CE 333 Plaza jott- `-J TEMPORARY STORAGE REGISTRATION
I ' :, City of Atlantic Beach
__ s5 Community Development Department
� `- 800 Seminole Road Atlantic Beach,FL 32233 I
Ar O (P)904-247-5800 DATE „ l/S---/)r
SITE INFORMATION
ADDRESS ,53. PL,� �' CITY As STATE L ZIP CODE 32233
This should be the address where the temporary storage structure will be placed.
LEGAL DESCRIPTION RE#
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SUBDIVISION -- 11 4-7-6040-20_JBLOCK / , LOT l 7 LOT/PARCEL SIZE )( I D�
APPLICANT INFORMATION 4 (�
NAME 4- LiT�Ly A A EMAIL K.- L I10 en 6
SIM
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ADDRESS �%,�J/V 1 CITY STATE ZIP CODE
You can enter"same as above”if it applies 7-�j1, y{
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STORAGE DATES */ (j TO *(3/) y PHONE# CELL#.�/S�iR__62
Dates that the temporary storage structure will be located ohe property
XRESIDENTIAL ❑ COMMERCIAL(Provide survey or site plan showing location where structure will be placed)
❑ OTHER(Explain)
Portable storage structures may be used within the City of Atlantic Beach following submittal of this
completed form to the Community Development 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 to exceed four (4) days or ninety-six
(96) hours. Registration is required each time that a temporary storage structure is placed on the
property. 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.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT(Signature of Property Owner or Authorized Agent)
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SIGNATURE OF 0 ER/AGENT PRINT OR TYPAME DATE
09 TEMPORARY STORAGE STRUCTURES 03.01.2018 �