submitted to the Architectural Review Committee (ARC) for approval PRIOR to commencement of any work. Mail Application to: Sandy Ridge c/o Artemis Lifestyle Services, 1631 E. Vine St., Suite 300, Kissimmee, FL 34744

For additional information or assistance call: (407) 705­2190 or by e­mail at arb@artemislifestyles.com

SANDY RIDGE HOMEOWNERS ASSOCIATION OF POLK COUNTY, INC.

APPLICATION TO THE ARCHITECTURAL REVIEW COMMITTEE. This form is to be completed by the homeowner and

(Please Print Legibly)

Owner Name________________________________________________________________________ Date_____/_____/_____

Property Address_________________________________________________________________________ Davenport, FL 33896

Mail Address (if different)____________________________________________________________________________________

Agent (if Applicable)________________________________________________________________________________________

Phone(s) Home ___________________________ Work __________________________ Fax ________________________

*MUST PROVIDE THE BELOW REQUIRED INFORMATION*

1. DESCRIBE ADDITION, CHANGE OR INSTALLATION (i.e. fence, screen enclosure, pool, exterior paint,

etc.):_______________________________________________________________________________________________

___________________________________________________________________________________________________

2. Attach copy of property survey (indicating where addition or installation is located)

3. SPECIFICATIONS: (attach copies of plans, estimates or pictures) ____________________________________________

4. Dimensions: ________________________________________________________________________________________

5. Material(s):_________________________________________________________________________________________

___________________________________________________________________________________________________

6. Home Paint Color (s): Body _______________________ Trim _____________________ Door ___________________

Other Color(s): (attach 1 original color chip per color) ______________________________________________________

7. Fence Style (Posts Must Face Inward) ____________________________________________________________________

8. Other Info/Name of Contractor__________________________________________________________________________

Request and alterations must conform to all local zoning and building regulations. You are required to obtain required permits if your

request is approved. If your request is denied you may appeal to the Board of Directors for review.

For Use By Architectural Review Committee

Mgmt. Rec’d ______/______/______ Sent to ARC _________ on _____/_____/_____ Mailed to Owner _____/_____/_____

ACC Comments ___________________________________________________________________________________________

( ) APPROVED ( ) DENIED _____________________________________________________Date____/____/____

( ) APPROVED ( ) DENIED _____________________________________________________Date____/____/_____

( ) APPROVED ( ) DENIED _____________________________________________________Date____/____/_____

WORK MUST BE COMPLETED WITHIN A YEAR. IF NOT, A NEW ARC MUST BE SUBMITTED.