411 OCEANWALK DR N POD REG FEB-21-2014 07:44 FROM: TO:2475845 P•1'2
l
City of Atlantic Bee 800 SaWnole Road -Atlantic Beach,Florida 32233.3445
Phone: Q04)247-Sb : FAX. (904)247.ffG* - http.,/twww/ci.atlantio-beach.,fl.ug
REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portable storage structures may be ~d within the City of Atlantic Beach following submittal of this completed
form to the Building and Zoning L tment. Within all residential Zoning Districts, these may be used only for
the temporary storage of personal ,tsehold belongings of occupants of the property and may be placed on the
property for a period not to:.axceed u'`(4)°days•or nirtptyrsix(96) hours. Registration is required each time that a
temporary storage structure is place -i the property. In the event of damage to a residence by fire, storm, flood, or
other such property loss, this perio, time may be extended to ten (10).days upon.request to siritwritten approval
of the City Manager, Within all note asidential Zoning Districts, enclosed portable storage structures may be used
for temporary storage of items relatf to the business located on the property, for a period not to exceed thing (30)
days. Such structures cannot be Ic .ted within front yard setbacks and shall not be used to store any chemical,
hazardous, flammable or combustib;, materials. l c
DATE
APPLICANT NAME:
60
L�11if rl
LJ,,,rrADDRESS-.
ADDRESS WERE TEMPORARY STORAGE
S UCTT=WILL BE PLAC� (Xf different from
1ndUing address.) !!
SUBDIVISION BLOCK# LOT#
DATE$ THAT TIM TEMPO: TOR.AGE STRUCTURE WXLL BE LOCATED ON TEM
PROPERTY,,F,, �nwer ~2-1—or. 1 through ■r•��"'�r r� / ` , , ,
.93-r esideatial property
❑ Commercial (Provide survey site plan showing location where structure will be placed
❑ Other
I HEREBY CERTIFY THAT ALI PRO age Idaa Ever
Signature of property owner or au )ri%ed agent. "4r3784W5
SIGNATURE PWNT NAME
CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM (PLZAS~Patin
NAME
IMA.LLLNG ADDRESS
PHONE 1X E-MAIL