POD REG 513 NAUTICAL JUL-30-2013 12:17 FROM: TO:2475845 P.1/1
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City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florida 32233-5445
Pho,n:a: (90A}x.4.7;:S'8o0,;. .FAX:."(9.04),,297.1885• http://www/cl.atlaiitle-beach-f1.us
REGISTRATION FORM
FOR TEMPORARY STORAGE STR'UCTU'RES
Portable storage structures may be used within the City of Atlantic Beach following submittal of this completed
farm to the Building and Zoning Departrncnt. 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 -six (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
other such property loss, this period of time may be extended to ten (10).days upon,irequest to 4.nd`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. _ry
DATE " c•
,
APPLICANT NAME: �+ � &?Utrl Ff e u'r _..._
MAILING ADDRESS:
ADDRESS WHERE TEMPORARY STORAGE STRUCTURE WILL BE PLACED (If different from
inalling address.) .5— Igcfri CAL AIvy Ar
SUBDMSION BLOCK# LOTH
DATES THAT THE TEMPORARY STORAGE STRUCTURE'WXLL BE LOCATED ON THE
PROPERTY; �� _ through ' .2
csidential property
❑ Commercial (provide survey or site plan showing location where structure will be placed.)
❑ Other
I MEBY CERTXrY TRAT ALL INl~`OR.MATION PROVIDEDNeGgIN"JA SMrop Idea Ever
Signature of property owner or authorized agent. 904-3784UN
SICNATURE PRINT NAME
CONTACT INFORMATION OF PERSON SUBMITTXNC THIS REGISTRATION FORM (?LEnst;Yturi-n
NAME
MAILING ADDRESS
PHONE FAX E-MAIL