HomeMy WebLinkAboutInv# PC - 22585 - BROWARD COUNTY BOARD OF COUNTY COMMISSIONERS - 11/18/2024BK%;WARD
COUNTY
October 15, 2024
Resilient Environment Department
ENVIRONMENTAL PERMITTING DIVISION
1 North University Drive, Mailbox 201, Plantation, Florida 33324
PHONE: 954-519-1483 FAX 954-519-1412
License Renewal Notice and Application
Hazardous Material Management Facilitv License: HM-13344-23
Operator/Licensee:
Mr. Darren Greene, Utilities Manager
City of Dania Beach
100 W DANIA BEACH BLVD
Dania Beach, FL 33004
Facility: City of Dania Beach Lift Station #15
1905 TIGERTAIL BLVD
Dania Beach, FL 33004
The facility's Hazardous Materials License expiration date is: January 31, 2025.
Renew online!
To Renew (Term - 2 years)
Online:
OR
By Mail:
Update Licensee Information Here: (Only Changes)
Attention:
Operator:
Mailing Address:
City: State: _ Zip:
Email:
License Expiration: January 31, 2025
Renewal License Fee: $320.00
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1) Logon to: https:Hdpepp.broward.orci/HazmatRenewaI/Login.aspx Pubc5ec
2) Sign in using CAPSLOCK to enter the license number, and use as password: 78446306
3) Verify/update (if needed) license information and make payment by credit card.
Expired licenses cannot be renewed online.
1) Review all current license information and update if necessary.
2) Sign and date this form.
3) Make a check for the renewal fee payable to Broward County Board of County Commissioners.
4) Mail signed form and payment by check to the above address.
Current Information: (Verify)
Nature of activity: Non -Residential Building with Diesel Generator
# of employees engaged in activity: 0
Contact name and title: Darren Greene, Utilities Manager
Contact phone: (954) 924-6808 Facility phone: (954) 924-6800
Contact email: dgreene@daniabeachfl.gov
DEP Site ID: None
Is the facility on a septic system? No
Waste stream: NONE
Nature of activity:
# of employees engaged in activity:
New contact: Title:
Contact phone: Facility phone:
ontact email:
EP Site ID:
the facility on a septic system?
stream:
Applicant Certification:
The undersigned certifies that the statements made in this application are correct and complete to his or her knowledge and belief, and
understands that false or misleading statements may result in denial or revocation of a license and/or civil action including assessment of a
civil penalty as prescribed in Chapter 27 of the Broward County Code of Ordinances. The undersigned further agrees to comply with the
provisions of the Broward County Code of Ordinances, Chapter 27. In particular, as specified in Section 27-8, reasonable entry shall be
provided to RED personnel f e purpose of inspection and testing to determine compliance.
Failure to renew the licens ri the above noted kxpiration date may result in enforcement action that carries a civil penalty.
Authorized signature: / 16",--- Date: 11 / 1 $%1LA
Please print name: A "' ", lam? rcZyvi— Title: L41i c-) M cla'AS r
To obtain additional information or assistance, contact Valerie Phipps at (954) 519-1203, by email at vphipps@broward.org
or visit our website at www.broward.org/consumer
A Service of Broward County Board of County Commissioners
11/18/24, 9:47AM
Broward Home sign Out
HazMatRenewal - Confirmation
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Broward Home County Commission Living in Broward Doing Business Visiting
HAZ MAT LICENSE RENEWAL
Payment Receipt
Broward County Hazardous Material License Renewal
Facility: City of Dania Beach Lift Station #15
Paid by: Darren Greene
For Licensee: City of Dania Beach
Amount Paid: $320.00
Date Paid: 11/18/2024 9:47 AM
New License Number: HM-13344-25
Card Type: Visa
License Coordinator: Valerie Phipps (954) 519-1203, vphipps@broward.org
BR-; , WARD
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