I RC S O - False Alarm Reduction Office
4055 41st Avenue
Vero Beach, FL 32960	#

INSTRUCTIONS: Print legibly or type. Complete all application items. Complete a separate application for each address to be permitted. Attach $30.00 payment and return to the address shown at the top of this form.
D Alarmed Location
Occupant Name or Business Name

Address

City	State	Zip
II Responsible Party
Name

Phnl Phn2

Suite/Apt#

 	  Phn3 Address

City	State	Zip Email
II Contact Names
Contact 1

Phn4

Phnl

 	    Phn2 Name

Contact 2

Phnl

II

 		    Phn2 Name

Additional Information
Special Conditions/ Hazards 	- 	  	
II Alarm Companies	D Not Monitored
Monitored By

Sold By
 	 	--- 	

-

Phnl	 	

Phnl	 	

I hereby agree to comply with all the requirements of this ordinance. I understand that I am responsible for all fines for excessive false alarms.
Signature	Date

IRCSO- FARO OFFICE LOCATION: INDIAN RIVER COUNTY SHERIFF'S OFFICE 4055 41ST AVE,VERO BEACH, FL 32960. PHONE#'S: (772) 978-6042 OR (772) 978-6043 FAX# (772) 978-6061 EMAIL: danderse@ircsheriff.org or
clekanid@ircsheriff.org

Indian River County Sheriff's Office False Alarm Reduction Office
4055 4pt Avenue Vero Beach, FL 32960 www.ircsheriff.org
Alarm User and Company Information

Alarm user is defined as any person, firm, partnership, corporation or other entity who (which) uses an alarm system at its alarm site.

The alarm company has provided the alarm user with an owner's manual on the operation of their alarm system. The alarm user understands the operation of the keypad or the arming and disarming device, contacts, space detection, central station procedures and cancellation procedures. The alarm user understands that it is their responsibility to train ALL persons who have access to the armed premises on the items listed above. The alarm company  has explained common reasons for false alarms and ways to prevent them.
The alarm company must submit the initial annual permit fee and registration information to the False Alarm Reduction Office within fifteen (15) calendar days after alarm  installation or alarm takeover. Failure to provide information by the alarm company to the alarm user that registration by the alarm user is required will result in a $90.00 fine to that alarm company.

The alarm user is responsible for submitting fill renewal and updated information to the False Alarm Reduction Office.

The alarm company has informed the alarm user of the contact person and their responsibility of responding to the alarm system's location within one hour when notified by the Sheriff's Office to deactivate a malfunctioning alarm system, to provide access to the premises, or to provide security for the premises.

The alarm company has informed the alarm user of the following Indian River County Code of Ordinances Title Ill Sections:	Definitions - 301.22
Permit Duration and Renewal - 301.26
Appeal from fines and grievance process - 301.34 Revocation, suspension or loss of alarm permit - 301.35

We, the alarm company and the alarm user, agree to comply with all requirements of this document and understand it is our responsibility to read the above listed Sections of the Indian River County Code of Ordinances Title /JI.

Printed Name of Alarm Co. Representative	Printed Name of Alarm User
Signature of Alarm Co. Representative	Signature of Alarm User Name of Alarm Company/License #		Today's Date

Forfurther information,  visit ourwebsite at www.ircsheriftorqorwww.ircqov.com/lndian River County Code Ti tle Ill Police PowerOrdinances

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Rev.2018