Please print.  All information on this form must be completed.  A copy of the vehicle registration(s) and vehicular insurance card(s) must be attached.

Name of Applicant:                                                                                                                                     

Street Address:                                                                            City, State:                                           

 

Description of Vehicle:

Vehicle #1:

Make:                                                            Model:                                                      Year:                   

Color:                                                            Gross Vehicle Weight:                                                        

Vehicle Tag No.:                                        State:                                        VIN #:                                  

Vehicle Registered to:                                                                                                                               

Street Address:                                                                            City, State:                                                                               

Vehicle #2:

Make:                                                            Model:                                                      Year:                   

Color:                                                            Gross Vehicle Weight:                                                        

Vehicle Tag No.:                                        State:                                        VIN #:                                  

Vehicle Registered to:                                                                                                                               

Street Address:                                                                            City, State:                                                                               

Any changes in use or appearance of the above described vehicle(s) must be submitted to the Board of Directors with a new application.

A color photograph of above-described vehicle(s) must be attached if vehicle(s) is/are outlined in Article IX, Paragraph 2, Section ‘B’ of Declaration of Covenants and Restrictions as paraphrased, “No vehicle with more than 4 wheels, camper, motor home, boat, trailer, all-terrain vehicle (ATV), bus, motorcycle or similar vehicle.”  It is understood that any vehicle described in this paragraph MUST be parked entirely within the confines of a garage.

I/We, the undersigned, hereby certify that I/we have been provided with a copy of the Rules and Regulations as of the date of this application, and that I/we have read and understand same.  I/We agree to follow all such Rules and Regulations, and those rules and regulations which may be adopted by the Board from time to time.  I/we understand that any vehicular violation of the Rules may result in the towing away of any vehicle not in compliance.  I/we understand that applicants arriving with unapproved vehicles, pets or otherwise not in conformance with the Rules and Regulations may be denied access to premises or asked to vacate the premises.

Applicant’s Signature:                                                                                              Date:                                     

Applicant’s Signature:                                                                                              Date:                                     

 

--SPACE BELOW THIS LINE FOR ASSOCIATION USE ONLY—

 

The above application is: (circle one)                   APPROVED                      NOT APPROVED

Reason for non-approval:                                                                                                                                         

Director’s Signature:                                                                                  Date:                                                      

Director’s Signature:                                                                                  Date:                                                      

Permit Numbers:                                                                                                                                                        

 

All pages must be printed, completed and mailed to:

PO Box 13660, Ft. Pierce, FL 34979

 

Other Links:

Not valid without copy of vehicle registration.

Palm Lake Gardens Owners’ Association

We Care.

Application for Vehicle Permit