Contractor Registration rev 9-25-2017 LW9-2017 LW
Approved By: ________________ Division Staff
Date: ________________________ Division Staff
License Number: ______________ Division Staff
CONTRACTOR REGISTRATION
Business Name: Owner Name: Contact Name: Business Address: City, State, Zip:
Office Phone #: Fax #: Mobile #: Contact Email Address:
General Contractor (includes Builders) (Initial-$150.00/Renewal-$100.00) Plumbing Master * (No Charge) Mechanical Contractor * (No Charge) Sign Contractor (Annual-$150.00/Renewal-$100.00) Electrical Master * (No Charge) Electrical Contractor * (No Charge) Utility Contractor (Annual-$50.00/Renewal-$50.00) Electric Sign Master * (No Charge) Electrical Sign Contractor * (No Charge) Backflow Tester (No Charge)
Irrigator * (No Charge) Your registration requires renewal every year. The cycle begins January 1 and ends December 31 of each year.
LICENSE HOLDER INFORMATION License Holder Name: License Holder Address:
City, State, Zip: License Holder Mobile #: License Holder Email:
State License #: Exp. Date:
PERSONS AUTHORIZED TO SIGN PERMITS Name: Phone #: Name: Phone #: Name: Phone #:
Please attach the following items with this application:
Copy of Certificate of Insurance with the City of Schertz listed as the certificate holder (general liability is minimum of $300,000). _____________________________________________________________________________________________________________ Signature of Applicant Printed Name Date
PLANNING & COMMUNITY DEVELOPMENT INSPECTIONS DIVISION 1400 SCHERTZ PARKWAY, BLDG. #1 SCHERTZ, TEXAS 78154-1634 (210) 619-1750, FAX (210) 619-1769 EMAIL: inspections@schertz.com