State Certified Contractor Registration Form

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BOARD OF COUNTY COMMISSIONERS
ESCAMBIA COUNTY, FLORIDA
Development Services Department
3363 West Park Place
Pensacola, FL 32505
(850) 595-3550 - Phone
(850) 595-3401 - FAX
Contractor Licensing Fax No.:
(850) 595-3401
STATE CERTIFIED CONTRACTOR
REGISTRATION
Please provide the following documents to the Competency Board so the Contractor’s State License
can be entered into our system.
1.
Copy of state license (not the qualified business (“QB”) license);
2.
Copy of license holder’s current driver’s license;
3.
Certificate of Insurance for general liability with Escambia County as the certificate holder
(See attached sheet regarding insurance requirements);
4.
Certificate of Insurance for Florida’s Workers’ Compensation with Escambia County as the
certificate holder. If the Contractor is Workers’ Comp exempt, please provide a copy of the
exemption. If you have employees or leased employees, please provide a Certificate of
Insurance, also.
5.
Submit a $27 Registration fee made payable to “Escambia County Building Inspections
Division.”
A Letter of Authorization must be completed by the licensed Contractor if someone other than the
Contractor will be obtaining permits and/or calling for inspections. WE ARE UNABLE TO ACCEPT A
POWER OF ATTORNEY.
Certificates of Insurance requirements:
1.
Certificates must be issued in the exact name as the Contractor’s license. Certificates
issued in names other than the state license cannot be used.
2.
Contractors/businesses not domiciled in the State of Florida must have the Certificate of
Insurance for Workers’ Compensation Insurance submitted.
LICENSING & INVESTIGATIONS SECTION
1
CONTRACTOR LICENSING

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