Specialty Contractor Registration

Please fill out and return the application along with copy of the following items and submit it to the City of Cooper City:

• County Competency Card (If Applicable)
• Local Business Tax Receipt
• Workmans Compensation Insurance
• Liability Insurance

Insurance Certificate Must Show City Of Cooper City As Certificate Holder With Mailing Address To Read:
P.O.Box 290910
Cooper City, Fl. 33329-0910

THIS FORM & DOCUMTENTS MAY BE FAXED TO 954-680-1439 OR SUBMITTED WITH THE PERMIT APPLICATION.