
ZIP 3'f lbZ-L
ADDRESS
CLEAR'vVATER LICENSE NO.
TYPE OF SIGN. _ POLE
_ PROJECTING
- WINDOW
SURFACE AREA IN SQ FT
t
VALUE OF SIGN
_ PORTABLE
100 I(Q
_ CANOPY. AWNING OR MARQUEE
FAc.;;' C thlNo E ,4 t5?cr";) nM:.
~OTHER t/NOE!I..c",fNt,"'r 51t-...)
_WA~
_ GROUND
ELECTRICAL PERMIT NEEDED?
/lI~
FOR SIGNS LOCATED WITHIN THE CITY EASEMENT ALONG US 19. ESTIMATED REMOVAL COST
143O.{)Ola.GC . ovel-
5-96
CENTRAL PERMITTING
100 SOUTH MYRTLE AVENUE
P.O, BOX 474B
CLEARWATER. FLORIDA
(B 13) S62~4567
SIGN PERMIT APPLICATION
"0
PLANS AND SPECIFICATIONS FOR AN'{ PROPOSED SIGN SHALL BE SUBMITTED IN DUPLICATE , DRAWN TO SCALE AND INCLUDE THE ~
FOLLOWING. ~
=l
(a) Site Plan
(b) DImensions and elevations (Including the message) of the sign
(c) Lot frontage on all street r1ghts-of~way
(d) Maximum and minimum height of the sign. as measured from finished grade
(e) Location of the sign In relatlon to property lInes, public rights-of-way, easements, buildings, and other sIgns on the property
(Pole signs must be a minimum of 5 feet from property line )
(f) Dimensions of the slgn's supporting members.
(g) For illuminated signs. the type, placement, Intensity and hours of 11Iumlnatlon (Not more than five (5) footcandles of light
Intensity for commercial signs )
(h) ConstnJctlon and electrical speclflcatlons, 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 )
<D Inventory of all exlstlna slans on the same property and/or building on whIch the sign Is to be located, Indicating the number,
type, use e g property identlflcatlon, business Identlficatlon, etc) location and surface area (If "none.M so Indicate)
· All applications for signs shalf Include detail drawings showing how the sign Is to be constructed and secured All signs greater
than 32 sqoore feet In size shall have structural drawing signed and sealed by Ilcensed Florlda engineer or architect.
AJ.SQ. please note that wind load requirements should conform to the 1991 edltlon of the Southam Standard Building Code
PROJECT ADDRESS
(ZZ 3 C/evefAAliJ -Sf.-
CI e A ,e c...J A; 1-et?.1 ,c,--
,
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LOT
BLOCK/TRACT
SUBDIVISION
PARCEL NUMBER I /
OWNER 111 .t' r JtlFA ( ';5 fA k- S r/f/}ICe5
ADDRESS / S- I S- ;?, AI c;,. IF AJ t"., 15/ iJ/) . <It i' $0
I
/
/
TELEPHONE 9'y \ - .3 G '" - 6 L((." 0
CITY SA'ZAS" fA STATE F L ZIP JyZ -"5"((<>
LESSEE (OF PROPERTY OR BUILDING) fA- (0.'5 f -r rfl
BUSINESS NAME ( 2 2 ~ C I p tJ e IArJ.D S--I-
ADDRESS C/eAR('~,)Alp~ ( ~/
c: hi
_ell:. AYS
TELEPHONE
CITY C/t"ALtJA le;2 STATE FL ZIP
TELEPHONE 51 C::> - '1 Go- ? I
5T ATU5.
APPROVED 0
DENIED D
&'{b- C{71$30
.3 <,t4,. 22:-
DATE.
CiTY/STATE/ZIP CODE
DESIGN REQUiRED
REVIEW NOT-APPLICABLE
BOARD
CONTRACTOR Lex-/:: .R ,,/)t:.. r=-
DISTRICT URBAN CENTER
CLAWTR. BEACH
N GREENWOOD 0
ADDRESS
STATE NO
IJ7fS- ~1M ~f. SA
(!- -;3'-11
CLEAR'vVATER LICENSE NO.
TYPE OF SIGN. _ POLE _ PROJECTING - WINDOW - CANOPY. AWNING OR MARQUEE
~ WALL
zl~
SURFACE AREA IN SQ FT 2 q
-2.<1- I
FOR SIGNS LOCATED WITHIN THE CITY EASEME NT ALONG US 19, ESTlMA TED REMOVAL COST
1430-0018-GC - OVGI.
_ GROUND _ PORTABLE _ OTHER
\
VALUE OF SIGN 1'2... P ? . 0 0 ELECTRiCAL PERMIT NEEDED?
.
YE..S
5-96
statement at Authorlzatlon 9 Any application torm ...mIch Is slgned by an IrdMdual ofhef them the property owner shan be
accompanied by a notartzed statement of authorlzatlon consentfng to the slgn placement or, tf the property or blJldlng upon
'V.41Ich the sign Is to be located Is leased, a copy of the exacufed lease shan accompany the application form. In the event the
bU1dIng Of property Is leased and the application torm Is signed by an IndMdool other than the lessor. the appllooflon shall be
accompanled by 0 notarlzed statement of authorization slgned by the lessor consenting to the sign placement and a copy of
the executed lease. (Not required for portabfe signs/face changes or signs approved by variances.)
CERTIFICATION
I cerf1ty that alllntormatlon submitted on thIs application and attachments thereto are true and correct to the best ot my
kno'HIedge and belief I und9fstand that any Inaccurate Information may result In revocation ot the sign permit and removal
of any sign erected pursuant to such permit. I 'HIli be responslble for the Installation of the subJect sign In accordance with the
sign regulotlons of the oty of Oearwat9l.
I ackno'HIedge that 011 nonconforming signs are subject to the amortlzatlon provlslons contained In Secf10n 44 55 of the City of
Oeorwat91 Code of OrdInances and must be brought Info compliance before October 13, 1992 Furthermore, IlXlderstand that
any Investment mode In or to a nonconforming sign durIng the amorttzoNon period. including but not limited to message
changes, shan not consNtute grounds for noncompliance or compliance later than October 13, 1992.
~hePf'-- g/0wN ~c-a ('~f-e..-
Print Property O'W'fl9r (or representatlve) Name
{I~ ~J~d:r
Property Owner's SIgna re (or authorlzed representatlve)
(FOR OFFICE USE ONLY)
No 0 -ff.....Q t: A t-f A c.AJ.?..D S'I G, A) S
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Zoning
S1gnage PermItted
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Zoning Approval ~.p-).).. Mth-....P--
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BLJldlng Approval . }../
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