HomeMy WebLinkAbout8/15/2022 - ApplicationDan i a B each Park i n g Permi t
Ci t y of Dania B each
Submitte d O n:
Augus t 13, 2022 2:44pm
Amer ica/New_Yo r k
F irs t Na me Jer r old
La s t Na me P es hka
E ma il jpe s hka@ gmail.com
Full Addre s s 5620 Eas t Ma ina Dr
For t Lauder dale
FL
33312
Lic e ns e Pla te #28AS T H
Sta te / Pro vinc e :FL
Ma ke Hyunda i
Mo de l Ela ntr a
C o lo r S ilva
VIN #KMHDH4AE0EU179549
Pro o f o f Re s ide nc y https ://s eam .ly/i6mG lwv0
3291137_12415863.pdf
Ve hic le Re gis tra tio n https ://s eam .ly/0RxP 8WG Q
r egflplate.jpg
Pro o f o f Ide ntific a tio n https ://s eam .ly/x5va2f6q
20220813_143300.jpg
Pe rmit F e e s City r es idents under age 65 ($48.15 per ye ar )
Pe rmit F e e s To ta l $48.15
Se le c t me tho d o f de live ry o f
pe rmit:
Mail to hom e a ddr es s
Signa ture Da ta Fir s t Nam e: Jer r o ld
Las t Nam e: Pe s hka
Em ail Addr es s : jpe s hka@ gm ail.com
S igned at: Augus t 13, 2022 2:40pm Am er ica /New_Yor k