Architectural Change Request Form - Pelican Property Management

Name*

Unit Address*

Name of Community*

Phone*

Email

Request*

Description of the Proposed Work*

Contractors Name*

Contractor MHIC License Number*

Contractors Phone Number*

Anticipated Start Date*

Anticipated Completion Date*

Additional Information

File Upload*

Drop files here or

Accepted file types: jpg, pdf, Max. file size: 50 MB, Max. files: 5.

NOTE: uploading JPEG files will not work
Please upload the following: A complete list of materials, specifications for the items being installed and/or the materials being used, color (if applicable), A drawing with dimensions of the work, and plat(s) showing property boundaries with the proposed alteration drawn on it (if applicable). If the work may affect your adjacent neighbors, please submit documentation showing that you have notified them that the work will be taking place.

Liability Waiver Signature*

By checking this box I agree to the below Waiver of Liability and that all the above information I have provided is accurate. Checking this box will act as my signature.

Waiver of Liability:
The homeowner hereby agrees that any and all liability caused by or arising from this modification shall not be held against the Association, Management Company, Builder or Developer. Consequently, the Association, Management Company, Builder or Developer will not be held liable for any damages or hazards caused by this modification to said lot or any adjacent lot. Please note that approval by the Architectural Review Committee is for appearance only and does not imply that any review has been made of the structural or other adequacy nor does it imply nor avert the necessity for approval by appropriate governmental authorities. Nothing may be permanently installed in any lake, drainage, or utility easements. Any construction pursuant to the provisions of this approval shall be subject to the continuing effect of the provisions of the Declaration, and of the Rules and Regulations of the Association and the Architectural Review Committee.

Permits & Approvals Signature*

By checking this box I (we) acknowledge and understand the below.

I (we) understand and acknowledge that I (we) am (are) responsible for complying with all applicable building codes and ordinances, and for obtaining all necessary permits and inspections for the requested addition or modification and further, that I (we) are responsible for all maintenance, repair, and upkeep of said addition or modification. Additionally, I (we) understand and acknowledge that approval of the community's Board of Directors/Architectural Committee is required to begin work.

Neighbor Notification*

By checking this box I acknowledge that I have informed all neighbors that may be affected by this exterior modification.

Signature*

First Last

I understand that typing my name here will act as my signature. I certify that the above information correct and complete to the best of my knowledge. Additionally, I understand that my request can not be processed until I have submitted all the required information and documentation.

Date*

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