HomeMy WebLinkAboutHOA ApprovalVenture Out at Indian River, Inc., 10701 S Ocean Dr, Jensen Beach, FL 34957
Phase: (772) 229-2333 Fax: (772) 229-5859 E-mail: V3of1`ice@V3assoc.corn
FORM 101-APPLICATION FOR BCIILDING COMMITTEE APPROVAL
INSTRUCTIONS: To process thla form 10J, the fallowing items must be submitted either in person, by email, or fax, to the
Venture Out at Indian River, Inc, office as listed above, at least 5 business days prior to commencement of any work:
1. T17is completed application,
2. Site Plan Submission to include [lie type of work, location, materials, color, design, dimensions, plans, survey, pictures and
other information as may be. pertinent to complete your request, See Venture Out at Indian River, Inc. Rules for a complete
description of the Site Plan Submission requirements for new home construction,
3. Fully executed Venture Three/Venture Out at Indian River, Inc, Indemnification Agreement. it must be signed by the
commercial contractor and owner, or just the owner if the work will be done by the owner.
To: Venture Out at Indian River, Inc. Building Committee
From: Owners Name �.f✓ rr r 44�%,. !) o (Lot iJ
Property Address: ;u
U {�� J L f�' st I'L. 3Li
Phone: i eJ� (�) ,� l j Email: y1 )f L{( P) 01Y) �*t t�4n
I/We are hereby requesting to make the following modification
❑ Painting ❑ Roof LJ Doors ❑ 1A
Pavers ❑ Sea Wall Boat Lift
A/C Plumbing Electrical Cr
Description of work (attach required documentation).
as described below (check all that apply):
id Shutters Landscaping Feature
ock ElAwnings❑Ext Stairs/Landing
icrete 0 Lighting Other
Commercial Cantractar Information: �No commercial contractor/by owner
If work is being done by the owner, leave this section blank and mark box no commercial contractor/by owner.
Company name: i)._ l� t� C iii SN )C 1 ; 0A) !10 (we contact: j.�Q/cl
Address: (,( 1 O 2 l Vto r h� � P t�" �4i ; L �) L r`� Ll 5—
Phone: ")A-X�) L2 f�2 Email: tin 4. v lea 6 4!0,/nca L
ey submitting this Form 101, we agree to the following terms and conditions as described below:
1. Do not commence any work until written approval is granted. If work begins prior Co being authorized, owner will be in
violation of The Rules of Venture Out at Indian River, Inc. Rules and subject to the fining process.
2. Abide with the Associations authorized days and hours for construction and all Association and Venture Three Rules.
3. All commercial contractors must be properly licensed and insured for liability. The Venture Three and Association
Indemnification Agreement is REQUIRED to be signed and on file at the Venture Three office prior to the commencement of any
work.
Q. Any approval granted herein is only valid if owner obtains neccessary permits as required from St Lucie County, in accordance
with the local codes, laws and ordinances„prior to the commencement of work. It is the owner's responsibility to provide any
required permits to validate the Building r9mmittee approval.
Signature of Owners or Agent
Building Committee Use Only: ,�
Date
(Date Application Received: Date of Disposition �J'�—,�`y"
,Approval Granted: X____ Approval Denied:
Building Committee Member Signatures Ay i'Je
Signature: i ' " Printed Name: f0 e ,)
Signature: Printed Name:
Printed Name:
rm 101 v1 Board Approved - 202103].5