Fillable New Or Changes Address Form (City of Dania Beach)

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New Or Changes Address Form (City of Dania Beach)

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The New Or Changes Address Form (City of Dania Beach) form is 1 page long and contains:

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  • 10 check-boxes
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Country of origin: US
File type: PDF

U.S.A. forms for City of Dania Beach

BROWSE CITY OF DANIA BEACH (FL) FORMS

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Rev.APR2015 – FORMS, Address FORM for New or Change Assignments
Broward Sheriff’s Office
Department of Fire Rescue & Emergency Services
Fire Prevention Bureau
Dania Beach District
100 West Dania Beach Blvd. • Dania Beach, Florida 33004
Office: (954)342-4262 Fax: (954)342-4265
_____________________________________________________________________
NEW OR CHANGE ADDRESS REQUEST
DATE:
TO: Dania Beach District, Fire Marshal Office, lisa_muggeo@sheriff.org
FROM: _________________________________________________
NAME [PLEASE PRINT]
____________________________________________________________
MAILING ADDRESS
____________________________________________________________
PHONE NUMBER with AREA CODE FAX [OPTIONAL]
Please supply the following items required for a new or changed address:
Folio No or Property ID ______________________________
Check one: [ ]SFR, [ ]commercial bldg. [ ]residential [ ]other ________
[ ] Copy of Survey attached with property’s “Legal Description.”
[ ] Commercial Buildings must provide a Site Plan.
DISTRIBUTION – check one:
[ ] Call address information to above phone number.
[ ] FAX address information to above address/FAX number.
[ ] Mail copy to the above address.
[ ] email to:
comments: _____________________________________________________
Address assigned is: _____________________________________________
Nikki Rudershausen, United States Post Office, Holly Cimino, Broward County Property
Appraiser, Jennifer Cavrudatz, Broward County Property Appraiser, Lynn Molitor, Broward
County 911 Communications, Soraya Diamond, Broward County 911 Communications, Marlon
Nichols, Broward County 911 Communications, Adrianna Lupas, Broward County GIS, Maudeline
Jean Claude, City of Dania Beach, Megan Jelaso, City of Dania Beach, Sherry Pecoraro, City of
Dania Beach, Tammie James, City of Dania Beach, Eleanor Norena, City of Dania Beach
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New Or Changes Address Form (City of Dania Beach)

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Completed 14 July 2020

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