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Get City Of Cape Coral Contractor Registration

CITY OF CAPE CORAL Department of Community Development / Licensing/Business Tax Division APPLICATION TO REGISTER STATE CERTIFIED CONTRACTORS Please fill out this application and submit it along with copies of the Certified Contractor s license Business Tax Receipt from your office location and show prove of identification. There is a 10. 00 administration fee for the registration. QUALIFIER S NAME COMPANY NAME DBA IF APPLICABLE PHYSICAL ADDRESS CITY STATE ZIP OFFICE PH CELL PH OFFICE FAX EMAIL ADDRESS MAILING ADDRESS IF DIFFERENT TYPE OF LICENSE LICENSE QUALIFIER S SIGNATURE DATE STATE OF FLORIDA COUNTY OF Certified and Subscribed before me on this day of 20 by Notary Public Signature Notary Seal P. CITY OF CAPE CORAL Department of Community Development / Licensing/Business Tax Division APPLICATION TO REGISTER STATE CERTIFIED CONTRACTORS Please fill out this application and submit it along with copies of the Certified Contractor s license Business Tax Receipt from your office location and show prove of identification* There is a 10. 00 administration fee for the registration* QUALIFIER S NAME COMPANY NAME DBA IF APPLICABLE PHYSICAL ADDRESS CITY STATE ZIP OFFICE PH CELL PH OFFICE FAX EMAIL ADDRESS MAILING ADDRESS IF DIFFERENT TYPE OF LICENSE LICENSE QUALIFIER S SIGNATURE DATE STATE OF FLORIDA COUNTY OF Certified and Subscribed before me on this day of 20 by Notary Public Signature Notary Seal P. O. Box 150027 Cape Coral Florida 33915-0027 Telephone 239 574-0430 Fax 239 574-0432 www. capecoral*net. 00 administration fee for the registration* QUALIFIER S NAME COMPANY NAME DBA IF APPLICABLE PHYSICAL ADDRESS CITY STATE ZIP OFFICE PH CELL PH OFFICE FAX EMAIL ADDRESS MAILING ADDRESS IF DIFFERENT TYPE OF LICENSE LICENSE QUALIFIER S SIGNATURE DATE STATE OF FLORIDA COUNTY OF Certified and Subscribed before me on this day of 20 by Notary Public Signature Notary Seal P. O. Box 150027 Cape Coral Florida 33915-0027 Telephone 239 574-0430 Fax 239 574-0432 www. capecoral*net.

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