HomeMy WebLinkAbout6/28/2022 - Complete PackageDANIA BEACH
STA IT LNE N. LOYE II
CITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
95+92'a-6800 x3/a0l
Plgaso prlnt lggibly, fill in or circlo ell ltgmsb-ze*;aTODAYS DATEi
VEHICL€ INFORI{ATIO (No camp€rr pemltted)
65OROLOER: *r"rd
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STATE TAG ISSUED AY:
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PROOF OF RESIDENCYTOW ERSHIP: PLEASE SHOW TO CASHIER WITI| AUTOIOBILE REGISIRATIOI{ ONE
OF THE FOLLOWING:
CURREIIT WIUTY BILL SHOWING DANIA AEACH ADDRESS
wlren I ELEcTRE ! rxoyi ! cABLE ! vorER's REorsrRAyroN
'/.PRoPERTY OWNER: VeS El' lO I
;T.,-""iH os !
PERI{]T I:rl(5
u;
INSTRUCTIONS IOR AMACHING DECAL
L Clee area wherc Dew mnua.l decal is to be affixed
2. Pcel decal fror! this docljaert.
3. Affix decal in the upper right comer of liceDse piate.
MIRFSO2OK
IMPORTANT INFORMATIOT'-
Sectiotr 316.613, Florida Statules, requires every oPeralor of a motol vehicle hanspottilg
a child in a passeiger car, va, autocycle or pickup tuck registered in 6is state ard
operat€d on the highways ofthis state, shall. if the child is 5 years of age or younger,
provide the protectioo ofthe child by prcpsrly using a crash{este4 feda"]ly apprc,ved child
S. 320.0605, FS., rec
agreef,enl issued for
the vebicle wtile the
S. 32A.02 atrd 627 .13
liability to be coirinu
tbe mandatory covera
Mail To:
DENISE M RCGERS
317 SE sTH ST
DANIA BEACH, FL 33004
co/AGY 10 /
Midnight Tue fiBt2O22
154M81261
5193093
Nov/18/2021
FLORIDA VEHICLE REGISTR{ION
PLATE NQYUS8 DECAL 16078147 Expires
YRit!& 2A17EORD BODY UT COLORVIiI 1Ftl5K7D82HGA3182'l TTTLE
Plate Type RGS NET WT 4340
DUFETD R:162173579080
Da'fe Issued 1Ol15nO21 Platelsslted 2124202A
GRY
125125868
Reg Tax
Init. Reg.
Courty Fee
Mail Fee
Sales Tax
Volmtary Fees
Grand Total
43.l0 Class Code
Tax Months
J UU dack tax Mos
0.75 Credit Class
Credit Months
46.85
!
\2
c
c
DENISE M ROGERS
317 SF sTH ST
DAN!q BEACH. FL 33O(N
1.
2.
5.
Denise Marie Rogers
3:'i.E?:T"i'r'.. ao44718
Novi08/1957 Date
Change of Name
Joe Scotl, SuPervisor of Eleclions )P9"
IMPORTANT IMORMA|ION
The Florida licensc plate must remair with the regisE trt upon sate of vehicle
The regisfation must be delivered to a Tax Collector or Tag Agent for transfei ic
a leplacsoeot vehicle
Yo|lf regishation must bc updated to youl new address within 30 Cays ofmovi'rg.
Registration rcnewals are the responsibility of the registraDt alrd sha.l] occur durinS:
the 30-day period prior to the expiEtion date shown or this regiskalion. Re;e'*e1
Eotices are Fovided as a courtesy and are not required for r€aewal purposes.
I understald ihat my abivcl license and regis't aiions will be su.sflenCed
inunediately ifth€ insrrrer denies the ilsulanc€ iDfotulatioD sub.litled
for this registration.
Democratic Party
3.
4.
yoil*p;GaiiroildiR
-" it ntnao w su atcrro aEcKnAL s004 -"*;il,x':l^*lln"li*:y^f^H?:H#l'"'
RGS . SUNSHINE
,a{
,>ou^ "
willprevent your &iyiug privilege froIB beiDg suspended.
ffill-i'[:':tft"r'