2024 CONTRACTOR REGISTRATION

Submit the following items as PDF's on the seond page of this form.

1. Your Texas Master’s License (if applicable) 2. An approved photo identification 3. A Certificate of Liability Insurance that names the City of Bee Cave as certificate holder. 4. A completed W-9 form.

All forms must be submitted before a contractor will be registered or added to a project

*Please note, Certificates of registration is good for one year and then must be renewed*

This form may be submitted through JotForm or returned via email to planning@beecavetexas.gov

Name of Business*

Mailing Address*

City*

State Abbreviation (EX: Texas=TX)*

Zip Code*

Email Address*

Phone Number*

Please enter a valid phone number.

Alt. Phone Number

Please enter a valid phone number.

Alt. Phone Number

Please enter a valid phone number.

Fax

Project Number *

License Type

State License Number

Expires

Date

Owner/Master Name*

Owner/Master TDL Number*

Expires*

Date

Owner/Master Home Address*

Owner/Master Email Address*

example@example.com

Owner/Master Home Phone*

CONTRACTOR TYPE*

The registration fee is $50 for all contractors except electricians and plumbers (plumber and electrician registration is free per state law You will be notified to make payment once registration materials have been received and verified. Payment may be made on mygovernmentonline.org via credit card or checks may submitted in person or mailed to City Hall at 4000 Galleria Parkway Bee Cave, Texas 78738.

LIST MASTER FIRST. PLEASE LIMIT ADDITIONAL PERSONNEL.

Master*

Additional personnel

Signature of Responsible Master*

Print Name*

Date*

Date

By signing this application for registration, I am certifying that I am in full compliance with the Texas State Board of Plumbing Examiners (TSBPE) Plumbing Licensing Law and Board Rules. I have provided a current certificate of insurance to the TSBPE as required by law.

Signature of Responsible Master Plumber

I DO DEPOSE AND SAY THE ABOVE INFORMATION IS TRUE AND CORRECT.

Print Name

Date

Planning and Development Department | 4000 Galleria Parkway, Bee Cave, TX 78738 | 512.767.6675 | www.beecavetexas.gov Contractor Registration |

CONTRACTOR REGISTRATION

FEES

CONTRACTOR REGISTRATION: SUPPLEMENTAL INFORMATION

PLEASE LIST PERSONNEL AUTHORIZED TO SIGN PERMITS ON BEHALF OF THE RESPONSIBLE

PLUMBERS AUTHORIZATION