EL-14-1856Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218480
Scheduled Inspection Date: August 28, 2014
Inspector: Devaney, Michael
Owner: GRABLE, JANE
Job Address: 1259 NE 97 Street
, Project:
Miami Shores, FL
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Contractor: ADT SECURITY SERVICE
comments
ALARM
Permit Number: EL -8-14-1856
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
1132050090420
Phone: (954)266-5066
August 27, 2014 For Inspections please call: (305)762-4949 Page 16 of 27
Brian Wilson
ADT Security Services
EF0001131
Se, cirri
10785 Marks Way
Miramar, FL 33025
Services
Tel: 954266-5066
Direct 954266-5275
Fax 954266-5180
miramarpermitdept(a-adtcom
UNIFORM NOTICE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED) A /1/- ` 0 3 S DATE
PROPERTY ADDRESS: 1.257 A16 � l 3-
GUSTOMER'S NAME:_ 41U 1U 0. PaI.4C`C M AO
CUSTOMER'S ADDRESS:
CITY: /"I14wi SkoQ. ers STATE FL ZIP CODE: 313S' TELEPHONE # S&6- 59/- 4%76
EMAIL ADDRESS:
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954266-5066 FAX # 954-266-5180 EMAIL: MIRAMARPERMITDEPT(cb-ADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EFD001131
DATE PROJECT COMPLETED
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.
UALIFIER'S SIGNATURE
a