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50 Lewis St POD Registration •s--v\. TEMPORARY STORAGE REGISTRATION s f City of Atlantic Beach Community Development Department • 800 Seminole Road Atlantic Beach, FL 32233 �ost �r V (P) 904-247-5800 DATE 6/14/22 SITE INFORMATION ADDRESS 50 Lewis Street CITY Atlantic Beach STATE FL ZIP CODE 32233 This should be the address where the temporary storage structure will be placed. LEGAL DESCRIPTION 19-16 17-2S-29E DONNERS R/P PT LOT 3 N 1/2 LOT 11 BLK3- RE# 172226-0000 s !€ SUBDIVISION 003136 DONNERS R/P BLOCK 3 LOT 11 LOT/PARCEL SIZE 5926 APPLICANT INFORMATION NAME Cora L.Baldwin EMAIL baldwinc113@gmail.com ADDRESS 50 Lewis Stret CITY Atlantic Beach STATE FL ZIP CODE 32233 You can enter"same as above"if it applies STORAGE DATES 6/14/22 TO 6/18/22 PHONE# N/A CELL# 904-631-5435 Dates that the temporary storage structure will be located on the property El RESIDENTIAL ❑ COMMERCIAL(Provide survey or site plan showing location where structure will be placed) ❑ OTHER(Explain) Portable storage structures may be used within the City of Atlantic Beach following submittal of this completed form to the Community Development Department. Within all residential Zoning Districts, these may be used only for the temporary storage of personal household belongings of occupants of the property and may be placed on the property for a period not to exceed four (4) days or ninety-six (96) hours. Registration is required each time that a temporary storage structure is placed on the property. Within all non-residential Zoning Districts, enclosed portable storage structures may be used for temporary storage of items related to the business located on the property, for a period not to exceed thirty (30) days. Such structures cannot be located within front yard setbacks and shall not be used to store any chemical, hazardous,flammable or combustible materials. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT(Signature of Property Owner or Authorized Agent) eC Cora L.Baldwin 6/14/22 SI R s F OWNER/AGENT PRINT OR TYPE NAME DATE 09 TEMPORARY STORAGE STRUCTURES 03.01.2018