130 Seminole Road Temp Storage Registration From: Irizarry,Angela alrizarry@coab.us ti
Subject:
Date: May 6,2019 at 1:50 PM
To: peter.poling@gmail.com
Attached is the temporary storage application. Please complete and return prior to
delivery of the storage unit.
1401€14 11014/Ple,
Angela Irizarry, Code Enforcement Officer
City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
O:(904) 247-5855
Florida has a very broad Public Records Law. Most written communications to or from State
and Local Officials and agencies regarding State or Local business are public records
available to the public and media upon request. Your email communications, including your
email address, may therefore be subject to public disclosure.
r
(7f)of Atlantic Brach • 800 be siaale Read •Adtatk Iteac►.Fl r da:52213-5445
Phone: (904)247-51000 • FAX (904)247-5345 awa.oc,ab.us
REGISTRATION FORM
FOR TEMPORARY STORAGE STRUCTURES
Portable storage structures may be used within the City of Atlantic Beach following submiital of this co■tpheed
form to the Building and Zoning Department. Within all residential Zoning Districts.tyre may be used only hr
the temporary storage of personal household belongings of occupants of the propel y awd may be*ad on flee
property for a period not to exceed four(4)days or ninety-six(96)hours_ Registration its aqui-zed each hoe lit a
temporary storage structure is placed on the property.Within all non-residential Zoning I]Stricts,enclosed pereath
storage structures may be used for temporary storage of items related to the business located on the property,fee a
period not to exceed thirty(30)days. Such structures cannot be located within front yard setbacks and shall ant be
used to store any chemical.hazardous,flammable or combustible materials, /� i ZO'
pp DATE f
APPLICANT NAME: ( r►E PO Li J C�
MAILING ADDRESS: 130 S £ r r o(_E 2 s3 A 0 3 2-z 33
•-
ADDRESS WHERE TEMPORARY STORAGE STRUCTURE WILL IIIC PLACED (If differeat from
mailing address)
SUBDIVISION BLOCK 0 LOT.
DATES THAT THE TEMPORARY STORAGE STRUCTURE WILL BE LOCATED ON THE
PROPERTY: .S-/7 / 1 `1 T through Z_/ 10 I i rl
Residential properth
LI Commercial (Provide urvey or site plan showing location ss here structure will he placed.'
LI Other
I HEREBY CERTIFY 4 IAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of property er or authorized agent. D
SIGNATURE ��` PRINT NAME 1 C1E ` bu^LC
CONTACT INFORM TION OF PERSON SUBMITTING THIS RF.GIS'IRA11ON FORM (pm's*c e 'err
NAME QE1 (7 o �_. aL
MAILING ADDRESS 1 SO S ti ll •nu o L c ft.9 A 3 JF L- 3 z_z_3 3
PHONE (plo-32-7_-9,rtof FAX B-MAR. P T . Pok-..•,v 4J G,,.•i 4 r•-A
Revised May 2111.'
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