Residential Paint Grant Application
Community Redevelopment Agency
Paint Voucher Program
Property Owner’s Name _________________________________________________________________________________
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