EL-15-253 (2) FEB 0 4 2015
SaftStreetsrA
UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT
PERMIT LABEL# (IF REQUIRED) A-15-001 l Zt f 770�5 DATE 2/3/15
PROPERTY ADDRESS: 1036 NE 96 St
CUSTOMER'S NAME Wendy Gallego
CUSTOMER'S ADDRESS 1036 NE 96 St
CITY: Miami Shores STATE FL ZIP CODE: 33138 TELEPHONE: 305-987-1923
EMAIL ADDRESS: drgallego(cDshinwellness.com
CONTRACTOR: SAFE STREETS USA
ADDRESS: 5660 W CYPRESS ST STE G TAMPA FL 33607
TELEPHONE: 919-861-8521 FAX: 866-651-3858 EMAIL: JADAMS@SAFESTREETS.COM
QUALIFIER: WILLIAM ALAN PEACOCK STATE LICENSE #: EG13000404
DATE PROJECT COMPLETED 1/29/15
SCOPE OF WORK:
Wireless Burglar Alarm - 1 Cell, 1 Panel, 6 Door/Window, 3 Glassbreak, 1 Camera,
1 Dead Bolt, 1 Lamp Module
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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QUALIFIER'S SIGNATURE
5660 W Cypress St Local 919.861.8521
AUTNORREO
Suite G DEALER Toll free 866.774.7635
Tampa,FL.33607