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2. Applicant Name
4. Mailing Address
6. City
7. State
8. Zip Code
10. Business Name
12. Phone
13. Email
15. Property Owner
17. Property Address
19. City
20. State
21. Zip Code
23. Total Cost of Project
24. Estimated Start Date
    Estimated Start Date
25. Estimated Completion Date
    Estimated Completion Date
27. Addendum A - Project Rendering
28. Addendum B - Professional Estimate(s) from an Architect or Licensed Contractor
30. Type of Sign

    1. Altered

    1. New

    1. Replacement
32. Business Tax Receipt (BTR) Business License*
33. If applicant is a tenant, provide a copy of a notarized letter of approval from owner of property.
35. Detailed Written Description of Proposed Improvements*
36. Detailed Written Description of Proposed Business Including Hours of Operation*
38. Drawing Which Depicts the Size, Dimensions & Locations of Improvements or Modifications*
39. Copy of Contract with a Licensed Contractor Registered with the Pasco County Licensing Board and the City of Zephyrhills, if Applicable
41. Application will not be reviewed without all supporting data.
43. Program Requirements & Agreement*

    I hereby submit the attached plans, specifications and/or color samples for the proposed project and understand that the Zephyrhills Community Redevelopment Agency (ZCRA) Board must approve. No work shall begin until I have received written approval from the ZCRA. No funding is guaranteed until completed application is approved by the ZCRA Board. I agree to place a ZCRA Grant sign for the duration of the project and agree to return the sign. Grant monies will not be paid until the project is completed as designed and a paid invoice(s) is provided. The project must be completed within 1 year of grant approval. I agree to leave the completed project in its approved design and colors for a period of 5 years from the date of completion. I understand a W-9 must be provided to the City of Zephyrhills before reimbursement funds are paid.

    1. I Agree
45. Print Name
46. Date
    Date
48. Checklist for Application Completeness:

    1. Business is located within the ZCRA District.
    2. If applicant is tenant, copy of notarized letter of approval from owner of property.
    3. Verified Property Taxes, both city and county, are current.
    4. Building meets all current building and life safety codes or has approved plans submitted to the City’s Building Department. Verified by Building Department.
    5. Business is a permitted use as outlined in the City of Zephyrhills Land Development Code and meets the intent of the zoning code
    6. Construction and cost estimate from licensed contractor for project as detailed.
    7. Copy of contract with a licensed contractor registered with the Pasco County Licensing Board and the City of Zephyrhills.
    8. Sample: A color fabric or material sample for awning
    9. Sample: Paint sample noting body and trim colors
    10. Sample: Detailed specifications and rendering of windows and/or doors, if applicable.
    11. Current pictures of building, showing front and sides of building.
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field