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Alarm Permit Application
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Step One
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2.
Step Two
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3.
Step Three
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4.
Step Four
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5.
Step Five
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6.
Step Six
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7.
Step Seven
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Step One
Alarm Permit Requirements
City Code Section 91-4
Please review Colonial Heights City Code Section 91-4 at the link above for alarm permit requirements prior to submitting your application or updates.
Are you applying for a new alarm permit or updating an existing one?
*
New Alarm Permit
Updating Existing Alarm Permit
Type of Permit
*
A separate permit must be completed for each location.
Residential
Commercial
Continue
Step Two
Resident Last Name
*
Resident First Name
*
Resident M.I.
Business Name
*
Street Address
*
City
*
State
*
Zip
*
Home/Cell Phone Number
*
Business Phone Number
*
Business Hours Weekdays
Example: M-F 9am-5pm
Business Hours Weekends
Example: Sat & Sun 12pm-5pm
Are you the owner or tenant of the premises?
Owner
Tenant
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Step Three
Owner Last Name
Owner First Name
Owner M.I.
Owner Street Address
Owner City
Owner State
Owner Zip
Owner Home/Business Phone Number
Owner Cell Phone Number
Mailing Address for Correspondence
If Different from Location Address
If Different from Location Address
Mailing Street Address
Mailing City
Mailing State
Mailing Zip
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Step Four
Other Contact Persons
List at least two persons who are authorized to secure the premises in the event of an alarm activation.
List at least two persons who are authorized to secure the premises in the event of an alarm activation.
Person 1 Last Name
Person 1 First Name
Person 1 M.I.
Person 1 Street Address
Person 1 City
Person 1 State
Person 1 Zip
Person 1 Home/Cell Phone Number
Person 1 Business Phone Number
Person 2 Last Name
Person 2 First Name
Person 2 M.I.
Person 2 Street Address
Person 2 City
Person 2 State
Person 2 Zip
Person 2 Home/Cell Phone Number
Person 2 Business Phone Number
Person 3 Last Name
Person 3 First Name
Person 3 M.I.
Person 3 Street Address
Person 3 City
Person 3 State
Person 3 Zip
Person 3 Home/Cell Phone Number
Person 3 Business Phone Number
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Step Five
Activation Type
Check all that apply
Security
Motion
Hold-Up
Other
Fire
Sprinkler
Pullstation
Detectors
Alarm Signal
Audible
Silent
If Monitored, Name of Alarm Company
Alarm Company Street Address
Alarm Company City
Alarm Company State
Alarm Company Zip
Alarm Company Business Phone
Do you have a different Alarm SERVICE Company?
Yes
No
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Step Six
Name of Alarm Service Company
If different from above Alarm Company
Alarm Service Company Street Address
Alarm Service Company City
Alarm Service Company State
Alarm Service Company Zip
Alarm Service Company Business Phone
Is there a safe on the premises?
Yes
No
Location of Safe in Building
Other Pertinent Information about the Alarm System
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Step Seven
Terms
By submission of this application, I certify that the information provided is true and correct; and that I have reviewed and will abide by all provisions of City Code Chapter 91 – Alarm Systems.
I agree
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Email address
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