CITY
OF
PINELLAS
PARK
HOME
IMPROVEMENT
GRANT
PROGRAMS
ARE
YOU ELIGIBLE FOR A HOME IMPROVEMENT GRANT?
Pinellas Park offers a home improvement grant program
for
owner-occupied residential properties. Review the
following questions to determine
your
eligibility.
1. Are you the
owner
of
the property needing repairs? Yes
No
2.
Is this home the homeowner's primary residence?
Yes
No
3.
Does the
homeowner
have 100% Homestead Exemption on the property?
Yes
No
4. Is the property a single-family detached dwelling
or
a manufactured
home
(see definition in grant
guidelines)?
Yes
No
5.
Are the mortgage, homeowner's insurance, and property taxes
for
the property current? Yes
No
6.
Is the property clear
of
any/all liens? Yes
No
7. Does
the
homeowner
meet
the income eligibility for a
home
improvement grant?
Yes
No
(Please review the income verification chart to determine financial eligibility.)
PERCENTAGE
CATEGORY
ANNUAL
HOUSEHOLD
INCOME LIMIT
BY
NUMBER
OF
PERSONS
IN
HOUSEHOLD
:550%
50.01%-80%
80.01% -
120%
120%~
1
$23,500
$37,450
$56,300
2
3
4 5 6 7
$26,800 $30,150 $33,450 $36,150 $38,150
$41,500
$42,800 $48,150 $53,500 $57,800 $62,100 $66,350
$64,300 $72,400 $80,300 $86,800 $93,200 $99,600
INELIGIBLE
FOR
CITY
HOME IMPROVEMENT
GRANT
FUNDING
8
$44,200
$70,650
$106,000
HOW TO READ THIS CHART: The City's home improvement grant programs count total household income (all
residents ages
18
years and older, receiving any
kind
of income) regardless of whose name
is
on
the
deed.
Gross
income
is
used
to
determine eligibility. We also evaluate assets
and
income earned from assets. Sources of income
include
W2 wages, 1099 income, self-employment income, social security,
SSI,
pensions, child support, reoccurring
deposits,
etc.
All sources of income must
be
disclosed
on
your application. Maximum grant awards for
all
income groups
are
firm.
If you answered "YES" to the above questions, proceed to the City
of
Pinellas
Park-
Home Improvements
Matching Reimbursement Grants - Guidelines
on the website. Application packets are also available at the
Technical Services Building, 6051 -
78
th
Avenue.
Updated 3.4.2021
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CITY
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The
Hea
rt of
Pinellas
Home
Improvements
Matching Reimbursement
Grant
Program
G l JI
DI
~
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INES
- - -
Community
Development
Planning
&
Development
Services
Division
Technical
Services
Building
6051
78
th
Avenue
North
Pinellas
Park,
Florida
33781
727.369 .5848
727.369 .5615
Assistance
for
completing
an
application
is
available
by
APPOINTMENT
ONLY.
Please call 727.369.5848
or
727.369.5615 to
make
an
appointment
.
Introduction
The
City
of
Pinellas Park offers a Home Improvements Matching Reimbursement Grant Program
to
assist
qualifying Pinell
as
Park
homeowners
with
financial assistance
for
home improvements needed
at
their
primary residence. Slidi
ng
scale funding opportunities are based on
the
Department
of
Hous
i
ng
and Urban
Development's (HUD) 2020 Area Median Income (AMI) levels
for
the Tampa
Bay
area.
In
accordance
with
guidelines set
forth
by the United States Department
of
the Treasury, Internal Revenue
Service
(IRS),
home improvement grants awarded by the City
of
Pinellas Park are taxable and subject
to
IRS
rules
for
filing Form 1099-G.
All applicants
must
meet
eligib
ili
ty
cri
teria
to
qualify
for
grant
fundi
ng
from
the
City
of
Pinellas Park.
Eligibility Criteria: Applicants must own and occupy the property
as
their
primary residence, live within
Pinellas Park City limits, claim 100% homestead exemption,
meet
established household income limits,
be
current on all debt secured against
the
property, have no liens
or
judgments (in some
cases,
the
Grant
Committee will consider
an
application
if
a grant award
can
correct the issue and stop and running lien),
and
be
current on homeowners property insurance and taxes. To be considered
for
a grant award,
the
property's tax
assessed
value cannot exceed $200,000.
How to Read the Income Limits Chart: The City's Home Improvements Matching Grant Program counts
total
household income (all residents 18 years
of
age
and older, receivi
ng
any kind
of
income) regardl
ess
of
whose name
is
on the deed. All sources
of
income are used
to
determi
ne
eligibility. Sources
of
income
include W2 wages, 1099 income, self-employment income, social security, Supplemental Security Income
(SSI),
pensions, child support, reoccurring depos
it
s,
etc. All sources
of
income must be disclosed on your
application. Maximum grant awards
for
all income grants are firm.
PERCENTAGE
CATEGORY
I
S50%
50.01%-80%
80.01% -
120%
120%.!:
1
$24,650
$39,400
$59,100
ANNUAL
HOUSEHOLD
INCOME LIMIT
BY
NUMBER
OF
PER
SONS
IN
HOUSEHOLD
2
$28,150
$45,000
$67,500
3
$31,650
$50,650
$75,975
4
$35,150
$56,250
$84,375
5
$38,000
$60,750
$91,125
6
$40,800
$65,250
$97,875
7
$43,600
$69,750
$104,625
INELIGIBLE
FOR
CITY
HOME IMPROVEMENT GRANT FUNDING
8
$46,400
$74,250
$111,375
The
above incomes are based on
an
Annual Median Income (AMI)
of
$69,200
of
a four-person household.
Grants are awarded on a first come, first served basis and funding
is
limited.
3/4/2021
Guidelines and Criteria
Emergency Repairs Any repair
that
requires immediate
attention
(with in
two
12)
business days) to
ensure
the
ongoing health and safety
of
the occupants, and is
not
covered under
insurance policy.
Examples Include,
but
not
limited
to:
damage
from
natural disasters, flooding
from
leaks, loss
of
air
conditioning, loss
of
power, substantial structural damage,
and any living condition deemed severely unsafe
or
unhealthy by City Inspector.
Code Violations/Corrections
Any improvements
or
repairs
that
remedies
an
existing code violation
as
defined
by the City
of
Pinellas Park.
Accessibility Modifications Home changes made
to
adapt living spaces
to
meet
the needs
of
one
or
more
residents
with
physical limitations so
that
they
can
cont
inue
to
live independently
and safely.
These
modifications may include making structural changes
to
a
home.
Pinellas Park's Home Improvement Grant Programs are designed
to
provide assistance
for
Pinellas Park
homeowners whose primary residence (single family dwelling)
is
In need
of
repair. Financial assistance
is
available
for
eligible applicants
to
address health, safety, and welfare issues on
their
residential property.
The Home Improvement Grant Programs are designed
to
bring the eligible homeowner's property into
compliance
with
the
Florida Building
Code,
rh
Edition (2021), and
to
reduce ongoing
future
maintenance
costs, promote energy efficiency, and
to
preserve decent affordable owner-occupied housing.
Home Improvement Grants are awarded based on gross annual household income,
as
noted in
the
chart
on
Page
1.
Grantees receiving less than 100%
of
funding
will
be
required
to
pay
for
the
project
in
full
and
submit
documentation
for
reimbursement. Funds are limited and grants are awa rded based on
funding availability.
All improvement plans and designs must be approved by the City
of
Pinellas Park
prior
to
project
start
up.
Grant approval
does
not
constitute plan approval
for
permitting purposes. Projects funded through this
program may
not
begin until any/all required building permits have been obtained.
The
City
of
Pinellas
Park waives
permit
fees
for
projects funded through
the
Home Improvements Reimbursement Grant
Program; however, awardees will
be
responsible
for
fees charged
by
the
State Department
of
Business &
Professional Regulations.
Priority will be given
for
the
following categories:
Ava
ilability
of
Program Funds
Funding
for
the Home Improvements Reimbursement Matching Grant Programs is based on the City
of
Pinellas Park's approved budget
for
each fiscal year, which
is
October 1
st
through Septemher 30
th
Available funds are limited and not guaranteed to remain consistent
from
year
to
year. Projects
that
address emergency repairs
for
safe and healthy habitation, code violations, and accessibility needs
will
be
considered the highest priority.
3/4/2021
Pro
ject Eligibility
Improvement grants are available
for
owner-occupied properties that are located within Pinellas Park's
city limits, are
100%
homesteaded, hold active homeowners insurance, have
no
liens or judgments,
current
on
mortgage
and
taxes, and tax
assessed
value does not exceed $200,000. Eligible properties are
defined
as
follows:
Dwelling, Single-Family Detached: A principal building comprised
of
a single property unit situated
on
its own lot and surrounded
by
open
space
or
yards
such
that it
is
not attached
to
any other property
by
any
means.
This
term
shall include manufactured home properties. (Ordinance
No.
3748 §
3,
10-28-2010)
Dwelling, Manufactured Home: A structure fabricated
on
or after
June
15, 1976,
in
an
off-site
manufacturing facility with
each
section bearing a
seal
certifying
that
it
is
built in compliance with the federal Manufactured Home
Construction
and
Safety Standards Act. When permanently
attached
to
a permanent foundation in compliance with Florida
Building
Code,
or
code
that
was
implemented at time
of
building,
a manufactured home shall
be
considered a conventional
property (Ordinance
NO.
3748, §
3,
1028-2010).
The
applicant must identify and document a
NEED
and
meet the eligibility requirements. A "need"
identified
for
the purpose
of
this grant program includes, but
is
not
limited to, damage
to
the
homeowner's primary residence,
that
qualifies
as
an
"eligible activity" under these grant guidelines.
Damage may include:
Loss
of
air conditioning,
roof
leaks, structural damage, code violations,
and
an
emergency need for
ADA
improvements.
Additionally, the applicant must identify a financial need
to
qualify
for
this program.
The
following are the
eligibility requirements for the program:
The
household gross annual income
is
at
or
below
120%
of
Pinellas County's median household
income level
(Please refer
to
the sliding scale chart
on
page
1)
o Any
and
all County, State, or Federal assistance (i.e. food stamps, unemployment,
and/or
veteran's assistance) must
be
recorded
as
income.
When both financial need
and
damage are determined
to
be
consistent
with
eligible activities under this
program, applicants must also ensure the following criteria are
in
place
for
grant program eligibility:
Applicant Eligibility
3/4/2021
1. Applicant/Co-Applicant are
the
property owners
of
the
residential dwelling being considered
for
repairs;
2. Applicants must be current on mortgage,
property
taxes, and utilities
3.
Applicants must carry homeowners insurance on
the
proposed
property
4. The property is clear
of
any and all liens.
Eli
gible Activities
ADA
Accessibility Projects
Doors: Exterior and Garage Doors {Garage doors
must be attached
to
living quarters)
Entrances {to
meet
ADA Requirements)
Installation
of
Energy Efficient Central Heating and
Air {Energy Star Rated)
Structural Repairs
Building Materials (As Needed
for
Eligible Projects)
Driveway Improvements
Equipment Rental
as
Needed
for
Eligible Projects
{I.E., Saws, Ladders, Scaffolds, Cement Mixers, etc.)
Lighting: Exterior, Post, and Security
Tree Removal
for
Trees That Are Causing Damage
to
the
Home (Roof, Utility Lines, Going to
the
Home,
Cracking
of
Foundation)
Ineligibility
Businesses, rental properties,
or
apartment complexes
Properties located outside
of
the City on Pinellas Park's boundaries
Persons who cannot verify homestead exemption
for
the proposed property's improvements
Any property
that
has
already benefited from
the
total
maximum grant award
of
$7,500 and
has
not
changed ownership
Properties
with
a
tax
assessed
value above $200,000
Connection and Installation
Fees
for
Potable
Water
Sanitary Sewer, and Reclaimed
Water
Elevation Expenses
Exterior Finishes (stucco, siding, etc.)
Roof: Replacement and Repairs
Weatherization and Insulation
Demolition
(not
required
by
Government)
Energy Efficiency Upgrades (solar heat/water,
protecting film and
other
conservative measures)
Exterior Painting
Sewer
Pipe
Replacements
Window
Replacements
3/4/2021
Eligible Improvements
Eligible Improvements shall include activities
that
address health, safety, and welfare issues
on
the
property and improve the overall aesthetic character, accessibility and user friendliness
of
housing
un
its
and neighborhoods. Eligible improvements shall also include all projects
that
allow
for
easier
access
and
use
of
a residentia! structure
for
disabled persons living in the home. All improvements shall
be
made
of
durable material
that
is
not
susceptible to
rot
and
decay. All home improvements must
be
consistent
with
6
th
the Florida Accessibility
Code
Edition (2017)
for
Building Construction
and/or
the City
Land
Development
Code
and Florida Building Code.
Examples
of
Eligible Improvements:
The following will be considered for eligibility under the guidelines for Home Improvements
Reimbursable Grant Program. Grant applications
are
reviewed on a case-by-case
basis
with emergency
repair, code violation, corrections, and accessibility modification.
Fences
may be grant eligible
if
the property
is
in violation
of
Chapter 18
of
Pinellas Park's
Land
Development Code, Article 15, Section 1530.4 (10.28.2010)
Repair/Replacement
of
damaged screens on a pool enclosure may
be
grant eligible only when the
property
is
non-compliant
with
City
and
State codes.
Ineligible Improvements
The
Grant Review Committee may deny funding
for
these
or
other
projects deemed
not
feasible
for
this
grant program.
Funds
cannot
be
used
towards any repairs, modifications,
or
improvements
that
are
not
considered eligible under these guidelines. Funding
from
this grant program will
not
be
awarded
to
property owners whose primary address differs from the proposed project's property. Ineligible
improvements include, but are
not
limited to:
Purchase
of
replacement
of
items previously funded through this grant program
Any/all interior improvements
that
do
not
address accessibility issues
Improvements
and/or
expenses made prior
to
written grant approval by the City
Storage sheds
of
any
sizes
or
kind
Purchase
of
tools
and
equipment (hammers, ladders, power tools, etc.)
Carpets
Interior
Window Treatments (drapes, blinds, shades, etc.)
Furnishings {including indoor and outdoor)
Fountains, lawn sculptures, bird baths; etc.
Pools
3/4/2021
Maximum
Grant Reimbursement
Amount
Should an eligible
property
that
was previously funded
for
the
grant
award
through
this program come
under
new
ownership,
the
new
owner
may apply
for
a Home
Improvement
Reimbursement
Matching
Grant
provided
the
proposed
improvements/modifications
are
not
similar in nature
as
projects funded
through
this program in
the
previous three years (roofs and driveways have a ten-year
waiting
period).
The maximum
grant
award
for
a
project
to
an
eligible applicant
shal,I
be
$7,500
..
00. Subsequent
home
improvement
applicants may be
submitted
in
following
fiscal years
for
the
same eligible
property,
provided
ownership
of
the
property
is
unchanged and
the
proposed
project
is
dissimilar
from
a previous
awarded project.
The
maximum
amount
which
can
be
received
for
an
eligible
property
which does
not
change
ownership
is
$7,500.00
over
the life
of
this
grant
program. An applicant
must
submit separate applications
for
each
home
improvement
project; and only one project will be
funded
during a single fiscal year
..
The Home
Improvement
Matching Reimbursement
Grant
Program
is
implemented
using a sliding scale
based on
the
gross annual household income
(total
income
of
all persons ages 18 years and older, living
in the home). The
following
table illustrates
how
the
City
of
Pinellas Park distributes grant funds
to
awardees:
Income Level
Disbursement
of
Grant Funds
~
50% below Area Median Income Pinellas Park
will
fund
projects in full
up
to
$7,500.00. Any expenses exceeding $7,500.00 are
the
full responsibility
of
the
homeowner.
50.01 - 80%
below
Area Median Income
Homeowner
pays
for
the
project in full and
is
reimbursed by Pinellas Park
for
75%
of
the
costs,
up
to
and
not
to
exceed, $7,500.00.
80.01 - 120%
of
Area Median Income
Homeowner
pays
for
the
project in foll and
is
reimbursed by Pinellas Park
for
50%
of
the
costs,
up
to
and
not
to
exceed, $7,500.00.
Application Process
Submit only
completed
application packets. Incomplete applications will be
returned
without
review.
1.
Obtain
two
(2)
written
estimates
for
each
element
of
the
proposed project
from
contractors
licensed
within
Pinellas County
2.
Read
grant
criteria
to
be
certain you qualify
for
the program
3.
Complete application
form
and budget
worksheet
in detail
4.
Sign and date all documents. The affidavit
must
be notarized
5.
Copies
of
the
following
documents must be included
with
your
app'lication:
a.
Proof
of
Homestead Exemption (available
through
Pinellas County Property Appraiser
3/4/2021
b.
Copy
of
driver license(s) verifying
the
proposed project site
is
the applicant
and
co-
applicant's primary residence
c.
Proof
of
Homeowners Insurance (submit Declaration page)
d.
Proof
of
flood insurance {flood
zone
applicants only)
e.
Two
(2)
most recent months' pay stubs
for
each household members over 18 years
f. Self-employed (only) schedules
C,E,
and F
g.
Social Security, Supplemental Security Income
(SSI),
and Disability benefits (rf applicable)
h.
Most recent tax return
i.
Current Pinellas
Park
utility bill
j.
Copy
of
most recent mortgage statement showing
that
payments are current
k.
Two
(2)
or
more color photographs clearly depicting the current conditions
of
the
proposed project's improvement area
6. Submit completed application packets
to
the City's Planning & Development Services Division
(Attention: Community Services). Applicants may schedule
an
appointment with the Community
Services Technician (727.369.5848
or
mgould@pinellas-park.com)
or
with the
CRA
Technician
(727-369.5615
or
ntikkanen@pinellas-
pa
rk.com )
to
review the application packet for
completeness prior
to
submitting the application.
7. Complete applications are reviewed
by
a committee
of
City staff appointed
by
the City Manager
that
include: the City Manager, Assistant City Managers, and staff representatives from the
Community Development Department (Building, Planning
& Development Services and
Neighborhood Services), and the Community Policing Unit. Committee members meet monthly,
with
the exception
of
December. Grants received during December will be reviewed at the
January meeting.
The
Grant Review Committee will determine
whether
a project should receive grant funding and
determine the amount
of
an
award.
In
making the decision, the committee will give priority to projects
that
meet the following criteria:
Does
the proposed project meet
an
accessibility need
of
the homeowner
or
resident
of
the
property?
Will the project rectify code violations?
Will the grant result in
an
improvement
that
would not
be
made otherwise?
Does
the project comply
with
the City's land development and zoning codes
and
ordinances?
Applicants will
be
notified by telephone
of
incompleteness, inaccuracies,
or
unsigned forms within
their
applications and provided
an
opportunity
to
make corrections. Applicants may schedule
an
appointment
to
pick
up
incomplete applications
or
they will
be
mailed
to
the address
of
the proposed project.
Incomplete applications will not
be
considered
for
funding.
The
City reserves the right
to
deny any project
that
does
not
align with the Grant Program's Guidelines. Applications submitted after the deadline may
be
reviewed with applications at the next month's review, pending availability
of
funds.
Grant awardees will
be
notified in writing.
The
award
letter
will include the amount
of
funding from
the
City
and
the approved startup and deadline dates
for
project implementation. Grant recipients will receive
two
(2) award letters; one will
be
the original and the
second
to
be
given to the contractor who
will
be
applying for the permit. The City of Pinellas Park
will waive permit fees for improvement projects
completed under the guidelines of this grant program.
The homeowner
is
responsible for the Florida
Department of
Business
& Professional Regulations fee.
3/4/2021
The
scope
of
work
for
the awarded project may begin on the date
of
the
award letter, and
must
begin
within
thirty
(30) days. This includes securing any/all building permits required by the City.
Awardees
will
have 120 days from the startup date
to
complete the project. The deadline date
wi
ll
be
shown on the bottom
of
the award letter. In
the
event
of
unforeseen issues
that
may delay the
improvement project, the awardee must submit
in
writing
the
reason
for
delay and a date
of
which the
project
will
be
completed. Extension requests may be submitted
to
the
attention of Tammy Hillier,
Community Services Manager, thillier@pinellas-park.com
or
mailed. Requests must
be
received by
Community Services
staff
within
no
less
than one (1)
month
prior
to
the
closeout date. Failure
to
co
n
tact
the
City
to
request an extension will result in termination
of
the
grant award and grant payments will
not
be issued.
Correspondence should be addressed
to:
City
of
Pinellas Park
Community Development Department
Attention: Tammy Hillier, Community Services Manager
6051 78
th
Avenue North
Pinellas Park,
FL
33781
While the City will waive permit fees
for
projects completed under the Home Improvement
Reimbursement Grant Program (minus the mandatory State Department
of
Business & Professional
Regulations,
it
is
the homeowner's responsibility
to
ensure
that
all work
is
permitted
from
the
Building
Development Division; and
that
all work
is
in compliance with the applicable codes and ordinances. Failure
to
do
so
will result
in
the termination
of
the
grant award and no funds will
be
issued from the City.
Promotion of Project
City staff will
be
photographing each project awarded
for
a Home Improvement Grant before
work
begins, during the improvement process, and upon completion. Grant awardees agree
to
the City
of
Pinellas Park reserving the right
to
use
pictures, renderings, video footage,
or
descriptions
of
the
work
for
any promotional purpose.
3/4/2021
Exhlbll
C
Olly
of
Plnallas
Pt\l'Jc
Homo
hn1>1·ov0monts
IVlatohlng
l~olmburaomo11t
Gl'illlt
Progl'lllns
Buclgatform
Owne1·
Appllonnt•a
Name:
_______________
_
Pl'Opel'ty
Addt'oss:
.,.....,.--,-------,--------,-------,-:---,,-....,-.
(Site
whot·o
pm•posed
hnp1•ovomo11ts
wlll
tnlco
plna&)
BUDGET
WORKSHEET
Line
Item
Roquostod
Amount
f1•om
the
Cltv
Amount of
IUlatchlng
Dollars
Total
Contractual
Setvloes
Labor
Equipment
(windows,
bll<e
raol<s,
benohes,
dOOl'S,
eto.)
Materials
(paint,
plants,
mulch,
eto.)
Slgnage
Other
(Please
Explain)
TOTAL
Bt)dget
Details
Olly
of
Plnallne
Paik
ORA•
Mome
hnprovamanla
Rolmburoamant
M11lohlno
or,mlPronriun
SOCIAL
SECURITY
NUMBER
COLLECTION
POLICY
DISCLOSURE
AUTHORIZATION
TO
RELEASE
INFORMATION
CONSENT
FORM
Owner Applicant & Owner Co-Applicant
We/I hereby consent
that
the City
of
Pinellas
Park
("City"), may collect and retain any
and
all information
concerning our/my sources
of
income and any other matter, which may
be
required
in
processing our/my
grant application.
The
Florida
Public Records
Law,
Florida
Statutes {2007) Section 119.071{5) requires the "City" provide
written
statement
explaining
that
it collects Social Security numbers from prospective grant recipients
during the application process for tax reporting purposes.
The Consent
Form
may
be
a photocopy
and
all copies shall
be
as
effective
as
those containing
my/our
original signature(s) dated this
___
day
of
_______
20
Under Florida law, this application
is
a public record. Most
of
the information
in
this application packet
will
be
released
if
there
is
a public record request; however, Social Security information
is
protected
and
will
be
used
strictly
for
the purpose
of
the City filing a 1099-
G.
If you believe
that
you qualify to have your
information protected, you must notify the City
in
writing
of
the specific Florida Statute
that
protects your
information. All non-exempt information will
be
released in response to a public record request.
Owner Applicant
Owner
Co-Applicant
Social Security
Date
of
Birth
Owner
Applicant
Signature
Owner
Co-Applicant Signature
Print
Name
Print
Name
Pinellas
Park
Home Improvement Grant Programs
CITY
OF
PIENLLAS
PARK
AFFIDAVIT
AND
RELEASE
The
undersigned applies
to
participate
in
the
Home
Improvement Matching Reimbursement Grant
Program
indicated
in
this
application. I
(We)
attest
to
ownership of
the
property
on
this
application
and
that
it
serves
as
my
(our) primary
residence.
The
City
of
Pinellas
Park
is
not
responsible for any
damage,
and
1/INe
the
undersigned release
and
hold
harmless
the
City
from
any
and
all
llabilities to myself/ourselves
and
personal
property.
The
undersigned further understands that
all
statements made
in
this
application
are
true
and
made
for
the
purposes
of
participating
In
this
Home
Improvement Matching
Reimbursement
Grant
Program,
The
undersigned warrants that
all
Income
from
every
person
in
the
household
is
accurately listed
on
this
application. Verification may
be
obtained
from
any
source
named
in
the application.
Applicant Signature
Co-Applicant
Signature
Print
Full
Name
Print Full name
Date
Date
STATE
OF
FLORIDA
COUNTY
OF
PINELLAS
The
foregoing instrument
was
acknowledged before
me
this
___
day of
_____
,,
20
__
,
By
D Personally
known
rl
Personal Identification: Driver's License/State
ID/
Passport
Notary
Public Signature
Stamp/Seal
City of Pinellas
Park
Home
Improvements
Matching Reimbursement
Grant
Program
ASSET
INCLUSIONS
AND
EXCLUSIONS
INCLUSIONS:
IF
YOU
OWN
ANY
OF
THE
FOLLOWING
LIST
THEM
AS
ASSETS
ON
PAGE
2 OF
THE
APPLICATION
1.
Cash
held
in
savings
accounts,
checking
accounts,
safe deposit
boxes,
homes,
etc.
For savings
accounts, use
the
current
balance.
For checking
accounts,
use the average 6-month balance,
2.
Cash
value
of revocable trusts available to
the
applicant.
3.
Equity
in
rental property or other capital
Investments.
Equity
Is
the estimated
current
market
value of the asset less the
unpaid
balance on
all
loans
secured
by the asset
and
all reasonable
costs (e.g. broker
fees)
that
would
be
incurred
in
selling
the
asset.
The
applicant's primary
residence
is
not
considered.
4.
Cash
value of stocks,
bonds,
Treasury bills, certificates of deposit
and
money
market accounts.
6.
Individual retirement
and
Keogh
accounts (even
though
withdrawal
would
result
in
a penalty).
6.
Retirement
and
pension
funds.
7.
Personal property held
as
an
Investment
such
as
gems,
jewelry,
coin
collections, antique cars,
etc.
8.
Mortgage
or
deeds of trust
held
by an
applicant.
EXLUSIONS:
THE
FOLLOWING
ARE
NOT
CONSIDERED
ASSETS
AND
ARE
EXCLUDED:
1.
Necessary personal property,
e)(cept
as
noted
in
number 7
of
Inclusions,
such
as
clothing,
furniture, cars and
vehicles
specially
equipped
for
persons
with
disabilities.
2.
Assets not effectively
owned
by the applicant. That
Is,
when
assets
are
held
In
an
Individual's
name,
but the assets
and
any income
they
earn
accrue to the
benefit
of someone
else
who
is
not
a
member
of the household
and
that other
person
is
responslble for
Income
taxes
incurred
on
income generated by the
asset.
3.
Equity
in
cooperatives
in
which
the
family
lives.
4.
Assets not accessible to
and
that provide no
income
for the applicant or any
household
members.
5.
Assets
tat
are p[art of
an
active
business.
"Business"
does not include rental
of
properties that
are
held
an
an Investment
and
not a
main
occupation.
__
__
__
__
__
__
__
__
__
__
__
__
APPLICATION
CHECKLIST
_
_
If
an
item
Is
not
applicable,
Indicate
with
NIA.
Incomplete application will
not
be considered
for
fund;ng.
Application
completed
in
full.
(Signed
and
all
questions
answered)
Completed
Budget
Worksheet
Affidavit signed
and
notarized
Two
(2) written
estimates
from
licensed
contractors
Proof of
Homestead
exemption
Copy
of drivers
llcense(s)
Proof of Homeowner's insurance
Proof of flood
Insurance
(If
property
Is
in
a
flood
zone)
Two
(2)
most
recent
months'
pay
stubs
for
each
household
member
over
18
years
Self-employed
(only)
schedules
C,
E,
or
F
Social
Security,
Supplemental
Security
Income (SSI),
and
Dlsablllty
benefits
2016
Federal
Tax
Return
(1040
and
any
schedules)
Current Pinellas
Park
ulillty
bill
statement
Copy
of
most
recent
mortgage
statement
showing
that
payments
are
current
Two
(2) or
more
color
photographs
clearly
depleting
the current
conditions
of
the
proposed
Project's improvement
area.
City
of
Pinellas
Park
Home
Improvement
Matching
Reimbursement
Programs