EL-14-0016Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 205316
Scheduled Inspection Date: January 07, 2014
Inspector: Devaney, Michael
Owner: NOALES, GONZALO & JOHANNA
Job Address: 371 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Permit Number: EL- 1 -14 -16
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)632 -9753
Parcel Number 1121360130270
Contractor: ADT SECURITY SERVICE Phone: (954)266 -5066
tsuuamg uepanment comments
ALARM LABEL # A -13 -009
INSPECTOR COMMENTS False
Inspector Comments
Passed �
Failed Z7 -vT
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
January 06, 2014 For Inspections please call: (305)762 -4949 Page 20 of 26
,F1 IZ-1-16.
Brian Wilson
Securrty EF0001131
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ADT Security Services
10785 Marks Way
Miramar, FL 33025
Tel: 954266 -5066
Direct 954 - 266 -5275
Fax: 954266 -5180
miramarpermitdept0ladt. com
UNIFORM NOTICE OF A LOW- VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQU
CUSTOMER'S NAM
CUSTOM ER'S:ADDRESS:
�L- 7Z —O D 2 DATE 11gllev
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STATE FL ZIP CODE:1��v7 TELEPHONE # 7a VI r 35,3
EMAIL ADDRESS;
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954 - 266 -5066 FAX # 954266 -5180 EMAIL: MIRAMARPERMITDEPTO- ADT.COM
QUALIFIER: BRIAN WILSON STAT LI ENSE NUMBER: EF0001131
DATE PROJECT COMPLETED .?
(;UNt Ur VVUKr%:
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NOTICE IS HEREBY GIVEN THAT A LOW- VOLTAGE ALARM SYSTEM PROJECT HAS BEEN COMPLETED AT
THE ADDRESS SPECIFIED ABOVE.I CERTIFY THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND
ACCURATE.
A
QUALIFIER'S SIGNATURE
JAN 0.6 20,4
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