HomeMy WebLinkAbout10/10/2022 - Complete PackageDANIA BEACH
SEA II. LIVE IT. LOVE IT
LICENSE PLATE #:.2182- {rAG*r
uo*r, ,z//s 's./.1
CITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
95,1-92+6800 x3'lot
Please print legibly, till in or circle all ite'ns
NAME:
ADDRESS:
VEHICLE INFORMATION (No campers permitted)
42^,/
65 oRoLDER:J@ No
sr^rEt 7a- or, ?el
Contact Phone Number:
PK)
UP} CV)
"oro
. 52,/E R uwn
PROOF OF RESTDENCY/OWNERSHIP: PLEASE SHOW TO CASHIERWTH AUTOMOBILE REGISTRATION ONE OF THE FOLLOWNG:
CURRENT UTILITY BILL SHOwlNG DANIA BEACH ADDRESS
WATER ELECTRIC PHONE CAB LE 'S REGISTRATION
PROPERTY OWN ER:
J8XFor Ofiice use Only:
PERMIT #:
TATE TAG ISSUED BY:
{FL, NJ, NY. OU ,,..)
STYLE: { 2DR 4DR VAN MC)'t5@ rnx 1 sw
VOTER INFORMATION CARD, BROWARD EOUNTY FL
TAPd/ETA DE INFORMACI6N DEL ELEC|OR,CONDADO DE BROWARD.Fi,
REGISTRATION NUMBER
T] O NIERO DE I iISCRI PCI6N
126/.7710/
REGFTRA di! DATE
FECHA E tttscatpcigl
Novl28t201A
PNEC'NCT
r8gf,tDe,lctoift
;..JOnn Ktccl
, 401 SE 3rd St APT 404
No Party Affiliiion
iDania Beach FL 33004
l)unl23/1954 Date lssued: Nov/30/20i 8I New Voter Registrdion
Peter Anlonocci, Supervisor of Elections
co/AGY 10 / 6
FLORIDA VEHICLE REGISTRATION
PLATE JZCT}T DECAL 11459544 Expires MidnightFri 612312023
YR/MK 2O2IINISS BODY SW COLOR SIL Reg Tax
vIN JNI BJiBV6MW3O'|56I TITLE 141812955 Init. Reg
Plate Type RGS NET WT 3270 Countv Fee
Mail F€e
DL,4EID R200460542230 2ND DL# G425513625240 Sales Tax
Date Issued 6/15/2022 Plate Issued 8llr20l8 Voluntary Fees
Grand Total
T# 1667479501B# 2465405
IMPORTANT INFORMAIION
The Florida license plate must remain with the registrant upon sale ofvehicle.
Th€ registration must be deliv€red to a Tax Collector or Tag Agent for transfer to
a replac€ment v€hicle.
Your registration must b€ updated to your new address within 30 days of moving
Regishation renewals are the responsibility ofthe registrant and shall occur dudng
thelO-day p€riod prior to th€ expiration date sholl1l on this registration. R€newal
notices are provided as a courtesy and arc not required for renewal purposes
I und€rstand that fiy dtiver license and registrations will b€ suspended
immediately if the insurd denies th€ insurance infomation submifted
for this reeistration.
75.60 Class Code
Tax Months
3.00 Back Tax Mos
credit class
Credit Months
78.60
9
t2
JOHN RICCI, KRYSWNA MALGORZA GIELECINSKA
4OI SE 3RD STAPT 404
DANIA BEACH. FL 33004
RGS - SUNSHINE STATE
l.
2.
3.
4.