City of Bedford
Development Department
Building Inspections
1805 L Don Dodson
Dr. Bedford, TX
76021 Phone:
817-952-2140 Fax:
817-952-2211
building.permits@bedfordtx.gov
Fee: $100.00
CONTRACTOR REGISTRATION APPLICATION
Year:
Registration
20
Company Name
Owner/Officer of the Company
Title
(Officer of the company e.g., President, Vice President, CEO.) This person will be held responsible for seeing that all work being performed under this
registration is completed and in compliance with City codes and ordinances. Please attach a current Legible (text and picture) copy of this person's driver's
license, or if the owner or officer does not possess such a valid driver’s license then such other identity card or document issued by the federal or state
Government containing the picture and signature of said person.
Mailing Address
Suite
State
Zip
Physical Address
(if different)
Suite
State
Zip
Email Address
Business Phone
Alternate
Phone #1
Alternate
Phone #2
CONTRACTOR TYPE
GENERAL Commercial, Residential, etc…
MECHANICAL Texas State License Required
ELECTRICAL Texas State License Required
Registration fees exempt per Section
1305.201 (f) Texas Occupations Code
PLUMBING Texas State License Required
Registration fees exempt per Section
1301.551 (g) Texas Occupations Code.
IRRIGATION Texas State License Required
SIGN
PUBLIC WORKS $2500 Bond Required
Drivers
License #
Texas State
License #
Texas State
License #
PLEASE LIST THOSE WHO WILL HAVE AUTHORITY TO OBTAIN PERMITS IN YOUR COMPANY NAME
Print Name
Contact Phone
Signature
Date
Registration begins January 01 and ends December 31
click to sign
signature
click to edit
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