BEACH WOODS PROPERTY OWNERS ASSOCIATION

155 River Woods Boulevard

Melbourne Beach, Florida 32951

Phone:  321-729-6223  Fax:  321-984-1458   email:  beach-woods-office@cfl.rr.com

 

Request for Personal Use of Golf Cart* Form**

DATE _______________   

Name______________________________________

Address____________________________________

Lot #______Phone #____________E-Mail_________________

Signature ___________________________________

Proof of Liability Insurance

Date of Policy Period____________________________________

Insurance Policy #_______________________________________

Insurance Company______________________________________

Driver's License # _______________________________________

Proof of Medical Need

Physician's letter stating person has a medical need for personal

mobility assistance received on: _________. No personal medical information is required.

Approved by Board of Directors on: ___________

Director_____________Director______________Director______________

Director_____________Director______________Director______________ 

*"The Board of Directors may approve the use of a golf cart by a resident when proof of liability insurance and medical need is provided by the applicant. When approved, the golf cart may be used only on the roads in Beach Woods. Parking is permitted in a driveway, a garage or within a fenced in yard." "The applicant may use his/her designated parking space but may not run an electrical line across the grass or road."    (Motion approved by BOD 2/08/2007)  ** (Form approved 3/8/07)