HomeMy WebLinkAbout10/1/2022 - Complete PackageCITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
95,1-924-6800 x3,10'l
Please prlnt legibly, till in or chcle all items
DANIA BEACH
SEA N, LME II, LOVE IT
TODAYS DATE:
NAME:65 OR OLDE
ctrYt PZ ./ '' Z ' '\,ivt'sr/iie: Pl^ aP,@:'W-C
; (r..ir{ on ", u * o.,, %Z . @:z2z.L
ADDRESSi
VEHICLE INFORITIATION (No campers pe.miltedl
E&6d!4?Ze_ruC_ r.AG*)
tiAKE: 4ZjD4
STATE TAG ISSUED BY:
2y'12/y' ct,nt.w.o"....t
MoDELt /fu2/1 srylE: ( 2DR C;64)VAN Mc) pK)
1 suvYx ( sw uPi cv)
ckcl6 0ne
coLoRtrluFt2 vlti'#:
PROOF OF RESIDENCY/OWNERSHIP: PLEASE SHOW TO CASHIER WTH AUTOMOBILE REGISTRA.I-ION ONE OF THE FOLLOWNG:
CURRENT UTILITY BILL SHOWING DANIA BEACH
WATER ELECTRIG PHONE CABLE VOTER'S R EG ISTRA
PROPERTY OWNER
For Office Use Only:
@
pE!"lr)r DryL{b @
Dru*
YRMK 2OIs'HOND BODY 4D
VIN l HGCR2F57FA0,|2841
Plate Tlpe RGR NET WT 3254
Dr/FErD s4804?6411740
Date Issued lo|' 2022 Plate Issued 4lz20l8
JOHN RANDOLPH SCHULLER
6060 sw 29TH WAY
FORT LAUDEROALE, FL 33312.5826
FLORIDA VEHICLE REGISTRATION
PLAIE Z26HWG DECAL 02916960 Expires
COLOR
TITLE
RGR . FLORIDA REGULAR
IMPORTANT INFORMATTON
The Florida liccnse platc must remain with the tegistrant upon sale ofvehiclc
The Egiskation must bc dclivered to a Tax Colleclor or Tbg Agent tor transtet to
I reDlaccment vchicla
Youi rccistrarion must be updated !o yow new address within 30 days ofmoving
Rccistrition renewals are the responsibility ofthe regisbant and shall occur during
thJ30-dov oeriod prior to the expitation date shown on this registration Renewol
notices sre Drcvided 8s a courtesy and are not required for rencwal purposes
I understand that my driver licens€ 6nd r€gishations will be Eusp€nded
irnmcdiately ifth€ inswer denies fte insurance infotmation submittcd
fo. this rccistration.
o*
rcrgE
cO/A(iY tu | 2
Midnight Tuo sr't412024
lF llltSJrlrt
B4 5443382
srL
1r7631239
Reg. Tax
Init. Reg.
County Fre
Mail Ie€
Saler Tax
Voluntary Fe€s
Grand Toral
?l.20 Class Code
Tdx Monlhs
6.00 Back Tax Mos
0.90 Credit Class
Credit Months
78.10
I
24
L
',
3.
4.
" -'-"'voiin
ruronrurATloN cARD, BRowARD couNTY FL
TARJETA DE INFORMACION DEL ELE(JOR, CONDADO DE BROWARD' FL
REGISTRATION NUMBER
NIMER1 DE lNscRIPcloN
101247715
REGISTRATION DATE
FEaHADE INSCRIPCIdN
OcV07l'1972
PRECINCT
RECIN'O ELECTORAL
s006
John RandolPh Schuller
5060 sw 29th wAY
Dania Beach FL 33312-5826
Mayl14t1941 Date lssue: Nov 12312021
Change of Name r\ /2
Joe Scott, Supewisor of Elections d* 8-
Reoublican Party