EL-14-2058Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-220071
Scheduled Inspection Date: October 07, 2014
Inspector: Devaney, Michael
Owner: SMITH, MARY LESLIE
Job Address: 1053 NE 94 Street
Miami Shores, FL 33138 -
Project: <NONE>
Permit Number: EL -9-14-2058
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)347-4083
Parcel Number 1132050120090
Contractor: ADT SECURITY SERVICE Phone: (954)266-5066
Building Department Comments
LABLE A-14-043 Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 06, 2014 For Inspections please call: (305)762-4949 Page 12 of 33
Secuit
Services
Lao.
Brian Wilson ADT Security Services
EF0001131 10785 Marks Way
Miramar, FL 33025
Tel: 954-266-5066
Direct 954-265-5275-
Fax
54266-5275Fax 954-266-5180
miramamermitdept(dodt com
UNIFORM NOTICE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED) / / ` / (— ` DATE l
PROPERTY ADDRESS: 16 S-L�) Oy Q S r
CUSTOMER'S NAME:
CUSTOMER'S ADDRESS:
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CITY: MSA -dye % CA 80- S STATE FL ZIP CODE: 3 3139/ TELEPHONE #
EMAIL ADDRESS:'
CONTRACTOR: ADT SECURITY SERVICES
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ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX# 954-266-5180 EMAIL MIRAMARPERMITDEPT(C-bADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EF0001131
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
WITH ALL APPLICABLE CODES AND STANDARDS.
QUA? 4iER�S SIGNATURE
ZATE AND IS IN COMPLIANCE