Pennsylvania Vessel Characteristic Record – Passenger Carrying Vessel Home » Pennsylvania » Commercial » Vessel Characteristic Record – Passenger Carrying Vessel APPLICATION FOR VESSEL CHARACTERISTIC RECORD PASSENGER CARRYING VESSEL A brief description of the form or Application to be filled out here. Vessel Name Vessel Use / Endorsement Pleasure Commercial Official Number Confirm Official Number Contact InformationName First Last Email* Enter Email Confirm Email Phone*INSTRUCTIONS1. Submit this form with the INITIAL and RECERTIFICATION Application of Inspection. 2. Owner or Representative complete all blocks in Part A as best you can. Unusual circumstances should be described in the “Remarks” block. 3. Attach a photograph of the vessel with the INITIAL Application of Inspection. 4. Part B is to be completed by a qualified Marine Surveyor.Part A (Owner or Representative)Name of Vessel Name and Address of OwnerRegistration NumberName of BuilderHull MaterialHorse PowerHIN NumberYear BuiltType PropulsionType FuelLengthBeamLoaded FreeboardOperating Start Date MM slash DD slash YYYY Operating End Date MM slash DD slash YYYY Operating Start Time : Hours Minutes AM PM AM/PM Operating End Time : Hours Minutes AM PM AM/PM RemarksTitle of Owner or Representative Application Fee Price: RENEWAL ADVANCED PAYMENT OPTION No Additional Years 2 year renewal 3 year renewal 4 year renewal 5 year renewal Total $0.00 Consent*I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME. I agreeNAME:*Type your full name to sign this secure webform Signature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) Date MM slash DD slash YYYY Authorization*I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits. 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