Get Portage County Contractor Registration

Print Form CONTRACTOR APPLICATION FOR CERTIFICATE OF REGISTRATION Portage County Building Department 449 South Meridian Street Ravenna 44266 Phone 330 297-3530 Fax 330 297-3896 No FEE 100. 00 Contractor Bond use Portage County Bond Form copy of proof of insurance copy of Ohio State License for Mechanical Electrical Hydronics Refrigeration copy of State Fire Marshall registration for fire suppression. All forms must be current. 00 per calendar year Business Name Address City State Zip Phone Fax Cell Email Address FED ID Business type Partnership Corporation Sole Proprietorship If corporation charter number Registration Type General Contractor Electrical Mechanical Hydronics Fire Alarm Refrigeration Sprinkler MUST ATTACH THE FOLLOWING 10 000. PRINT NAME SIGNATURE DATE Notary My Commission expires Date NOTE Certificate of Registration expires December 31st of each year. If any of the above required documents expires during the year your registration certificate will become void until such time as those document are resubmitted* This may cause a delay in your obtaining permits. It is recommended that all documents be designed with an expiration date of December 31st of each year. PRINT NAME SIGNATURE DATE Notary My Commission expires Date NOTE Certificate of Registration expires December 31st of each year. If any of the above required documents expires during the year your registration certificate will become void until such time as those document are resubmitted* This may cause a delay in your obtaining permits. If any of the above required documents expires during the year your registration certificate will become void until such time as those document are resubmitted* This may cause a delay in your obtaining permits. It is recommended that all documents be designed with an expiration date of December 31st of each year. PRINT NAME SIGNATURE DATE Notary My Commission expires Date NOTE Certificate of Registration expires December 31st of each year. If any of the above required documents expires during the year your registration certificate will become void until such time as those document are resubmitted* This may cause a delay in your obtaining permits. It is recommended that all documents be designed with an expiration date of December 31st of each year.