Fort Walton Beach Council agenda — 05-14-13--regular — reading text

Phone: T50 ta. p5- 311- 7 _ Email SSt CK -O. CoM PROPERTY Ss}RE-0 G1— '. / OWNER:_ Name: eA/ LLL 11i PA AfMv Tax Parcel ID Number: t3 — Z3- 2- - L 0 4(o3- Vm0Z LegalLegal Description:Description: 1717 Attach separate sheet if necessary) RR- - 11 LjLj RR- - 11 EE R-R- 22 YC MX -1 REC MX -2 MB CTP CF CG PUD Zoning District: Are there any liens or Yes /, No If yes, briefly explain why. _ existing code violations on the property? S)(, A),Sy ri Ll@. OL6- Briefly Describe the PPY Proposed A/ Improvements To the property: Pow + DlbrT-4L NOTE: Please attach minimum of two ( 2) photographs of property.  6u ;pund lueio VLIO to prevmV : LVEZ) 3S 6em Jed u1163 OZ - uolieollddV lueiD adeoslaails :luawgoeNV ra n am YUN a Have you ever received a Grant or Loan through the CRA and /or the City of Fort Walton Beach? Yes. V-Vo_. __... Scope of Work (What work will be com feted ?) ( Check all that apply) Landscaping _. j( Public amenities ( benches, trash can, etc.) d Irrigation system___ El Site preparation 1- 1 Lighting: _.. X_ Other 1 Required Documents: Site plan depicting the proposed improvements and improvements on adjacent public right -of -way ( streetscape). Complete list of amenities to be provided in the public right -cf -way, or in an easement granted by the property owner to the City for purposes of streetscape improvements. Detailed cost estimate for improvements to the public right -of -way and /or proposed improvements to adjacent private property. Cost estimate shall include a breakdown of project costs to be paid by the applicant and the amount of the grant request. N  6ulpund luejo V2D o pJemtl : LbE) 3S umJed uilBg OZ - uoollddy lueJ aeoslalS :luawyoelltl [ - u OWNER' S CONSENT AND DESIGNATION OF AGENCY a I certify that I have examined the application and that all statements submitted are true and accurate to the best of my knowledge. I understand that the Streetscape Grant Program benefits are contingent upon CRA approval and funding availability and are not to be construed as an entitlement or right of a property owner or applicant. I further understand that I am responsible for providing permits and /or any construction documents required for any work. Further, I under stand this application; attachments and fees become part of the official records of1he City of Fort Walton Beach, Florida, and are not returnable. Owner' s/ Signatt7re The foregoing instrument was acknowledged before me this day of 20 by , who is personally known to me or has produced as Identification and who did take an oath. Printed Name of Notary Public) ( Signature of Notary Public) Commission # . My commission expires Notary' s Seal) RECEIVED APR b 2013 BY: CIF  15. 4. 1 Estimate Date Estimate # 4/ 4/ 2013 685 850. 581. 7446 850. 315. 0450 Fax 119 Staff Drive NE Ft. Walton Beach, FL 32548 Name / Address Dan's Discount Jewell & Pawn Fort Walton Beach, FL 32548 Rep Project '.. Description Gast Total Qty Item 24, 268. 00 24, 268. 001 I AWNING Custom Back -Lighted Atoning "Waterfall" Style in REDdrradieated to White with Translucent Blue ( and Red): Dan' s Pawn, etc- 48" high band with 84" high " peaks" x approx. 648" along front, 396" along South side and 192' alongNoilh side - Installed 1 Pekin Sign... Custom Pylon Signage: ( Double- Sided) in "V" Formation Flagged on Single Pole to 39, 595. 00 39, 595. 00T Include Ncw Steel Pole in Concrete Fool, with Upper Inlemally -Lighu d Cabinet 24" x 100" and Full -Color RGB 19MM W atchPire L.E.D. Elect onie Message Caner (Includes Wireless RF Communicution) a PLEASE READ ENTIRE CONTRACT CAREFULLY, THANK YOU FOR THE OPPORTUNITY TO CREATE YOUR VISION. anan 1. Salc AX ac A World of Son. shall aansffe or ddiva to Boy¢, and Buyer shall accept and pay for service /product, as per toms listW on Subtotal 63, 86300 this c." act. EE r 2.' tort. Plucm Delivery -Shall be as armed on this , ort oet. 3. payment Tenua " No Excepdorv" 50 % Oaposit at eseoution, balance Sales Tax ( 6. 0%) 53, 93178 Mar to or at time of trdoarr m delivery. IfBuyer does not pay according Q to lens, Buy" agrees to pay all expemaes in collecting full payment, na limited to, yet o oluding interest, time and aft, an IeQ¢ I rcee. Total 67, 194' 78 4. Sales Tax. collnuxl by A World of Signer Photo Florida Dept of ReSur. molts: Buyer is tcspansible, mticsx naetwise stand in this caabsat. 6. E ateneal: This conuact daes not Include electrical uiriog extending bcymd the portecter of the s , iccl aaduod to toe electrical source. T Couteam Ford: All sen5« Quodtwt remain we pa raw of A World of CustomerCustomer SignatureSignature & & DaleDale Signs until egfecment by all parties listed in contracts complete. Pa`Pa` g,g, 164164  15. 4. i Sin Scene QUOTATI " 10 erry Rd. SE Quote Number. 4 Fort Walton Beach, FL 32548 Quote Date: Apr 24, 2013 USA Page: 1 Voice: 850- 243 -0200 Fax: 850- 243 -0224 wrTn BRYCE 20 EGLIN PARKWAY sa3cm Fort Walton Beach, FL 32548 w0N dl Cugmer ID Payment Terms LL DAN' S PAWN TED O