HomeMy WebLinkAboutForm # 101FORM #101 TO BE USED FOR
VENTURE HARBOUR INC.
VENTURE OUT AT 1NDIAN 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 wor or any
other type of work that may be effected by the rules, regulations and bylaws of any ih above
associations.
This form shall also serve as notice to the owner or owners of Lot #J� t th er or
owners or their agents of Lot # shall solely or jointly be responsiblj3 per setting
and compliance of all rules, regulations. and bylaws of any of the ab • ass iations, and the
Codes, Laws, Rules and Regulations pertaining to said work as set f by cie County.
The owner, owners, or their agents by signing this form she Id h ess any of the above
associations, its officers, directors and committee personnel to its and their duties and
responsibilities as the administration of said work.
Said work is approved as per dimensions shown o ached l or drawing -this,
Date --
Scope of Work
A ____:_44__ r1--�-Ni
Agent for Lot #�
IN
Date: /_ r£7'
ADDENDUM: Contractor agrees to attached -Indemnification Agreement, and also agrees
to irrevocably indemnify, save harmless and pay to any adjacent Owner in any of the above