363 Atl Blvd 2011 PO"S POD REGISTRATION FORM FOR
TEMPORARY STORAGE STRUCTURES
Portable storage structures may be used within the City of Atlantic Beach following
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submittal of this completed form to the Building and Zoning 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 City of Atlantic Beach
on the property for a period not to exceed four(4) days or ninety-six(96) hours. 800 Seminole Road
Registration is required each time that a temporary storage structure is placed on Atlantic Beach,FL 32233
the property. In the event of damage to a residence by fire,storm,flood,or other 904.247.5826
such property loss,this period may be extended to ten (10)days upon request to a u
and written approval of the City Manager. Within all non-residential Zoning Districts,
enclosed portable storage structures may be used for temporary storage of items JUL 212011
related to the business located on the property,for a period not to exceed thirty(30) By YI&J
days. Such structures cannot be located within front yard setbacks and shall not be
used to store any chemical, hazardous,flammable or combustible materials. DATE
APPLICANT'S NAME f��C- V-� \4&UL_ - POE I S TN\1 W-t-A
APPLICANT'S ADDRESS -5(V-5 45Z�LA-t,1'17-t C_ 15 L�.�j UNt-T- k A,-rL 3( EACA--�
ADDRESS WHERE TEMPORARY STORAGE STRUCTURE WILL BE PLACED(If different from above).
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SUBDIVISION BLOCK# LOT#
DATES THAT THE TEMPORARY STORAGE STRUCTURE WILL BE LOCATED ON THE PROPERTY:
FROM -2-7, TO
RESIDENTIAL
COMMERCIAL(Provide a survey or site plan showing location where structure will be placed).
OTHER
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.
Signature of owner(s)or authorized person if owner's letter of authorization is attached:
PRINTED NAME(S) SIGNATURE(S)
CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM:
NAME EZAC, IF_\1AUL_—
ADDRESS OCEAt-1 FLAJ�) I ATL, FE46,cv-k F:L— TZ-2,�
PHONE FAX CELL
E-MAIL e LA �Pl P"
Temp%20Storage_2-21-2007.pdf- Powered by Google Docs Page I of 1
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Search the docurnent, REGISTRATION FORM FOR
TEMPORARY STORAGE STRUCTURES
Portable Storage structures maybe used within the City of Atlantic Beach following
submittal ofthis completed form to the Building and Zoning Department,Within
all residential Zoning Districts,these maybe used only forthe temporary storage
of personal household belongings of occupants of the property and may be placed City Of Atlantic Beach
on the property for a period not to exceed four(4)days or ninety-six(96)hours, 800 Seminole Road
Atlantic Beach,FL 32233
Registration is required each time that a temporary storage structure is placed on
(P)904.247.5826
the property. In the event of damage to a residence by fire,storm,flood,or other (F)9134.247�58415
such property loss,this period may be extended to ten(10)days upon request to vv�vxoabms
and written approval of the City Manager, 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.
DATE
APPLICANT'S NAME
https://docs.google.com/viewer?a=v&pid=gmail&attid=O.I&thid=1314d498aa490060&mt... 7/21/2011
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