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Police Home > Services > Alarm Registration

Alarm User Registration Form

 


For more information, please view the Alarm Ordinance Synopsis.

Please select one:


Registration Information

Please complete all information requested. Enter "N/A" in any space which does not apply.

Business/Resident Name

Alarm Location (Address)

Suite/Apt. No.

Clearwater, FL

Business Telephone
- -

Home Telephone
- -

FAX Number
- -

Mailing Address

City

State

ZIP

It is not necessary to provide the building permit number and the date of final inspection if your alarm system became operational before October 1, 1990 or if this application is for a residence. All business alarm systems installed after October 1, 1990 are required to obtain a building permit and final inspection by the City of Clearwater Building Department.

Date Alarm System Became Operational
/ /

City of Clearwater Building Permit No. (Not required for Residence)

Date of Final Inspection By Building Department (Not required for Residence)
/ /

Type of Alarm (Check all that apply)
Intrusion
Holdup
Panic

Servicing Alarm Company Name

Address

Telephone
- -

Monitoring Alarm Company Name

Address

Telephone
- -

City of Clearwater Ordinance Section 5.61 requires all businesses and residences with security alarm systems to possess a valid alarm permit. Violation of this section shall be punished by a fine not exceeding five hundred dollars ($500.00) for each day the alarm system is operated without a valid alarm permit.


Emergency Notifications

List full names and personal information of individuals with keys to respond in case of emergency. List yourself first.

  1. Name

    Owner Manager Employee
    Other :

  2. Address

    Telephone
    - -

    Race

    Sex
    Male
    Female

    Birthdate
    / /

  3. Name

    Owner Manager Employee
    Other :

  4. Address

    Telephone
    - -

    Race

    Sex
    Male
    Female

    Birthdate
    / /

  5. Name

    Owner Manager Employee
    Other :

  6. Address

    Telephone
    - -

    Race

    Sex
    Male
    Female

    Birthdate
    / /

This information will only be used by Alarm Unit personnel at Clearwater Police Department to insure proper identification of people notified in the case of an active alarm. Birthdates must be supplied. Incomplete forms will not be processed. If you require assistance completing this registration form, contact the Alarm Unit Monday through Friday, 8:30 AM until 4:30 PM at (727) 562-4450 or 562-4455.


IMPORTANT!

When you press the "Submit Form" button below, an electronic copy of this form will be sent to the City of Clearwater Police Department. If you have received notification of an alarm ordinance violation, receipt of this electronic form will be used to determine if you have fulfilled the 5-day requirement for registration. But you will also be presented with a finished copy of this form, which you must print, sign, and submit to the Police Department as soon as possible. You will not be issued an alarm permit unless you submit a signed copy of this form!

   

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Page last updated Wednesday, March 18, 2009

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