HomeMy WebLinkAboutJohn MontgomeryCITY OF DANIA BEACH
APPLIGATION FOR
BEACH PARKING PERMIT
954-926800 x3401
Pleaso print legibly, fill in ot circle all ilemsDANIA BEACH
SEAII. LIVE IT LOV€ IT.
TODAY'S OATE:
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ADDRE'S: a- "f Sr.l 28 4.e
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PERMIT
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VEHICLE INFORMATION (No campers permitt€d)
LICENSE PLATE #:
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PRooFoFREs|DEl{cYrowNERSH|P:PLEASEsHowTocAsH|ERw|THAUToMoB|LEREG|STRAT|oNoNEoFTHEFoLLoWNG:
CURRENT UTILITY BILL SHOWING DANIA BEACH ADDRESS
@, ELEcrRtc PH.NE .ABLE vorER's REGlsrRArtoN
PRoPERTY owN ER( YEs,t No
For Office Use OnlY:
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STATE TAG ISSUED BY:
I
-^-- VOIER INFORMATION CARD BROWARD COUNTX, FLt
John Robert MontsoflEry
5105 Sl,r/ 28rH AVE
Dania Beedr FL 3it31 2-6i 2105,07/1952 Dat6 tssu6d: 07/1ZnO16
FLORIDA VEHICLE REGISTRATION
co/AGY l0 /2
Mldnlght Tu€ 5/712024
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B#
t629183601
5381930
PLATE RNMTF DECAL
YR-/MK 2021
'FORD
BODY
VIN i FTFXI ESXIIKFi irgi&l
Plate Tlpe POR NET WT
DI"fEID M532476521670
Date lssued 41412022 Plate lssucd
JOHN ROBERT IIONTGO]f, ERY
5165 SW 28TH AVE
FT LAUDERDALE, FL 33312
POR - PROTECT OUR REEFS
00977964 ExPires
PK COLOR
TITLE
4698
11t2512011
Rec. Tax 146 20 Class Code
Inii Res. Tax Motrtbs
Countv-Fee 600 Back Tax Mos
Msil fee 085 ctedit Class
i"iirr* credit Motths
Voluntarv leesc'randT;tal 153.05
IMPORTANT INFORMANON
L The Florida lic€nse plate rnust ternajn with the rcgistrant upon sale of vebicle
- . -
i. il ;;;;il mui.be deliveted to a Tax Collectot or TagAgeDt for Eansler to
a rmlaceme-nt vehicle
3. Y;;;";;;"; -*t be updated to v,our new ad&ess witlin l0 davs of moving
4 Reeistation teDerrals are the responsrDility of tbe rcgistllt and sha ::"5jT:F-
,i."j6-a"v p*"a prior to thc €xpiration date shown on lhis rcgisffahon Kenewar
*ti"cs a.e proviaiA as a courtcsy alld are not r€quired fot renewal purposes
5 i;;;;#ili.v driver license and registrations will be suspeirded" d'Jil; iitil;surer denies the iasurirc€ information suhnitted
for this legistration
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1,15091653
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