Application

Sandpiper Golf & Country Club Property Owners’ Association

Instructions for Completion of Residency Application Form

Anyone planning to purchase a home, rent a property (minimum 30 days), or occupy a property for over 30 days in a calendar year must complete the attached application form.

1. At least one applicant or resident in the household must be over 55 years old.

2. The Sandpiper Property Owners’ Association will conduct a criminal history background check on each applicant. Results will be reviewed for felony convictions or sex offenses. All information from the background check remains confidential and will be given to the applicant upon request.

3. Along with the signed application, an application/processing fee will be charged to each applicant. Please contact the POA office to verify current fees.

4. Please enclose a clear copy of a photo ID (drivers license, passport) for each applicant.

5. Mail or deliver your application packet to: 

Sandpiper POA

 5883 Mallard Drive

Lakeland, FL 33809

Phone: 863-859-0761

The application file is at the bottom of this page.  By clicking on it, you can view and/or print it from there.  For those leasing their property, the short form is also available at the bottom of this page.

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According to the pertinent parts of Article VI, Section 16 of the Amended, Restated, and Consolidated Declaration of Covenants, Conditions, and Restrictions of Sandpiper Golf & Country Club recorded in Official Records Book 8026, Page 2001, Public Records of Polk County, Florida, as may be amended (the “Declaration”): “All persons intending to occupy a housing unit in the community, shall, prior to each occupancy, make application for residency and shall provide such evidence of age of each intended occupant as may be required for the determination of the ages of such intended occupants, for example, a photocopy of a birth certificate, a bona fide driver’s license or such other acceptable document.

The Association shall have the right to interpret, administer and enforce the provisions of Article VI, Section 16.”

Therefore, the Board of Directors of the Sandpiper Golf & Country Club Property Owners’ Association, Inc. (the “Association”) has developed this Residency Application & Background Check Authorization (“Residency Application”).

Persons who refuse to complete all sections of this Residency  Application are in dire violation of Article VI, Section 16 of the Declaration and, therefore, forfeit their right to reside in Sandpiper Golf & Country Club. Moreover, Applicants understand, agree and authorize the Association and or the Residency Application Review Committee, and their agents, to investigate and verify all information contained in this Residency Application, including criminal background reports, landlord and tenant court records, and contacting current and previous landlords. A non-refundable processing fee is required for the background check for each Applicant over the age of 18 years. Checks shall be made payable to the order of Sandpiper POA.

Applicants further understand and agree that final approval/denial of this Residency Application is by the Association acting on behalf of all property owners and the Applicants will hold harmless all parties (including without limitation, the Association and its Board of Directors and all members of the Residency Application Review Committee) from any claim or action related to this Residency Application or the resulting investigation. Applicants also understand and agree that no assumption shall be made that the Residency Application has been approved or denied until receiving written confirmation of such action.

The Association does not deny residency based on race, religion, income, disability, gender, sexual orientation, ethnicity, or culture. The criteria for denial of a Residency Application shall include, but not be limited to the following:

(1) Failure to satisfy the age requirements for occupancy; (2) Felony conviction within the last five years prior to the date of this Residency Application; (3) Sexual predator and/or sexual offender conviction; (4) Currently on probation (i.e., as of the date of this Residency Application); and (5) Any falsification or misrepresentation of any information on this Residency

Application.