I know where you are try to go with the sandblast background digital version for print Tommy...you need try more photoshop embossing to create more digital texture on the background...
I've done alot of similar actual sandblast signs and've done job drawings to fit also...
Design wise, your shape is nice, florilis embellishes can be fitted, but on professional Pediatric clinic level the name copy is too extreme with the big S's on the front and end...
Concentrate less on the plaza name and more on the professional name of the clinic....after all, the sign needs be about the clinic and not the plaza name....I would use a large cap S and a large cap P on Southern Pediatrics instead of your design....I would even try upper and lower case on the clinic name to see how it looks visually and balance it with the shape and embellish ornates...
The plaza name could actually be done in a "subordinate" design element like an oval to fit...perhaps even a double blasted effect to make the plaza element more subtle....
Overall spatial design is first key on sandblasted signs...the background is just enhancement of the process...consider all that since you are seeking to "fake it" digitally....
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