010
Incomplete applications cannot be processed
Street: Proprietor / Owner:
City, State, Zip:
Phone No. : President / CEO/ Other:
E-Mail:
1. 4.
2. 5.
3. 6.
Registration Information RequiredDocumentation
Provided Documents:
1.
Complete Contractors Registration Application Copy of State Licensee
□
Color Copy of Drivers Licensee
□
2.
Proof of Insurance
□
Notarized Letter of Release
□
□
□
Minimum Coverage: $100,000 Occurrence / $300,000 aggregate
3.
4.
5.
APPLICANT'S SIGNATURE
Printed Name:
Phone No.:
Additional Comments:
Fax No.:
E-Mail:
Approved
By: Date:
BUILDING DEPARTMENT Page 1 of 2 Revised: February 26, 2020
Names of persons authorized to obtain permit in the name of this company
Proof of Insurance stating the City of Seabrook as a Certificate Holder
(Proof of Insurance must be sent directly from the insurance provider.
Proof of insurance forms will not be accepted
from the contractor or
license holder.)
The Company Owner, Master, or other required license holder for the company
must come to the Seabrook Public Works Complex at 1100 Red Bluff Rd. in
person to complete the registration process and pull the first permit for the
company. If this is not possible, a notarized letter of release from the
Company’s Owner, CEO, or Master, may be submitted to the Building
Department. The Letter shall be on the companies letterhead and contain a list
of authorized person(s) allowed to pull permits in the company’s name or under
their Master license.
$75.00 registration fee for Contractor or Licensee being registered
(When Applicable).
Color Copy of State License (Responsible Master) or other required
state license (When applicable).
Color Copy of the Driver’s License of the State Licensee or Owner of
the Company or being registered.
Business Name,
D.B.A., Corp.:
Failure to obtain a permit prior to commencement of work may lead to the doubling of permit fees
Work may not commence prior to payment and pick up of this registration and any permit.
Contractor Registration
Application
Phone: 281-291-5669 Fax: 281-291-8364
1100 Red Bluff Rd. Seabrook, TX 77586 E-Mail: Permits@seabrooktx.gov
Contractor No.:
Date Issued:
NOTICE: I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND KNOW
THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THE TYPE OF WORK WILL BE
COMPLIED WITH, WHETHER SPECIFIED OR NOT.
THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR
CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF
CONSTRUCTION.
Grey Boxes for Office Use Only
click to sign
signature
click to edit
![]()
