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EL-13-2429Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 202016 Permit Number: EL -10 -13 -2429 Scheduled Inspection Date: October 29, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: ACKLEY, SUSAN Job Address: 1119 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Inspection Type. Final Work Classification: Alteration Phone Number (305)759 -2425 Parcel Number 1132050180050 Contractor: ADT SECURITY SERVICE Phone: (954)266 -5066 comments alarm INSPECTOR COMMENTS False Inspector Comments Passed Elf Failed f, Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 28, 2013 For Inspections please call: (305)762 -4949 — Page 34 of 46 � Security Services Brian Wilson ADT Security Services EF0001131 10785 Marks Way Miramar, FL 33025 Tel: 954266 -5066 Direct: 954 -266 -5275 Fax: 954266 -5180 miramarpermitdept(C-Dadt. com UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT PERMIT LABEL # (IF REQUIRED) �/ DATE ��✓ �'� PROPERTY ADDRESS: /V e �Y, SA ea CUSTOMER'S NAME: CUSTOMER'S ADDRESS: /// 4� /V q-t CITY: /t� %g /� ) ®t �,��i�S' STATE FL ZIP CODE TELEPHONE '� EMAIL ADDRESS; CONTRACTOR: ADT SECURITY SERVICES ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025 TELEPHONE # 954- 266 -5066 FAX # 954- 266 -5180 EMAIL: MIRAMARPERMITDEPTCcD-ADT.COM QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131 DATE PROJECT COMPLETED /a SCOPE OF WORK: NOTICE IS HEREBY GIVEN THAT A LOW - VOLTAGE ALARM SYSTEM PROJECT HAS BEEN COMPLETED Al THE ADDRESS SPECIFIED ABOVE. QUALIFVV9 SIGNATURE