Fort Walton Beach Council agenda — 10-28-14--regular — reading text

M Are there any liens or Yes El No If yes, briefly explain why. N c existing code 0 violations on the fi property? Q Reconstruction of existing parking area to include landscaping and a hard scape improvements, E' c.5 Briefly Describe the Proposed c. to Improvements y To the property: to• c d E NOTE: Please attach minimum of two ( 2) photographs of property. a a 1 Packet Pg 120 1.,  152a Have you ever received a Grant or Loan through the CRA and/ or the City of Fort Walton Beach? a) Yes a No If Yes, please explain: 0 Total Streetscape Project Cost: $ 100, 064. 07 Total Funding Request: $ 50, 032. 04 M N Scope of Work (What work will be completed?) Check all that apply) u_ Landscaping Public amenities ( benches, trash can, etc.) t , acc U Irrigation system o Site preparation a Lighting r- Other: w U) a) Required Documents: Site plan depicting the proposed improvements on adjacent public right-of- way or private property. 0 Complete list of amenities to be provided in the public right-of-way or on private property. N Three ( 3) detailed/ itemized work quotes for improvements to the public right- 0 of-way and/ or proposed improvements to adjacent private property. a a C co C9 a, 0. asv a+ a) d a+ U, r C d E a+4-.Uto 2 Packet Pg 121  lueio yak pie : L86£) 3S anuany asauooly££ Z- uope3Ilddy lueap adeaspe. gs :; uawyaew' N, N OW R' S CONSENT AND DESIGNATION OF AGENCY fr c I, f the fee simple owner of the following scribed property ( give legal description): GREA CAMP WALTON S1/ 2 OF LOTS 6 TO 8 INC hereby petition the Community Redevelopment Agency of the City of Fort Walton Beach for Approval of a Matching Streetscape Grant and affirm that - e\ 1\ lap4( EMU l.. J R; 041, t. C is hereby designated to act as agent on my behalf to accomplish the above. 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 understand that the City will place a lien on the property in the amount of the grant award, forgivable after five 5) years. If the improvements are not maintained or they are removed within five ( 5) years, the disbursed funds shall become immediately due and payable to the CRA. 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 of the City of Fort Walton Beach, Florida, and are not returnable. 1 Owner' s Signature The foregoing instrument was acknowledged before me this ( 9t day of Crtfig 20 19 by . oill (, 0Ik'/ 1 who is personally known to me or has produced as Identification and who did take an oath. Mt/ 49,J040 C Printed Name of Notary Public) Signature of Notary Public Commission # f (182-( My commission expires 1• I S'- I Notary' s Seal) MELISSAESPINOZA MY COMMISSION# FF159821 EXPIRES: SEP 15, 2018 n0 Bonded through 1st State Insurance 3 i r 15. 2. b 233 Alconese Avenue Parking Improvements Request for Bids a) Company: Gulf Coast Utility Contractors a) Address: 13938 Hwy 77 c City& State: Southport/ Florida Zip Code: 32409 Telephone: 850- 265- 9166 Fax: 850- 265- 9949 Email: jordan. hobbsPgcuc. net • c u_ Scope of Work: