CITY OF PEPPER PIKE

28000 SHAKER BLVD.

PEPPER PIKE, OH 44124

CURRENT YEAR CONTRACTOR REGISTRATION

Dear Contractor:

In order for you to perform work in the City of Pepper Pike during the current year, you are required to furnish the following:

  1. Fill out the enclosed application plus the RITA form. (Please make sure it is legible)
  1. Plumbing, Electric, and HVAC contractors must furnish State Certification.
  1. Certificate of insurance ($100,000/$300,000) with the City as Additional Insured.

NOFAX COPIES WILL BE ACCEPTED.

  1. Contractor’s Bond ($25,000.00). Use insurance company’s form. Bonds must expire on December 31, of current year. Bond must be signed before sending to our office.

FAX COPIES WILL NOT BE ACCEPTED.

  1. If you do not have a license with the State of Ohio, or have not registered with the City of Pepper Pike in the past three (3) years, you must also provide three (3) letters of reference from customers or proof of registration from three (3) other municipalities.
  1. Check for $100.00.
  1. Self-addressed stamped envelope.

Failure to comply with the above request will be subject to the penalties provided in Section 1440.99 City of Pepper Pike Codified Ordinances. Failure to be registered and still work in the City will result in a STOP WORK ORDER being issued by our Building Commissioner and you will also be charged double when applying for your registration. If you are working without a permit a STOP WORK ORDER will be issued, and you will be charged double for your permit.

If you have any questions, please feel free to contact this office at 216-896-6134.

Thank You,

City of Pepper Pike

Building Department

10/07; revised 11/08, 11/09, 10/10; 08/11; 11/11; 11/12

CITY OF PEPPER PIKELIC # ______

28000 Shaker Blvd.Date Issued:______

Pepper Pike, Ohio 44124Check #______

216-896-6134 Fax: 216-831-1160

APPLICATION FOR CONTRACTOR REGISTRATIONFee: $100.00

Note: A General Contractor registration does not cover electrical, HVAC, plumbing, hydronics, refrigeration, sprinkler systems, and fire alarm.

TRADE: ______

APPLICANT’S NAME: ______TITLE: ______

COMPANY NAME: ______

ADDRESS: ______

CITY & STATE: ______ZIP: ______

PHONE: ______FAX: ______CELL:______

F.I.D. #______OR S.S. #______

A copy of your valid OCIEB License/Certificate must be submitted with this application (if applicable).

Have you previously been registered within the City of Pepper Pike? ______

License Holder:______Type: ______State ID#: ______Expiration: ______

License Holder:______Type: ______State ID#: ______Expiration: ______

List those authorized to obtain permits in the name of the applicant:

______/______/______

SIGNATURE OF APPLICANT:______DATE:______

NOTE:

All registrations expire on December 31st.

Section 1486.03 Signs: No person shall construct, erect or install a sign in the City.

It is the responsibility of the permit holder to schedule all required inspections.

03/07; revised 11/08, 11/09, 10/10; 08/11: form.registration.application
CITY OF PEPPER PIKE

28000 Shaker Blvd.

Pepper Pike, Ohio 44124

216-896-6134

216-831-1160 (Fax)

INCOME TAX REGISTRATION FORM

NOTE: This Form has to be completed to ensure that your application is processed.

APPLICANT NAME: ______TITLE: ______

COMPANY NAME: ______

ADDRESS:______

______

______

PHONE NO: ______FAX NO: ______

FEDERAL ID NUMBER: ______

OR

SOCIAL SECURITY NUMBER: ______

DATE: ______SIGNATURE: ______

All wages and salaries earned while working in the City of Pepper Pike are subject to the City’s 1% income tax. All employers are required by law to withhold the tax from wages of the employee and remit it to the Regional Income Tax Agency (RITA) on behalf of the City of Pepper Pike. Failure to do so can result in penalties and interest against the employer.

Filing is also required for all owners of companies working in the City.
Registration forms are available in the Building Department. Please contact RITA at 440-526-4455 or 440-526-0900 with any questions regarding the above information.