HomeMy WebLinkAboutassocation appVENTURE THREE
FORM 101
b Revised g Apr 2019
JUL 0 8 2019
VENTURE HARBOUR INC.
VENTURE OUT AT INDIAN RIVER INC. ST• Lucie county, Permitting
i
VENTURE OUT AT ST. LUCIE INC.
NOTICE
This form must be attached and made part of all drawings or plans regarding the installation, construction,
rer$ode1mg, 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 # Z 3 , that the owner or owners
or their agents of Lot #�_ 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
Scope of Work
Association Building Committee
By: k h-)
By:
By: / Du o
Association
Owner, Owners, or Agent for Lot # 6 Z 3 Phone: `— 3 f S— 7 2-0 — Z 3 2
By:17A17woy`( Date: QCla 7z2o/ y
Date:
Date:
V3 Form 101_Apr19 Page 1