EL-15-1593 IN
,5}iOSiES yam` Miami Shores Village
10050 N.E.2nd Avenue NE fj
x
Miami Shores,FL 33138-0000 3 ''�
Phone: (305)795-2204
\ P
Ex iration:e512/2312015
us 2€!15
Project Address Parcel Number Applicant
1210 N E 100 Street 1132050090070
Miami Shores, FL 33138-2604 Block: Lot: AMY PALMA CRANE
Owner Information Address Phone Cell
AMY PALMA CRANE 1210 NE 100 Street
MIAMI SHORES FL 33138-2604
1210 NE 100 Street
MIAMI SHORES FL 33138-2604
Contractor(s) Phone Cell Phone Valuation: $ 0.00
ADT SECURITY SERVICES
Total Sq Feet: 0
Type of Work:ALARM Available Inspections:
Additional Info: Inspection Type:
Classification: Residential Review Electrical
Scanning:0
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
DBPR Fee $0.00
Invoice# EL-6-15-56128
DCA Fee $0.00 05/19/2015 Check#:086512 $55.00 $0.00
Permit Fee-Add itions/Alterations $55.00
Total: $55.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated.
June 26, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 26,2015 1
George Manginelfi ADT Security Services
EF0001121 10785 Marks Way
SeCU `` L Y Miramar, FL 33025
T
_____ _ Tel: 954-266-5066
� ' Direct: 954-266-5275
Fax: 954-266-5180
,JUN 6 2015 miramarpermitdept(c adt.com
UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT
PERMIT-LABEL_#.(lF__RF_QUIRED) _ PCA )-7-0._ A DATE Q0 23
PROPERTY ADDRESS: ( ' j1 _ "I�l`�f=�
CUSTOMER'S NAME:
CUSTOMER'S ADDRESS.
CITY: NkyA]til! JV)CjQ�G STATE FL ZIP CODEJ3136 TELEPHONE#,5b,5�7Q 90) U(_)
EMAIL ADDRESS;
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE# 954-266-5066 FAX# 954-266-5180 EMAIL: MIRAMARPERMITDEPT a(DADT.COM
QUALIFIER GEORGE MANGINELLI STATE LICENSE'NUMBER EF0001121
DATE PROJECT COMPLETED (p
SCOPE OF WORK:
NOIIC_E.IS.HEREBY_GIVV_EN.TNATf�.LOW-VOLTAGE ALARM SYSTEM PROJECT-HAS.BEEN, COMPLETED AT
THE-ADDRESS SPECIFI D VE:--
QUALIFIER'S SIGNATURE