Fillable Residential Contractors, Home Improvement Contractors and Manufactured Registration (City of Horseshoe Bay)

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Residential Contractors, Home Improvement Contractors and Manufactured Registration (City of Horseshoe Bay)

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DEVELOPMENT SERVICES DEPARTMENT
DEVELOPMENT PROJECTS/PERMITS/INSPECTIONS
PLATTING/PLANNING & ZONING/BOARD OF ADJUSTMENT
CODE ENFORCEMENT
Page 1 of 3
CITY OF HORSESHOE BAY
1 Community Drive
P.O. Box 7765
Horseshoe Bay, Tx 78657
Registration Application for General Commercial Contractors, General
Residential Contractors, Home Improvement Contractors and Manufactured
Home Contractors
This is to certify that I, ______________________________, herby apply to the City of Horseshoe Bay to register as a
(specify type) _____________________ contractor. I will comply with the provisions of all City Ordinances and any
amendments thereto. I acknowledge that noncompliance of these ordinances may cause revocation of my Registration.
I further understand it is my responsibility to obtain all proper building permits required for jobs performed by myself
and any representative of my company prior to beginning work on any project. I will inform the property owner of the
City’s requirements to secure permits and call for inspections prior to beginning work on any project.
Business/Entity Name:___________________________________ Federal Tax ID#:___________________
Email Address: _______________________________________________ Ph#: _____________________________
Business Address: ________________________________City, State, Zip: _________________________________
Applicant Name ______________________________________ Social Security# (
Required): ___________________
Driver’s License# (Required): _______________________ Sate: _________ DOB: _____________________
Job Site Supervisor (if not applicant) ________________________________ Ph# ______________________
Authorized Agents-
If any person(s) other than the registration holder will be authorized to obtain
permits under the registration number assigned as part of this application, the following are required:
• A company letterhead or a notarized affidavit listing the individual(s) authorized to act as an
agent of the registered contractor
• All letters must be signed by the registered contractor
• All representatives must show a valid government issued photo ID when applying for a permit
• Changes in the list of individuals authorized as agents must be resubmitted in a letter to
Development Services
Proof of Insurance Required: Provide Certificate of Liability showing valid coverage for the date of the
application, with proof of coverage for a minimum of 1 year from an insurance company authorized to do
business in the state of Texas. It is the responsibility of the Registered Contractor to renew and submit the
updated Certificate of Liability Insurance.
For applicable insurance coverage amounts, refer to Chapter 3, Sec. 3.03.010(a)(9) of
the City’s Code of Ordinances.
DEVELOPMENT SERVICES DEPARTMENT
DEVELOPMENT PROJECTS/PERMITS/INSPECTIONS
PLATTING/PLANNING & ZONING/BOARD OF ADJUSTMENT
CODE ENFORCEMENT
Page 2 of 3
CITY OF HORSESHOE BAY
1 Community Drive
P.O. Box 7765
Horseshoe Bay, Tx 78657
Authorization for Credential Verification and Criminal Background Investigation:
In submitting this application, I hereby authorize the City of Horseshoe Bay the use of third party companies to do a Credential
Verification and a Criminal Background Investigation of the information provided on this Form, and agree to abide by the results of
the Verification and Investigation by the City of Horseshoe Bay and the Development Services Department. ______ Initials.
Registration and Building Permit are subject to revocation or denial if any information provided is found to be false, if the City is not
notified in writing of any changes in the information given on this application, or if there is any City Code violation.
As the Designated Agent, I certify that I am individually and severally liable for company violations of City Building and related
Codes, and that all of the information submitted on this form and on attached documents is true and correct, to the best of my
knowledge and belief: ________Initials
_______________________________________ _______________ __________________________________
Signature of Applicant Date Printed Name
Each registration holder must fully disclose whether the applicant:
1. Has had any projects foreclosed on or not been completed due to lack of funds? Yes___ No ___
2. Has ever been sued because of poor workmanship or other problems with a project? Yes___ No___
3. Has been or any corporate officer or partner ever been convicted of, or pleaded guilty or no contest to, a
misdemeanor involving moral turpitude (theft, deceit, fraud, misrepresentation, intentional violence and
sexual offenses) or a felony, or is any such charge now pending? Yes ____ No ___
4. Has lost or is suspended from home improvement or building privileges in any jurisdiction. Full
disclosure includes an interest in, or ownership of any entity engaged in business of new home
construction or home improvements that has lost, or been suspended from, home improvement or home
builder privileges. Yes_____ No_____
Any answer in the affirmative will be referred to the City Attorney for further review. A failure to
disclose any information shall be sufficient grounds under Chapter 3, Sec. 3.03.101(a)(9 )of the City of
Horseshoe Bay Code of Ordinance
APPLICATION CHECKLIST:
Driver’s License_____ Proof of Insurance _____
Com
pleted Application____ Ethic’s Statement ____Payment______
($100)
DEVELOPMENT SERVICES DEPARTMENT
DEVELOPMENT PROJECTS/PERMITS/INSPECTIONS
PLATTING/PLANNING & ZONING/BOARD OF ADJUSTMENT
CODE ENFORCEMENT
Page 3 of 3
CITY OF HORSESHOE BAY
1 Community Drive
P.O. Box 7765
Horseshoe Bay, Tx 78657
Contractor Code of Ethics
Development Service’s primary responsibility is to protect the health, safety, and welfare of our citizens through
the oversight and regulation of the development and maintenance of our community. As such, the Development
Services Department advocates that this commitment to excellence be demonstrated and adopted by all registered
contractors and is embodied in the following Code of Ethics:
I, _____________________________, will adhere to all the following:
Support the Development Services Department by foremost ensuring the health, safety, and welfare of the
community by providing the highest quality service and techniques.
Avoid practices that could be harmful to the public, including providing or installing any building
materials, products or techniques that are known to be defective, substandard, or likely to cause harm.
Stay informed of changes of ordinances and codes related to building and safety standards of your
profession and industry.
Always maintain required insurance, registrations, licenses, or applicable certifications and provide
documented proof to our citizens upon request.
Always display fairness, truthfulness, integrity, and act in good faith in all development business
relationships.
Refrain from deceptive or dishonest behavior that creates an unfair advantage for your company or any
other person, entity, or organization.
Meet all contractual obligations in a timely and responsible manner.
The Development Services Director may take any action necessary to enforce these Code of Ethics to ensure the
integrity of the Contractor Registration process.
Contractor’s Signature__________________________________ Date: ___________________
FOR OFFICE USE ONLY
Approved By:____________________ Date: _____________ Denied By: ____________________ Date: ___________
Registration Valid for 2 Years is New: ___ Renewal: _____ Any Taxes Owed to City? Yes __ No ___
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Residential Contractors, Home Improvement Contractors and Manufactured Registration (City of Horseshoe Bay)

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Completed 9 February 2021

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