Permit POD 86 Ocean Blvd 2011 MAR-25-2011 10:46 FROM:
70:2475845 P.1/2
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City of Atlantic Beia.c 4 $00 nole}toad •Atlantic Beach,Florida 32233-5445
http:/Iwww/c1,atlantic-beach.fl.us
G'I RATION FORM
FOR TEM 1RA STORAGE STRUCTURES
PoriWe storage structures may be s d wit I he City of Atlantic Beach following submittal of this completed
form to the Building and Zoning D artment ithin all residential Zoning Districts, these may be used only for
the temporary storage of personal told ongings of odcupants of the property and may be placed on the
property for a period not i 96) hours. Registration is required each time that a
temporary storage structure is placed the p Zn;the event of damage to a residence by fire, storm, flood, or
other such property loss, this period f time a exte6dcd tp ten (10) days upon_reAuest to ind-written approval
of the City Manager. Within all non r sidenti oningistri ts, enclosed portable storage structures may be used
for temporary storage of items relate o the b i ess located on the property, for a period not to exceed thirty (30)
days. Such structures cannot be lo' d wit . I ront yard setbacks and shall not be used to store any chemical,
hazardous, flammable or combustibl atcrial
DATE
APPLICANT NAME:
MAILING ADDRESS:
ADDRESS WMRE TE PORAR TO STRVCT0tZ WILL BE PLACED .(If different from
ind1ling address.)
SUBDIVISION BLOCK 4 L,OT#
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DA'Z'ES THAT TITE TEMPORAR TORA STRtICTURE WILL BE LOCATED ON TEM
irFtOP]rItTY: 3`- _ throw h
,0 Residential property (�
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❑ Commercial (Provide survey o e Phil' owing)ocatlpn where structure will be placed.) "t
Q Other
X EF-REBY CERTIFY THAT ALL I FO YON P90 ED IS rLall
Signature of property owner or autli ized a n . I The Best Moving&Storage Idea Rver
' 9"378-8485
SIGNATLW PWNT NAME
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CONTACT INFORMATION OF P SON S I TTiNG S REGISTRATION FORM (PUASZ ptt.01i-n
NAME
MAILING 4,.DDRESS
PHONE i E-MAIL.
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