! CONDOMINIUM ASSOCIATION, INC APPLICATION FOR RESIDENCY
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1 CONDOMINIUM ASSOCIATION, INC APPLICATION FOR RESIDENCY 1. Non Refundable Application Forms/Fee ($100.00) per buyer. 2. Refundable move in/move out damage fee. ($500.00). 3. Application must be requested from the Management office or downloaded from our website and needs to be submitted no less than 14 business days prior to anticipated move in. All forms must be filled out completely. Omissions or illegible entries will be treated as incomplete and the application will be returned. 4. The Association requires a copy of the signed Rules and Regulations forms and photo ID for each adult listed as purchaser. 5. After completion of this application please print, sign and date all required signature and date fields before returning this packet to the Association Office. 6. Once the required fee has been paid and the application has been processed, the management office will contact the prospective owner. 7. An incomplete application submitted to the management office will delay owner approval. Thank You, On behalf of the Board of Directors Milton Leidig L.C.A.M.
2 TABLE OF CONTENTS 1. PERSONAL INFORMATION. 2. PARCEL RECEIPT AUTHORIZATION. 3. UNIT ACCESS AUTHORIZATION (GUEST AND CONTRACTOR). 4. INDEMNFICATION AND RELEASE FORM. 5. MOVE IN/MOVE OUT AND DELIVERY POLICY. 6. PET REGISTRATION FORM. 7. AUTHORIZATION FORM (Release of personal and financial information). 8. CONFIDENTIAL RESIDENT INFORMATION SHEET. 9. CAR/MOTORCYCLE REGISTRATION FORM.
3 Complete all questions. If any question is not answered or left blank, this application may be returned, not processed, and/or not approved. Print legibly. Missing information will cause delays. All information will be verified. Purchase Unit Building Name/ Number: STRADA 315 CONDOMINIUM ASSOCIATION Apartment: Purchase [ ] Move in / Closing Date: Applicant Information Applicant Information First Name: Middle: Last Name: Social Security No: Date of Birth: ( / / ) Driver's License No: State Issued: Passport #: Country: Telephone No: Co-Applicant Information Co-Applicant Information First Name: Middle: Last Name: Social Security No: Date of Birth: ( / / ) Driver's License No: State Issued: Passport #: Country: Telephone No: Pets Do you have pets? If Yes, Please describe your pet. Pet's Name: Age: Sex: Weight: Breed: Spayed / Neutered?
4 Vehicle / Motorcycle Information Vehicle 1 Make: Model: Color: Year: License Plate # State: Insured By: Vehicle 2 Make: Model: Color: Year: License Plate # State: Insured By: In Case of Emergency Name: Phone # Current Address: City: State/Zip: Convictions Have you or the co-applicant ever been arrested or convicted of any crime? Include Misdemeanors, DUI, etc. or are any criminal charge now pending? Yes [ ] No [ ] Applicant [ ] Co-Applicant [ ] if yes, City State:[ ] Date Please explain: List Other Occupants Tenant Evaluation LLC NE 29th Avenue Suite 710 Aventura, Florida Office 305
5 Authorization Form You are hereby authorized to release any and all information requested with regards to verification of my bank account(s), credit history, residential history, criminal record history, employment verification and character references to Screening Reports. This information is to be used for my / our credit report for my/our Application for ownership. I/We hereby waive any privileges I/We may have with respect to the said information in reference to its release to the aforesaid party. Information obtained for this report is to be released to Screening Reports, Property Manager, and Board of Directors only. PLEASE INCLUDE COPY OF DRIVER'S LICENSE and SOCIAL SECURITY CARD TO CONFIRM IDENTITY. If you do not have a Social Security Card, please include a copy of your Passport or current identification card. I/We further state the Authorization Form were signed by me/us and was not originated with fraudulent intent by me/us or any other person that the signature(s) below are my/our own proper signature. I/We certify under penalty of perjury that the foregoing is true and correct. I UNDERSTAND THAT THE APPLICATION FEE IS REQUIRED AND NONREFUNDABLE REGARDLESS OF THE OUTCOME OF THE APPLICATION. Please allow 15 days from the date below to complete the application. If you or the co-applicant have falsified, deliberately mislead or omitted to mention any information on your application, you may not be approved for a purchase. _ (Applicant's Signature) Date Applicant s Name Printed (Co-Applicant's Signature) Date Applicant s Name Printed
6 CONFIDENTIAL RESIDENT INFORMATION SHEET Date: Unit Number: Resident s Name(s): Does a corporation own the unit? If yes, please state the name of the Corporation Is this a Primary or Secondary Residence: (Check One) [ ] PRIMARY [ ] SECONDARY If secondary, please list anticipated data of occupancy? _ List all adult occupants: Name Children Names and Ages: Name Relationship Age Pet (s): Strada 315 Home Phone # Cell Phone # Business Telephone: Business Fax: Address: Will your unit be used for rental purposes? Yes[ ] No [ ] Emergency Contact Name: Phone # Relationship: For Association mailing purposes, please state official mailing address: Are you or anyone in your household in need of special attention or have restricted mobility, which would require additional assistance in the event of an emergency? Yes [ ] No [ ] If yes, Please explain special needs (i.e. oxygen, wheelchair, blind, hearing impaired, etc.): _
7 CAR/MOTORCYCLE REGISTRATION FORM Resident(s) Name: Unit #: VEHICLE 1 Make: Model: Year: Color: Tag #: State: Parking Space Assignment: VEHICLE 2 Make: Model: Year: Color: Tag #: State: Parking Space Assignment: VEHICLE 3 Make: Model: Year: Color: Tag #: State: Parking Space Assignment: Note: Vehicles must be parked in assigned space(s) only. All unauthorized vehicles are subject to tow restrictions.
8 PET REGISTRATION FORM Unit Owner or Resident: Unit #: Type of Pet (circle one): DOG, CAT, FISH, CAGED DOMESTIC (Household type) BIRDS Pet s Name: Pet s Age: Pet s Weight: Pet s License/Tag Number: Breed (Be specific give complete description, color, etc.): Pleaseattachphotoofpet here I am aware of STRADA 315 s Rules, Regulations and Restrictions regarding pets on the property and agree to abide by them. Unit-Owner s Signature: Date: PLEASE RETURN FORM WITH PHOTO AND REGISTRATION TO MANAGEMENT OFFICE
9 PARCEL RECEIPT AUTHORIZATION TO: STRADA 315 UNIT OWNER: UNIT #: THE UNDERSIGNED, the owner(s) of Unit listed above (the Unit ) of STRADA 315 hereby authorizes the personnel employed by STRADA 315, (the Association ) to accept, receive, and sign for any parcels, deliveries or mail addressed to the unit, without imposing any liability thereon for the condition or substance of any such parcels so received. Understanding that this Authorization is solely for the benefit of the undersigned, we hereby release the Association, its employees and agents, from any liability arising from this Authorization, including, without limitation, liability arising from the misplacement of parcels, and / or the negligence of the Association, it s employees or agents in such regard. For Security reasons, Parcels with no return address will not be signed for or accepted. All packages will be returned to sender if they have not been picked up after one (1) week unless prior arrangements have been made. Oversized items cannot be accepted without prior arrangement being made. EXECUTED THIS day of, 20 By: (On behalf of all residents of above unit) Print Name: NO CERTIFIED OR REGISTERED MAIL WILL BE ACCEPTED
10 UNIT ACCESS AUTHORIZATION GUEST and CONTRACTOR I, _, here by authorize the Following person(s) to enter Unit No:, effective (date). This authorization is valid until: (date). (PLEASE PRINT NAME AND/OR COMPANY CLEARLY) NAME / COMPANY DESCRIPTION (friend/family/contractor) INSTRUCTIONS: Owners or authorized tenants, may access the property at will using fobs at designated entry points. The residents must authorize all other visitors to the property. You may authorize entry at any time over the telephone while in residence. If you wish to authorize access to your unit during an absence from the property, use this form to designate such authorization. Once the management office has this authorization, access will be given to the above listed parties. Residents must make all arrangements for unit access with their guests (i.e. provide unit keys.) Access Key Fobs are restricted to resident only. Contractors or service personnel are not allowed to use access devices; residents are responsible to provide them only with the UNIT KEYS. The undersigned acknowledges and agrees to fully indemnify and hold harmless you and all of your officers, directors, members, employees and agents (including, without limitation, your management and security companies and their officers, directors and employees) for and from any and all misconduct or negligence of the person(s) named above, whether in the Unit, the Common Elements of the Condominium or otherwise such agreement to include all attorney fees and court costs regardless of whether suit is brought or any appeal is taken there from. OWNER S SIGNATURE TELEPHONE #: FAX #: _
11 INDEMNFICATION AND RELEASE FORM WHEREAS, the undersigned Unit Owner(s) in Unit No. of Strada 315 Condominium Association, Inc. located at 315 NE 3rd Avenue Fort Lauderdale, FL is/are desirous of having the "Association and/or First Service Residential, Inc. ("FSR") its authorized agents, perform the following service on my/our behalf and not on behalf of the Association: (Circle if appropriate) 1. Accept UPS, Federal Express or similar deliveries at front desk. (Certified Mail will not be accepted). WHEREAS, to protect the Association, FSR. Their officers, directors, partners, parent company, members, agents and employees (hereinafter the "Association Parties") from any claims, damages, demands, suits, judgments, actions, causes of actions, debts, sums of money, accounts, claims and demands arising out of, or related to, the services performed hereunder on behalf of the undersigned unit Owner(s) or Tenant(s), I/we agree to indemnify and hold harmless the Association Parties from any such actions, demands, suits, etc., and WHEREAS, the Association and FSR are not willing to provide the above referenced services to the undersigned unit Owner(s)/Tenant(s) without the benefit of this Indemnification and Release Form. NOW THEREFORE, for Ten ($10.00) and good and valuable consideration, the receipt and adequacy of which is hereby acknowledged by the Association Parties and the undersigned, it is hereby agreed the Unit Owner(s) or Tenant(s) hereby agrees/agree to hold harmless and indemnify the Association Parties from any claims, demands, suits, etc., including, but not limited to reasonable attorney's fees and costs whether pre-litigation, or at the trial or appellate levels, if applicable, against it or them by any party, resulting from or related to the performance or the above services for the undersigned and the undersigned hereby releases said Association Parties for will not assert any claims against such Association Parties for services performed hereunder. This indemnification and hold harmless shall apply even in those situations where the claims may result directly or indirectly, in whole or to part from the negligence of the Association Parties, The Association and/or FSR shall have the right to limit or condition performance of the above-referenced services as either of said parties may reasonably determine from time to time in the exercise of its sole discretion, Witnesses: Unit Owner(s)/Tenant(s) Date:
12 MOVE IN/MOVE OUT AND DELIVERY POLICY No move-ins/move outs or deliveries will be allowed through the Main Lobby. All move-ins/move outs will be processed through the service elevator. You must notify your moving company of this and verify that they have adequate transportation to move construction materials and furnishing from the receiving area to the service elevator. There may be limitations to the size of furnishing and construction material transported on the service elevator. Please contact the management office prior to delivery for the specific dimensions of the service elevator. Move-In/Move-Out A move is defined as furniture, appliances or boxes taken to a Unit that requires three or more trips on an elevator utilized exclusively for a specific Unit in any 24-hour period. All moves require a minimum seven (7) day reservation of the elevator. The elevator is reserved for 3 1/2 hour blocks. Either from 9 a.m. to 12:30 a.m. and 12:30 p.m. to 4:00 p.m., Monday through Saturday (holidays excluded). The move must be complete and the movers must be out of the building by 4 p.m. A refundable $ security deposit is required at the time of reservation. The maintenance staff retained to expedite the move, as well as monitor its progress and report any damages to common areas that may occur. A Certificate of Insurance from the Moving Company listing the Association and the Unit Owner, as additional insured, must be submitted prior to the date of the move. The Association requires General Liability coverage in the minimum amount of Five Hundred Thousand Dollars ($500,000.00), Comprehensive Auto Liability insurance in the minimum amount of Five Hundred Thousand Dollars (500,000.00) combined single limits and Workers Compensation Insurance as required by State Law. Immediate notice to the Association is required if there is any delay in the start or completion of the move that will prevent the completion of the move on time or in a timely fashion. Deliveries Deliveries are defined as furniture, appliances or construction materials taken to a unit that can be transported in two or less trips on an elevator utilized exclusively for a specific Unit in any 24-hour period. Residents may make deliveries of small items purchased during the course of normal, everyday shopping, such as groceries, small appliances, televisions, stereos, etc. as long as exclusive use of the elevator is not required for the delivery and the delivery does not interfere with the day to day activities of the Association's Unit owners and residents. All Deliveries from vendors must be scheduled with the Association and performed during normal delivery hours as stated below. All deliveries require a minimum 24-hour notice and reservation of the elevator. Deliveries can be made only between 9:00 a.m. and 4:00 p.m., Monday through Saturday (holidays excluded). A refundable $ security deposit is required at the time of reservation. A Certificate of Insurance from the Delivery Company listing the Association and the Unit Owner, as additional insured, must be submitted prior to the date of the move. The Association requires General Liability coverage in the minimum amount of Five Hundred Thousand Dollars ($500,000,00), Comprehensive Auto Liability insurance in the minimum amount of Five Hundred Thousand Dollars (500,000.00) combined single limits and Workers Compensation Insurance as required by State Law. Immediate notice to the Association is required if there is any problem with the delivery or it has been rescheduled. Acknowledgement by Unit Owner: I acknowledge receipt of the "Move-in/Move-out and Delivery Procedures" and understand that as Unit Owner/Lessee, I am liable for the expense of fines, damages, repairs and other related expenses, etc. due to negligence of my agents or employees. I hereby agree to comply with all of the above requirements and to cause my moving and delivery personnel to comply with these requirements. Unit# Date: _ Print Unit Owner/Lessee Name: Unit Owner/Lessee Signature(s): _
Kings Creek South Condominium, Inc. 7735 S.W 86 Street Miami, Florida 33143 Office: 305.271.5454 Fax: 305.595.5144
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