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Miami Shores Village • E PB r ' e #Gail l- bei Wential
10050 N.E.2nd Avenue N tWO&ClaS l>icafttr a A(t3r l
"'• �' Miami Shores,FL 33138-0000 M
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Phone: (305)795-2204
Daft- /2ti' Expiration: 07/10/2016
Project Address Parcel Number Applicant
9275 N BAYSHORE Drive 1132050270570 POLOSHORES LLC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
[ POLOSHORES LLC 44 W FLAGLER Street (786)558-9512
MIAMI FL 33130-
44 W FLAGLER Street
MIAMI FL 33130-
Contractor(s) Phone Cell Phone Valuation: $ 0.00
ADT SECURITY SERVICES
_.. Total Sq Feet: 0
Type of Work:ALARM Available Inspections:
Additional Info: Flnection Type:
Classification:Residentialew Electrical
Scanning:0
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
DBPR Fee $0.00
Invoice# EL-1-16-58305
DCA Fee $0.00 12/10/2015 Check#:095504 $40.00 $0.00
Permit Fee-Additions/Alterations $40.00
Total: $40.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/.
Requests must be received by 3 pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
January 12,2016 2
George Manginelli ADT Security Services
EF0001121 10785 Marks Way
Security Miramar, FL 33025
Services Tel: 954-266-5066
Direct:954-266-5275
Fax: 954-266-5180
miramarpermitdeptc@adt.com
UNIFORMTICS OF A LOW-VOLTAGE ALARM PROJECT
PERMIT LABEL.#_.(1E.REQU.IRED) .'°'__ � _. DATE_I�
PROPERTY ADDRESS: '
lb
CUSTOMER'S NAME:
CUSTOMER'S ADDRESS:
CITY: '� STATE FL ZIP CODE TELEPHONE# b
EMAIL ADDRESS;
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY: MIRAMAR, FL 33025
TELEPHONE#954-266-5066 FAX#954-266-5180 EMAIL. MIRAMARPERMITDEPTP-AD T.COM
QUALIFIER: GEORGE MANGINELLI STATE LICENSE NUMBER : EF0001121
DATE PROJECT COMPLETED
SCOPE OF WORK
NOTICE IS..HEREBY GIVEN THA. .. 1-OW. VOLTAGE,AI_ARM,SYSTEM.PROJECT_.HAS BEEN.COMPLETED AT
THE'ADDRES SPECIFIED
QUALIFIER'S SIGNATURE
N 12 Z016
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