application to construct a dock - orange … construction application revised 7/31/13 (407) 450-4241...

APPLICATION TO CONSTRUCT A DOCK

(In Accordance with Orange County Code Chapter 15, Article IX, Orange County Code)

Mail or Orange County Environmental Protection Division Deliver To: 800 Mercy Drive, Suite 4

Orlando, Florida 32808 (407) 836-1400, Fax (407) 836-1499 **Filing fee of $119.00 payable to The Board of County Commissioners** **Process fee for Appeals and Variances: $409.00**

SECTION 1

OWNER(S) OF THE LAND Name: ____________________________________________________________________________________________________

Title and Company: ___________________________________________________________________________________________

Address: ____________________________________________________________________________________________________

City: ______________________________ State: ______________________ Zip: _________________

Telephone and Fax: ___________________________________Email:___________________________________________________

ENTITY TO RECEIVE PERMIT (IF OTHER THAN OWNER) Name: ____________________________________________________________________________________________________


Address: ____________________________________________________________________________________________________

City: ___________________________________________________________________________State: _______ Zip: ___________

Telephone and Fax: ____________________________________Email:__________________________________________________

AGENT/CONSULTANT AUTHORIZED TO SECURE PERMIT Name: ____________________________________________________________________________________________________


Address: ____________________________________________________________________________________________________

City: ___________________________________________________________________________State: _______ Zip: ___________

Telephone and Fax: ____________________________________Email:_________________________________________________ CONTRACTOR (IF DIFFERENT FROM AGENT) Name: ____________________________________________________________________________________________________


Address: ____________________________________________________________________________________________________

City: ___________________________________________________________________________State: _______ Zip: ___________

Telephone and Fax: ____________________________________Email:__________________________________________________

of 5 Dock Construction Application Revised 7/31/13

(407) 450-4241

FL

President, Streamline Permitting, Inc.

2154 Oak Beach Boulevard

Sebring 33875

Sheila Cichra

[email protected]

Lori HodgskinPresident, Hodgskin Outdoor Living, Inc.

1331 Green Forest Court, Suite 1

Winter Garden FL 34787

(407) 656-1470 [email protected]

FloridaOrlando

Dipenkumar Patel

9730 Chestnut Ridge Drive

34786


SECTION 2 - GENERAL INFORMATION

Street Address: _________________________________________________________________________________ ____

Tax Parcel ID _____ - _____ - _____ - _______ - _____ - _____ Legal Description: ___________________________________________________________________________________

Name of water body: __________________ Normal High Water Elevation (NHWE): ____________msl

Is the proposed dock? Please check one: � Private � Semi-Private � Public

What is the width of the shoreline (in linear feet), as measured at the NHWE? ___________feet.

What is the size of proposed terminal platform? _____________ square feet. [See Chapter 15; Article IX; Section 15-342(b)]

Are you requesting a variance? � Yes � No

Are you requesting a waiver? � Yes � No

If yes, provide section Number: 15-__________ (example: 15-321) and describe the nature of the variance and/or waiver request:

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________ Note applications for a waiver and/or variance from the boat dock ordinance will require the completion of a separate waiver and/or variance

application and may require additional fees. If you have questions, please call EPD for assistance.

Brief Description of proposed work: _________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Are there docks on the abutting properties? � Yes � No

Are there any access restrictions to the property (locked gate/loose dogs):_________________________________________

REQUIRED ATTACHMENT(S) CHECKLIST: Satisfactory evidence of title. (Example: copy of property deed).

Documentation showing riparian rights for the parcel.

A copy of a survey, to scale, of the real property which accurately depicts current conditions.

Four (4) copies of a site plan depicting the exact location of the proposed dock, and shall include the following:

An arrow indicating the northerly direction of the scale to which the sketch or drawing was prepared.

The name of the water body upon which the proposed dock structure or renovation is to be located .

The exact distance between the shoreline and a permanent object or construction.

The exact setback distance from adjacent property lines and projected property lines to all portions of the dock.

The floor and roof elevations of the proposed or existing dock.

The current water depth at the end of the proposed or existing dock, and at all proposed mooring locations.

The length of the proposed or existing dock, as measured from the NHWE to the point most waterward of the

NHWE.

x

x

x

x

23 28 0016

9730 Chestnut Ridge Drive

3899 140

ISLEWORTH 16/118 LOT 14

Lake Bessie 97.50

196

134

Redeck existing dock and replace existing terminal platform with a 14' x 14' covered deck

gated subdivision


The NHWE as established by the county shown property survey as field verified by a professional surveyor.

The location of any conservation easement areas and wetlands within twenty feet from any portion of the dock

A description of vegetation types identified occurring within twenty feet from any portion of the dock

The location of any lifts, hoists, mooring pilings and mooring areas

A mitigation plan offsetting adverse impacts to the conservation easement areas or wetlands (if applicable)

A description of sedimentation and erosion control measures used during construction and/or repair of the dock

AGENT AUTHORIZATION FORM

____________________________________________________________________________________________________________

PERSON AUTHORIZING ACCESS TO THE PROPERTY MUST COMPLETE THE FOLLOWING:

I either own the property described in this application or I have legal authority to allow access to the property and I consent to any site visit on the property by agents or personnel from Orange County, Florida necessary for the review and inspection of the proposed project specified in this application. I authorize these agents or personnel to enter the property as many times as may be necessary to make such review and inspection. Further, I agree to provide entry to the project site for such agents or personnel to monitor permitted work if a permit is granted.

_____________________________________________________________________________________________

Typed/Printed Name Signature Date

____________________________________________________________ Corporate Title (if applicable)

By signing and submitting this application form, I am applying for the permit identified above, according to the supporting data and other incidental information filed with this application. I am familiar with the information contained in this application, and represent that such information is true, complete, and accurate. I understand this is an application and not a permit, and that work conducted prior to approval is a violation. I understand that this application and any permit issued pursuant thereto, does not relieve me of any obligation for obtaining any other required federal, state, water management district or local permit prior to commencement of construction. I understand that Orange County will make no representation as to the proposed dock’s impact on navigability or safety. For that reason, I understand that it may be advisable for me to consult with an expert in navigability and safety issues. I agree, or I agree on behalf of my corporation, to operate and maintain the permitted system unless the permitting agency authorizes transfer of the permit to a responsible operation entity; I understand that knowingly making any false statements or representation in this application is a violation of Sections 15-341 & 15-342, Orange County Code.

Typed/Printed Name of Applicant _______________________________________________________

Signature of Applicant/Agent _____________________________________Date__________________

_________________________________________

Corporate Title (if applicable)

Sheila Cichra



Sheila Cichra 12/08/2015

12/08/2015


SECTION 3 Name and Address of adjacent property owners:

Name:

Address:___________________________________________________________________________________________

City: State Zip ______________________

Name: _____________________________________________________________________________________

Address: ___________________________________________________________________________________

City: State Zip ______________________

NOTICE TO APPLICANTS: The proposed dock structure may require a permit from either the Florida Department of Environmental Protection or the applicable Water Management District. In addition to public regulations which Orange County enforces, be advised that there may be other private restrictions or approval requirements that will affect your ability to erect this structure. Please review your deed restrictions and/or consult with your Homeowner’s Association or Architectural Review Board.

FL

Stuart Appleby

Cleveland OH 44114

Dennis Ginsburg

1500 San Remo Ave, Ste 125

Coral Gables 33146

1360 E 9th Street, Ste 1100

HODGSKIN Outdoor Living, Inc. • Florida's Finest Custom Built •

P.O. Box 843 • Ocoee, Florida 34761 Phone - (407) 656-1470 • Fax: (407) 656-1452 • www.hodgskin.com

JOB BcTEL. RESIDENCE

SHEET NO OF

ADDRESS 9130 CHas-r-NoT RviDGE DRIVE

SCALE

LAKE BESSIE

NHWE 97.50

wl-DE MAIN WA:.,'<-

(NTS)

Drawings and illustrations contained herein are the property of Hodgskin Outdoor Living, Inc. and shall not be copied, reproduced, duplicated, misused or misrepresented in any part or entirety, or made available for bidding purposes, without the expressed written consent of Hodgskin Outdoor Living, Inc. Misuse of these documents may result in a civil penalty.

License# CBC 057656 Florida Marine Contractors Association Founding Member www.hodgskin.com

12' MAX ABOVE DECK

041111■10 PATEL ELEVATION 9730 CHESTNUT RIDGE DR. WINDERMERE, FL

6'8" MIN

NHWE -14 97.50 1

5' MAX LAKE BESSIE

Panel - 0385 F

Date: 9/25/2009

Old Republic National Title Insurance Company

F boo Zone: x 6 AE

Community Number 12095C

CERTIFIED TO: Windermere Chestnut, Inc. J. Black Title Company

PATEL SITE PLAN 9730 CHESTNUT RIDGE DRIVE WINDERMERE, FL 34786

REMOVE AND REPLACE DECKING ON DOCK REMOVE TERMINAL PLATFORM AND CONSTRUCT A NEW 14' X 14' DECK WITH A HIP ROOF

C813 R=5302.18'(P)

12=1.61r) A=0°01'03-(P)

Chord Bearing= S 59°42'48" E 1.61'(P) S 59°1613" E 1.611M)

5.1r Ana Cap 'ALS Ian-

Lot 13

Pee. Sir Reba • Cap 'LB wee

C813

•

era Ser ewba • Cap yaballia)

Winer Comer-Fro UV P.O. (Ma istabraira)

Lot 15 P2

Mona. WOW 071C1 Caren. Line)

as POI

Srotellne fee /MY Camaro Lite)

a. PO

Este al, ■ CAC •

Lake Bessie

eppyoyameee Locoman Lr of FEW ,O)yy. Flood Laye

I oar FRU )

*emus ca..- am. WI Ram

• Op 111.8 VT.

TURBIDITY `‘,„ BARRIER

r. Flela Date 0403-13 1 Gala Camplaaact. 04-04-13 -Maws- s-‘,..viiii..id-oo.m.uoll Owericalon Sawcamel ty Cars

t•alwara Omaa remstql tem ammerm aa Gabs °wasp* ellIPM.

• &etyma w my armee' mom Rewthalons al Reeena .aranne

.tea. mown Person, la eswanwel and am.) upor the Lhe

Maar, wIth a ler. .8.0.ne r.....r . ...........b....... U.. ,Pence Ownership ily1 delennhal btloof OvernanceL Lineerwbana Whoa share Paws was Nal.

bean ibeawa UNLESS allsweise awl

......., Cense ma mly bow, Sow, al ma me...0mM. Proem, iN

Diem By. SP Fla Number. 1S-11375 r ,a MO Canoe mem lea M en mad.. BMW aera AM .6 MO* ..... 'EP CR"... E. C'EEE Eft.' EP."' E"...E." &PER." 14.

L Oa Co. O OE

.17.1.4A.

fee bat ► , le NOD ILK OMNI P Rl.

‘.-0-

-Lewd Caloiemo Lc =.......,

Pr Ca monsmee

= 61 °666666 Par a' wwwielen Point a ...vale Pete en Um Pearm Pd. ...... "W... monument Coln I 0 I 0.0,0 Reels Pale Reese & Cap Recemsee eagle See 'A,' Flew II vo. eo AR MET

Ulla; Eaewnliel Molar MEM Maw (Cabal &Me Nal Pens

Yam. ame ...Pa a ma samemyey Tem01.10 Sarawak fre tame :Ware In Pa *wed fem. 6 aecaelmay ebb Omar ei40-11 Melee • Penmen. -umbrage. Cayme. I rim serer

?

IR.

ss e, • ...

Yoe

Y Ow

P as Oleell. Claagelee

P O. PP

OwERP L.... ... Ear.. Red Envolasy p , .... 1 ....4• .Y a

Hemet Hear Litman do fauna ie. 00. NO Rec leaf. eerc, R.

Si. Tr. Minim

Ilea La PIN ass Pleellea A Weed Paw -0-

'Sebee Tam Ando, Drente locaebtr me ePpoodemme Aral aril ea Yail.a by .4,0.0.Me Utley Leona, Cawaress

au.* el TrW Save, la Pampas Pea Iv', Internal Velhai *Awn VerIllaoe. WI be al ae users see ma fir. Mime UK., 10 UM Sefelly.. Plank% !Wane shoe se Cenneue as ghe NV Reyes as Aeneas le Anyone Omer Wan wane Callee.

.2-514.r.c7irjr.i.E.A.„...317rE.,37: it.Givr..:„..es a .T.artwn a sx eleallel 7.ZOLI Farhat Waft/ atftr Warms/at ROMER Yaw by NOR el this Simeon. Company I We WI bless Earwax Mime AL mammas Surveywip Inc- end she farm swayer name NO liselly la ma Accuracy circa Delemohelmn.

Patrick K. - 7 LB 7823 iya, 9,ov ....3a.:,,, CI Slid Garataa Pella Thls SAP/ EEDE Mi..0 • ina brisamMin Smaara8ML

re .. Associates urveying, Inc.

3723 way,ide orn. 3,..). 1002 sineyt. FL 32771 vimviralanchuiveying.com

7.g 8.3366 Fax-407.320.8165 /

S

G Scala

Fr. Scala: 1 -63C

Boundary Survey Legal Description: Lot 14, ISLEWORTH, according to the Plat thereof as recorded in Plat Book 16, Page(s) 118-130, Public Records of Orange County. Florida.

application to construct a dock - orange … construction application revised 7/31/13 (407) 450-4241...

Documents