Planning & Development
1400 North Boulevard Tampa, FL 33607
(813) 274-3100
REGISTRATION FORM
REV 01/28/20
PRIVATE PROVIDER REGISTRATION
Registration Form
The City of Tampa requires registration for all Private Providers before commencing
work. Private Providers are responsible for keeping registration records current.
Note: If the notice applies to either private plan review or private inspection services, the Building
Official may require, at his or her discretion, the private provider is used for both services pursuant
to Section 553.791(15) (b) Florida Statute.
Name of Firm: _______________________________________________________
Business Address:____________________________________________________
Office Phone: __________________________ Fax: _______________________
Email: _____________________________________________________________
Federal Employer Identification Number (FEIN): ___________________________
PRIVATE PROVIDER QUALIFIER
Name of Qualifier:___________________________________________________
Office Phone: _________________________ Cell Phone: ____________________
Email:_____________________________________________________________
You can submit this in person or email: CSDHelp@tampagov.net
If you have any questions, please contact Construction Services:
MAIN #: (813) 274-3100