1111 SE Federal Highway, Suite 100 Stuart, Florida !""! Phone #$$%& !'("00 Fa)*imile #$$%& %(('01$+ ARCHITECTURAL REVIEW COMMITTEE Request for Modification Please Print I, , hereby request aro!a" by the Architectura" Re!ie# Co$$ittee for the fo""o#in% $odification&s'
"ocated at( )ayti$e *hone + Ce""u"ar + Wor, + -a. + I/#e understand that fro$ the date Ad!anta%e *roerty Mana%e$ent recei!es and date sta$s $y Request, the Architectura" Re!ie# Co$$ittee has 01 days *, rior to co$$ence$ent of any #or, or chan%es, in #hich to re!ie# $y roosed $odifications2 My fai"ure to co$"y #ith the Ti$ber#a", Association Co!enant 3y"a#s $ay resu"t in a $100.00 fine **. Uon aro!a" of $y request for this $odification, I/ #e #i"" assu$e a"" "iabi"ity for any da$a%e incurred as a resu"t of this $odification as #e"" as any additiona" $aintenance costs that $ay be required by any and a"" %o!ern$enta" a%encies for this $odification2 * Article 7.2.6 ** Article 7.2.11
O#ner 4i%nature )ate O#ner 4i%nature )ate *"ease attach the required additiona" infor$ation( A photo or sketch, inc"udin% the di$ensions, of the roosed $odifications5 include a copy of the contractors proposal with aterial list and specifications. The "ocation of the $odification on the roerty Coy of the sur!ey of the roerty Co"or sa$"es, if a"icab"e Use additiona" sheets if necessary2 The request for $odification to the Unit "ocated at has been( Aro!ed Aro!ed #ith the fo""o#in% chan%es )isaro!ed