Residential Paint Grant Program Application
COMMUNITY REDEVELOPMENT AGENCY
Paint Voucher Program
Property Owner’s Name _________________________________________________________________________________
Property Address _______________________________________________________________________________________
Mailing Address ________________________________________________________________________________________
Phone Number ________________________ Cell Number ________________________
E-mail Address __________________________________________________
Supporting Data Checklist must be included with application. Application will not be reviewed without all supporting data.
Square footage of home __________________________________________
Estimate of Cost for Paint _________________________________________
Type of Paint __________________________ Colors of Paint ________________________________________________
_____ I will be doing the work.
_____ I will have a professional completing the work. (A written estimate is
required with the cost of paint itemized from other costs).
Owner may only apply for one Paint Voucher
I hereby submit the grant application, color samples and estimate for the proposed project and understand the Zephyrhills CRA Board must grant approval. No work shall begin and funding is not guaranteed until the CRA Board approves completed application and written approval is received. I agree to place a CRA Grant sign for the duration of the project and agree to return the sign. I further understand that the project must be completed within 6 months from date written approval is received and the reimbursement will not be paid until the project is completed. I agree to leave the completed project in its approved colors for a period of 2 years from the date of completion. I also understand a W-9 is required for tax purposes.
Owner Signature Date
Paint Voucher Program Supporting Data Checklist
Checklist must be submitted with application
_____ Provide samples of the three colors chosen: Body – Trim – Accent
_____ Note on sample which is body color, trim color, and accent color.
_____ Submit W-9 for tax purposes.
_____ Submit written estimate from painter of your choice, excluding labor and materials or written estimate of paint cost.
Attach Color Sample