EL-14-995Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 212491
Scheduled Inspection Date: May 19, 2014
Inspector: Devaney, Michael
Owner: GREENBERG, MARK AND DEBORAH
Job Address: 485 NE 94 Street
Miami Shores, FL 33138-
Project: <NONE>
Permit Number: EL -5 -14 -995
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)754 -2593
Parcel Number 1132060140540
Contractor: ADT SECURITY SERVICE Phone: (954)266 -5066
eui mmg Department comments
alarm
INSPECTOR COMMENTS False
Inspector Comments
Passed !
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 16, 2014 For Inspections please call: (305)762 -4949 Page 23 of 36
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Brian Wilson
EF0001131
ADT Security Services
10785 Marks Way
Miramar, FL 33025
Tel: 954 -266 -5066
Direct 954 -266 -5275
Fax: 954266 -5180
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UNIFORM NOTICE OF A LOW VOLTAGE ALARM PROJECT
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PERMIT LABEL # (IF REQUIRED) �� — 0 3 P �2 --? DATE 67, -�>`
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CUSTOMER'S NAME: �� � � �� � �, �v 0
CUSTOMER'S ADDRESS: � °3- °
CITY: NA A,0 b 5 1 kcavS 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: MIRAMARPERMITDEPTO- )ADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED® ° ® L4
SCOPE OF WORK:
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 AND IS IN COMPLIANCE
WITH ALL APPLICABLE CODES AND STANDARDS.
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QUALIFIER'S SIGNATURE l I
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