871 SHERRY DRIVE POD I
City of tlintic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445
Phone: (904)247-5855 • FAX (904)247-5845 www.coab.us
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j REGISTRATION FORM
FO ;, 'TEMPORARY STORAGE STRUCTURES
Portable storage strues may be used within the City of Atlantic Beach following submittal o f this completed
form to the Builds g anti oning Department. Within all residential Zoning Districts, these may be used only for
the temporary storage i f Iersonal household belongings of occupants of the property and may a placed on the-
property
he
property for a period n ,t to exceed four(4) days or ninety-six(96)hours. Registration is requir 1 each time that a
temporary storage stru is placed on the property.Within all non-residential Zoning Districts,enclosed portable
storage structures may ie ed for temporary storage of items related to the business located on t e property, for a
period not to exceed thirty(30)days. Such structures cannot be located within front yard setback;and shall not be
used to store any clermi 'al,hazardous,flammable or combustible materials.
DATE 6/� 11ilia,
APPLICANT NAME:'IKEVIN -HUNG
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MAILING ADDRJES 8 SHERRY DRIVE,ATLANTIC BEACH FL 32233
ADDRESS WHE E PORARY STORAGE STRUCTURE WILL BE PLACED (If d' rent from
mailing address): SArN 1E AS MAILING ADDRESS
SUBDIVISION it I I BLOCK# LOT
DATES THAT THE ! *PORARY STORAGE STRUCTURE WILL BE LOCATED ON THE
PROPERTY: 7/12/13 Th6ugh 7/16/13.(POD WILL BE PICKED UP).
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Residential prope
❑ Commercial (Pr yidl survey or site plan showing location where structure will be place
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❑ Other
I HEREBY CER iT T ALL INFORMATION PROVIDED IS.CORRECT.
Signature of propertyowner or authorized agent.
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SIGNATURE PRINT NAME:KEVIN CHUNG
CONTACT INFORM LTION OF PERSON.SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT)
NAME:KEVIN C,11
MAILING ADDRESS i�8 1 SHERRY DRIVE,ATLANTIC BEACH FL 32233
PHONE:904-626-6314 FAX:NA E-MAIL:Kevin.chung@mortgagefamily.com
Revised May 2012