Permit Pod 2019 Beach 2011 SEP-29-2011 10:07 FROM: TO:2475845 P.1
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City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32733-5445
http;//www/ci,atlantle.beach.fl.us
RFGYSTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portable storage structures may be used within the City of Atlantic Beach following 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 on the
property for a period not 96) hours. Registration is required each time that a
temporary storage structure is placed on the propertMn e event of damage to a residence by fire, storm, flood, or
other such property loss, this period of time may be extended to ten (10)days upon request to knd-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 G�
APPLICANT NAME: T.
,C a
MAILINC ADDRESS:
A)DR'ESS WHERE TEMPORARY STORAGE STRUCTURE WU,L BE PLACED (If different from
tnsiiling address,)
SUBDIVISION BLOCK# LOT#
DATES THAT TB:E TEMPORARY STORAGE STRUCTYIRU 'U ILL BE LOCATED ON THE
PROPERTY: through
12—Resideutial property
t
n Commercial (Provide survey or site plan showing locution where structure will be placed.)
❑
Other
I IIEREBY CERTTFY THAT ALL INFORMATION PROVIIAD T � &�
Signature of property owner or authorized agent, $ °M
904-378-Sq$S �
SIGNATURE PMT,NAM
CONTACT INFORMATION OF PERSON SUBMITT):NG THIS REGXSTRATION FORM T'
NAME
MAILING A.ADRESS
PHONE FAX & MAM