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Lake Mary, FL

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Residential Alarm System Registration Form

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Steps

1. General Information This section is complete This section is incomplete
2. Emergency Contacts This section is complete This section is incomplete
3. Alarm Company Information This section is complete This section is incomplete

General Information

Please Note
Requests are only processed Monday through Friday between the hours of 8 am and 4:30 pm. Requests are not processed on observed holidays. Any requests submitted outside of the advertised days and times will not be processed until the next business day.
Current Date*
Current Date
Owner's Name*
Address*
Home Phone Number
Work Phone Number
Cell Phone Number
E-mail Address
Spouse or Other Resident Name
Phone Number
Continue

Emergency Contacts

When out of town, on vacation, etc.
Please list the names of persons to contact in case of emergency. List them in order to be called. Indicate if they will have keys to the residence and/or the alarm code.
Contact 1
Name*
Home Phone Number
Work Phone Number
Cell Phone Number
Keys*
1. Yes
2. No
Code*
1. Yes
2. No
Contact 2
Name*
Home Phone Number
Work Phone Number
Cell Phone Number
Keys
1. Yes
2. No
Code
1. Yes
2. No
Contact 3
Name*
Home Phone Number
Work Phone Number
Cell Phone Number
Keys
1. Yes
2. No
Code
1. Yes
2. No
Continue |Go Back

Alarm Company Information

Alarm Company Name
Phone Number
Address
Does the alarm company notify any of the above listed people?
1. Yes
2. No
If yes, who?
Alarm information and method of notifying the Police Department.
Audible
1. Yes
2. No
Robbery
1. Yes
2. No
Silent
1. Yes
2. No
Burglary
1. Yes
2. No
Sonic
1. Yes
2. No
Fire
1. Yes
2. No
Perimeter
1. Yes
2. No
Auto Reset
1. Yes
2. No
Safe or other specific area protected
1. Yes
2. No
Private alarm service company relayed to Police Department
1. Yes
2. No
Automated phone dialing system
1. Yes
2. No
Audible/visual signal relayed by third party
1. Yes
2. No
Describe
This information is requested in accordance with City of Lake Mary Ordinance Number 219 establishing regulations for alarm systems within the city, effective August 10, 1993.

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City of Lake Mary
100 N Country Club Rd,
Lake Mary, FL 32746
Phone: 407-585-1400

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