Contractor Registration For Work Performed In The City Of Orlando Page 2

Download a blank fillable Contractor Registration For Work Performed In The City Of Orlando in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Contractor Registration For Work Performed In The City Of Orlando with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Contractor Registration Form
Date: ____________
Related Permit #, Job Site Address or Project Name (if applicable): ________________________________________________
Contractor
Name: _______________________________________________________
New
Update
Address: _____________________________________________________
City: ________________________ State: ____
Zip: ________________
Company Name: _______________________________________________
Primary Phone #: _______________
Alternate Phone #: _______________
Fax #: ______________
E-mail: _______________________________________________________
License/Insurance/ Business Tax Receipt /Bond Information*
Issued By
Type
License/Policy #
Expiration Date
_________
________________ _________________________ _____________
Contractor License
_________
________________ _________________________ _____________
Insurance
_________
_________________________ _____________
Business Tax Receipt
_________
________________
_____________________ _____________
Bond
Amt:
Contractor Company Name
Company Name: _______________________________________________
New
Update
Address: _____________________________________________________
City: ______________________
State: ____
Zip: ________________
Primary Phone #: _______________
Alternate Phone #: _______________
Fax #: ______________
E-mail: _______________________________________________________
Insurance/ Business Tax Receipt /Bond Information*
Issued By
Type
License/Policy #
Expiration Date
_________
________________ _________________________ _____________
Insurance
_________
_________________________ _____________
Business Tax Receipt
_________
________________
____________________
_____________
Bond
Amt:
Other (specify role) _________________________
Name: _______________________________________________________
New
Update
Address: _____________________________________________________
City: ______________________
State: ____
Zip: ____________
Company Name: _______________________________________________
Primary Phone #: _______________
Alternate Phone #: _______________
Fax #: ______________
E-mail: _______________________________________________________
Insurance/ Business Tax Receipt /Bond Information* (if applicable)*
Issued By
Type
License/Policy #
Expiration Date
_________
________________ _________________________ _____________
Insurance
_________
_________________________ _____________
Business Tax Receipt
_________
________________
____________________
_____________
Bond
Amt:
*Copies of current license(s), certification(s), certificate(s) of insurance, competency card and/or original contractor surety
bond (if applicable) must be provided or be on file with the Office of Permitting Services.
Rev 10/2007
ECONOMIC DEVELOPMENT DEPARTMENT
PERMITTING SERVICES DIVISION
CITY HALL  400 SOUTH ORANGE AVENUE  FIRST FLOOR  P.O. BOX 4990  ORLANDO, FLORIDA 32802-4990
PHONE 407.246.2271 FAX 407.246.3420 
Page 2 of 2

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Life
Go
Page of 2