miami-dade police department account alarm permit ... · miami-dade police departmentaccount alarm...
Post on 12-Aug-2018
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MIAMI-DADE POLICE DEPARTMENT Account
ALARM PERMIT REGISTRATION FORM
Phone # (305) 471-3600 Fax # (305) 471-3601
Return with Payment to: Miami-Dade Police Department False Alarm Enforcement Unit9105 NW 25th Street, Rm #1119Miami, FL 33172
Expires: Annual Alarm Permit Fee Annual Renewal Permit Fee
Alarmed Location1
Occupant Name or Business Name
Suite/Apt#Address
City State Zip Phone
Responsible Party2 Phn1
Phn2Name
Phn3
Address
Phn4
City State Zip E-mail address
Contact Names3Contact 1
Phn1
Phn2
Name
Contact 2 Phn1
Phn2Name
Additional Information4Special Conditions/ Hazards
Alarm Companies5 Not Monitored
Monitored By
Phn1
Installed By
Phn1
Please review information for accuracy; update and return along with your payment. Failure to register mayforfeit police response.
I hereby certify that the above information is accurate to the best of my knowledge.
Signature ________________________________ Date _________
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