Architectural Change Request Form Architectural Change Request FormName* First Last Unit Address* Street Address Address Line 2 Name of Community*Phone*Email Description of the Proposed Work*Contractors Name*Contractor MHIC License Number*Contractors Phone Number*Anticipated Start Date* Date Format: MM slash DD slash YYYY Anticipated Completion Date* Date Format: MM slash DD slash YYYY File Upload* Drop files here or 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 showing property boundaries with the proposed alteration drawn on it (if applicable). 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.Please be advised that you will still need to obtain any County permits/approvals for the proposed alteration. Work is not to start until the appropriate permits/approvals are obtained.