Permit POD 812 Cavalla 2012 AUG-23-2012 06:15 FROM: TO:2475845 P.1
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City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florlda 32233-3445 ! ��
h4Wwww/cl.atlantic-beach,fl.us
REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portablr 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 not9b) hours. Registration is required each 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 property loss, this period of time may be extended to ten (10).days upon_requcst to Apd-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 NAME: �'p (
MA.MING ADDRESS;
ADDRESS 'WHERE TEORAR STORAGE STR CTURE WILL BE PLACED (Zf differeat from
lnsiling address.)
SUBDIVISION 2- BLOCK# LOT#
DATES THAT THE TEMP STORAGE STRUCTURE WH,L BE L CATER ON THE
PROPERTY; through
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SI G TUBEI'RTNT NAME x-378-8485 -�
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CONTA FORMATION �RSON SUBMITTING THIS REGISTRATION FORM (PLEASEPMI)
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FAX E-MAIL
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