APPLICATION TO CONSTRUCT A DOCK

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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: Mark Gauthier Title and Company: 2537 Bayfront Parkway Orlando FL 32806 662mag@gmail.com Address: City: State: Zip: Telephone and Fax: Email: ENTITY TO RECEIVE PERMIT (IF OTHER THAN OWNER) Name: Title and Company: Address: City: State: Zip: Telephone and Fax: Email: AGENT/CONSULTANT AUTHORIZED TO SECURE PERMIT Name: Renea Anderson Albert Cichra Builders, Inc. 13936 Marine Drive Orlando FL 32832 407-275-8954 cichra@bellsouth.net Title and Company: Address: City: State: Zip: Telephone and Fax: Email: CONTRACTOR (IF DIFFERENT FROM AGENT) Name: Albert Cichra Albert Cichra Builders, Inc. 13936 Marine Drive Orlando FL 32832 407-275-8954 cichra@bellsouth.net Title and Company: Address: City: State: Zip: Telephone and Fax: Email: Revised 5-15-14 Page 1 of 5

SECTION 2 - GENERAL INFORMATION 2537 Bayfront Pkwy 07 23 30 9064 06 130 Street Address: Tax Parcel ID - - - - - WATERFRONT ESTATES 4TH ADDITION U/89 LOT 13 BLK F Legal Description: Name of water body: Conway 86.9 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 504 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: Construct a 4x32 dock, a 12x12 deck and an 11x24 boathouse with a 2' catwalk Are there docks on the abutting properties? Yes No 324.7 343b Requesting waiver to reduce side setback minimum from 25' to -42' See attached application for waiver and adjacent property owner statement of no objection. Are there any access restrictions to the property (locked gate/loose dogs): No 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. Revised 5-15-14 Page 2 of 5

SECTION 3 Name and Address of adjacent property owners: Name: Joan S Heinmiller 2538 Bayfront Pkwy Orlando FL 32806 Address: City: State Zip James and Susan Ingersoll Name: Address: 2529 Bayfront Pkwy Orlando FL 32806 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. Revised 5-15-14 Page 4 of 5

APPLICATION TO CONSTRUCT A BOAT DOCK APPLICATION FOR WAIVER (Pursuant to Orange County Code, Chapter 15, Article IX, Section 15-350(a)(2)) Mail or Orange County Environmental Protection Division Deliver To: 800 Mercy Drive, Suite 4 Orlando, Florida 32808 (407) 836-1400, Fax (407) 836-1499 I Renea Anderson on behalf of (if Mark Gauthier applicable) pursuant to Orange County Code Chapter 15, Article IX, Section 15-350(a)(2) am requesting a waiver to section (choose and circle from the following: 15-342(b), 15-343(b), 15-344(a) and 15-345(a)) of the Orange County Dock Construction Ordinance. 1. Describe how this waiver would not negatively impact the environment: The impact to the environment is not contingent upon the placement of the proposed dock. 2. Describe the effect of the proposed waiver on abutting shoreline owners: The view and navigability of the affected, adjacent property owner will not be impacted. See attached LONO. The proposed placement of the dock is requested as to be as far as possible from the adjacent canal traffic zone, for safest navigation, ingress and egress. The environmental protection officer and the board may require of the applicant information necessary to carry out the purposes of this article. By signing and submitting this application form, I am applying for a waiver to the Section indicated of the Orange County Dock Construction Ordinance 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, or local permits prior to commencement of construction. 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. Name of Applicant: Renea Anderson Signature of Applicant/Agent Date: 06/10/2015 Corporate Title (if applicable): Application for Boat Dock Waiver Rev 3-30-12

12' Swim Ladder 12x12 Deck 10x22 Boat Slip GAUTHIER 2537 Bayfront Parkway 20' 32' Lake Conway NHWE 86.9 SCALE 1/4" = 1'-0"

Grade +/- 3' 6" 6' 8" 1' MIN 12' MAX Lake Conway NHWE 86.9 5' MAX

CONSIDERATIONS: Lake Conway is considered Sovereignty Submerged Lands The proposed dock cannot impede navigation to the canal The proposed dock will cross the projected property line from the homeowner to the south. Homeowner requests a negative setback waiver and has obtained a a LONO from adjacent neighbor. Turbidity Barrier to be in place during construction for sediment control 48' 18.5' 4' 20' 32' 13' 12' -42' 8' 12' SLIP BOAT 10x22 2' 24' NO WAKE ZONE SIGN