Version 2.

2 dated 3/3/2008

Property Modification Request Form - Ancient Oaks Homeowners Association

This form must be submitted for any alteration that affects the exterior of a home in the Ancient Oaks subdivision as stated in the community’s
Deed Restrictions, Article VI, Architectural Standard and Review.

STEP 1 Name: _________________________

STEP 3 Ancient Oaks Modification Committee ¨ Approved
(Meeting Bi-weekly)
Homeowner Address: _______________________ ¨ Rejected
Information Request Date In:___________ Date Out: _________ Comments:
Phone: ________________________ Review Print Name: _________________________
Signature: ___________________________
C&S Condominium Management Svc, Inc.
STEP 2* 4301 32nd Street West, A-20 Ancient Oaks Board of Directors ¨ Approved
Bradenton, FL 34205
STEP 4 (Meeting Monthly)
Mail or Attn: Jennifer Everingham Decision
Fax to: ¨ Rejected
jeveringham@cscmsi.com FAX 941-753-3062 Appeal Date In: ___________ Date Out: _________ Comments:
Date In:_________ Date Out:______
Print Name: _________________________
*Signature:_____________________
*Lot survey and supporting materials Signature: __________________________
MUST BE INCLUDED.

PROPERTY MODIFICATION CHECKLIST

ALWAYS INCLUDE A COPY OF YOUR LOT SURVEY – noting the exact area affected by the modification –
when submitting your request. Use separate forms to submit multiple requests. NO ADVERTISING SIGNS ALLOWED

¨ Screened LOCATION (Select One) ¨ Lanai ¨ Other: ______________________________________

Enclosure
MATERIAL (Select One) ¨ White ¨ Bronze Mark on attached lot survey.

¨ Pool LAWN AND SIDEWALK REPAIR REQUIREMENTS

• Damaged lawn, including common areas, will be repaired within 30 days of completion
• Homeowner will obtain a written guarantee from installer stating that sidewalk damage
will be repaired within 30 days of completion.
_______All items listed above will be satisfied. (PROPERTY OWNER’S INITIALS)
MISCELLANEOUS (Check all that apply)

¨ Screening (pool cage) ¨ Heating: ____Solar ____ Electric ____ Gas (tank will be buried)

¨ Paint LOCATION (Check all that apply, Please include paint number and color chip card)

¨ Home:___ ¨ Trim:___ ¨ Front Door: ___ ¨ Garage Door: ___

¨ Extension LOCATION (Check all that apply and mark on attached lot survey).

MATERIAL ¨ Walls: ___ ¨ Windows: ___ ¨ Doors: ___ ¨ Roof: ___ ¨ Ceiling: ___ ¨ Floor: ___
(NOTE: Extension must match color and texture of home).

¨ Pavers LOCATION (Check all that apply).

¨ Front Entry ¨ Walkway ¨ Lanai or Pool Deck MATERIAL:____________ COLOR: __________

(Describe modification, and note location on attached lot survey)
¨ Landscape

¨ Fence REQUIREMENTS: Must conform with the fence policy. Mark location on attached lot survey and describe in detail.

LOCATION (Check all that apply). ¨ Side ¨ Back MATERIAL:______COLOR: ______ HEIGHT: ______
(Describe modification, and note location on attached lot survey)

¨ Other
The undersigned property owner hereby acknowledges and agrees that they will be solely responsible for determining whether the improvements,
alterations, or additions described herein comply with all applicable laws, rules, regulations, codes and ordinances including, without limitation: zoning
ordinances, subdivision regulations, and building codes. Neither the Modification Committee, the Board of Directors, nor Advanced Management, Inc
shall have any liability or obligation to determine compliance.

________________________________________ __________________________________ ______________

Property Owner Signature Property Owner Name (PRINTED) Date

NOTE: Property Modification Request Forms will be reviewed for completeness and compliance with the Ancient Oaks Deed Restrictions. The
Modification Committee will then recommend Approval or Denial. Denied requests may appeal to the Board of Directors. All submitted forms will be
processed by C&S Condominium Management Services, Inc. and returned to the applicant.
 Version 2.1 dated 3/4/2007

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