I have a body lift and aftermarket bumper so clearance is not a problem. I also got rid of the ugly third light and made one to fit the spare.
I have seen an OEM style mount (I believe quadratec has it) that places the carrier slightly higher. (Note, I am not referring to the adaptor plates that attach to the stock carrier and raise the tire but also pushes it further out. Pushing it out puts more leverage on everything)
2003 TJ, 33" BFG AT, 2" BL, 2" BDS spring lift, 55w DDM HIDs