CE 363 ATLANTIC BLVD FEB-1-2013 12:36 FROM:
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City of Atlantic Beach 800 Sen-hole Road Atlantic Beach,Florida 32233-5445
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REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURE, S
Portable storage structures may be used within the City of Atlantic Beach following submitral of this completed
form to the Building and Zoning Department, Within all residential Zoning Districts, these may be used only for
the ternporary 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 fu•e, storm, flood, or
other such property loss, this period of time may be extended to ten (10).days upon_rcqucst to zLnd-wrirtcn 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: I-L2/]r G'�r�! C (�'Oc' w' L1
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MAILING ADDRESS: �G Lf� 2- 116 — C7 2 DD
aDDRESS 'VMRE T MPORAR'Y STORAGE STRUCTURE WILL BE PLACE (If differeut from
waling address,) / 6r ,,
SUBDIVISION BLOCK# LOT#
DATES THAT THE TEMPORARY STO STRUCTURE WIC RE LOCATED ON TEM
PROPERTY: through I''j/j A Iz—
❑ Residential property
C003m 'r 'al eovide su ey or site plan s>aowing location where structure will be placed.)
❑ Other. "
I HEREBY IF T B AT ALL X ORM ON PROMED I Se t ov n 1k Storage idea Ever
Signature of property weer or autho ize ut.
SIGNATURE PRXNT NAME
CONTACT INFORMATION OF PERSONUB ITTING THIS REGISTRATION FORM (PUASE!PW `l'
NAME
MAJLING AM)RESS
PHONE FAX E-MAIL
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Compliance Investigation Form
Investigation# -7 X71_3 Date of Request: )J'<3 Time of Request:
Name of Person Making Request:
Address: Phone#
Investigation Type:
Location (Address) of Violation:
Phone Number: 3,?8 — :?r Property Owner/Manager:
Request Taken by: Investigator:
Action Taken-
Compliance:
Legal Description: RE#:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009