HomeMy WebLinkAbout10/1/2022 - Complete PackageCITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
954.924-6800 x340 1
Please print 169ibly, fill in o. clrcle all items
DANIA BEACH
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TOOAYS DATE:
NAME:
ADDRESST
65 OR OLOERT YES
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Emall:
VEHICLE INFOR ATION (No camp6rs permltted)
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PROOF OF RESIDENCY/OWNERSHIP: PLEASE SHOW TO CASHIER WITH AUTOMOBILE REGISTRATION ONE OF THE FOLLOWNG:
CURRENT UTILITY BILL SHOWING DANIA BEACH ADDRESS
WATER ELECTRIC PHONE CABLE VOTER'S REGISTRATION
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PROPERTY OWNE R: YES NO
For Office use Only:
SR
PERITIIT
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STATE TAG ISSUED BY:
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liso
Ta|jeta de
Voter Information Gard
Irlformaci6n del Etectar -
- You must have an approved
iDcbe ten er una identificacion
photo lD to vote!
cen foto aprobada para votar!
Patiy
Nuneto de lnscipcldn
127061258
Registration Date
Fecha de lnscripci.n
Feb/1112419
Afiliaci6n de Paftido
No Party,A.ffiliation
Su Centrc de Votacidn
Olsen Middle School
330 SE 11th Ter Dania Beacfi FL 33004
US Congress
CongEso del los EUU
za
County Gommission
CdnisiSn del Cdtddo
o
Slate Senate
Sensh Esbbl
5l
Sdool Board
Junb ktur
1
State House
CanaE kbbl
141
Municipality
tluttuipio
Dania Beach
Glenn Michael Thompson
324 SE l Oth STAPT 401
Dania Beach FL 33004
Date lssued: 6,i24l2022
Aprh311961
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FLORIDA VEHICLE REGISTRATION
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Midnight sat 4/13/2024PLATE 3OGND DECAL 00888054 Expires
YRA,IK aO21IIOYI BODY VI{vrN STDBSKFCT[Soos2s?
Pfate TWe PNR NET WT 4715
DL/FErD T512293611330
Date Issucd 3/25t2022 plat€ Issued 2fl6r2olg
GLENN |]IICHAEL THOMPSON
324 SE IOTH STAPT 4OI
DANIA BEACH, FL 330oit
PNR " PROTECT OUR OCEANS
IMPORTANT INFORMAIION
1- The Florida license plate must remair with the registrant upon sale ofvehicle.2. Th€ registration must be delivered to a Tax Cottecto. o. fai lgent fo, Jaosi.e. to
a replacem€nt vehicle.3 Yow registratiol tiust b€ updated to your new address within 30 days ofmovine.4 Kcgrs-Eatton renewals sre the rcspoDsibility ofthe registrant and shall occur duri"nerneju-day penocl pnor to lhe expiration date shown on this registralion. Rcnewai
- nollces are provtded as a courtesy and are nol required for renewal pufDoscsr. I uDctersland tiat my driver license and registrations will be suspenied
irnrnediately ifth€ insurer denies the insuance information submifted
for this regisaadon.
COLOR
TTTLE
GRY
14't565663
Reg. Tax
Idt. Reg.
County Fee
Mail Fee
Sales Tax
Vohbtary F€€s
C'rand Total
146.20 Class Code
Tax Months
6.00 Back Tax Mos
0.85 Credit Class
Credit Months
153.05
I
24
0
0
)"kv Joe Scott
Supervlsor of Elections
PO Box 29OOl
Fort Lauderdale. FL 33302-9OOI
T# t624632951B# 5378025