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ARCHITECTURAL REVIEW WORKSHEET
Property Owner Name
*
Street Address
*
Property Owner Email
Property Owner Phone
*
Date
*
Submittal Type
*
Preliminary
Revision
Final
Detailed Scope of Work
*
Architect Firm
Contact
Phone
Emaill
Builder/Contractor
License
Phone
Emaill
Project Manager
Phone
Property - Residence
A/C Sq. Ft: Ground Level:
1st Floor
2nd Floor
FEMA 1st habitable floor level
Elevation 1st floor living level
Highest point of roof
Highest point of chimney
ORCA maximum lot coverage calculation
Set Back Information
1st floor front
R side
L side
Rear
2nd floor front
R side
L side
Rear
Existing & Proposed Elevations
Crown of Road
Center
Front L
Back L
Front R
Back R
Pool - Spa
Contractor
Project Manager
License #
Email
Phone
Monroe County Permit #
Detailed Scope of Work
Docks - Davits - Lifts - Piers
Contractor
Project Manager
License #
Email
Phone
Monroe County Permit #
ORCA Boat Lift Notice Required:
Yes
No
Detailed Scope of Work
Landscape
Architect Firm
Contact
Phone
Email
Installing Contractor/Project Manager
Phone
Detailed Scope of Work
ORCA Roadside Swale(s) Length
Ft. Width
Ft. Depth
INCHES
MC Side Swale(s) Length
Ft. Width
Ft. Depth
INCHES
MC Rear Swale(s) Length
Ft. Width
Ft. Depth
INCHES
Exterior Materials
Submit photo of 10x10 paint sample(s) on exterior wall for final approval
Roof Material
Color
Wall Material/Finish
Color
Accent Trim Material/Finish
Color
Window-Door Material
Color
Shutter Material/Finish
Color
Soffit/Fascia Material
Color
Driveway Material(s)
Color
Driveway Metal Storm Water Drain
Yes
No
Color
Patio Material(s)
Color
The above has been completed by me and represents the full scope of the intended project. I, the undersigned, have obtained a copy of, have read and fully understand the ORCA Building Regulations and Restrictions:
Signature
*
Date
*
Full Name
*
Telephone
*
ORCA Staff Only
Submitted Date
CMS Date
DZ
Rcvd
Date Reviewed
Name
Class
Date Arch Review
Permit Fee
Deposit Due
Comments
Revisions Review Date
Arch Review Date
Comments
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