HomeMy WebLinkAbout10/10/2022 - Complete PackageCITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
S5+s24-6800 x3401
Please p nt legibly, fill in or circle all item3DANIA BEACH
SEA IT. LIVE IT. LOVE IT.
TODAY'S DATE:
STYLE: (
''fi>DR
VAN MC)(\W rRK ( sw
PK}
UP) CV)
G@
/o/z/**'-
,/l/- .lc R
vne. f,Afhe at*'< F)1,'-'r4 \ 65oRoLDER:49 *o
ooo*."", i8{ Pf hfr cdu't
,--ir 2 ?r'b) z-/
srATE: -l=g- zlPi r 'e
.^.r, 14 it 1-/ A> AaL.to"-conractphoneNumb.,, 4{1'€re -2 zt?
VEHICLE INFORMATION (No campers permitted)
.^.|,'/./
LrcENsE pLArE #: znvb 5 "/ srArE rAG ls,suED BY:
(rAG lt €L ct'w'nt'ou "t
uou, Ttr
"oro, //-/< r,*n t clAJun6-€L3/ 2?tl
...ldi(fea ) etzctarc PHor'lE cABLE vorER's REGlsrRArloN
PRooFoFREs|DENCY/oWNERSH|PIPLEASEsHowTocAsH|ERWTHAUToI,oB|LEREG|STRATIoNoNEoFTHEFoLLoW|NG:
CURRENT UTILITY BILL SHOWING DANIA BEACH ADDRESS
For Office llse Only:
PROPERTY OWNER
PERI/lIT #:
SEA IT.
LIVE IT
WW
M&ruIA BE
100 W Dania Beach Boulevard Dania Beach, FL 33004
Office Hours: 8:00-5:00 lMon-Fri Closed Holidavs
Teleohone: 954-924-6800 Option 5 or Ext 3401
CUSTOMER NAMEi KATHERIN E DANIELS
ACCOUNT NUMBER: 55398-001
SERVICE ADDRESS: 185 NE 6 CT
BILLING DATE: 09/16/2022
READ DATE: 08/05/2022 O9/O7 /2022
SERVICE DAYS: 33
LOVE IT.
CURRENT READ
I14
METER S
77525368
CURRENT CHARGES BREAKDOWN
Water Consumption
Water Base
Sewer consumption
Sewer Base
Water Utility Tax
TOTAL CURRENT CHARGES
PREVIOUS READ ' USAGE {XlOOOi
109 5
s2o.4s
(?7 10
s2r.s2
597.33
E+E
ffi scar,r
co/Acy t0 / 2
idnight Sat Zi12023
T#
B#
t661443453
5403300
BLK
11496,7A2
Reg. Tax
Iait Reg.
couDty Fee
Mail Fe€
Sales Tax
Votuutary Fecs
Grald Total
43.10 Class Code
Tax Mofihs
3-00 Back Tax Mos
0.85 Cr€dit Ctass
Crcdir Months
46.95
I
12
FLORIDA VEHICLE REGISTRATION
PLATE EAwcs4 orcar i ogozlgt Expires
}Tf^ ?o:!!r.F.EP BoDY rP coloRvrN 1c4NWAcfEL2lr".tr
pfate rype RGs - - -it;ii,h szs1 rIrLE
DUFEID D542501577410
Date Issued 61312022 phte Issued 6fi6/20r5
KATHERINE ANN DANIELS
185 NE 6 CT
DAN|A, FL 33004-3362
j*:*:g.1:::"ily',:l':H"T3ffiilJ*,upoo"*oru.ri"r"' i [l:trffi1T.flf,j be delivered rro a rax cottector or ra! agent for trisi] to
J Your. registratiol must be updated to your. tew address witbin j0 days ofmoviDe..1. xegIsraho! rerrewals are rh€ respoosibiliry of thc registrart anJsilii";;";;?,me Ju-day penod prior to the exDiratior. y391". {, i19"'a,ia; ;";;;il #;:,",:"rffi"?r*]',JffiT'S;,:f"-.i). I understand that my driver license and I
trjfl*l|#filrilH:ffi :T,f.ff "Tt",:il1iff .:Tffi s,
s0.00
So.oo
s97.33 DUE Bv 10/0612022
{'ee reverse side af stdtement far Fd|nre,?r optto&J
Thank you for your timely payment on your last
RGS - SUNSHINE STATE