109-B Concord Drive Casselberry, FL DynaFire.com INSPECTION AND TESTING FORM PER NFPA 72. Owner s Address: Owner's Phone Number:

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1 109-B Concord Drive Casselberry, FL DynaFire.com INSPECTION AND TESTING FORM PER NFPA 72 Pg 1 of 4 Equity One Owner/Representative: WO#: _Customer#: 1550 NE Miami Garden Dr #500 rth Miam FL (305) Owner s Address: _ Owner's Phone Number: Property Being Evaluated: E1 Shoppes At Lago Mar SW 72nd St Miami FL Property Address: Valter Perez Technician : Certified: Yes Certification Type: FASA Issued: Approving Agency : Contact:Telephone: Miami Dade County Fire Rescue _ (786) Time Of Inspection: 11:00 am 07/05/2016 Date: SYSTEM TYPE Remote Station Local Proprietary Central Station Date Issued: Security Partners Name: UL Certificate.: Expires: SERVICE Monthly Quarterly Semiannually Annually Other (Specify) MONITORING ENTITY Telephon e: (188) Monitori ng Account Ref..: TYPE TRANSMISSION Built in UDACT Digital RF Slave Dialer Type: AES 7788F Battery Size: 8ah Visual Functional Pass Fail Control Unit Control Unit Manufacturer: Silent knight Model.: 5104 Software Rev: Number of Circuits: 1 Style: Last Date System Had Any Service Performed: 02/2014 Last Date Software or Configuration Was Revised: Serial :_ SYSTEM POWER SUPPLIES (a) Primary (Main): minal Voltage: 120 VAC Amps: 2.0 Overcurr ent Protectio n: Type: Breaker Amps: 20 Location (of Primary Supply Panelboard): Disconnecting Means Location: DYNA-4793 Breaker Lock Present: Breaker Labeled: (b) Secondary (Standby): Storage Battery Amp-Hr Rating: Calculated capacity to operate system, in hours: Engine-driven generator dedicated to fire alarm system: Location of fuel storage: SPRINKLER SYSTEM Inspection Completed on: 07/2016 Red Tag Green Tag Monthly Quarterly Semiannually Annually Completed by (Company Name): DynaFire SYSTEM COMPONENTS Yes Networked System: Network Functions: Remote Annunciator: Annunciator Functions: NAC Panels: NACs Function: Beside FACP Circuit #8 Yes 8 Ah 24 Hours Battery Size: Voice Evacuation: Remote Microphone: Microphone Functions: TYPE BATTERY Visual: Functional: BattQty: Pass: Quantity of nodes:_ Type: Type: Qty: Type: Qty: Fail: Type:_ Dry Cell Sealed Lead-Acid Other (Specify):_ Nickel Cadmium Lead-Acid (c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply: Emergency system described in NFPA 70, Article 700: Legally required standby described in NFPA 70 Article701: Optional standby system described in NFPA 70 Article 702, which also meets the performance requirements of Article 700 or 701.: FORM ID: SERV01 FP EF Florida PE NICET IV FPC

2 Quantity and style of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): N/A Property Name: E1 Shoppes At Lago Mar Cust..: Pg 2 of 4 Quantity: Style(s): INITIATING DEVICES AND CIRCUIT INFORMATION Quantity Circuit Style Visual Functional Alarm Supervisory Latching n-latching Pass Fail View Report Pull Station Ion Detectors Photo Detectors Duct Detectors Heat Detectors 1 B Water Flow Switches Gas Detectors CO Detector Tamper Switches Fire Pump Power Fire Pump Running Pump Phase Reversal Pump Auto Position Pump Trouble Generator Auto Position Generator Trouble Switch Trouble Generator Engine Run Lock Box Ansul/ Hood System Disabled Alarm Verification feature is: ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION Quantity Circuit Style Visual Functional Factory Setting Measured Setting Pass Fail View Report Strobes Horns Horn Strobes Speakers Speaker Strobe Chimes Chime Strobes Bells 1 115vac Water Flow Bell Other (Specify)

3 . of alarm notification appliance circuits: N/A Are circuits monitored for integrity?: NOTIFICATIONS ARE MADE Yes Who Time Monitoring Entity Building Occupants Building Management Other (Specify) AHJ tified of Any Impairments Security Partners TYPE Visual Functional Comments Control Unit Interface Equipment Lamps/LEDS Fuses Primary Power Supply Trouble Signals Disconnect Switches Ground-Fault Monitoring SECONDARY POWER TYPE Battery Condition Load Voltage Discharge Test Charger Test TRANSIENT SUPPRESSORS Property Name: E1 Shoppes At Lago Mar Cust..: Pg 3 of 4 PRIOR TO ANY TESTING SYSTEM TEST AND INSPECTION Passed 13.65v Comments 11:00 am NOTIFICATION APPLIANCES Audible Visible Speakers Voice Clarity Comments: EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Simulated Operation Pass Fail View Report Comments Qty: Phone Set Phone Jacks Off Hook Indicator Call-in Signal INTERFACE EQUIPMENT Suppression Systems Type: Qty: Smoke Aspirating Type: Qty: Releasing Panels Type: Qty: Other: Qty: RELAY INTERFACE AHU Shutdown Door Holders Gas Valve Shutoff Sound System Shutoff Other: Addressable Conventional Qty: Qty: Qty: Qty: Qty: ELEVATOR INTERFACE Primary Recall Alternate Recall Shunt Trip Battery Backup Floor: Floor: SMOKE CONTROL Active Passive Other: Special Procedures:

4 E1 Shoppes At Lago Mar Property Name: Cust..: Pg 4 of 4 Comments: SUPERVISING STATION MONITORING Yes Time Comments Alarm Signal Alarm Restoration Trouble Signal Supervisory Signal Supervisory Restoration 11:01 am 11:02 am 10:55 am 10:49 am 11:25 am MISCELLANEOUS ITEMS Yes Log Book Onsite Panel Tags Updated Manuals Onsite FACP Inside Sign on Door As-Built Drawings Onsite UL Certificate Previous Years Inspection Form Onsite NOTIFICATIONS THAT TESTING IS COMPLETE Building Management Monitoring Agency Building Occupants Other (Specify) Fire Watch Needed Yes Time Who 11:45 am Security Partners The following did not operate correctly: Breaker #8 for FACP A/C power is missing breaker lock. FACP piezo will not ring from waterflow alarm. System restored to normal operation: Date:_ 07/05/ :45 THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS. Valter Perez Name of Inspector: Time: Signature: Name of Owner/Representative : Date: Time: 07/05/ :45 Signature: Date: Time: 07/05/ :45 DEFICIENCY RESOLUTIONS Date Part # & Deficiency Resolution

5 109-B Concord Drive Casselberry, FL DynaFire.com INSPECTION AND TESTING FORM PER NFPA 72 Pg 1 of 4 Equity One Owner/Representative: WO#: _Customer#: 1550 NE Miami Garden Dr #500 rth Miam FL (305) Owner s Address: _ Owner's Phone Number: Property Being Evaluated: E1 Shoppes At Lago Mar SW 72nd St Miami FL Property Address: Valter Perez Technician : Certified: Yes Certification Type: FASA Issued: Approving Agency : Contact:Telephone: Miami Dade County Fire Rescue _ (786) Time Of Inspection: 9:00 am 07/05/2016 Date: SYSTEM TYPE Remote Station Local Proprietary Central Station Date Issued: Security Partners Name: UL Certificate.: Expires: SERVICE Monthly Quarterly Semiannually Annually Other (Specify) MONITORING ENTITY Telephon e: (188) Monitori ng Account Ref..: TYPE TRANSMISSION Built in UDACT Digital RF Slave Dialer Type: AES 7788F Battery Size: 7ah Visual Functional Pass Fail Control Unit Control Unit Manufacturer: Silent knight Model.: 5104 Software Rev: Number of Circuits: 1 Style: Last Date System Had Any Service Performed: 12/2015 Last Date Software or Configuration Was Revised: Serial :_ SYSTEM POWER SUPPLIES (a) Primary (Main): minal Voltage: 120 VAC Amps: 2.0 Overcurr ent Protectio n: Type: Breaker Amps: 20 Location (of Primary Supply Panelboard): Disconnecting Means Location: DYNA-4794 Breaker Lock Present: Breaker Labeled: (b) Secondary (Standby): Storage Battery Amp-Hr Rating: Calculated capacity to operate system, in hours: Engine-driven generator dedicated to fire alarm system: Location of fuel storage: SPRINKLER SYSTEM Inspection Completed on: 07/2016 Red Tag Green Tag Monthly Quarterly Semiannually Annually Completed by (Company Name): DynaFire SYSTEM COMPONENTS Yes Networked System: Network Functions: Remote Annunciator: Annunciator Functions: NAC Panels: NACs Function: Beside FACP Circuit #28 7Ah 24 Hours Battery Size: Voice Evacuation: Remote Microphone: Microphone Functions: TYPE BATTERY Visual: Functional: BattQty: Pass: Quantity of nodes:_ Type: Type: Qty: Type: Qty: Fail: Type:_ Dry Cell Sealed Lead-Acid Other (Specify):_ Nickel Cadmium Lead-Acid (c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply: Emergency system described in NFPA 70, Article 700: Legally required standby described in NFPA 70 Article701: Optional standby system described in NFPA 70 Article 702, which also meets the performance requirements of Article 700 or 701.: FORM ID: SERV01 FP EF Florida PE NICET IV FPC

6 Quantity and style of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): N/A Property Name: E1 Shoppes At Lago Mar Cust..: Pg 2 of 4 Quantity: Style(s): INITIATING DEVICES AND CIRCUIT INFORMATION Quantity Circuit Style Visual Functional Alarm Supervisory Latching n-latching Pass Fail View Report Pull Station Ion Detectors Photo Detectors Duct Detectors Heat Detectors 1 B Water Flow Switches Gas Detectors CO Detector Tamper Switches Fire Pump Power Fire Pump Running Pump Phase Reversal Pump Auto Position Pump Trouble Generator Auto Position Generator Trouble Switch Trouble Generator Engine Run Lock Box Ansul/ Hood System Disabled Alarm Verification feature is: ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION Quantity Circuit Style Visual Functional Factory Setting Measured Setting Pass Fail View Report Strobes Horns Horn Strobes Speakers Speaker Strobe Chimes Chime Strobes Bells 1 115vac Water Flow Bell Other (Specify)

7 . of alarm notification appliance circuits: N/A Are circuits monitored for integrity?: NOTIFICATIONS ARE MADE Yes Who Time Monitoring Entity Building Occupants Building Management Other (Specify) AHJ tified of Any Impairments Security Partners 9:00 am TYPE Visual Functional Comments Control Unit Interface Equipment Lamps/LEDS Fuses Primary Power Supply Trouble Signals Disconnect Switches Ground-Fault Monitoring SECONDARY POWER TYPE Battery Condition Load Voltage Discharge Test Charger Test TRANSIENT SUPPRESSORS Property Name: E1 Shoppes At Lago Mar Cust..: Pg 3 of 4 PRIOR TO ANY TESTING SYSTEM TEST AND INSPECTION Failed- See Report 13.7v Comments NOTIFICATION APPLIANCES Audible Visible Speakers Voice Clarity Comments: EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Simulated Operation Pass Fail View Report Comments Qty: Phone Set Phone Jacks Off Hook Indicator Call-in Signal INTERFACE EQUIPMENT Suppression Systems Type: Qty: Smoke Aspirating Type: Qty: Releasing Panels Type: Qty: Other: Qty: RELAY INTERFACE AHU Shutdown Door Holders Gas Valve Shutoff Sound System Shutoff Other: Addressable Conventional Qty: Qty: Qty: Qty: Qty: ELEVATOR INTERFACE Primary Recall Alternate Recall Shunt Trip Battery Backup Floor: Floor: SMOKE CONTROL Active Passive Other: Special Procedures:

8 E1 Shoppes At Lago Mar Property Name: Cust..: Pg 4 of 4 Comments: SUPERVISING STATION MONITORING Yes Time Comments Alarm Signal Alarm Restoration Trouble Signal Supervisory Signal Supervisory Restoration 9:46 am 9:46 am 9:50 am 9:29 am 10:00 am MISCELLANEOUS ITEMS Yes Log Book Onsite Panel Tags Updated Manuals Onsite FACP Inside Sign on Door As-Built Drawings Onsite UL Certificate Previous Years Inspection Form Onsite NOTIFICATIONS THAT TESTING IS COMPLETE Building Management Monitoring Agency Building Occupants Other (Specify) Fire Watch Needed Yes Time Who 10:20 am Security Partners The following did not operate correctly: FACP battery is faulty. (1) 12v 7ah Breaker #28 for FACP A/C power is not labeled and missing breaker lock. FACP piezo will not ring from waterflow alarm. System restored to normal operation: Date:_ THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS. 07/05/ :30 Valter Perez Name of Inspector: Time: Signature: Name of Owner/Representative : Date: Time: 07/05/ :30 Signature: Date: Time: 07/05/ :30 DEFICIENCY RESOLUTIONS Date Part # & Deficiency Resolution

INSPECTION AND TESTING FORM

INSPECTION AND TESTING FORM Date: Time: SERVICE ORGANIZATION Name: Address: Representative: License No.: MONITORING ENTITY Contact: Monitoring Account Ref. No.: TYPE TRANSMISSION McCulloh Multiplex Digital