EL-14-2056Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220068 Permit Number: EL -9-14-2056
Scheduled Inspection Date: September 23, 2014
Inspector: Devaney, Michael
Owner: BOURNE, ROBERT
Job Address: 490 NE 101 Street
Miami Shores, FL 33138-2449
Project: <NONE>
Contractor:
ADT SECURITY SERVICE
tsunaing uepartment comments
ADT
LABEL A 14-044
Passed
EJ_
Failed
Correction
Needed
❑
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
1132060170430
Phone: (954)266-5066
September 22, 2014 For Inspections please call: (305)762-4949 Page 27 of 32
;--- , _, " ai�B-ROWA—RR® COUNTYLOC-►t BUSINESiS--IF C OPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015
f18 -2
®B�t. ADT SECURITY SERVICES " Receipt #.•ELECTRICAL/ALARMS/
Business Name: Business Type: (ALARM SYSTEM CONT
Owner Name: BRIAN EDWARD WILSON Business Opened:08/29/2013
Business Location: 10785 MARKS WAY State/County/Cert/Rea:EF0001131
MIRAMAR
Business Phone: 954-266-5176
Exemption Code:
Rooms Seats Employees Machines Professionals
150
For Vending Business Only
Number of Machines: Vendinn Tvnp-
Tax Amount
Transfer Fee
NSF Fee
Penalty
Prior Years
Collection Cost
Total Paid
150.00
0.00
0.00
0.00
0.00
0.001
150.00
Y
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
Mailing Address:
ADT SECURITY SERVICES
10785 MARKS WAY
MIRAMAR, FL 33025
2014 -2015
f-
Receipt: #30B-13-00003576
Paid 09/19/2014 150.00
RICK 8007 GOVERNOR KEN LAWSON, SECRETARY
STATE OF rLORIDA,
DEPARTMENT OF BUSINESS AND PROFESSIONAL, REGULATION
I=LECTRICAL CONTRACTORS LICENSING BOARD
EF0001131
The ALARM SYSTEM CONTRACTOR I
Named below IS' CERTIFIED wQ4
Under the provisions of Chapter 488 FS... '
Expiration tate: AUG 31, 201a
• � #,ate•, �,�cx:;,''•' . ,.:�rr�' • •�r� � �j
' �IL,SON, BI* A�1 P-DWARI]" `,• ,
ADTSECURI ,SEiZ ji
-.10785 •1 "+ bt �.'S. ^R 1eA. y'•ly. � ��',�.t. M•�a1P�.•"H(tp'M1.••T � i1
' 'M1RAMAR .. •'�'.� 3 � ��°;�.• ; �,<.t... • r
aP., ..' .. ..� . .. ........t_•' -'w ".j ��+ J.•• •�f:'9�fl•�� .��.`:�..'�.:,w. '...�F`. �w-� ''SL�tl. �y�� '" i'. `•,.;i�5a:. `A.:..`:. ".. .... .. .. ... ..
ISSUED: 07123!21314 DISPLAYAS REQUIRED BY LAW aM# 1.140'i2,300018i1
H
AML
6curity
Services
uw.
a,
Brian Wilson
EF0001131
r
ADT Security Services
10785 Marks Way
Miramar, FL 33025
Tet: 954-266-5066
Direct 954-266-5275-
Fax
54-266-5275Fax 954-266-5180
miramarpermitdeot(diadtcom
UNIFORM NOTIGE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED) ` I �" i' DATE Z
PROPERTY ADDRESS:
S7 -
CUSTOMER'S NAME: �� %�� p J aou
CUSTOMER'S ADDRESS: �r�l - $.�
CITY: NV EM 15646-S STATE FL ZIP CODE: 3'J(38 TELEPHONE #• �S6 ��
EMAIL ADDRESS:'
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX# 954-266-5180 EMAIL
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED i
SCOPE OF WORK
tow 1/p J o
NOTICE IS HEREBY GIVEN THAT A LOW -VOLTAGE ALARM SYSTEM PROJECT MPLETED 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.
QUAL ER'S SIGNATURE
RICK SCOTT, GOVERNOR KEN L AWSON, S.ECRETAPY
STATE OF MORIIDA
DEPARTMENT OF SUSINESS AND PROFESSIONAL., REGULATID,N
VLECTRICAL CONTRACTORS LICENSING 130ARD
E oaol131 t°
The ALARM SYSTEM CONTRACTOR I �.
Named below IS'CLRTIFII=O `b'�.Qoh��.
Under the provisions of Chapter 489 FS... '
Expiration date: AUG 31, 2016
010"1+r MLS3h, BI (A� •'— 1 Sii�Y,'.r •9Sw N:'t; Sr:j.i. A•j •aY'4';''";,:'•➢M�:„s '' °;,,�•.s•1 .P-DWAP.Q
Apf mcua"segyVi
MAIlSVV. -•"�,'a•,'�•Y.��.aJ '.
71
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ISSUED: 07/312014 DISPLAYAS REQUIRED 6Y LAW SEQ L1407230001871