HomeMy WebLinkAboutMeredith DonlyGITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
954-9244800 x340t
Please print legibly, fill in or circle all itemsDANIA BEACH
SEA IT. UVE IT- LOVE IT.
TODAY'S DATE:to I rr fz=
6soRoLDER: @ *o
6 ?1A zt(J, L' 7to. 1-v v /
Conlact Phone Number:
uar<.,7'9a/a-lt
MooEL*fI qh lztat2&/' srYLE: ( i2qF"*tDR vaN MG) Pfl--t- 1:Y?]15{ sw uP} cv)
Emall:
VEHICLE INFORMATION (No campets permitted)
COLOR:vtN #:
For Office Use onlyi
pRoOF oF RES|DENGY/OWNERSHIP: PLEASE SHOW TO CASHIERWITH AUTOMOBILE REGISTRATION ONE oF THE FoLLoWNG:
CURRENT UTILITY BILL SHOWING DANIA BEACH ADDRESS
WATER ELECTRIC PHONE CABLE VOTER'S REGISTRATION
---77P RO PERTY OWNER{YEg NO
o
PERMIT
LICENSE PLATE #:t- D#lt,
STATE TAG ISSUED BY:
Cr'JYtul-f a
CITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
954-924-6800 x3401
Please print legibly, fill in or circle all itemsDANIA BEACH
SEA IT. UVE IT. LOVE IT.
TODAY S DATE:
NAME:
ADDRESS:
g lr, f zs
",n, Tfr7t) /fl A.Ac-fl srat,.: fu apt 33oo/-
contact Phone Number:Emall:
VEHICLE INFORMATION (No campers permitted)
viere, ''_1 qgt'a--MODEL:
<'l
coloR: 9'// e/ vlN #:
PROOF OF RESIDENCY/OWNERSHIP: PLEASE SHOWTO CASHIERWITH AUTOMOBILE REGISTRATION ONE OF THE FOLLOWNGT
CURRENT UTILIry BILL SHOWING DANIA BEACH ADDRESS
WATER ELECTRIC PHONE CABLE VOTER'S REGISTRATION
For Offlce Use only:
RG
.uoooro.*,@ no
STATE TAG ISSUED BY:t-z (FL, NJ' NY' QU ....)
STYLE: ( 2DR 4DB*AN MC} PN( ruu",d.xj sw uP) cv)
.e'...-J
PERMIT
PROPERTY OWN E
?e* .:i I
l.5, /^.e9r-gement I Community Development I Maintenance
...-., ; ,|iiir.:: r' "1 o,4 ffi
.1.
Location
Account Number
Service Address
Carrier Route
DeliverY Point
Billing Proflle
Billing Address
600032-002
354 SE 6 ST
DANIA BEACH FL 33OOI
Customer Service
.l eooo:z-ooz - actiue B
0i.lL\', i\l FREDI-l-H co/ACY 10 l2
FLORIDA VEHICLE REGISTRATION
:#';#.:""d;?*",dJ"*,*::,':.'*'g4'g3i "*ii :;$*x;,'\
errteryp. aee Ntsr w '
2NDDr.f Ds/r0s61425630 t"ti,i,l""i o"*
Blfl** 3fio,llll*"or'",.,ssued 2r2'r20te
,^*ff::;";*"^""'i
'"
ROBERTJOEOONLY'IEREDITHKOHLEROONLY I H:I*I*IM:'$#NhH#[.U*'MIfl*:*|::';ifi#jrijr;';;;*""' 'iifliff*ffijff'ttg,:,}:f't'tr#Tj''ffi$**
for this registration
FLORIDA VEHICLE REGISTRATION
PI,ATE OANIA 1 DECAL 03062080 Expires MidnightFrl11l,1412026
YR,IMK 2O2IITOYT BODY PKvrN 3TYEZ5CNX|{T005848
Plate Typc RGP NET WT ,11 36
DI"/FEID D5a0?70.404140
Dale lssu€d 9r2cr2023 Plate tssued 12t 20{6
SIL Reg. fax
111122538 Init. Reg.
Coung Fee
Mail Fec
cor.oR
TITLE
116.20 Cl83s Codc
Tax Months
6.00 Back Tax Mos
0.90 Crcdit Class
Credit Months
123.t0
3l
24
0
0
IMPORTANT INFORMATION
ROBERTJOE DONLY,I'EREDITH KOHLER DONLY l. Thc Florida licensc plate must renain wjth the rcgistrant ulod sale ofvehicte.
354 SE 6TH ST 2. Thc registrstion nrDst t e delivered to s Tax Coll.ctor or Tag Agcnt for transfer to
DANnAEACH, FL 3t0044?23 a rcDlaccment vehicle.
Your rcgisration must be updated to your new address widrin 30 rlays ofnroving-
Rcgistration rcncwals are the rcsponsibility ofthc r.gistrant and shall orcur dudtlg
the 30-day period prior to the expiration drtc shown oD tbis regisft.tion. RcDewal
notices are provided as a courtcsy and a& not rcquircd for rancwal purposcs
I tmderstand thst my drivcr liccnsc aod rrgiskations will bc suspcnded
2NDDL{ D5a055l/r25830 Sales Tax
Voluntaiy Fees
Crand Total
5.
3.
4.
0{Detaits
Status Active
Type Single Fam
Class
Move ln 08/121201
Move out
G/L Distribution Proflle City of Dan
cycle 3
Number of unils 1
354 SE 6 ST
DANIA BEACH FL 33004xemplions and Exceptions
nCt
47745 // tg No exemolions nr pv'a^ri^'"
T# r1t2699687
B# 5439179
co/AGY t0 l2 T* t86520244'lB# 5552t56
irnmediately ifth€ insur€r deni€s the iNuranc€ information srrfimitt d