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Contractor Registration Form

  1. CWM_LOGO-RGB_Web 2
  2. West Melbourne | Building Division

    2240 Minton Road | West Melbourne, FL 32904

    Tel: 321.837.7776 | Fax: 321.952.9542

  3. Contractor Registration Form
  4. Please select one:*
  5. For proper registration, you shall provide all updated information that apply to your contractor's qualifications. Incomplete and missing information will delay the registration process, and as a result no applications for permit will be properly processed.
  6. * Certified Contractor (State License).
  7. * Brevard County Contractor (Certificate of Competency).
  8. * Liability Insurance (City of West Melbourne as certificate holder).
  9. * Workman's Compensation (City of West Melbourne as certificate holder) or Florida's exemption.
  10. * Business Tax Receipt (Former Occupational License).
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  12. This field is not part of the form submission.