City
of
Homestead Police Department
Account #
(Official Use Only)
Code
Compliance
Division
Alarm Registration Form
45 NW 1st Avenue
Homestead, Florida 3303
0
INS
TRUCTION
S: Print legibly or type. Complete all application items. Complete a separate application for each address to be
registered.
Attach a $25.00 registration payment and return to the address shown at the bottom of this form.
Alarmed
Location
1
Name
Occ
upant
Name or Business Name
Address Suite
City State Z
ip
Telephone1
Telephone2
Email
Address
Responsible
Party
2
(if
dif
ferent from above)
Phone1
Name
P
ho
ne2
Address Suite
P
ho
ne3
City State Z
ip
P
hone4
Eme
rgency
Contact Names
3
Contact
1
P
hone1
Name
P
ho
ne2
Contact
2
P
hone1
Name
P
ho
ne2
Additional Information
4
Date
Installed/Activated
Permit #
Special
Conditions/
Hazards
Alarm
Companies
5
Monitored
By
P
hone
The City of Homestead Ordinance 6-355, requires any alarms user, except vehicle and fire alarms, in the City limits of Homestead, to
file the following information annually with a $25.00 registration fee (registration fees waived if there are no false alarms at the
premises
since September 30 of the preceding year) with the City of Homestead Code Compliance Division and the Homestead Police
Department
. Failure to do so will result in a fine.
This form should be returned to: City of Homestead - Finance Dept. Central Collections, 100 Civic Court Homestead, FL 33030
City codes and more help information can be found on our website
www.HomesteadPolice.com