EL-14-2057Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220070
Scheduled Inspection Date: September 24, 2014
Inspector: Devaney, Michael
Owner: ,
Job Address: 1297 NE 105 Street TH 7
Miami Shores, FL 33138-0000
Project: <NONE>
Permit Number: EL -9-14-2057
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (213)500-2171
Parcel Number 1122320870070
Contractor: ADT SECURITY SERVICE Phone: (954)266-5066
Building Department Comments
LABEL A-14-045
INSPECTdR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 23, 2014 For Inspections please call: (305)762-4949 Page 16 of 25
Brian Wilson
ADT Security Services
EF0001131
6curin
10785 Marks Way
Miramar, FL 33025
Services
Tet: 954-266-5066
Direct 954-265-5276
Fax 954-266-5180
miramarpermibept(E�adtcom
UNIFORM NOTICE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED)
A-ILl-ass
PROPERTY ADDRESS: 11 q 1 N E 10 S i
CUSTOMER'S NAME: JI,ucti.
DATE q— 1Z -/N
CUSTOMER'S ADDRESS
C[TYA09, l ShoA&S STATE FL ZIP CODE: "15k TELEPHONE #.
EMAIL ADD KESS,
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX# 954-266-5180 EMAIL MIRAMARPERMITDEPT(dADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
DATE PROJECT COMPLETED 7' %,L -\s
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 COMPLIANCE
WITH ALL APPLICABLE CODES AND STANDARDS. -�
0UALIF[E IGNATURE