"Alarm Permit Application Form" - CITY OF FORT WORTH, Texas

Alarm Permit Application Form is a legal document that was released by the Planning and Development Department - City of Fort Worth, Texas - a government authority operating within Texas. The form may be used strictly within CITY OF FORT WORTH.

Form Details:

  • Released on October 1, 2014;
  • The latest edition currently provided by the Planning and Development Department - City of Fort Worth, Texas;
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  • Fill out the form in our online filing application.

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PLEASE PRINT
PHONE: 817-392-1300
THE APPLICATION WILL BE
CITY OF FORT WORTH
RETURNED IF NOT
Office hours:
ALARM PERMIT APPLICATION
FILLED OUT COMPLETELY.
Monday through Friday 8 a.m. to 5 p.m.
FOR ONE ALARM SYSTEM
http://fortworthtexas.gov/applications/alarmpermitpayments/
PERMIT FEE:
$50 RESIDENCE (including individual apartments)
$50 COMMERCIAL
PLEASE READ BEFORE FILLING OUT APPLICATION:
1. PERMIT HOLDER-We must have the name, address and telephone numbers (home and business) of the PERSON who will be responsible for the alarm
system. A COMPANY NAME IS NOT ACCEPTABLE.
2. Signature of applicant/permit holder must be the signature of the person listed as permit holder.
3. Please list all zip codes and area codes.
4. Application must include check or money order made out to City of Fort Worth, Texas.
(Note: Payments made by Credit or Debit Cards can be made online at http://fortworthtexas.gov/applications/alarmpermitpayments/)
5. No permit fee shall be required for a permit obtained for an alarm system at a one-family dwelling when the alarm site is determined by the Chief or
authorized designee to be occupied by a low income family. Proof of low income and number in household required.
ALARM LOCATION INFORMATION:
NAME (Business Name OR Resident Name)
ALARM LOCATION ADDRESS
Zip __________ _
MAILING ADDRESS (If Different)
____
CITY
STATE________________ ZIP ________________________
PERMIT HOLDER INFORMATION (PERSON/USER RESPONSIBLE FOR ALARM SYSTEM):
DRIVER’S LICENSE #
NAME
PHONE # HOME
PHONE # WORK
EMAIL ADDRESS
PERMIT STATUS
New Permit
PERMIT TYPE:
COMMERCIAL ($50 Permit Fee)
RESIDENCE ($50 Permit Fee)
GOVERNMENT (City/County) (no Permit Fee required)
LOW INCOME (no permit fee required; See #5 above))
INDIVIDUAL APARTMENT ($50 Permit Fee)
ALARM COMPANY NAME:
Credit Card Billing Address: ___________________________________________________________________________________________
Payment Amount: $ ________________________________________ Permit Number (if issued) ___________________________________
Payment Method:
MASTERCARD
VISA
DISCOVER
AMERICAN EXPRESS
*For your protection – Do not e-Mail credit card information.
Card Number: _______________________________Expiration Date: __________________________CVS Code: _______________________
Cardholder’s Name: __________________________________________________________________________________________________
Signature: __________________________________________________________________________________________________________
SUBMIT A SEPARATE PERMIT APPLICATION (AND FEE) FOR EACH SYSTEM. PERMIT IS VALID FOR ONE YEAR FROM DATE OF ISSUE.
OFFICE
DATE RECEIVED
PERMIT NUMBER
EXPIRATION DATE
USE
ONLY
I have carefully read the completed application and know the same is true and correct and hereby agree that if a permit is issued, I will comply with all provisions of
Chapter 12 of the Code of the City of Fort Worth and applicable state laws. I accept responsibility for payment of all fees and fines that may result from the operation
of the alarm system described above.
Date
Signature
Send completed application and check to:
CITY OF FORT WORTH
PLANNING AND DEVELOPMENT DEPARTMENT • ALARM UNIT
Please contact our office for alarm
1000 THROCKMORTON STREET • FORT WORTH, TEXAS 76102
systems operated by a state or federal
Revised
DevAlarms@fortworthtexas.gov
governmental entity.
10/2014
PLEASE PRINT
PHONE: 817-392-1300
THE APPLICATION WILL BE
CITY OF FORT WORTH
RETURNED IF NOT
Office hours:
ALARM PERMIT APPLICATION
FILLED OUT COMPLETELY.
Monday through Friday 8 a.m. to 5 p.m.
FOR ONE ALARM SYSTEM
http://fortworthtexas.gov/applications/alarmpermitpayments/
PERMIT FEE:
$50 RESIDENCE (including individual apartments)
$50 COMMERCIAL
PLEASE READ BEFORE FILLING OUT APPLICATION:
1. PERMIT HOLDER-We must have the name, address and telephone numbers (home and business) of the PERSON who will be responsible for the alarm
system. A COMPANY NAME IS NOT ACCEPTABLE.
2. Signature of applicant/permit holder must be the signature of the person listed as permit holder.
3. Please list all zip codes and area codes.
4. Application must include check or money order made out to City of Fort Worth, Texas.
(Note: Payments made by Credit or Debit Cards can be made online at http://fortworthtexas.gov/applications/alarmpermitpayments/)
5. No permit fee shall be required for a permit obtained for an alarm system at a one-family dwelling when the alarm site is determined by the Chief or
authorized designee to be occupied by a low income family. Proof of low income and number in household required.
ALARM LOCATION INFORMATION:
NAME (Business Name OR Resident Name)
ALARM LOCATION ADDRESS
Zip __________ _
MAILING ADDRESS (If Different)
____
CITY
STATE________________ ZIP ________________________
PERMIT HOLDER INFORMATION (PERSON/USER RESPONSIBLE FOR ALARM SYSTEM):
DRIVER’S LICENSE #
NAME
PHONE # HOME
PHONE # WORK
EMAIL ADDRESS
PERMIT STATUS
New Permit
PERMIT TYPE:
COMMERCIAL ($50 Permit Fee)
RESIDENCE ($50 Permit Fee)
GOVERNMENT (City/County) (no Permit Fee required)
LOW INCOME (no permit fee required; See #5 above))
INDIVIDUAL APARTMENT ($50 Permit Fee)
ALARM COMPANY NAME:
Credit Card Billing Address: ___________________________________________________________________________________________
Payment Amount: $ ________________________________________ Permit Number (if issued) ___________________________________
Payment Method:
MASTERCARD
VISA
DISCOVER
AMERICAN EXPRESS
*For your protection – Do not e-Mail credit card information.
Card Number: _______________________________Expiration Date: __________________________CVS Code: _______________________
Cardholder’s Name: __________________________________________________________________________________________________
Signature: __________________________________________________________________________________________________________
SUBMIT A SEPARATE PERMIT APPLICATION (AND FEE) FOR EACH SYSTEM. PERMIT IS VALID FOR ONE YEAR FROM DATE OF ISSUE.
OFFICE
DATE RECEIVED
PERMIT NUMBER
EXPIRATION DATE
USE
ONLY
I have carefully read the completed application and know the same is true and correct and hereby agree that if a permit is issued, I will comply with all provisions of
Chapter 12 of the Code of the City of Fort Worth and applicable state laws. I accept responsibility for payment of all fees and fines that may result from the operation
of the alarm system described above.
Date
Signature
Send completed application and check to:
CITY OF FORT WORTH
PLANNING AND DEVELOPMENT DEPARTMENT • ALARM UNIT
Please contact our office for alarm
1000 THROCKMORTON STREET • FORT WORTH, TEXAS 76102
systems operated by a state or federal
Revised
DevAlarms@fortworthtexas.gov
governmental entity.
10/2014
PERMIT HOLDER’S RESPONSIBILITIES
On November 18, 2003, the Fort Worth City Council amended Chapter 12, concerning the regulation of alarm systems.
The ordinance will be in full force and effect from and after January 1, 2004.
1.
The ordinance applies to a person who operates, or causes to be operated, an alarm system at an alarm site. No
permit shall be required of state and federal governmental entities. City and county political subdivisions that op-
erate alarm systems are required to obtain a permit, however, permit fees and service fees shall not be required.
2.
The Chief or authorized designee shall refuse police response to any alarm notification from an alarm site
that does not have a valid alarm permit unless the alarm notification is a duress alarm, a hold-up alarm, a
panic alarm or a report to 911 emergency telephone or to the police department by a person other than an
alarm company.
3.
A separate permit is required for each Alarm System and each separate address and cannot be transferred to
another person or to alarm system except by authorization of the Chief or authorized designee. Additional permit
applications for multiple alarm systems at one alarm site may be o b t a i n e d simply by photocopying the alarm
permit application on the reverse side. Each permit application must show for each alarm system located at the
alarm site the purpose of the alarm system, i.e., burglary, robbery, hostage, etc.
4.
The fee for annual permit, an annual permit renewal or a permit reinstatement for all alarm permits is fifty dol-
lars ($50.00). Each permit issued pursuant to this chapter shall be valid for a twelve (12) month period
from the date of issuance as indicated on the permit. No refunds of a permit fee, permit renewal fee, or permit
reinstatement fee will be made. A permit will not be renewed if the applicant has past due outstanding service
fees at the alarm site or at another alarm site for which he is the permit holder, unless the service fees are under
review in an appeal.
5.
A permit expires one year from the date of issuance and must be renewed annually by submitting an updated
application and a permit renewal fee. It is the responsibility of the permit holder to submit an application and
the required permit fee prior to the permit expiration date. A permit shall not be renewed if the applicant has past
due outstanding service fees at the alarm site or at another alarm site for which he is the permit holder, unless the
service fees are under review in an appeal.
6.
No permit fee shall be required for a permit obtained for an alarm system at a one-family or two-family dwelling
when the alarm site is determined by the Chief or authorized designee to be occupied by a low-income family.
7.
Within thirty (30) days of receipt of a completed application form and the required fee, the Chief or authorized
designee shall issue an alarm permit to an applicant unless the applicant has failed to pay a service fee or has had
an alarm permit revoked, and the violation causing the revocation has not been corrected.
8.
To apply for a new permit, complete the permit application on the reverse side and return the application with a
check or money order to the:
CITY OF FORT WORTH
PLANNING AND DEVELOPMENT DEPARTMENT, ALARM UNIT
1000 THROCKMORTON STREET
FORT WORTH, TEXAS 76102
If you have any questions, call the Planning and Development Department, Alarm Unit at 817-392-1300.
Revised 10/2014
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