EL-14-2300Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-221861 Permit Number: EL -10-14-2300
Scheduled Inspection Date: October 21, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: ROY, WILLIAM Work Classification: Label
Job Address: 1280 NE 101 Street
Miami Shores, FL
Phone Number
Parcel Number 1132050210010
Project: <NONE>
Contractor: ADT SECURITY SERVICE Phone: (954)266-5066
tsunaing uepartment comments
A-14-051
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed fie'
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 20, 2014 For Inspections please call: (305)762-4949 Page 32 of 48
Brian lElfi`ison
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Services
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ADT Security Services
10785 Marks Way
Miramar, FL 33025
Tet: 354-256-5056
Direct 854-266-5275
Fax 954-266-5180
miramarpermitdept(aadtcom
UNIFORM NOTICE OF A LOW -VOLTAGE ALARM PROJECT
PERMIT LABEL # (IF REQUIRED)) — IL4 — Q5 1 DATE_ q° Z0. 1'l -A
PROPERTYADDRESS: 12qbo NE 1D/ amet
CUSTOMER'S NAME.,- � � ADA
CUSTOMER'S ADDRESS.
CITY: h'a'a % SINOht3S STATE FL ZIP CODE: TELEPHONE #•305''1936-06'®
EMAIL ADDRESS
CONTRACTOR: ADT SECURJTY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 354-266-5066 FAX# 854-266-5180 EMAIL MIRAMARPERMITDEPTaADT.COM
QUALIFIER: BRIAN WILSON STATE LICENSE NUMBER: EFOD01131
DATE PROJECT COMPLETED 5' 80 ` 14
SCOPE OF WORK
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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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QU IGNATURE A, �o�`