State Contractor Registration
Email Address: firstname.lastname@example.org
Please submit all required documentation listed below:
- 1. Qualifying Contractor Information Sheet, signed and notarized
- 2. Permit Agent Authorization, signed and notarized
- 3. Affidavit of Worker’s Compensation, signed and notarized
- 4. Copy of Current State License
- 5. Copy of Worker’s Comp Exempt form, if applicable
- 6. Copy of Liability and Worker’s Comp. Insurance -- (Certificate of Insurance must list Citrus County Building Division as the Certificate Holder)
- 7. Copy of your Business Tax Receipt, if required by your County.
- 8. A copy of the qualifier’s driver’s license. Please black out the driver’s license number, date of birth, and home address before emailing to us.