EL-14-669 SPR ®2
CICSafeStreets14
UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT
PERMIT LABEL#(IF REQUIRED) A-13-013 DATE 2/24114
PROPERTY ADDRESS: 56 NW 93 St
CUSTOMER'S NAME Thomas Theus
CUSTOMER'S ADDRESS 56 NW 93 St
CITY: Miami Shores STATE FL ZIP CODE: 33150 TELEPHONE: 786-374-5616
EMAIL ADDRESS: thomastheusiftmail.com
CONTRACTOR:SAFE STREETS USA
ADDRESS:5660 W CYPRESS ST STE G TAMPA FL 33607
TELEPHONE:919-861-8521 FAX:866-651-3858 EMAIL:JMANSFIELD@SAFESTREETS.COM
QUALIFIER:WILLIAM ALAN PEACOCK STATE LICENSE#: EG13000404
DATE PROJECT COMPLETED 2/18/14 •�\ �� 0-- 3l
SCOPE OF WORK:
Wireless Burglar Alarm - 1 Cell, 1 Panel, 1 Button Fob, 4 Door-Window, 1 Motion
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.
QUALIFIER'S SIGNATURE
5660 w Cypress St AIITHOpQHC Local 919.861.8521
Suite G ° Toll free 866.774.7635
Tampa,FL 33607
Jarrod Adams
From: support@easylink.com
Sent: Monday, February 24, 2014 3:26 PM
To: Jarrod Adams
Subject: Delivery Notice: SafeStreets USA-Uniform Notice of Low-Voltage Alarm Install-Label
#A-13-013
DELIVERY NOTICE
Your message was received at:
Date and time of receipt: February 24, 2014 20:24:01 GMT
Received from: jadams(@safestreets.com
Called fax machine identifier: 1 800 685 7530
Subject of message: SafeStreets USA - Uniform Notice of Low-Voltage Alarm Install -Label
#A-13-013
Delivery Information:
Delivered to: 13057568972 (United States)
Date and time of delivery: February 24, 2014 20:25:57 GMT
Number of pages delivered: 1
Delivery was made on attempt #: 1
Your Document Reference #: 0951000140557344010
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