Architectual Approval: Application
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.
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All other Approvals:
NOTE: Complete this section only if you require approval for proposals other than paint colors.
If new construction ___(x) Contractor________________________________
(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: ____________________
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YHOA ARC Committee Recommendation To The YHOA Board
(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:
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_____________________________________________________________________________
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_____________________________________________________________________________
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Committee Signatures:
By: ______________________________________ Date:__________
By: ______________________________________ Date:__________
By: ______________________________________ Date:__________
YHOA Board Final Decision: Approved____ Denied____
Comments:
_____________________________________________________________________________
_____________________________________________________________________________
Presidents Signature:___________________________________ 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
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 this section only if you require approval for proposals other than paint colors. If new construction ___(x) Contractor________________________________ (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 ARC Committee Recommendation To The YHOA Board (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: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Committee Signatures: By: ______________________________________ Date:__________ By: ______________________________________ Date:__________ By: ______________________________________ Date:__________ YHOA Board Final Decision: Approved____ Denied____ Comments: _____________________________________________________________________________ _____________________________________________________________________________ Presidents Signature:___________________________________ 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
