Vessels fishing in the EEZ application

Southeast Region Permit Family of Forms

PRA Vessel App IMO with instructions-highlighted

Vessels fishing in the Exclusive Economic Zone, including Golden Tilefish endorsement on EEZ app

OMB: 0648-0205

Document [pdf]
Download: pdf | pdf
0MB Control Number 0648-0205; Expiration Date 04/30/2017

U.S. Department of Commerce, NOAA
NMFS PERMITS OFFICE, F/SER14
263 13th Avenue South
St. Petersburg, FL 33701
Toll Free 877-376-4877 (8:00 am. 4:30 p.m. ET)
727-824-5326 (8:00 am. 4:30 p.m. ET)
sero nmfs.noaa.gov/perm its
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FEDERAL PERMIT APPLICATION FOR
VESSELS FISHING IN THE EXCLUSIVE
‘6

ECONOMIC ZONE (EEZ)

.
41
,r?.

-

FOR OFFICE USE ONLY
Reviewer’s Initials and Date
Permit Check or Money Order
Number and Amount
Floy Tag Check or Money Order
Number and Amount
Sanctioned Case Number if
San ctio ned
Non Compliance Hold Date

FOR OFFICE USE ONLY

Non Compliance Cleared Date

Application ID

Expiration Date(s)

.

REMEMBER TO SEND A COPY of the current (not expired) United States Coast Guard (USCG) Certificate of Documentation or a copy
of the State Vessel Registration. Do not send the original. If the vessel’s state registration does not list all owners, also provide a copy
of the vessel’s title, or other documentation from the appropriate state agency, that identifies all vessel owners.

SECTION 1 VESSEL INFORMATION
-

Official Number From USCG Certificate Of
Documentation (If the vessel is documented)

Year Built

Total Horsepower

Length (ft)

State Registration Number (as applicable)
Crew Size—Including the Captain,
but not including passengers.
Vessel Name

r

HOLD or FISH BOX CAPACITY
How many pounds of product can you bring
to the dock when full?

Hull Identification Number (HIN)
Hull Material
International Maritime Organization (IMO) Number

Hailing Port City

Fuel Data

FIBERGLASS

DIESEL

STEEL

GASOLINE

WOOD

OTHER

Product Storage
(check all that
apply)

D

ON ICE IN

HOLD, FISH

BOX, ICE
CHEST,
COOLER,

CEMENT
FREEZER

OTHER

Hailing Port State

Hailing Port County Or Parish

Fuel Capacity
Total Gallons

LIVE WELL

-

H

USCG DOCUMENTED VESSELS ONLYJ
Gross Tons

Net Tons
This vessel is
used MOSTLY for
Commercial

Passenger Capacity Data For Charter
Vessels/Headboats Only

Charter

UNISPECTED VESSEL “6-PACK”
-

Headboat
H

USCG INSPECTED VESSEL: Specify
Passenger Capacity as listed ox the USCG
Certificate of lnxpection, not including Capt.
and Crew.

For Shark and Swordfish Directed and
Incidental Permit Applicants Only: Does your
vessel fish with, or carry onboard, either
longline or gillnet gear?

DYes

EIN0

Reminder: If yes, include a copy of your
“Protected Species Release,
Disentanglement, and Identification
Workshop Certificate”.
Form Revision 04/08/2015

1

SECTION 2

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OPEN ACCESS PERMITS AND ENDORSEMENTS

Payment Reminder: All applications must include payment of a non-refundable application fee in the form of a check or money order
made payable to the U.S. Treasury. The fee is $25.00 for the first permit and $10.00 for each additional permit or endorsement
requested on this application.
FEE SCHEDULE FOR PERMITS AND ENDORSEMENTS:
1 Permit: $25

2: $35

3: $45

4: $55

5: $65

6: $75

7: $85

8: $95

9: $105

10: $115

11: $125

12: $135

INSTRUCTIONS: Find the permits in the left column and mark the check box beside that fishery to indicate what transaction(s) you want.

OPEN ACCESS COMMERCIAL PERMITS

NEW

RENEW

ATLANTIC DOLPHIN/WAHOO (ADW)
SPINY LOBSTER (LC) (Not required for the EEZ off Florida)
SPINY LOBSTER TAILING (LT) You must have an LC permit OR provide your FL SPL information below.
SPANISH MACKEREL (SM)
ROCK SHRIMP CAROLINAS ZONE
-

SOUTH ATLANTIC PENAEID SHRIMP (SPA)
GULF ROYAL RED SHRIMP ENDORSEMENT (GRRS) You must have a valid Gulf of Mexico Shrimp permit
HMS COMMERCIAL CARIBBEAN SMALL BOAT PERMIT (CCSB)

FOR LOBSTER TAILING PERMIT APPLICANTS ONLY
LOBSTER TAILING APPLICANTS: To obtain a lobster tailing permit you must possess a Florida Saltwater Products License (SPL) with
Restricted Species and Crawfish endorsements. If you do not have a Florida SPL with Restricted Species and Crawfish Endorsements, you
must possess or simultaneously obtain a valid Federal Spiny Lobster (LC) permit.

You must provide a copy of your Florida SPL if you do not have a Federal Spiny Lobster (LC) permit
Saltwater Products License Number

Crawfish Endorsement Number

Saltwater Products License
Expiration Date

OPEN ACCESS CHARTER/HEADBOAT PERMITS

NEW

ATLANTIC CHARTER/HEADBOAT FOR DOLPHIN/WAHOO (CDW)
ATLANTIC CHARTER/HEADBOAT FOR COASTAL MIGRATORY PELAGICS (CHS)
SOUTH ATLANTIC CHARTER/HEADBOAT FOR SNAPPER-GROUPER (SC)

2

RENEW

SECTION 3

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LIMITED ACCESS/MORATORIUM PERMITS AND ENDORSEMENTS

Payment Reminder: All applications must include payment of a non-refundable application fee in the form of a check or money order
made payable to the U.S. Treasury. Please refer to the fee schedule in section 2 of the application.,
INSTRUCTIONS: Find the permits in the left column and mark the check box beside that fishery to indicate what transaction(s) you want.

LIMITED ACCESS COMMERCIAL PERMITS

NUMBER TRANSFER

RENEW

KING MACKEREL (KM)
GILLNET FOR KING MACKEREL (GN)
GULF OF MEXICO SHRIMP (SPGM)
GULF OF MEXICO COMMERCIAL REEF FISH (RR)
EASTERN GULF OF MEXICO REEF FISH BOTTOM LONG LINE ENDORSEMENT (RRLE)
ROCK SHRIMP (SOUTH ATLANTIC EEZ) (RSLA)
SOUTH ATLANTIC GOLDEN CRAB (GC)
SOUTH ATLANTIC UNLIMITED SNAPPER-GROUPER (EXCLUDING WRECKFISH) (SG1)
SOUTH ATLANTIC 225 LB TRIP LIMIT SNAPPER-GROUPER (EXCLUDING WRECKFISH) (SG2)
SOUTH ATLANTIC SEA BASS POT ENDORSEMENT (SBPE)
SOUTH ATLANTIC GOLDEN TILEFISH ENDORSEMENT (GTFE)
SWORDFISH DIRECTED (SFD)
SWORDFISH HANDGEAR (SFH)
SWORDFISH INCIDENTAL (SF1)
SHARK DIRECTED (SKD)
SHARK INCIDENTAL (SKI)
ATLANTIC TUNA LONGLINE (ATL) Must have either SF1 or SKI and either SFD or SKD

LIMITED ACCESS CHARTER/HEADBOAT PERMITS

TRANSFER

RENEW

GULF CHARTER/HEADBOAT FOR COASTAL MIGRATORY PELAGIC FISH (CHG)
GULF CHARTER/HEADBOAT FOR REEF FISH (RCG)

—

HISTORICAL CAPTAIN GULF CHARTER/HEADBOAT FOR COASTAL MIGRATORY PELAGIC FISH (HCHG)
HISTORICAL CAPTAIN GULF CHARTER/HEADBOAT FOR REEF FISH (HRCG)

3

—

H__

SECTION 4 INDIVIDUAL VESSEL OWNER(S) AND LESSEE INFORMATION
-

Answer all of the following questions to see how to fill out this section. Copy this page as needed to provide the required information
on all persons that own or lease the vessel.
Does your USCG Documentation or State Registration
show the vessel owner as a person or persons?

YES Use this page for the
vessel owners

NO Fill Out vessel owner
info in Section 5

Does your USCG Documentation or State Registration
show more than one person as the vessel owner?

YES Use Section 4a and 4b
for the vessel owners

NO Fill Out Section 4b if
vessel is leased

Is a person or persons leasing this vessel from the vessel
owner?

YES Use Section 4b for the
lessee

NO The lessee isa business
Put lessee info in Section 5b

SECTION 4a

-

-

-

-

-

-

-

NO Skip Section 4b
-

Vessel Owner on the USCG Certificate of Documentation or State Registration for Undocumented Vessels

1) If the USCG Documentation or State Registration shows one person as sole vessel owner list their information here.
-

2) If the USCG Documentation or State Registration shows more than one person as vessel owner list their information in Sections 4a
-

3) If there are more than two persons, photocopy this blank page as necessary to provide information for all the owners.
MAILING RECIPIENT All mail about this permit will go to the person listed in Section 4a
-

Is this person a United States Citizen or permanent resident alien?
Mr/Mrs/Ms

Last Name

YES

NO

First Name

Middle Name

Date of Birth (MM/DD/YYYY)

Area Code

Suffix ir, Sr, etc.
-

If you are operating under a different name,
what is your Doing Business As (DBA) name?
Tax Identification Number (SSN)

Mailing Address

Apt #

City

Phone Number

State

County/Parish

Zip Code

Country

State

County/Parish

Zip Code

Country

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt #

City

SECTION 4b Vessel Lessee OR Joint Vessel Owner on the USCG Certificate of Documentation or State Registration
-

1) If the USCG Documentation or State Registration shows more than one person as sole vessel owner- list their information here.
2) If this vessel is leased by a person(s), list the lessee’s information here.
3) If there are more than two people, photocopy this blank page as necessary to provide information for all the owners and lessee’s.
Lease start date:

Lease end date:

MAILING RECIPIENT All mail about this permit will go to the person listed in Section 4a
-

Is this person a United States Citizen or permanent resident alien?
Mr/Mrs/Ms

Last Name

YES

NO

First Name

Middle Name

Date of Birth (MM/DD/YYYY)

Area Code

Suffix ir, Sr, etc.
-

If you are operating under a different name,
what is your Doing Business As (DBA) name?
Tax Identification Number (SSN)

Mailing Address

Apt #

City

Phone Number

State

County/Parish

Zip Code

Country

State

County/Parish

Zip Code

Country

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt #

City

4

SECTION 5

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BUSINESS VESSEL OWNER(S) AND LESSEE INFORMATION

Answer all of the following questions to see how to fill out this section. Copy this page as needed to provide the required information
on all persons that own or lease the vessel.
Does your USCG Documentation or State Registration
show the vessel owner as a business?

YES Use this page for the
vessel owners

NO Fill Out previous page
for vessel owners

Does your USCG Documentation or State Registration
more than one business as the vessel owner?

YES Use Sections Sa and
5b for the vessel owners

NO Fill Out Section 5b if
vessel is leased

YES Use Section Sb for the
lessee

NO The lessee is a person
Put lessee info in Section 4b

Is a business or businesses leasing this vessel from the
vessel owner?

-

-

-

]

-

-

-

NO Skip Section 5b
-

SECTION 5a Vessel Owner on the USCG Certificate of Documentation or State Registration for Undocumented Vessels
-

1) If the USCG Documentation or State Registration shows one business as sole vessel owner

-

list their information in Section 5a.

2) If the USCG Documentation or State Registration shows multiple businesses as vessel owner list their information in Sections 5a and
-

3) If there are more than two businesses, photocopy this blank page as necessary to provide information for all the owners.
MAILING RECIPIENT All mail about this permit will go to the person listed in Section 5a
-

Is this business entity established under the laws of the United States or any State of the United States?

YES

NO

Registered Name of Business

If you are operating under a different name,
what is your Doing Business As (DBA) name?
Tax Identification Number (FEIN)

Mailing Address

Date Business Formed (MM/DD/YYYY)

Apt #

City

Phone Number

Area Code

State

County/Parish

Zip Code

Country

State

County/Parish

Zip Code

Country

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt #

City

SECTION 5b Vessel Lessee OR Joint Vessel Owner on the USCG Certificate of Documentation or State Registration
-

1) If the USCG Documentation or State Registration shows more than one business as sole vessel owner

-

list their information here.

2) If this vessel is leased by a business(es), list the lessee’s information here.
3) If there are more than two businesses, photocopy this blank page as necessary to provide information for all owners and lessee’s.

Lease start date:

Lease end date:

MAILING RECIPIENT All mail about this permit will go to the person listed in Section 5b
-

Is this business entity established under the laws of the United States or any State of the United States?

YES

NO

Registered Name of Business

If you are operating under a different name,
what is your Doing Business As (DBA) name?
Tax Identification Number (FEIN)

Mailing Address

Date Business Formed (MM/DD/YYYY)

Apt 4*

City

Area Code

Phone Number

State

County/Parish

Zip Code

Country

State

County/Parish

Zip Code

Country

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt 4*

City

5

SECTION 6

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OFFICER/SHAREHOLDER INFORMATION FOR BUSINESS(ES) THAT OWN OR LEASE THE VESSEL

This page must be filled out if the owner or the lessee of the vessel is a business. Copy this page as necessary to provide information on
all persons that are officers/shareholders of the business(es) shown in Section 5.
Owner

Owner or lessee of the vessel;

Lessee

Business name

Federal Tax ID Number

Position Held Check ALL That Apply
-

President/CEO

Secretary

Vice President

Treasurer

Director/ Manager

Shareholder

Percent of Corporation Held

Is this person a United States citizen or permanent resident alien?

Mr/Mrs/Ms

First Name

Middle Name

Date of Birth (MM/DD/YYYY)

Area Code

Last Name

Tax Identification Number (SSN)

Other
YES

NO

Suffix- ir, Sr, etc.

Phone Number

_____________________

Mailing Address

Apt #

City

State

County/Parish

Zip Code

Country

State

County/Parish

Zip Code

Country

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt #

City

Position Held Check ALL That Apply
-

President/CEO

Vice President

Secretary

Treasurer

Director/ Manager

Shareholder

Percent of Corporation Held

Is this person a United States citizen or permanent resident alien?

Mr/Mrs/Ms

First Name

Middle Name

Date of Birth (MM/DD/YYYY)

Area Code

Last Name

Tax Identification Number (SSN)

Other
YES

NO

Suffix Jr, Sr, etc.
-

Phone Number

H____
Mailing Address

Apt #

City

State

County/Parish

Zip Code

Country

State

County/Parish

Zip Code

Country

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt #

City

Minor Shareholder Information
MINOR SHAREHOLDERS

-

Check here

if

one or more shareholders individually holds shares that is less than 1% of the total business shares.

TOTAL PERCENTAGE of the business shares held by minor shareholderlsl

6

SECTION 7 HISTORICAL CAPTAIN OR DESIGNATED OPERATOR (INCOME QUALIFIER)
-

This person is a (check all that apply):
Historical Captain for Gulf of Mexico Charter/Headboat for Reef fish
Historical Captain for Gulf of Mexico Charter/Headboat for Coastal Migratory Pelagic Fish
Designated Operator (Income Qualifier other than the Permit Holder) for Commercial Spiny Lobster

A Historical Captain MUST sign Section 9 as the applicant.
A Designated Operator MUST sign Section 9 as the operator along with the applicant.

Mr/Mrs/Ms

Last Name

Tax Identification Number (SSN)

First Name

Middle Name

Date of Birth (MM/DD/YYYY)

Area Code

Mailing Address

Apt #

City

State

Suffix Jr, Sr, etc.
-

Phone Number

Zip Code

County/Parish

H

Country

H_______

Check box if the street address is the same as the mailing address.
Street Address (P0 Box not acceptable)

Apt #

City

State

County/Parish

Zip Code

H

Country

H________

SECTION 8 SEA BASS POTS OR GOLDEN CRAB TRAPS
-

COMPLETE THIS SECTION ONLY IF YOU HAVE SEA BASS POTS OR IF YOU HAVE GOLDEN CRAB TRAPS. TAGS ARE REQUIRED
FOR ALL POTS/TRAPS
Tag cost is $1.80 per tag made payable by check or money order to Ploy Tag, Inc.
I need tags for:

Sea Bass Pots

Golden Crap Traps

What color are your Buoys for Sea Bass Pots or Golden Crab Traps?
List an existing buoy color code for ANY other trap or pot fishery?
South Atlantic Sea Bass Pot/Golden Crab Trap Information You are allowed a MAXIMUM of 35 Sea Bass Pots
-

Number of
Pots/Traps

Pot or Trap Height
(inches)

Pot or Trap Length
(inches)

Pot or Trap Width
(inches)

7

Mesh Size Height
(inches)

Mesh Size Width
(inches)

SECTION 9 SIGNATURE FOR APPLICATION
-

-

REQUIRED

The undersigned certifies under penalty of perjury that the foregoing information is true and correct (28 usc 1746; 18 USC
1621; 18 usc iooi, 16 usc 1857). Further, the undersigned certifies that if a spiny lobster tailing permit is requested, the

applicant routinely fishes commercially in Federal waters on trips of up to 48 hours or more and that such fishing activity
requires the separation of the tail and carapace to maintain quality product.

Please note: If the vessel listed in 5ection 1 is leased, the applicant who signs below must be an individual named as a
lessee in 5ection 4, or an officer or shareholder of the lessee as listed in 5ection 5 with information listed in section 6. If
the vessel listed in Section 1 is not leased, the applicant must be an individual named as an owner in Section 4, or an
officer or shareholder of the owner as listed in Section 6.
Applicant Signature

Position in Business

Date

Print Name

Designated Operator
signature

Date

SECTION 10

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INCOME QUALIFICATION AFFIDAVIT FOR INCOME QUALIFIED PERMITS

An Income Qualification Affidavit is accepted as proof of meeting permit income qualification requirements. This signed
Income Qualification Affidavit is required with every application to renew or transfer an income qualified permit (as listed
below).
Knowingly supplying false information or willfully overvaluing any fishing income for the purpose of obtaining a permit is a
violation of Federal law punishable by a fine and/or imprisonment.
Spiny Lobster

50CFR622.400 An applicant must provide the following
information: (vi) A sworn statement by the applicant for a vessel permit
certifying that at least 10 percent of his or her earned income was
derived from commercial fishing, that is, sale of the catch, during the
calendar year preceding the application.

The following information applies to my income qualification for the spiny Lobster fishery:

I,

,

information is true and correct (28

usc 1746;

18

hereby declare under penalty of perjury that the foregoing

usc 1621;

18

usc 1001;

16

usc 1857).

I agree to provide the necessary

documentation to prove that I met the earned income requirement when so requested by the National Marine Fisheries
Service.
Executed

on

Printed Name

(date signed).
Signature

Business Name (if Applicable)
Type of business (if Applicable)
Position In Business (if Applicable)

Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other suggestions for reducing this burden to: PRA Officer, National Marine Fisheries Service, F/5ER26, 263 13th Avenue South, St. Petersburg, FL 33701.
The National Marine Fisheries Service requires this information for the conservation and management of marine fishery resources. The data reported will be used to develop,
implement, and monitor fishery management activities for a variety of other uses. Responses to this collection are required to obtain or retain a fisheries permit under the
Magnuson Stevens Act. Name and address information will be released via a NOAA website. All other data submitted will be handled as conhdential material in accordance
with NOAA Administrative Order 216-100, Protection of Confidential Fishery Statiuticu. Notwithstanding any other provisions of the law, no person is required to respond to,
nor shall any person be subjected to a penalty for failure to comply with, a collectson of information subject to the requirements of the Paperwork Reduction Act, unless that
collection of information displays a currently valid 0MB Control Number.
-

8

Oc

c Instructions for the Federal Permit Application for Vessels
Fishing in the Exclusive Economic Zone (EEZ)
RevQ4/08/2015
O

/

General Instructions:
in addition to the instructions provided herein, applicants with specific questions are encouraged to
contact the Permits Office at (727) 824-5326 or toll free at (877) 376-4877 between 8:00 a.m. and 4:30
p.m. ET. Applicants are encouraged to visit the SERO Permits website at sero.nmfs.noaa.gov/permits.
Please consult the U.S. Code of Federal Regulations whose guidance for application requirements,
permit eligibilities, and related information will always prevail. NMFS will return incomDiete or illegible
apDlications.
1.

Complete all applicable sections of this application form. All application fields should be typed or printed in ink.

2.

The application fee is $25 for one fishery and $10 for each additionai fishery and is non-refundable. NMFS will not refund
money for denied permits. A check or money order payable to the U.S. TREASURY must accompany each application.

3.

Mail the complete application, payment, and all required supporting documentation to: National Marine Fisheries Service
(FISERI4), 263 l3” Avenue South, St. Petersburg, FL 33701. If you want your permit and associated documents returned
overnight, enclose a completed, pre-paid air bill and envelope. Include your physical street delivery address (non US Post Office
services do not deliver to P0 Boxes), telephone number, and account number or major credit card number with the expiration date.
Please note using the prepaid overnight delivery option does not expedite permit processing; it only expedites delivery of your
completed permit package.

4.

NMFS will not process requests to renew or transfer permits until applicants meet all reporting requirements (e.g., logbooks, the
MRIP For-Hire telephone survey, etc.) Noncompliance with any reporting requirement will halt processing of ali permit
transaction requests. Ensure you comply with all reporting requirements in advance of any permit application requests to avoid
delays. Send your logbook report(s) to Nationai Marine Fisheries Service, Research Management Division, Logbook
Program, P.O. Box 491500, Key Biscayne, FL 33149-9915. Please direct questions concerning reporting requirements to the
Southeast Research Management Division at (305) 361-4581.

Federal regulations require a permit holder to report any permit in formation change to NMFS, in writing, within 30 days.

APPLICATION SECTION 1 concerns the vessel Dermits will be issued to.
Complete jjportions of Section 1. Enter the Official Number and the length of the vessel as they appear on the U.S. Coast Guard
Certificate of Documentation. Use the State Registration certificate for a vessel without U.S. Coast Guard documentation. Provide the
Hull Identification Number (HIN). The HIN is a unique number assigned by the boat builder. A state registered vessel will have a HIN
as shown on the state registration. A USCG documented vessel may or may not have a HIN. For vessels that are applying for Highly
Migratory Species commercial shark, swordfish and tuna permits; provide the IMO number for vessels longer than 20 meters (65 feet
8 inches). If applying for a Highly Migratory Species commercial swordfish or shark permit issued without a vessel, write “NO VESSEL”
in the field for USCG Official Number.
APPLICATION SECTIONS 2 AND 3 are the germ its being requested.
Indicate the fishery and transaction type for each permit requested in this application
APPLICATION SECTION 4 aDDlies to oeoole who directly own or iease the vessel.
Fill out Section 4a only if the owner(s) listed on the vessel’s U.S. Coast Guard Certificate of documentation or State Registration is a
person or persons, not a business. Provide information for all owners listed on the vessel’s U.S. Coast Guard Certificate of
Documentation or State Registration. Photocopy the blank page as necessary to provide information about all people who own the
vessel.
Fill out Section 4b only if the vessel is leased to a person or persons, not a business. Photocopy the blank page as necessary to
provide information about all people who lease the vessel.
APPLICATION SECTION 5 poDlies to businesses that directiy own or lease the vessel.
Fill out Section 5a only if the owner listed on the U.S. Coast Guard Certificate of documentation or the State Registration is a business,
not a person. Provide information for all owners listed on the vessel’s USCG Documentation or State Registration. Photocopy the
blank page as necessary to provide information about all vessel owners. Fill out Section 5b only if the vessel is leased to a business,
not a person. Photocopy the blank page as necessary to provide information about all people who lease the vessel.
NMFS will not issue the permits if the business is in an INACTIVE status with the applicable Secretary of State.

APPLICATION SECTION 6 aeclies to the officers or shareholders of businesses that own or lease the vessel.
NMFS requires information on all owner’s officers! shareholders if the application is for a vessel owned or leased by a business entity.
Please photocopy the blank form as necessary to provide information on all officers!shareholders associated with vessel owners and
lessees.
If the business holds IFQ shares, indicate what percentage of the business each person listed owns. The total percentages reported
must equal 100%.

APPLICATION SECTION 7 applies to Designated Onerators for a Commercial Spiny Lobster permit and Gulf Charter I-listorical
Captain endorsements.
This section will remain blank for most applications. Complete this section
applications that include:
> Gulf of Mexico Charter/Headboat permits with a Historical Captain endorsement, or
Commercial Spiny Lobster permit that has been income qualified using the fishing income of a Designated Operator. A
Designated Operator is a vessel operator who is neither a vessel owner nor lessee listed in Section 4 or 5 or an officer of a
business that owns or leases the vessel, listed in Section 6.
APPLICATION SECTION 8 applies to Sea Bass cots and taas and Golden Crab tracs and taus.
Complete this section only if you fish with pots in the snapper-grouper fishery or traps in the golden crab fishery off the southern Atlantic
states. The applicant must provide a separate check or money order for pot or trap tags ($1.80 per tag) payable to FLOY TAG INC.
The Sea Bass pot fishery requires tags be ordered through NMFS. Trap Tags for the golden crab fishery do not need to be
ordered through NMFS. Floy Tag Inc. will ship all Floy Tag orders to you directly; NMFS will not send tags with the permit package.
APPLICATION SECTION 9 is the application signature
The signatory in Section 9 should be:
1. An owner of the vessel if the vessel is not owned by a business and is not leased OR
2. An officer or representative of the business that owns the vessel, if the vessel is not leased OR
3. An individual lessee of the vessel, if the vessel is leased by one or more individuals OR
4. An officer or representative of the business leasing the vessel, if the vessel is leased by a business AND
5. The Designated Operator in Section 7, if applicable. (This is not common.)

Yes

An officer or owner of
the business that
leases the vessel must
sign the application in
Section 9.

An officer or owner of
the business that owns
the vessel must sign
the application in
Section 9.

2

APPLICATION SECTION 10 is the Income Qualification Affidavit
NMFS accepts an Income Qualification Affidavit as proof of meeting permit income qualification requirements. Every application for a
Commercial Spiny Lobster permit requires a signed Income Qualification Affidavit.
The affidavit is a signed promise, under penalty of perjury, that the applicant meets federal income qualification requirements for the
income-qualified permit. The applicant also promises to provide such income documentation if NMFS requests: and is not required to
provide tax or income documents unless specifically requested.
SPINY LOBSTER INCOME REQUIREMENTS
Percentage of earned income

At least 10%

Source of earned income

Sale of catch

Time frame for qualification

Year prior to application

RENEWAL AND INITIAL (NEW) ISSUANCE OF PERMITS
>

All permit renewal and first issuance requests must include, as a minimum: 1) an application, 2) the appropriate fees, and 3) a
copy of the unexpired U.S. Coast Guard Certificate of Documentation or State Registration Certificate. Please note we
cannot accept a bill of sale as documentation or registration.
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Include a copy of the current lease agreement if the vessel is leased, rented, or leased-to-own. The lease must identify both
the entities leasing the vessel and the vessel owners as listed on the vessel’s USCG Certificate of Documentation or, if not
documented, the State Registration. The lease agreement must include a lease start date, and lease expiration date. The
lease must run for a minimum of 7 months, and may extend for many years if the lessee and lessor anticipate a long-term
arrangement. Both the vessel owner(s) and the lessee(s) must sign and date the lease agreement.
To ensure your renewal goes quickly and smoothly, send your logbook report(s) to National Marine Fisheries Service,
Research Management Division, Logbook Program, P.O. Box 491500, Key Biscayne, FL 33149-9916. Direct your
questions concerning reporting requirements to the Southeast Research Management Division at (305) 361-4581. We cannot
renew your permit(s) until you meet all reporting requirements.
For Shark and Swordfish Directed and Incidental permit renewals, please include a copy of a valid Protected Species Safe
Handling, Release, and Identification Workshop Owner’s Certificate issued to the vessel owner.

TRANSFERS
Various restrictions apply to transfer of limited entry and moratorium permits and endorsements. Consult the applicable United
States Code of Federal Regulations, which is available online at sero.nmfs.noaa.gov/sustainable_fisheries/policy_branch/
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Only the Limited Access/Moratorium permits and endorsements listed in Section 3 are transferable.

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All permit transfer requests must include, as a minimum: 1) an application, 2) the original permits with appropriate signatures
on the back, 3) the appropriate fees, and 4) a copy of the receiving vessel’s unexpired U.S. Coast Guard Certificate of
Documentation or State Registration unless the permit office already has a copy of the vessel’s valid documentation or
registration on file. Please note we cannot accept a bill of sale as documentation or registration.
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SIGNATURES ON PERMITS: provide the valid (not expired) ORIGINAL (not a copy) transferable permit(s) with notarized
signatures on the reverse of the permit.
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Persons listed as permit holders on the face of the perm it must sign as sellers the back of the permit. lithe permit
holder is a business, an officer or shareholder of the business must sign as seller on the back of the perm it. The
correct format must include the signature, the person’s position in the business and the company name. For
example: John Doe, President, XYZ Fishing Inc.
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A notary public must notarize the sellers’ signature(s).
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Print the name of the new permit holder, individual(s) or business, as the receiving vessel permit owner.
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No signatures are required if transferring permits to a different vessel owned by the same entity (person or business),
unless the permit is a Gulf of Mexico Charter/Headboat Permit (please read the back of this type of permit).

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A vessel owner with a moratorium Gulf of Mexico Coastal Migratory Pelagic Charter/Headboat and/or a Reef Fish
Charter/Headboat permit(s) that transfers the permit(s) to another vessel owner or to another vessel, must remove the Federal
Charter/Headboat decal from their vessel.
Include a copy of the current lease agreement if the vessel is leased, rented, or leased-to-own. The lease must identify both
the entities leasing the vessel and the vessel owners as listed on the vessel’s USCG Certificate of Documentation or, if not
documented, the State Registration. The lease agreement must include a lease start date, and lease expiration date. The
lease must run for a minimum of 7 months, and may extend for many years if the lessee and lessor anticipate a long-term
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arrangement. Both the vessel owner(s) and the lessee(s) must sign and date the lease agreement.
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For Shark and Swordfish Directed and Incidental permits, please include a copy of a valid Protected Species Safe Handling,
Release, and Identification Workshop Operator’s Certificate issued to the vessel owner for initial issuance. For all subsequent
renewals, please include a copy of a valid Protected Species Safe Handling, Release, and Identification Workshop Owner’s
Certificate.

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With the exception of Sea Bass Pot endorsements and Golden Tilefish endorsements, NMFS cannot transfer expired permits.
An applicant may transfer a permit only when the seller(s) signature is notarized BEFORE the expiration date. Once signed,
the buyer must submit an application to transfer the permit before the permit terminates, one year following the expiration date
of the permit (or 6 months following the expiration date of a Golden Crab permit). An applicant may transfer a Sea Bass Pot
endorsements and Golden Tilefish endorsements only when the seller(s) signature is notarized and submits an application
BEFORE the termination date of the endorsements, which is one year after the expiration date of the endorsements.

FEES
Fees for permit or endorsement renewal, initial issuance, and transfers are $25 for the first permit or endorsement and $10 for each
additional permit or endorsement. The flat rate fee for replacement of one or more permits issued to a single vessel is $18.
1=$25

2=$35

3=$45

4=$55

5=$65

6 =$75

7=$85

8=$95

9=$105

10=$115

11=$125

12m$125

KNOWINGLY SUPPLYING FALSE INFORMATION OR WILLFULLY OVERVALUING ANY FISHING INCOME TO OBTAIN A
PERMIT IS A VIOLATION OF FEDERAL LAW PUNISHABLE BY A FINE AND/OR IMPRISONMENT.
Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing ir-structions searching existing data sources gathering and
maintaining the data needed, and completing and reviewing the collection of information Send comments regarding this burden estimate or any other suggestions for reducing this burden to’ PRA
,r
Avenue South. St Petersburg, FL 33701
Officer, National Marine Fisheries Service. FISER26 263 13
The National Marine Fisheries Service requires this information for the conservation and management of marine fishery resources The data reported will be used to develop, implement, and monitor
fishery management activities for a variety of other uses. Responses to this collection are required to obtain or retain a fisheries permit under the Magnuson Stevens Act Non-confidential information
may be released via a NOAA Fisheries website. Non-confidential information means: Name, Street Address, City, State, Zip Code, Effective Date of Permit, Permit Types, Vessel Name, Vessel
Identification Number, and in the case of a “for hire vessel the Passenger Capacity, or individual, corporate and lease holders of permits All other data submitted will be handled as confidential material
in accordance with NO,5A Administrative Order 216-100, Protection of Confidential Fishery Statistics. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any
person be subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act, unless thai collection of information displays a currently
valid 0MB Control Number,
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