939 Amberjack Lane Temporary Storage Registration 2
s-.1" TEMPORARY STORAGE REGISTRATION
rs ' ,, City of Atlantic Beach
CommunityDevelopment Department
r 800 Seminole Road Atlantic Beach,FL 32233
^�'Ji319r (P) 904-247-5800 DATE
SITE INFORMATION
ADDRESS 93q /94/462Vde 2)4/ CITY/972,4r{Jr-Gg ASTATE & ZIP CODE EV-73
This should be the address where the temporary storage structure will be placed.
LEGAL DESCRIPTION RE#
SUBDIVISION b.11it 17y)4$ BLOCK 11-"e LOT 17 I LOT/PARCEL SIZE
I APPLICANT INFORMATION
NAME 106,E 1 0., FB4q/,orroM EMAIL M44O bkA, a,1 \ • ,'tffr
ADDRESS SAME tis agcy e CITY STATE ZIP CODE
You can enter"same as above"if it applies q
STORAGE DATES 3 g. /cy TO 3 , i4, `q PHONE# CELL# 3o4- - d/+i.
Dates that the temporary storage structure will be located on the 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)
PtRPE La t� t0G4 M o� a')/ o l4
SIGN TURF OWNER/ ENT PRINT OR TY NAME DAT
09 TEMPORARY STORAGE STRUCTURES 03.01.2018