Property Modification Request Form Version 2.2 Dated 3-3-08

Version 2.2 dated 3/3/2008

Property Modification Request Form - Ancient Oaks Homeowners Association This form must be submitted for any alteration that affects the exterior of a home in the Ancient Oaks subdivision as stated in the community’s Deed Restrictions, Article VI, Architectural Standard and Review.

STEP 1 Homeowner Information

Name: _________________________

STEP 3

Ancient Oaks Modification Committee (Meeting Bi-weekly)

Request Review

Date In:___________ Date Out: _________

Address: _______________________ Phone: ________________________

¨ Approved ¨ Rejected Comments:

Print Name: _________________________ Signature: ___________________________

C&S Condominium Management Svc, Inc. 4301 32nd Street West, A-20 Bradenton, FL 34205 Attn: Jennifer Everingham [email protected] FAX 941-753-3062 Date In:_________ Date Out:______ *Signature:_____________________

STEP 2* Mail or Fax to:

STEP 4 Decision Appeal

Ancient Oaks Board of Directors (Meeting Monthly) Date In: ___________ Date Out: _________

¨ Approved ¨ Rejected Comments:

Print Name: _________________________

*Lot survey and supporting materials

Signature: __________________________

MUST BE INCLUDED.

PROPERTY MODIFICATION CHECKLIST ALWAYS INCLUDE A COPY OF YOUR LOT SURVEY – noting the exact area affected by the modification – when submitting your request. Use separate forms to submit multiple requests. NO ADVERTISING SIGNS ALLOWED

¨ Screened

LOCATION (Select One)

¨ Lanai

¨ Other: ______________________________________

MATERIAL (Select One)

¨ White

¨ Bronze

Enclosure

¨ Pool

LAWN AND SIDEWALK REPAIR REQUIREMENTS • Damaged lawn, including common areas, will be repaired within 30 days of completion • Homeowner will obtain a written guarantee from installer stating that sidewalk damage will be repaired within 30 days of completion. _______All items listed above will be satisfied. (PROPERTY OWNER’S INITIALS) MISCELLANEOUS (Check all that apply)

¨ Screening (pool cage) ¨ Paint

Mark on attached lot survey.

¨ Heating: ____Solar

____ Electric

____ Gas (tank will be buried)

LOCATION (Check all that apply, Please include paint number and color chip card)

¨ Home:___ ¨ Trim:___ ¨ Front Door: ___ ¨ Garage Door: ___ ¨ Extension

LOCATION (Check all that apply and mark on attached lot survey). MATERIAL ¨ Walls: ___ ¨ Windows: ___ ¨ Doors: ___ ¨ Roof: ___ ¨ Ceiling: ___ ¨ Floor: ___ (NOTE: Extension must match color and texture of home).

¨ Pavers

LOCATION (Check all that apply).

¨ Front Entry ¨ Walkway ¨ Lanai or Pool Deck MATERIAL:____________ COLOR: __________ (Describe modification, and note location on attached lot survey)

¨ Landscape ¨ Fence

REQUIREMENTS: Must conform with the fence policy. Mark location on attached lot survey and describe in detail. LOCATION (Check all that apply).

¨ Side ¨ Back

MATERIAL:______COLOR: ______ HEIGHT: ______

(Describe modification, and note location on attached lot survey)

¨ Other The undersigned property owner hereby acknowledges and agrees that they will be solely responsible for determining whether the improvements, alterations, or additions described herein comply with all applicable laws, rules, regulations, codes and ordinances including, without limitation: zoning ordinances, subdivision regulations, and building codes. Neither the Modification Committee, the Board of Directors, nor Advanced Management, Inc shall have any liability or obligation to determine compliance. ________________________________________ Property Owner Signature

__________________________________ Property Owner Name (PRINTED)

______________ Date

NOTE: Property Modification Request Forms will be reviewed for completeness and compliance with the Ancient Oaks Deed Restrictions. The Modification Committee will then recommend Approval or Denial. Denied requests may appeal to the Board of Directors. All submitted forms will be processed by C&S Condominium Management Services, Inc. and returned to the applicant.

Version 2.1 dated 3/4/2007

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