EL-17-105Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -1-17-105
Permit Type: Electrical - Residential
Work Classification: Alarm
Permit Status: APPROVED
Issue Date: 1/13/2017
Expiration: 07/12/2017
Parcel Number
Applicant
61 NW 108 Street
Miami Shores, FL 33168-4310
1121360110270
Block: Lot:
AMPARO RUIZ
Owner Information
Address
Phone
CeII
AMPARO RUIZ
61 NW 108 Street
MIAMI SHORES FL 33168-4310
(305)754-0010
390 NE 107 Street
MIAMI SHORES FL 33161-
Contractor(s)
ADT SECURITY SERVICES
Phone
CeII Phone
Valuation:
Total Sq Feet:
$ 0.00
0
Type of Work: ALARM LABEL
Additional Info: ALARM LABEL
Classification: Residential
Scanning: 1
Fees Due
DBPR Fee
DCA Fee
Permit Fee - Additions/Alterations
Scanning Fee
Total:
Amount
$0.00
$0.00
$40.00
$0.00
$40.00
Pay Date Pay Type
Invoice # EL -1-17-62617
10/27/2016 Check #: 112088 $ 40.00
Amt Paid Amt Due
$ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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. Futhermo - , authorize the above-named contractor to do the work stated.
uthoature: Owner / Applicant / Contractor / Agent
Building Department Copy
January 13, 2017
Date
January 13, 2017 1
‘aendces
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UNH OR :k NOTCCE OF A LOW -VOLTAGE ALARM PROJECT
George IVflanginelli
EF0001121
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3 2017
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ADT Security Services
10785 IVlarks VVay
Miramar, FL 33025
Tel: 954-266-5066
Direct: 954-266-5275
Fax: 954-266-5180
miramarpermitdept anadt.com
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PROPERTY ADDRESS:
CUSTOMER'S NAME:
CUSTOMER'S ADDRESS:
CITY:
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EMAIL ADDRESS,
STATE FL TIP CODE: tYl TELEPHONE #
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305 -.21,5- 9893
CONTRACTOR: ADT SECURITY SERVICES
ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025
TELEPHONE # 954-266-5066 FAX # 954-266-5180 EMAIL: MIRAMARPERMITDEPTADT.COIVI
.QUALIFIER: GEORGE MANGINELLI
DATE PROJECT COMPLETED
SCOPE OF VVORK
STATE LICENSE NUMBER : EF0001121
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INQTLCE.IS_..HEREBY GIVEN.THAT.A LOW -VOLTAGE ALARM SYSTEM PROJECT HAS BEEN_COMPLETED AT
THEADDRESS'SPECIFIED ABOVE. ...
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