Fillable Security Alarm Permit Application

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Security Alarm Permit Application

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The Security Alarm Permit Application form is 3 pages long and contains:

  • 1 signature
  • 14 check-boxes
  • 40 other fields

Country of origin: US
File type: PDF

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Security Alarm Permit Application
Kemah Police Department 1401 SH 146 Kemah TX 77565
Phone (281)334-5414 | Fax (281)334-4873
Email permits@kemah-tx.com
Please type or print clearly. All sections must be completed. Incomplete applications may be returned.
Permits expire each January 1
st
and are not pro-rated.
Page 1 of 3
Rev. January 22, 2021
TYPE OF PERMIT REQUESTED
RESIDENTIAL ALARM PERMIT – Police respond to all alarm calls with no charge unless there are more than 5 calls at any one
location. Six or more false calls at one location are billed to you at a rate of $35 each. Kemah City Ordinance 10-95 mandates a
fine of $500 for each alarm incident to a non-permitted location.
BUSINESS ALARM PERMIT - $50 per year single story building under 2000 sq/ft. $75.00 per year single or multi-floor building
over 2000 sq/ft. Police respond to all alarm calls with no charge unless there are 6 or more false calls at any one location. Six or
more false calls to one location are billed to you at a rate of $35 each. Kemah City Ordinance 10-95 mandates of fine of $500
for each alarm incident to non-permitted locations.
FIRE SYSTEM ALARM PERMIT – Same as business
SURVEILLANCE SYSTEM (OUTDOORS) – CHECK THE BOX IF THERE ARE CAMERAS AT YOUR BUSINESS/RESIDENCE
Alarm System Address / Location:
Owner of home or business:
Phone:
Mailing address:
ALARM SYSTEM INFORMATION
Choose either silent or audible
SILENT ALARM
Police are called to your home or business by a “central station” alarm service that monitors your alarm by
telephone. No bell or siren sounds at the alarm site.
AUDIBLE ALARM A bell or siren sounds when the alarm is activated. The system may or may not automatically notify a
“central station” monitory service by phone.
RESIDENTIAL ALARM
Residential alarms can only ring for an actual or attempted break-in or take-over (ambush). You cannot
install a robbery alarm unless you have a business license for your residence. You must dial 9-1-1 to summon the police in all
other cases – Use of “Panic” or “Distress” alarms is discouraged.
BUSINESS ALARM
Business Name (DBA):
Kemah Business License #:
Page 2 of 3
Rev. January 22, 2021
TYPE OF ALARM AT BUSINESS
BREAK IN (Burglary)
HOLD UP (Robbery or Stickup)
OTHER
FOR OFFICE USE ONLY
Permit Number
Date Issued
Date Received
Amount Received
YOU MAY BE CHARGED FOR EXCESSIVE FALSE ALARMS
False alarms prevent police from attending to real emergencies and waste valuable police resources as well as erode the
effectiveness of alarm systems. Resolving and preventing false alarms is a joint responsibility of the alarm user and the
alarm company. Identify the cause of every false alarm and contact your alarm company for alarm system maintenance
and/or additional training in how to properly avoid future problems.
ALARM INSTALLATION & MAINTENANCE COMPANY
Information required on all systems
Name:
Phone:
Address:
ALARM MONITORING COMPANY
Name:
Phone:
Address:
RESPONSIBLE PARTY INFORMATION
If you are not available, one of the following persons must respond to the alarm site within 45 minutes of a police request.
Name:
Phone:
Address:
Name:
Phone:
Address:
Name:
Phone:
Address:
Page 3 of 3
Rev. January 22, 2021
Credit Card Authorization Form
Please complete all fields. You may cancel this authorization at any time by contacting us. This
authorization will
remain in effect until cancelled.
Credit Card Information
Card Type:
MasterCard
VISA
Discover
Other
AMEX
Cardholder Name (as shown on card):
Card Number:
Expiration Date (MM/YY):
Cardholder Full Billing Address:
First Name
Middle Name (if applicable)
Last Name
Street Address:
City:
Country:
State/Province:
Postal Code:
I, , authorize
The City of Kemah
to charge my credit
card above for agreed upon purchases. I understand that my information will be saved to file for
future transactions on my account.
Customer Signature
Date
Email this application along with a completed credit card authorization below.
OR
Mail this application along with your payment to:
City of Kemah – Permits
1401 SH 146 Kemah, TX 77565
Make checks payable to “The City of Kemah”
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Security Alarm Permit Application

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Completed 23 January 2021

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