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PERMIT _ - City of Cape Coral

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PERMIT _ - City of Cape Coral Powered By Docstoc
					                                                                     PERMIT #
                                                                     DATE                   CLERK
 Marine Improvements                                                 Payment method:
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                                             CONTRACTOR INFORMATION
Contractor Business Name:                                              License Holder’s Name:
Mailing Address:                                                       City License #:
City:                               State:      Zip:                   State License #:
Phone #:                            Fax #:                             Contact Person:
To Construct:                                                          Email:
                                              PROPERTY INFORMATION
Property Owner:                                              Block                       Lot                 Unit
Site Address:                                                Strap #:
City:                           State:     Zip:
Phone #:                        Fax:
Corner Lot            Canal Type             Existing Sq. Ft.:                           Proposed Sq. Ft.:
Dock projection into Canal:                  Right Side:                                 Left Side:
Is this property on the river or the Spreader Canal?
Will rip-rap be used?                                                                    Valuation:
   Yes    HAVE YOU CHANGED THE STATUS OF YOUR ALLOWABLE DOCK RIGHTS BY THE SALE OF OR
   No     TRANSFERENCE OF BOAT SLIP CREDITS OR CREDIT TO ANOTHER PARTY?

   Yes    DO YOU UNDERSTAND THAT THIS ACT OF TRANSFERENCE IS PERPETUAL AND WILL APPLY TO ALL
   No     FUTURE OWNERS BOAT SLIP RIGHTS?

   Yes    DO YOU UNDERSTAND THAT IF YOU SELL, TRANSFER OR IN ANY WAY RELINQUISH YOUR
   No     OWNERSHIP TO THIS PROPERTY, THE NEW OWNER MUST BE INFORMED AS TO THE FACT AND
          EXTENT THAT THEIR ALLOWABLE BOAT SLIP RIGHTS HAVE BEEN COMPROMISED?

   Yes    HAS YOUR PROJECT BEEN REVIEWED AND FOUND TO BE CONSISTENT WITH THE LEE COUNTY
   No     MANATEE PROTECTION PLAN?

   Yes    HAVE YOU COMPLETED THE LAW ENFORCEMENT MITIGATION REQUIRED UNDER THE LEE COUNTY
   No     MANATEE PROTECTION PLAN?


 Prior to the start of construction, additional permits may be required through the U.S. Army Corps of Engineers
 (239-334-1975). Failure to obtain this authorization prior to construction may subject you to enforcement action
 by that agency. The City of Cape Coral hereby notifies permit holders that the improper operation of watercraft
 may pose risks or harm to the Florida manatee, a species listed as endangered under the Federal Endangered
 Species Act. For information on how to avoid causing harm to manatees and to obtain general information,
 please    contact     the   Florida   Wildlife   and    Conservation    Commission    at   (888)   332-3692   or
 www.florida        conservation.org or the U.S. Fish & Wildlife Service at (904) 232-2580 or www.fws.gov. This permit
 does not authorize violation of any law or regulation. The permitee shall at all times comply with all applicable
 laws and regulations, including securing any and all necessary federal or state permits and complying with the
 Endangered Species Act and the Marine Mammal Protection Act. The City of Cape Coral accepts no liability for
 boating activities that may be in any way connected with the watercraft access facility authorized by this permit.

 PLOT PLAN MUST SHOW:
 Property Lines                                             Square Footage of Existing Structures
 Distance from Structure to Property Line                   Square Footage of Proposed Structures
 Dock Projection into Canal                                 Drawn to Scale or Accurate Measurements Clearly Labeled
 Label Ladders and Reflectors


 F-DCD-1004 Rev H                                      Page 1 of 1                                    Marine Improvements
 01/11/11 twh
   Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or
   installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of
   all laws regulating construction in this jurisdiction. I further certify that I have entered into a contract with the owner/agent
   of the subject property to make the specified improvements to, or perform the contracting at, the real property specified in
   this application. I have also made the owner/agent aware of the provisions of the Homebuyers Protection Act. I certify
   that all the foregoing information is accurate, the city has been advised of all easements on the property and all work will
   be done in compliance with all applicable laws regulating construction and zoning. I acknowledge and accept
   responsibility for compliance with the current Florida Building Code, regulations, and ordinances, as well as the payment
   of all legally constituted fees regarding this development application, including but not limited to ALL REVIEW FEES,
   PERMIT FEES, AND IMPACT FEES. I understand that a separate permit must be secured for ELECTRICAL WORK,
   PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS AND AIR CONDITIONERS, etc.
   NOTICE: In addition to the requirements of this permit, there may be additional restrictions to this property that may be
   found in the public records of this county or that may be required from other governmental entities such as water
   management district, state agencies or federal agencies.

   OWNER’S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
   with all applicable laws regulating construction and zoning.

   OWNER’S ELECTRONIC SUBMISSION STATEMENT: Under penalty of perjury, I declare that all the information
   contained in this building permit application is true and correct.

   WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
   PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMENCEMENT MUST BE
   RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.

   IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
   COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.

   I hereby acknowledge that I have read and understood the above affidavit on the _                             _________ day
   of__      ______________, 20_ __


   NAME (PLEASE TYPE OR PRINT)                              SIGNATURE OF OWNER/AGENT/CONTRACTOR

                                            (SIGNATURE MUST BE NOTARIZED)

  STATE                , COUNTY OF
  OF
  Sworn to (or affirmed) and subscribed before me this        day of     , 20 , by
                                who is personally known or produced
  as identification.
                                 Exp. Date:                  Commission Number:
                                 Signature of Notary Public:
                                 Printed name of Notary Public:

                                                  FOR OFFICE USE ONLY
Zoning District:                        Canal Width:                                 Water Frontage Line:
FEES:                                         APPROVALS:
Building Permit $:                            Building Approved by:                                      Date:
Surcharge $:                                  Zoning Approved by:                                        Date:
Notary $:                                     Species Approved by:                                       Date:
Fire Permit $:                                Fire Approved by:                                          Date:
Total$:                                       Released by (Permit Tracker):                              Date:
Issued by (Building Clerk):              Permit #:              Issue Date:                       Expiration Date:

   F-DCD-1004 Rev H                                       Page 2 of 2                                        Marine Improvements
   01/11/11 twh
                              U.S.ARMY CORPS OF ENGINEERS
                        1520 ROYAL PALM SQUARE BLVD., SUITE 310
                                    FT. MYERS, FL. 33919

*      BEFORE THE START OF CONSTRUCTION PLEASE REVIEW THE FOLLOWING
       INFORMATION FOUND ON
SAJ-91
http://www.saj.usace.army.mil/regulatory/permitting/gen/gen.htm
STANDARD MANATEE CONDITIONS FOR IN-WATER WORK
http://www.saj.usace.army.mil/regulatory/what/species/endangered.htm
SEA TURTLE AND SMALLTOOTH SAWFISH CONSTRUCTION CONDITIONS
http://www.saj.usace.army.mil/regulatory/what/species/endangered.htm
ARMY CORPS PERMIT APPLICATION FOR SINGLE-FAMILY DOCKS
AND SEAWALLS
http://www.saj.usace.army.mil/regulatory/forms/forms.htm


*      IF APPLICANT MEETS ALL THE REQUIRERMENTS OF SAJ-91 UNDER THE LOCAL
       OPERATING AGREEMENT BETWEEN THE U.S. ARMY CORPS OF ENGINEERS AND THE
       CITY OF CAPE CORAL DEPARTMENT OF COMMUNITY DEVELOPMENT, THE CITY WILL
       CODE THE PROJECT GREEN AND THE CITY PERMIT WILL INCLUDE AUTHORIZATION ON
       BEHALF OF THE CORPS.

       A SEPARATE CORPS PERMIT WILL NOT BE REQUIRED. FAILURE TO COMPLY WITH ALL
       OF THE SPECIAL CONDITIONS SPECIFIC TO SAJ-91 MAY RESULT IN NON-COMPLIANCE
       WITH YOUR FEDERAL AUTHORIZATION AND MAY SUBJECT YOU TO ENFORCEMENT
       ACTION BT THE CORPS.

*      IF THE CITY IS UNSURE IF PROJECT MEETS ALL OF THE SPECIAL CONDITIONS OF SAJ-
       91, THE PROJECT WILL BE CODED YELLOW AND THE CORPS WILL MAKE THE
       DETERMINATION.

*      RED PROJECTS WOULD NOT QUALIFY FOR SAJ-91 EITHER BY EXCEEDING LIMITS SET
       IN SPECIAL CONDITIONS OR BY ANOTHER “RED FLAG” ISSUE, A SEPARATE ARMY
       CORPS PERMIT APPLICATION AND APPROVAL WILL BE REQUIRED PRIOR TO CITY
       PERMIT APPROVAL. THE OWNER OR CONTRACTOR WILL BE RESPONSIBLE FOR
       OBTAINING ALL REQUIRED PERMITS BEFORE START OF CONSTRUCTION

       IF YOU HAVE ANY QUESTIONS OR REQUIRE A HARD COPY OF ANY OF THE ABOVE
       DOCUMENTS, PLEASE CALL THE U.S. ARMY CORPS OF ENGINEERS AT (239) 334-1975.


City of Cape Coral Department of Community Development 12/11/07 (revised)

				
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