|Notification of Intent to Modify/Alter
Daytona Beach Riverhouse Inc.
715 S. Beach St.
Daytona Beach, FL 32114
386 -252- 4043 (Fax) 386 - 252 - 2698
1. Description of proposed modification to common area: ______________________________________________________________________________
Note: Common areas include any location or element which is not enclosed between the unfinished walls and floors and ceiling of your condominium. Your balcony/poarch, sliding glass door, windows, front door and screen door are included in the common area. Any modification to these elements must be submitted to the Architectural Review committee. This includes, but is not limited to, hurricane shutters.
2. Will you be modifying:
Front door: Yes  No  Sliding glass door: Yes  No  Screen/storm door: Yes  No 
Kitchen windows:Yes  No  Bedroom windows: Yes  No  Balcony/poarch: Yes  No 
Structural changes: Yes  No 
3. Contractor Name: ____________________________________________________________
Address: ___________________________________________ Phone: ____________________
4. Condominium owners name: ___________________________________________________
Unit number: _________ Phone: __________________ Living on site: Yes  No 
Signature of owner _____________________ Signature of owner _______________________
Date: ___ / ___/ ____
Please attach any photographs or supporting materials and submit this form to the Condominium Manager.
Date form received by Condominium Manager: ___________ Managers initials: ___________