Permit POD 462 Inland Way 2010 ALIG-6-2010 07:43 FROM: T0:2475845 P.1
t
City or Atlantic Beach 800 Seminole Rood Atlantic Beach,Inorlds 32233.5.I S
Phone: (904) 247-5800 FAX (904)24744 - http://www/CI.atlantic•beach. us
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29`7-
"91STRA.TION FORM
FOR TEMPORARY STORAGE STRUCTURE
'Portable storage structures may be used within the City of Atlantic Beach following subrruttal of this compictcc
form lo-the wilding and Zoning Department. Within all residential Zoning Districts, the9 4` may be used only for
the temporary storage of personal household belongings of occupants of the property and may be placed on t^c
property for a period not to exceed four(4) days or ninetyeix (96)hours. Registration is rgquired"eech time that a
temporary storage structure is placed on the property, In the event of damage to a residence by fire,storm, flood, or
other such proyiirty loss, this period of time may be extended to ten (10).days upon-request to yndwrritterl approve!
of the City ManAger. Within all non-residential Zoning Districts, enclosed portable storage�atruettires may be used
for temporary storage of items related to the business located on the property, for a period , t to exceed thirty (30,
days. Such structures cannot be located within Front yard satbaoks and shalt not be used to store any ehemi;=1
hazardous, flammable or combustible materials. DATE
APPI,ICANT NAME:
MAILING ADDRESS: ,
ADDRESS WYBRE 419y RAR�SO�RAGE STRUCTURE BE PLACED f dtffereot from. -I -- -!hooUing address.)
SUBDIVISION
lam BLOCK# �LOT#-
DATES THAT TIDE TE 0 STORAGE STRIDCTURE WILL B LDCATED ON THE
PROPERTY: tbrougb 1�
,I''Resiocotlal property /�IC�� �t� l.�S ' 01
C) rovide surveyor site pia» showing location where structure will be placed.) �t
Commercial t� � lit
CI Other _
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED 1 .R
Sigoature of property owner or autborized agent. '1"N Sees Nov"4tltsatir low aver
` PRINT N37
SIGNATURE
CONTACT INFORMATION OF PERSON SUBMITTING TES REGISTRATION '� RM (PLEASI rler1)
NAME
MAILING d.DD'RESS
NiiONE FAX E-MA