MIDPORT PLACE II CONDOMINIUM ASSOCIATION, INC.
1555 SE Royal Green Circle
Port St. Lucie, FL 34952
772-337-2212
Fax 772-337-2264
Date ________ Unit # _______
$100.00 Interview Fee
Name/Names ________________________________________________
Current Address __________________________________ Apt/ Unit____
City ___________________________ State ___________ Zip _____
Have you rented/owned here previously? Yes ____ No _____ Unit # ___
Please state the name and relationship of all persons who will be occupying your
unit during the term of residence.
unit during the term of residence.
NAME RELATIONSHIP AGE
______________________________ ______________ ___
______________________________ ______________ ___
1st Person Phone # _______________ Work # ___________________
Cell # _________________________ E-mail ___________________
2nd Person Phone # _______________ Work # __________________
Cell # _________________________ E-mail ___________________
VEHICLE INFORMATION
MAKE OF CAR YEAR COLOR STATE & TAG #
______________ ____ ______ _________________________
______________ ____ ______ _________________________
ADULTS MUST PROVIDE PHOTO ID/VEHICLE REGISTRATION INFORMATION
No RV’s, Commercial Vehicles, Campers, Trailers, Boats or Motor Homes may be
parked on the Condominium property. And, no vehicle without proper/current
tags/license plates.
LIST THREE CONTACTS FOR REFERENCE
NAME RELATIONSHIP PHONE #
_________________________ _____________ ______________
_________________________ _____________ ______________
_________________________ _____________ ______________
CONTACT EMERGENCY INFORMATION
Name _____________________________ Relationship _________________
Address ___________________________ Phone # ___________________ Name ______________________________ Relationship ________________
Name _____________________________ Relationship _________________
Address ___________________________ Phone # ___________________ Name ______________________________ Relationship ________________
Address ____________________________ Phone # ____________________
To avoid any delays in processing, complete in full all information
Agent Name _________________________ Phone _________________
Term of Lease: Start ______________ Ends ________________ a refundable deposit of $30.00 is required for a key. Keys are available from the office
during posted office hours.
PARENTAL RESPONSIBILITY FORM N/A
Parent Applicant _______________________________________ Unit ____
Children
Name _______________________________________________ Age ____
Name _______________________________________________ Age ____
Name _________ ______________________________________ Age ____
It is recommended that you consider the following when contemplating buying/leasing in
Midport Place II. Although Midport Place II is a family oriented community, there exist
certain conditions of which you should be aware.
Midport Place II. Although Midport Place II is a family oriented community, there exist
certain conditions of which you should be aware.
Please be Advised
1. There are no playgrounds or other facilities for children in Midport Place II. When
children are playing outside, they are to be under the supervision of an adult (eighteen
years of age or older.)
children are playing outside, they are to be under the supervision of an adult (eighteen
years of age or older.)
2. Adult supervision is limited to three children.
3. Parents shall be responsible for all actions of their children at all times in and on
Midport Place II Properties.
Midport Place II Properties.
4. Skateboards, bicycles, roller blades, motor scooters or any unlicensed gas or battery
driven toys are not allowed. The Association will not accept the liability for any of
the above.
driven toys are not allowed. The Association will not accept the liability for any of
the above.
If you are a working parent, please indicate who will be responsible for your
child/children from the time they get home from school until you get home.
Name ________________________________ Phone __________________
I acknowledge that I have read the above policies, rules and regulations and I understand that they are strictly enforced by the Midport Place II Condominium Association and I will
abide by them
Signature ___________________________________ Date _____________
PET REGISTRATION FORM N/A
Applicant Name _______________________________ Unit # ______
Pet Type (dog/cat) _____________________________ Pet Weight ______
Veterinarian Name ____________________ Rabies Vaccination Date __________
Tag/Micro-Chip # ____________________ County/State __________________
*You must provide document with current photo of pet with above information
POLICY, RULES & REGULATIONS
- No unit is permitted to have more than one domestic pet.
- Weight of pet fully grown must not exceed 15 pounds.
- Pet must wear a tag at all times.
- Dogs/cats are not allowed to run free and must be kept indoors at all times.
- No pet is allowed to be tied up outside on Common Grounds or left unattended in halls,
- porches or patios.
- No resident shall keep, harbor or maintain an animal which barks or cries disturbing the
- peace of others.
- Owners of all pets left alone must keep unit windows and doors closed.
- ALL DROPPINGS MUST BE CLEANED UP IMMEDIATELY.
I acknowledge that I have read the above policies, rules and regulations. I understand that
they are strictly enforced by the Midport Place II Condominium Association and I will abide
by them.
they are strictly enforced by the Midport Place II Condominium Association and I will abide
by them.
Signature ______________________________________ Date ____________
MIDPORT PLACE II CONDOMINIUM ASSOCIATION, INC.
1555 SE Royal Green Circle
Port St. Lucie, FL 34952
772-337-2212
Fax 772-337-2264
Authorization to Release Information
I have named you as a reference on my application and request that
you release any and all information concerning my credit, residence and/or employment for use in connection with my application.
Photocopies of this letter may be made to facilitate multiple inquires. In the you release any and all information concerning my credit, residence and/or employment for use in connection with my application.
event you do receive a photocopy of this letter, it should be treated as an
original and the information be release. Thank you for your cooperation.
Print name
_______________________________
Signature & Date
____________________________________
I/we fully authorize investigation of all answers and all references I/we have given.
I/we have received, read, understand and agree to abide by all rules and regulations by Midport Place II Condominium Association, Inc.
You have my permission to conduct combined financial/credit and criminal check.
Spouse signature ___________________________________ Date __________
Applicant signature _________________________________ Date ___________
Applicant signature _________________________________ Date ___________
