SUBDIVISION: ________________________________________

PROPERTY OWNER'S NAME: ________________________________________

BUSINESS NAME: ________________________________________

BUSINESS MANAGER'S NAME: ________________________________________

PROPERTY ADDRESS: ________________________________________

E-MAIL ADDRESS (optional): ________________________________________

PHONE NUMBERS (office/cell):

OWNER: __________________    MANAGER: __________________

FAX NUMBERS - OWNER: __________________    MANAGER: __________________

Please select the improvement categories which are proposed:

	Paint		Roof		Pool/Spa		Deck/Patio		Play Equip.
	Siding		Fence		Storage Shed		Doors/Windows		Room Addition
	Trees		Other:	____________________________________________________

Fully describe the improvements in more detail including the materials to be used:

Dimensions of Planned Improvement:   Width: __________      Height: __________      Length: __________

Attach a drawing showing the location of the improvement(s) which you propose. Be specific, showing to scale the property lines, building set back lines, easements, fences, sidewalks, patios, pools. A PLAT OR SURVEY IS REQUIRED FOR ANY NEW CONSTRUCTION and is strongly recommended for all other improvements.

SIGNAGE PROJECTS: Attach a sketch and description of the proposed signage. Color, dimension, composition, and construction details should be provided. See Commercial Guidelines for specific requirements.

ROOFING PROJECTS:

Shingle Manufacturer: _______________	Shingle Color: ___________________
Shingle Brand Name: _______________	Shingle Warranty: ________________ yr

Brick Color: ___________________	Siding Color: _______________________
Shutter Color: __________________	Front Door Color: ___________________
Trim Color: ____________________	Garage Door Color: __________________

	Owner/Manager		Contractor - List name and phone #: ____________________
Start Date: ____________________      Completion Date: ____________________

For any room additions and storage buildings, you must obtain a construction permit from the City and/or County within thirty (30) days of the date of approval by the Architectural Control Committee.

IN AN EFFORT TO PROVIDE AND PROTECT EACH INDIVIDUAL HOMEOWNER'S RIGHTS AND VALUES, IT IS REQUIRED THAT ANY HOMEOWNER OR GROUP OF HOMEOWNERS CONSIDERING IMPROVEMENT (EXAMPLES: EXTERIOR PAINT, PATIO COVERS, FENCES, SIDEWALKS, DECKS, ETC.) ON THEIR DEEDED PROPERTY OTHER THAN LANDSCAPING, SUBMIT A REQUEST FOR HOME IMPROVEMENT APPROVAL TO THE ARCHITECTURAL CONTROL COMMITTEE FOR APPROVAL BY THE HOMEOWNERS ASSOCIATION PRIOR TO INITIATING WORK ON PLANNED IMPROVEMENTS. IF ANY CHANGE IS MADE THAT HAS NOT BEEN APPROVED, THE COMMITTEE HAS THE RIGHT TO ASK THE HOMEOWNER TO REMOVE THE IMPROVEMENT FROM HIS PROPERTY. I UNDERSTAND THAT THE ASSOCIATION ARCHITECTURAL CONTROL COMMITTEE WILL ACT ON THIS REQUEST AS QUICKLY AS POSSIBLE AND CONTACT ME IN WRITING REGARDING THEIR DECISIONS. I AGREE NOT TO BEGIN PROPERTY IMPROVEMENT(S) UNTIL THE ARCHITECTURAL CONTROL COMMITTEE NOTIFIES ME OF THEIR APPROVAL.

Signature of Owner of Manager: ____________________________      Date: ________________

If you have questions in regard to this form or your project, please refer to the ACC Commercial Guidelines posted on the community website at www.pineloch.org. If you have further questions, please contact the Association's Management Company (see contact information on page one of this application).

For ACC use only:

Approved

Denied

Conditionally/Partially Approved

ACC signatures: ________________________________      Date: ____________________

                          ________________________________

ACC comments & conditions: __________________________________________________

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