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Home My WebLink AboutMarshall HOA Approval 6.18Oakland Lake Estates Home Owner's Association, Inc. Architectural Review Form • This is a request form to be completed by the homeowner and submitted to the Architectural Review Committee (ARC) before any work commences on the subject property. • Please refer to your Declaration for a description of the ARC and its purpose. A separate form must be completed for each project. • Please allow thirty (30) days from the time we receive your submission for the results of this review. Submission Information Date of Submission j aZ0 - pa Property Owner Name Property Owner Email Property Address (Subject Property) Mailing Address . (If different from subject property) Requested Change (Select one) Painting Addition encing Screen Enclosure Pool Play Set Landscaping Walk/Driveway Roofing Other Phone Dcxk�a vxd 4, ec Ci ne I� 14 95 / Description of Changes / Additions +0- 175 �� D W T0.✓Lr-(arA �I E'.r\r t 7G i rou hC rK Ao k S e.o �LI• le r- w, l ( he— Pic,,, e . S�oe�vts.ane t'. Pic.. 's "4 Q— `tehCk'n a C6m&nV ",�LLfoer i'or t4; -f 6541 4410 Ex -4vte .,,p goR2 peopl e MUni 2�i e5 specialty management company Architectural Review Form - Page 1 of 2 See Page 2 for additional, important details Signature Required - Page 2 Jnr lf tins Oakland Lake Estates Home owner's Association. Inc. Architectural Review Form Conditions, Restrictions, and Limitations • This request is subject to all conditions, restrictions and limitations noted on this form (front and back). Submission Requirements • Attach a copy of a plot plan or survey showing where the addition such as a fence, porch, etc, is to be located. All materials, dimensions and finishes must be described in detail and color samples must be attached for any paint or other finishes. All requests must conform to the local zoning and building regulations and you must obtain all neces- sary permits if your request is approved by the Architectural Review Committee. • This form must be signed by the owner of the subject property, All Approvals Are Subject To The Following Conditions • Property owner and contractor(s) are responsible for obtaining and complying with all building permits, building codes and setbacks. All work must meet County and Local ordinances for landscape and tree replacement guidelines. • Property owner is responsible for restoring, regrading and replacing any damaged grass, plants or other property on adjacent or nearby lots, easements or common property that may be damaged as a result of this project, • Proposed structures shall not encroach on any platted setback or easements nor may they adversely affect any de- signed and approved drainage flow on this or any other lot. Property owner must accept liability for encroachment on or damage to any easements. • All materials used during alteration process must be neatly stored on site. Upon completion, all excess materials must be removed within 14 days. • Any fence shall not encroach onto any property owned or controlled by the Association and shall not obstruct or impede approved drainage flow on this Lot or any other. Height of homeowners fence cannot exceed the height -of any community fence. The "finished" side of the fence shall face the street and neighboring properties. • All work must be completed within 90 days of the date of this signed approval, • Owner must continue to maintain property during construction Form Submission Please return form to: Specialty Management Company of Central Florida, Inc. 882 Jackson Avenue • Winter Park, FL 32789 407-647-2622 • 407-647-3226 fax • arc(agreatcommunities.com Property Owner Signature I, the owner of the above named property, agree to all terms, conditions, requirements spelled out in the association Declaration, of Restrictions, Articles of Incorporation, By: ws, Rules and Regulations, Architectural Review Guidelines, Community Standards and this document. 4 r, - - - --Date -X� This Sction�To Be Corn leT By Architectural Review Committee Checic All That Apply Review Notes Standard Non Standard Complete Incomplete Approved as Submitted Agent for the ARC Approved with Changes Returned Incomplete Disapproved Name Signature Date ,or ��-goo � pC-Qlm�run� specialty management company Architectural Review Form - Page 2 of 2 �.� _ i i� �_ ._. � Zr W W W W 0I oz a O Q -Woaw Q��rW ,MO_ _a»a I I I I z L4 r < S�JJ� yZs//75 NOLLVAN3SNOO - .e, 1OV81 ,OO•l9 (0? 3wZ£,2LOON OLIVdLjW 9X £ Ll(=1 o m I3'0 '3'0 — n 66/ U J Y} ,0019 I3„ Z£,£ L. 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PAfPW- M, " �I C _- - — O N N 1lVHdsV ,oZ (13M 0V08 31VA18d ,09) O'9LZ 00'19 3.Z2,f1.0ON 3jZ,41.00N ayp H. 1OV81 60�i 310810 3NV1 ONVINVO ('c[U) 8311M A311VA ,Z 291 c R O NI co 1 M h') M zN w 11 2 o CD � z PAfPW- M, " �I C _- - — O N N 1lVHdsV ,oZ (13M 0V08 31VA18d ,09) O'9LZ 00'19 3.Z2,f1.0ON 3jZ,41.00N ayp H. 1OV81 60�i 310810 3NV1 ONVINVO ('c[U) 8311M A311VA ,Z 291 c R i BREVARD COUNTY PLANNING AND DEVELOPMENT DEPARTMENT r LICENSING REGULATION AND ENFORCEMENT 2725 Judge Fran Jamieson Way, Building A-114 Phone: (321) 633-2058 Vicra FL 32940 Fax: 690-6878 tvww brevard0 gov/PlanninaDcv Email: contmetorlicefising@brevardfl.gov CERTIFICATE OF COMPETENCY LICENSE Lil%:1!JIN D' 1'—P Z—l.. 1 _U V V Y 1 THIS CERTIFIES THAT: TODD M PAROLINE - SUPERIOR FENCE & RAIL OF BREVARD COUNTY INC HAS QUALIFIED ASIA: ;FENCE CONTRACTOR r - THIS CERTIFICATE IS ISSUED FOR, BREVARD COUNTY, FLORIDA, ON MAY 04, 2015 LICENSE STATUS: ACTIVE 1 ' i BUD CRISAFULL[ CHAIRMAN, BREVARD COUNTY. CONTRACTOR LICENSING BOARD' DENISE CAMPAGNA j ! SECRETARY, $REVRD COUNTY CONTRACTOR LICENSING BOARD _ R A "THIS IS NOTA BUSINESS TAX.RECE/PT" I PLEASE VERJFYALL lNFORktAT/ON FOR ACCURACY -- '-------- �3IT * BREVARD COUNTY IMPORTANT! ' R CONTRACTOR LICENSING BOARD THIS i5 YOUR CERTIFICATE OF COMPETENCY 6� CERTIFICATE OF COMPETENCY LICENSEr DISPLAY AS REQUIRED BY.LAIV UNDER BREVARD COUNTY ORDINANCE LICENSE NO.:- . -. EXP.DATE:.-: - . _STATUS: CHA'TERr22,ARTICLEVI I i 15 -FE -CT -00041 8/3112020 ACTIVE I f' FENCE CONTRACTOR f i TODD M PAROLINEVerify CONTRACTOR is in Good Standing,, SUPERIOR FENCE &RAIL OF BREVARD COUNTY INC vw brcvard0 gov/PlannineDev E 2778 N HARBOR CITY BLVD STE 102 Select Find a -Licensed Contractor MELBOURNE, FL 32935 - " Validation not available for Master or Journeyman. i LRE Cac AA LIC SSRS_V17 0 AC > o? CERTIFICATE OF LIABILITY INSURANCE NDELTY TSIMI °° 0121/2019 D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIIS CERTIFICATE DOES NOT AFFWMATIVELY OR NEGATIVELY AIMND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TM CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING MURER(S), AUTHORED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: I the certificate holder is an ADDITIONAL INSURED, the policy(les) mut have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WANED, subject to Ole term and conditions of the policy, certain policies mfr require an endorsernent. A sfatPmart On this certificate does not confer rights to the Certificate holder In lieu of such endorsement(s), PRODUCER 2M1w, Certificates Halifax Insurance Partners 1540 Cornerstone Blvd., Suite 200 Daytona Beach FL 32117 plDNae .386-677A761 ere w; 386-673-5370 Ne�REssa carts foundation .com 10121/2019 INSURE s AFFORDINGCOVERAGE NIIICa I SUREAA: Southern -Owners Insurance Company 10190 INSURER 9: Au(D-Owners Insurance Company 18988 Llcense#� L100460 INSURED SUPEFEN-01 Superior Fence & Rail of Brevard County Inc. 2778 N. Harbor City Blvd. Suite 102 wlauaac: Technolo Insurance Company, Inc. 42376 GEN'L AGGREGATE LIMIT APPLIES PER PODCYff]PRO- JECT 0LOC OTHER: Melbourne FL 32935 asuRFnor NSUiDtEs B MURERFe CflVFRAC.FS CERTIFICATE MM FR-7RR1OA1T2 REVISION NUrBER1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N$R TYPE OFINVUH11NCE ADD INSD SUB POLICYUa,DFJt NPM YFPF POLICY FJP IMfB A X COMNENCDD-GBrarilAl-LUIBSIIY CLAIMS -MADE n OCCUR Y 72561297 10121/2019 10/2112020 EACHOCCURRENCE $1,000,000 DAMAGE TO R PREMISE Ee urren $300,000 MED EXP One Pereen $5,000 PERSONAL$ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER PODCYff]PRO- JECT 0LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPAGG $2,000,000 $ B ADTONOBLBW16aDY X ANYAUTO OWNED SCHEDULED AUTOS ONLYAUTOS X HIRED X NONAWNED AUTOS ONLY AUTOS ONLY 52561320-00 10/21/2019 10/2112020 CAMINEDSINGLEeent LIMIT $1,000,000 Ea aBi BODILY INJURY (Per penon) $ BODILY INJURY (Per eaident) $ ROPER enDAMAGE $ (Per acci A X U1111RF11AL1AS Ma;MLMB X OCCUR CLAIMS -MADE 62581320-01 1012112019 1012112020 EACHOCCURRENCE $1,000,()00 AGGREGATE $ DED RETENTIONS $ C WORIEJIS COAPENSATDN AND EAPLOYEREY LIABSTIY MWROPRIETOR/PARTNER/EXECUTIVE Y OFFICERIMEMBEREXCLUDE09 lMs:daiay in lab 4es, desalbe under SCRIPTIONOFOPERATIONSbelm N/A TWC3130472 1012111019 10/2111020 X 11 PER OTH- ER E.L.EACHACCIOENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT I $1000,000 DE5CRWMNOFOPERIITIDNS/LOCAT4NS/VENCLES(ACOFD701,Aditonal RemaRaSdwduk%miWboaftx WRlmreepB lsmquiredl r�anernw� aarrr nmo ea -Fl l ATIIIN (971RRFGI15 AL4VItY UORPORA110N. All rightsI ACORD 25 (2016103) The ACORD name and logo are registered marks Of ACORD SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E)WIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMEDREPMENTATM (971RRFGI15 AL4VItY UORPORA110N. All rightsI ACORD 25 (2016103) The ACORD name and logo are registered marks Of ACORD