Dallas Alarm Permit Application – Fill Out and Use

City of Dallas Alarm Permit Application

For Burglar and/or Holdup/Panic/Duress Alarm Systems

Please Print. The application will be returned if not filled out completely.

NEW, RENEWAL AND REINSTATEMENT PERMIT FEE SCHEDULE:
Residential Alarm Site - $ 50.00	Apartment Complex Master Permit - $ 50.00
Commercial Alarm Site - $ 100.00	Residential Unit in Apartment Complex - $ 50.00
	Apartment Complex Nonresidential Areas - $ 50.00
	(For example: office, gym, equipment room, common areas, etc.)
TYPE OF APPLICATION (check one)
New Permit - Date of Occupancy: ____________	Renewal - Permit# __________	Reinstatement	Update Information (no fee)

PERMIT HOLDER INFORMATION/ALARM SITE INFORMATION (For businesses in shopping centers, use the street address, NOT the name of the shopping center. Also, if the alarm site is known by multiple street addresses, provide a list of all of the addresses with this application.)

___________________________________________________________	________________________________________________
Name of Resident or Business Name (D.B.A.) at Alarm Location	Drivers License # / Government-Issued photo ID card # /
	or Federal Tax ID # (if a business)

____________________________________________________________________________________________________________________

Street # (N, S, E, W) Street NameSt. Designation (St., Ln., Blvd.) Suite/Apt. #Zip Code

E-Mail ______________________________________Business Phone #____________________ Alternate Phone # ___________________

PERMIT HOLDER MAILING ADDRESS (Complete this section if the mailing address is different from the Alarm Location)

Street # (N, S, E, W) Street Name St. Designation (St., Ln., Blvd.)	Suite/Apt. #	City, State
Zip Code

PRIMARY CONTACT: (An individual who is locally responsible for responding to alarms and giving access to the alarm site and who is responsible for proper maintenance and operation of the alarm system and payment of fees. The primary contact will be considered the person in control of the alarm system and may be issued citations personally and on behalf of the permit holder for violations of Chapter 15C of the Dallas City Code.)

_________________________________________________________________

Primary Contact’s Drivers License # or Government-Issued photo ID card #

____________________________________________________________________________________________________________________

Primary Contact’s Last Name

First Name

Middle Initial

Alternate Street Address Where Primary Contact May be Contacted (If Applicable)

Street # Street NameCity State Zip CodeHome Phone # Business Phone #

E-mail______________________________________________________________________Cell Phone #___________________________

SECONDARY CONTACT: (Another person who is able to respond to alarms and can give access to the alarm site.)

____________________________________________________________________________________________________________________

Last Name	First Name	Home Phone #	Business Phone #
ALARM SYSTEM INFORMATION:	BURGLAR ALARM	HOLDUP/PANIC/DURESS ALARM	COMBINATION

ALARM COMPANY NAME (IF NOT A SELF-INSTALLED SYSTEM) ____________________________ ALARM COMPANY STATE LIC. # ___________

I have 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 Article I, Chapter 15C of the Dallas City Code and applicable State Laws. I accept responsibility for payment of all fees and fines that may result from the operation of the alarm system servicing the above premises. I have read the information provided on the back of this application.

SIGNATURE OF PERMIT HOLDER: ________________________________________________ DATE : ________________________

(IF PERMIT HOLDER IS NOT AN INDIVIDUAL, THE SIGNATURE OF THE PRIMARY CONTACT IS REQUIRED)

Mail completed application and permit fee payable to:

City of Dallas	THE CHIEF SHALL REFUSE POLICE RESPONSE TO ANY BURGLAR
Security Alarms	ALARM SITE THAT DOES NOT HAVE A VALID ALARM PERMIT.
P. O. Box 139076	[Section 15C-2(b), Dallas City Code.]
Dallas, TX 75313-9076

To receive your alarm permit number immediately, bring the completed permit application and permit fee to the

Special Collections Section, 1500 Marilla Street, Room 2DS, Monday - Friday, excluding holidays.

For additional information or assistance in completing this application, please call the Special Collections Section at (214) 670-3438.