800
Registration Number:
In order to register to do work In the City of League City, the following information must be provided:
1. CompletedContractorRegistrationForm.
2. ProofofInsurancestatingCityofLeagueCityasthecertificateholder(Minimum$250,000coverage)
3. CopyofStateissuedMastersorequivalentLicense(whenapplicable).
4. CopyofstateissuedDriversLicense.
5. $150registrationfeeforcontractor(Company)
TypeofContractor StateLicenseRequired
BuildingContractor/Builder PlumbingContractor
PoolContractor ElectricalContractor
RoofingContractor MechanicalContractor
Concrete/PavingContractor IrrigationInstaller
SignContractor FireProtection
Other: Other:
Company Name
Business Address: Name
(physical address) TDL#
City, State, Zip:
Mailing Address: Name
(if different from physical) TDL#
City, State, Zip:
Phone: Name
Fax: TDL#
E-Mail:
Signature: Date:
PrintedName: Title:
D.L.# D.O.B.:
ApplicationCompleted CopyofStateLicense CopyofDriversLicense
Approved
InsuranceCertificateProvided RegistrationFeePaid
By: Date:
BUILDINGDEPARTMENT Created:November17,2014
City of League City
Contractor Registration Application
500 W. Walker St., League City, TX 77573 Phone: 281-554-1429 Fax: 281-554-1460
Office Use
Office Use
Eachoftheseitemsmustbeprovided,approved,andenteredintoourrecordsbeforeanyworkmaybepermittedor
commencedintheCityofLeagueCity.
Persons Authorized to Obtain
Permits in the Company Name:
Theinformationsubmittedforthiscontractor'sregistrationistrueandaccuratetothebestofmyknowledge.IUnderstandthatpermitsare
requiredtobeissuedpriortocommencementofanyandallconstructionwork,andthatperiodicinspectionsmustberequestedforbymyselfor
mystaff,tobeperformedbytheBuildingDepartment,particularlypriortoperforminganyworkthatwillcoverorobscurepreviouswork,and
thatpermissiontocoverworkwillalwaysbegiveninwriting.Thecityreservestherighttoholdordenypermitstocontractorswhofailto
completeandobtainfinalsforeachpermitissuedundertheirregistration.Furtherthecitymayfineorsuspendtheregistrationofanycontractor
whofailstocomplywithapplicablecity,state,orfederalcodesandregulations.IfCitationsareissuedforviolations,thecityisobligatedto
contactanyapplicablelicensingboard.
License#
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signature
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