HomeMy WebLinkAboutVenture Three Form 101' ,VETHREE �.
Revised a Apr 2019
VENTURE HARBOUR INC.
VENTURE OUT AT INDIAN RIVER INC.
VENTURE OUT AT ST. LUCIE INC.
NOTICE
This form must be attached and made part of all drawings or plans regarding the installation, construction,
remodeling, setting or resetting of any permanent structure, concrete work, or any other type of work that
may be effected by the rules, regulations and bylaws of any of the above associations.
This form shall also serve as notice to the owner or owners of Lot % , that the owner or owners
or their agents of Lot #Rc7 shall solely or jointly be responsible for the proper setting and
compliance of all rules, regulations and bylaws of any of the above associations, and the Codes, Laws,
Rules and Regulations pertaining to said work as set forth by St. Lucie County. This form does not
absolve the OWNER(s) of the need to obtain any necessary St Lucie County permits, PRIOR to
start of work.
The owner (s) or their agents, by signing this form, shall hold harmless any of the above associations, its
officers, directors and committee personnel as pertains to its and their duties and responsibilities as, the
administration of said work. The OWNER (s) or their agents are also responsible to ensure their
contractor(s) abides by the rules set forth in Appendix A of this form.
Said, work is approved as per dimensions shown on attached plan or drawing this,
Date !z a- 20If 9
Scope of Work 5oNmLL T)4
Association
Association
By: C .x
TINS STAMP VERIFIES ONLY THAT THIS PLAN
COMPLIES WITH VENTURE OUT AT @QDAN
B _ RIVER M REQUIRED SET BACKS, PARKING
y' REQUIREMENTS AND MAXIMUM HEWI T
. > LIMITATIONS, NO OTHER APPROVAL M
By INTENDED OR GIM. DATE
SIONATURE:
Owner, Owners, or Agent for Lot #�_ Phone:
By: Date: ZL —
M
Date:
Date:
V3 Form 101_Apr19 Page 1