Application – Yorkshire Home Owners Association

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YHOA ARCHITECTURAL CONTROL

STANDARD REQUEST FORM

Owner’s Name: ___________________________________________________

Yorkshire Property Address: __________________________________________

_________________________________________________________________

Owner’s Home Address (if different):____________________________________

_________________________________________________________________

Home Phone: ________________________________

Work Phone: _________________________________

Email: _______________________________________

Lot# _______

Paint Color Approval:

NOTE: Complete this section only if you require approval for paint colors.

(1) Describe the location of each color on the structure, fence, or wall, and attach a color sample for each color.

_______________________________________________________________________________

All other Approvals:

NOTE: Complete the following section only if you require approval for proposals other than paint colors.

(1) Describe in detail the type of improvement, change, addition and include as much detail as possible including materials to be used, dimensions, style, colors, and other pertinent information:

________________________________________________________________

___________________________________________________________

(2) Provide a sketch, photograph, or contractor’s proposal of the change or addition.

(3) If someone other than the homeowner is performing the work, please list their name and phone number:

_______________________________________________________________

(4) The proposed change or addition MUST be drawn on a copy of your property survey (plat) to include dimensions of the requested changes and its proximity to your home and property lines.

Note: Failure to provide items 1 through 4 above (if applicable) will result in this application being sent back to the homeowner as incomplete.

Estimated Beginning Date: _______________

Projected Completion Date: _______________

I (We) acknowledge and agree that I (We) will be solely liable for any claims, including without limitation, claims for property damage or personal injury, which result from the requested addition or modification. I (We) hereby indemnify the Yorkshire Homeowners Association of Polk County, Inc. from and against any and all such claims. I (We) understand and acknowledge that I (We) am (are) responsible for complying with all applicable codes and ordinances, and for obtaining all necessary permits and inspections for the requested addition or modification. If this application is approved by the Association, I agree to make the changes under the terms and conditions as specified in the letter of approval. All improvements must be on my property or within my property lines. If any portion of the Association’s property is disturbed or damaged by either myself or my contractor, then I agree to be responsible for and to restore the common elements to their original condition(s).

Signature of Applicant: ___________________________Date: ____________________

YHOA BOARD OF DIRECTORS/ARC ACTION

(To be completed by Board or ARC):

Date complete package received: _______________

Date of Board/ARC review: ____________________

______ Approved

______ Approved w/conditions

______ Denied

Conditions for approval or reason(s) for denial:

_____________________________________________________________________________

ARC Committee Signatures:

_____________________________ Date:____________

___________________________ Date:___________

Approved changes must be made within one year from the approval date. Any variance of the improvement to the originally approved application MUST be resubmitted.

PLEASE RETURN THIS FORM WITH ALL REQUIRED ATTACHMENTS TO:

Yorkshire Homeowners Association of Polk County, Inc.

Attention: ARC

5337 North Socrum Loop Road, #142

Lakeland, FL 33809