522 Selva Lakes Cir 2013 CE J
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Compliance Investigation Form \/
Investigation# -92 Date of Request: �J ` l Time of Request:
Name of Person Making Request:
Address: Phone#
Investigation Type:
Location (Address) of Violation: OZ2,12
Phone Number: 3 z b 437 Property Owner/Manager:
Request Taken by: Investigator:
Action Taken:
Compliance:
Legal Description: RE#:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009
JAN-28-2813 10:26 FROM: TO:2475845 P.1/1
City of Atlantic Beach 800 Scn-inole Road Atlantic Beach,Florida 32233-5445
http://www/cl,attantle-beach.fl,us
REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portable storage structures may be used within the City of Atlantic Beach following submittal of this complcttd
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 property, In the event of damage to a residence by fire, storm, flood, or
othtr such property loss, this period of time may be extended to ten (10).days upon-request to knd-written approval
of the C,ty Manager. Within all non-residential Zoning Districts, enclosed portable storage structures may be used
for temporary storage of items refated to the business located on the property, for a period not to exceed tl zu ry (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: c
MAILING ADDRESS:
A.ADRESS WIiERE TEMPORARY STORAGE STRUCTURF, WILL BE PLACED (If different from
lndiling address,) SZr�c, [� 5 Lei
SUBDIVISION BLOCK # LOT#
DATES TRAT TIS TEMPOnARY STORAGE STRUCTURE WILL BE LOCATED ON THE
PROPERTY: / I-dp through
esideatial property
❑ Cot:iwerclal (Provide survey or site plan showing location where structure will be placed.)
❑ Other
I HEREBY CERTIFY TRAT ALL INFORMATION PROVIDED I> CMROAMiig&Storage Idea Ever
Signature of property owner or authorized Agent. 904-3794485
SIGNATURE PRINT NAME
CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM {PLEASE PRY-0
NAME
MA-ILING 1DDRESS
P H 0 N'E FAX E-MAS