Permit POD 321 8th St 2010 TO:2475845 P.1
JUL-14-2010 07:09 FROM:
Clay of A11ant1c Beach goo Senilnole Road -Atlantic Beach, Florida 32233-5445
Phone: (904) 241.5600 FAX (904)247-+lA09 - http:ftwwwlcl.otlantle-beach.n.us
Z y7' �ay�
R9GISTRATION FORM
FOR TEMPORARY STORAGE STRUCr'UR.ES ' .
Portable storage.structures may be used within the City of Atlantic Beach following submittal of this completed
form to.the A.01ding end Zoning Department, Within all residential Zoning Districts, these may be used only fo!
the temporary storage of personal household belongings of occupants of the property and may be placed on lflc
properry for a period not to exceed four (4) days or ninety-six(96) hours, Registration is requirad'each time that
temporary storage structure is placed on the property. In the event of darnagts to a residence by fire,storm, flood, or
othcr such propisrty loss, this period of time may be extended to ten (10}days upon-request to q pd'writtery approva!
of the City Manager. Within ell 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 cherrics:
hatnrdous, flemmebic or combustible matcrials. �+
DATE
APPLICANT NAME:
MAILING ADDRESS:
ADDRESS WHERE TFMP RARY STORAGE STRUCTURE WILL BE PLACED (If different from
mailing address•) 3S .2 z Aj
SUBDIVISION BLOCK# —LOT#_,w____,
DATES THAT THE TEMPORARY STORAGE STRUCTURE WILL BE LOCATED ON TEX
P11OPERTY: ` tbrough
.LPf"IR—esidectlal property
0 Commerclal (Provide survey or site plan sbowing loeatioo where structure will be placed.)
Cl Other ,OR 0
I HY.UBY CERTIFY THAT ALL WORMATION PROYMED ,&0. Is,bko Ever
Sigoature of property owner or au.thorLzed agent, "&3784M
SIGNATURE PRMT NAME
CONTACT INFORMATION OF PERSON SUBMITTMG TMS REGISTRATION FORM (PLEASE PM.-T)
NAME «
MAILING ADDRESS
PHONE FAX E.MA]x, a Rwr
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