Building & Zoning Division New Contractor Registration Application And Contractor'S Affidavit Form
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1
2B
& Z
D
C
R
I
UILDING
ONING
IVISION
ONTRACTOR
EGISTRATION
NSTRUCTIONS
City of Sarasota Building Division, Post Office Box 1058 Sarasota, Florida 34230
Phone 941-954-4156, Fax 941-954-4178
C
S
,
. The application is on the back
OMPLETE AND
IGN APPLICATION
AND PROVIDE ALL OF THE ITEMS REQUESTED BELOW
of this form. Your signature on the Contractor’s Affidavit must be
(our staff includes a
SWORN AND NOTARIZED
Notary Public for a $2.00 fee).
You may not fax this form. The original form must be mailed or presented in person to the City of Sarasota
Building Division.
S
R
or S
C
contractors are not required to register with the City of Sarasota. You may obtain
TATE
EGISTERED
TATE
ERTIFIED
permits by appearing in person and presenting your credentials (certification or registration, proof of insurance and worker’s
each
compensation insurance, (and letter of reciprocity for State Registered contractors)
time you apply for a permit.
However, you are allowed to keep your records on file in this office. A fee of
$50.00
will be assessed for keeping
your records on file. Keeping your records on file allows you to use authorized agents (4) and to obtain permits without
presenting your credentials in person for each permit. An Agents Authorization form is available on our website at
.
O
-
(anyone performing work for which a permit is required or
SPECIALTY TRADEPERSONS
THER CONTRACTORS
obtained and whose trade cannot be registered or certified by the State of Florida)
register with the City as
MUST
a Specialty Tradesperson prior to performing work or pulling a permit for work inside the City
limits. If you have
taken a local exam within your jurisdiction please provide a copy of your competency card.
1)
Complete, sign and get notarized the A
and C
’
A
(the back of this form).
PPLICATION
ONTRACTOR
S
FFIDAVIT
2)
If your business is located in the City of Sarasota limits you must provide a copy of your Local Business Tax Receipt.
3)
Provide proof of W
’
C
I
coverage.
ORKER
S
OMPENSATION
NSURANCE
The
’
and the company name (if applicable)
appear on the Certificate of Insurance.
QUALIFIER
S NAME
MUST
The City of Sarasota must be
from the insurance company.
NAMED AS THE CERTIFICATE HOLDER
If you are exempt, provide a copy of your State of Florida Exemption Form (the “exemption card”). You still
any
MUST COVER
non-exempt employees, as provided by Florida Statutes §440.
4)
Provide a current copy of your C
L
I
in the amount of $50,000 in property damage / $100,000
ERTIFICATE OF
IABILITY
NSURANCE
per occurrence. For General or Building Contractors insurance coverage must be at least $50,000 in property damage and
$300,000 per occurrence.
The
’
and the company name (if applicable) must appear on the Certificate of Insurance.
QUALIFIER
S NAME
The City of Sarasota must be
from the insurance company.
NAMED AS THE CERTIFICATE HOLDER
5)
State Certified contractors must provide a copy of their current
.
STATE LICENSE
6)
State Registered contractors must provide a copy of their current
L
R
STATE LICENSE AND A COPY OF THE
ETTER OF
ECIPROCITY FROM
.
C
S
.
THE JURISDICTION THAT YOUR EXAM WAS TAKEN IN
THE LETTER MUST BE MADE OUT TO THE
ITY OF
ARASOTA
7)
SPECIALTY CONTRACTORS WILL NEED TO PROVIDE A COPY OF THE COMPETENCY CARD FROM THE
JURISDICATION IN WHICH YOU TOOK YOUR LOCAL EXAM.
8)
If you wish to have one or more authorized agents secure building permits on your behalf, complete the A
A
UTHORIZED
GENT
F
located on our website at
. The license holder’s signature must be notarized.
ORM
9)
Enclose your
as shown below.
PAYMENT
A
for State Certified and State Registered Contractors costs
$50.00 every 2 years.
RECORDS KEEPING FEE
Mandatory registration for S
T
costs
$150.00 every 2
years.
PECIALTY
RADESPERSONS
10) Mail your signed and notarized application, supporting documents and payment to:
st
City of Sarasota Building Division, 1565 1
St, Sarasota, Fl 34236
The registration fee shall not be pro-rated and shall remain the same regardless of the date during the year
st
commencing October 1
and ending September 30th upon which the Certificate of Registration is issued.
Contractor Registration Application
B34.12-03
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