UNIFORM FIRE ALARM PERMIT APPLICATION
Tax Folio No. Application No.
Owner's or Representative's Name
Property Address
City State Zip
Phone Number
Fee Simple Titleholder's Name (if other than owner)
Fee Simple Titleholder's Address (if other than owner)
Description of Work
New Install Replacement Addition Other
Construction Type
Proposed Use
Alarm Contractor's Name
Alarm Contractor's Address
City State Zip
Phone Number
Alarm Contractor's License Number
Application is hereby made to obtain a permit to do the work or installation as indicated. I certify that all of the foregoing information is true and accurate.
(Signature of Owner or Owner's Representative)
Printed Name
(Signature of Contractor or Agent)
Printed Name
Fla. Stat. § 553.7921