Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress

Contractor Registration Form

  2. CWM_LOGO-RGB_Web 2

  3. West Melbourne | Building Division

    2240 Minton Road | West Melbourne, FL 32904
    Tel: 321.837.7776 | Fax: 321.952.9542
    www.westmelbourne.org

  4. Contractor Registration Form

  6. Please select one:*

  22. 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.

  24. * Certified Contractor (State License).

  27. * Brevard County Contractor (Certificate of Competency).

  30. * Liability Insurance (City of West Melbourne as certificate holder).

  32. * Workman's Compensation (City of West Melbourne as certificate holder) or Florida's exemption.

  34. * Business Tax Receipt (Former Occupational License).

    40. Leave This Blank:

  41. This field is not part of the form submission.